Are Tobacco Control Policies Effective in Reducing Young Adult Smoking?
Are Tobacco Control Policies Effective in Reducing Young Adult Smoking?
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DOI：
10.1016/j.jadohealth.2013.09.015
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发表时间：
2014-04-01
影响因子：
7.6
通讯作者：
Couzens, G. Lance
中科院分区：
文献类型：
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作者：
Farrelly, Matthew C.;Loomis, Brett R.;Couzens, G. Lance
目的：我们研究了烟草控制计划资金、无烟空气法和卷烟价格对年轻人吸烟结果的影响。方法：我们采用自然实验设计方法，利用各州和时间上烟草控制政策的变化来了解其对烟草结果的影响。我们将个人结果数据与年度国家级政策数据相结合，建立多变量逻辑回归模型，控制广泛的社会人口因素。参与者是 2002-2009 年全国药物使用和健康调查中 18 至 25 岁的人。三个主要结果是过去一年开始吸烟，以及当前和既定的吸烟情况。当前吸烟者是指过去 30 天内至少有 1 天吸烟的人。既往吸烟者是指在过去 30 天内吸过 1 支或以上香烟，并且一生中至少吸过 100 支香烟的吸烟者。 结果：较高水平的烟草控制计划资金和更大的无烟空气法律覆盖率均与当前吸烟率和既定吸烟率的下降有关 (p < .01)。无烟空气法的覆盖范围扩大与去年启动率较低相关，但具有边际意义 (p = .058)。较高的卷烟价格与吸烟结果无关。如果无烟空气法的覆盖范围和累计烟草控制资金保持在 2002 年的水平，那么 2009 年当前和既定的吸烟率将增加 5%-7%。结论：无烟空气法和州烟草控制计划是遏制年轻人吸烟的有效策略。 (C) 2014 年青少年健康与医学协会。版权所有。
Purpose: We examined the influence of tobacco control program funding, smoke-free air laws, and cigarette prices on young adult smoking outcomes.Methods: We use a natural experimental design approach that uses the variation in tobacco control policies across states and over time to understand their influence on tobacco outcomes. We combine individual outcome data with annual state-level policy data to conduct multivariable logistic regression models, controlling for an extensive set of sociodemographic factors. The participants are 18- to 25-year-olds from the 2002-2009 National Surveys on Drug Use and Health. The three main outcomes are past-year smoking initiation, and current and established smoking. A current smoker was one who had smoked on at least 1 day in the past 30 days. An established smoker was one who had smoked 1 or more cigarettes in the past 30 days and smoked at least 100 cigarettes in his or her lifetime.Results: Higher levels of tobacco control program funding and greater smoke-free-air law coverage were both associated with declines in current and established smoking (p < .01). Greater coverage of smoke-free air laws was associated with lower past year initiation with marginal significance (p = .058). Higher cigarette prices were not associated with smoking outcomes. Had smoke-free-air law coverage and cumulative tobacco control funding remained at 2002 levels, current and established smoking would have been 5%-7% higher in 2009.Conclusions: Smoke-free air laws and state tobacco control programs are effective strategies for curbing young adult smoking. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.