NDLI: Are tobacco control policies effective in reducing young adult smoking?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Farrelly, Matthew C. Loomis, Brett R. Kuiper, Nicole Han, Beth Gfroerer, Joseph Caraballo, Ralph S. Pechacek, Terry F. Couzens, G. Lance
Spatial Coverage	United States
Description	Author Affiliation: Farrelly MC ( RTI International, Research Triangle Park, North Carolina. Electronic address: mcf@rti.org.); Loomis BR ( RTI International, Research Triangle Park, North Carolina.); Kuiper N ( Centers for Disease Control and Prevention, Office on Smoking and Health, Atlanta, Georgia.); Han B ( Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, Rockville, Maryland.); Gfroerer J ( Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, Rockville, Maryland.); Caraballo RS ( RTI International, Research Triangle Park, North Carolina.); Pechacek TF ( RTI International, Research Triangle Park, North Carolina.); Couzens GL ( RTI International, Research Triangle Park, North Carolina.)
Abstract	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.
File Format	HTM / HTML
ISSN	1054139X
e-ISSN	18791972
DOI	10.1016/j.jadohealth.2013.09.015
Journal	Journal of Adolescent Health
Issue Number	4
Volume Number	54
Language	English
Publisher	Elsevier
Publisher Date	2014-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Pediatrics Health Promotion Smoking Prevention & Control Tobacco Smoke Pollution Legislation & Jurisprudence Adolescent Health Surveys Logistic Models Public Policy Epidemiology Tobacco Products Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Pediatrics, Perinatology and Child Health Psychiatry and Mental Health

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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