The California Tobacco Control Program's effect on adult smokers: (2) daily cigarette consumption levels
The California Tobacco Control Program's effect on adult smokers: (2) daily cigarette consumption levels
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DOI：
10.1136/tc.2006.017061
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发表时间：
2007-04-01
期刊：
影响因子：
5.2
通讯作者：
Gilpin, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Al-Delaimy, Wael K.;Pierce, John P.;Gilpin, Elizabeth A.
目的：探讨加州综合控烟计划与自报人群吸烟趋势的关系。地点和对象：非西班牙裔白人日常吸烟者(年龄20-，n=24317)，来自《当前人口调查烟草使用补充资料》(1992年-2002年)。我们比较了加州(加州；高卷烟价格/综合计划)、纽约州和新泽西州(高卷烟价格/不全面计划)和烟草种植州(TGS；低卷烟价格/不全面计划)三组州日常吸烟者的年龄特定消费趋势。结果：1992至2002年间，除TGS中年龄最大的年龄组外，所有年龄组的卷烟消费普遍下降。在加州，平均每天吸烟量的年降幅最大的是年龄=35岁的每日吸烟者(-0.41支/天/年(95%CI-0.52至-0.3))。这一比率显著高于来自纽约和新泽西的同龄每日吸烟者的-0.22支/天/年(95%CI-0.3to-0.16；p<；0.02；p<；0.02)，也显著高于来自TGS的同龄每日吸烟者的比率(-0.15支/天/年(95%CI-0.22至-0.08；p<；0.002)。在20-34岁的每日吸烟者中观察到的下降在不同的州组之间没有显著差异。2002年，加州只有12%的每日吸烟者每天吸烟超过一包，这明显低于纽约和新泽西州的17%，这也明显低于TGS的25%。结论：加州烟草控制计划与年龄=35岁的每日吸烟者的香烟消费量显著下降有关，这反过来应该导致与烟草相关的健康影响的下降。年轻成年吸烟者的消费下降是一种全国性的趋势。
Objective: To investigate the association of the California Comprehensive Tobacco Control Program with self-reported population trends of cigarette consumption during 1992-2002.Setting and Participants: Participants were non-Hispanic white daily smokers (aged 20-64 years, n = 24 317) from the Tobacco Use Supplements to the Current Population Survey (1992-2002). We compared age-specific trends in consumption among daily smokers in three groups of states with differing ;tobacco control initiatives: California (CA; high cigarette price/comprehensive programme), New York and New Jersey (high cigarette price/no comprehensive programme), and tobacco-growing states (TGS; low cigarette price/no comprehensive programme).Results: There was a general decline in cigarette consumption across all age groups in each category of states between 1992 and 2002, except the oldest age group in the TGS. The largest annual decline in the average number of cigarettes per day was observed among daily smokers in CA who were aged >= 35 years (-0.41 cigarettes/day/year (95% CI -0.52 to -0.3)). This rate was significantly higher than the -0.22 cigarettes/day/year (95% CI -0.3 to -0.16; p < 0.02) observed in same-age daily smokers from New York and New Jersey, and significantly higher than the rate in same-age daily smokers from the TGS (-0.15 cigarettes/day/year (95% CI -0.22 to -0.08; p < 0.002)). There were no significant differences across state groups in the decline observed in daily smokers aged 20-34 years. In 2002, only 12% of daily smokers in CA smoked more than a pack per day, which was significantly lower than the 17% in New York and New Jersey, which again was significantly lower than the 25% in the TGS.Conclusions: The California Tobacco Control Program was associated with significant declines in cigarette consumption among daily smokers aged >= 35 years of age, which in turn should lead to declines in tobacco-related health effects. The decline in consumption among young adult smokers was a national trend.