Use of pharmacy data to evaluate smoking regulations' impact on sales of nicotine replacement therapies in New York City

Use of pharmacy data to evaluate smoking regulations' impact on sales of nicotine replacement therapies in New York City
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DOI:
10.2105/ajph.2004.048025
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发表时间:
2005-06-01
影响因子:
12.7
通讯作者:
Kerker, BD
Kerker, BD
中科院分区:
医学2区
文献类型:
--
作者:
Metzger, KB;Mostashari, F;Kerker, BD

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目标。最近,纽约市和纽约州提高了卷烟消费税,纽约市实施了无烟工作场所法。为了评估这些政策对纽约市戒烟的影响,我们研究了尼古丁替代疗法 (NRT) 产品的非处方销售情况。方法。作为非传统监测活动的一部分,实时收集药房销售数据。我们使用泊松广义估计方程来分析吸烟相关政策对药房特定尼古丁贴片和口香糖每周销售的影响。我们评估了药房地点的效果修改。结果。我们观察到,在卷烟税增加和无烟工作场所法颁布的几周内,NRT 产品销量有所增加。低收入地区的药店普遍比高收入地区的药店因税收增加而出现更大、更持久的增长。结论。实时监测现有的非传统监测数据(例如 NRT 产品的药房销售情况)可以帮助评估公共政策对戒烟尝试的影响。香烟税的增加和无烟工作场所法规与纽约市戒烟尝试的增加有关,特别是在低收入地区。
Objectives. Recently, New York City and New York State increased cigarette excise taxes and New York City implemented a smoke-free workplace law. To assess the impact of these policies on smoking cessation in New York City, we examined over-the-counter sales of nicotine replacement therapy (NRT) products.Methods. Pharmacy sales data were collected in real time as part of nontraditional surveillance activities. We used Poisson generalized estimating equations to analyze the effect of smoking-related policies on pharmacy-specific weekly sales of nicotine patches and gum. We assessed effect modification by pharmacy location.Results. We observed increases in NRT product sales during the weeks of the cigarette tax increases and the smoke-free workplace law. Pharmacies in low-income areas generally had larger and more persistent increases in response to tax increases than those in higher-income areas.Conclusions. Real-time monitoring of existing nontraditional surveillance data, such as pharmacy sales of NRT products, can help assess the effects of public policies on cessation attempts. Cigarette tax increases and smoke-free workplace regulations were associated with increased smoking cessation attempts in New York City, particularly in low-income areas.