Clean indoor air laws, cigarette excise taxes, and smoking: Results from the current population survey-tobacco use supplement, 2003-2011

Clean indoor air laws, cigarette excise taxes, and smoking: Results from the current population survey-tobacco use supplement, 2003-2011
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DOI:
10.1016/j.ypmed.2019.06.002
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发表时间:
2019-09-01
影响因子:
5.1
通讯作者:
Rutkow, Lainie
Rutkow, Lainie
中科院分区:
医学2区
文献类型:
--
作者:
Mojtabai, Ramin;Riehm, Kira E.;Rutkow, Lainie

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在过去的15年里,美国州和地方清洁室内空气法的数量和覆盖面都有所增加。这些法律与联邦、州和地方卷烟消费税的增加相吻合。鉴于这些变化,本研究的目的是检查2003年至2011年期间清洁室内空气法,卷烟消费税和吸烟模式之间的关联。使用2003年和2010/2011年当前人口调查-烟草使用补充报告中报告在过去一年吸烟的62,165名成年参与者的数据,我们研究了州和县工作场所,酒吧和餐馆清洁室内空气法和卷烟消费税与戒烟和当前每天吸烟的关系。2003年至2011年期间,戒烟人数增加,继续吸烟者的每日吸烟量显着减少。生活在消费税较高、室内空气清洁法更全面的州和县的参与者戒烟的可能性更高,每天吸烟的可能性更低。基于没有不受控制的混杂因素的假设,税收和法律的变化占戒烟人数增加的64.8%,占日常吸烟人数减少的64.8%。实施州和县一级的清洁室内空气法和卷烟税似乎已经达到了鼓励吸烟者戒烟或减少吸烟频率的预期目标。
There was an increase in the number and coverage of state and local clean indoor air laws in the US during the past fifteen years. These laws coincided with increases in federal, state, and local cigarette excise taxes. In light of these changes, the objective of this study was to examine the association between clean indoor air laws, cigarette excise taxes and smoking patterns between 2003 and 2011. Using data on 62,165 adult participants in the 2003 and 2010/2011 Current Population Survey-Tobacco Use Supplement who reported smoking cigarettes in the past year, we examined the association of state and county workplace, bar, and restaurant clean indoor air laws and cigarette excise taxes with quitting and current every-day smoking. Between 2003 and 2011, quitting increased and daily smoking among those who continued to smoke decreased significantly. Participants living in states and counties with higher excise taxes and more comprehensive clean indoor air laws had a higher likelihood of quitting and lower likelihood of everyday smoking. Based on the assumption of no uncontrolled confounding, changes in taxes and laws accounted for 64.8% of the increase in smoking cessation and all of the reduction in everyday smoking. Implementation of state and county-level clean indoor air laws and cigarette taxes appears to have achieved the intended goal of encouraging smokers to either quit or reduce their frequency of smoking.