1. Smoke-Free Policies and Smoking Cessation in the United States, 2003-2015.
- Author
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Titus, Andrea R, Kalousova, Lucie, Meza, Rafael, Levy, David T, Thrasher, James F, Elliott, Michael R, Lantz, Paula M, and Fleischer, Nancy L
- Subjects
impact analysis ,policies reducing disparities in tobacco use ,policy impacts on vulnerable populations ,tobacco control policies ,MD Multidisciplinary ,Toxicology - Abstract
(1) Background: Smoking restrictions have been shown to be associated with reduced smoking, but there are a number of gaps in the literature surrounding the relationship between smoke-free policies and cessation, including the extent to which this association may be modified by sociodemographic characteristics. (2) Methods: We analyzed data from the Tobacco Use Supplement to the Current Population Survey, 2003-2015, to explore whether multiple measures of smoking restrictions were associated with cessation across population subgroups. We examined area-based measures of exposure to smoke-free laws, as well as self-reported exposure to workplace smoke-free policies. We used age-stratified, fixed effects logistic regression models to assess the impact of each smoke-free measure on 90-day cessation. Effect modification by gender, education, family income, and race/ethnicity was examined using interaction terms. (3) Results: Coverage by workplace smoke-free laws and self-reported workplace smoke-free policies was associated with higher odds of cessation among respondents ages 40-54. Family income modified the association between smoke-free workplace laws and cessation for women ages 25-39 (the change in the probability of cessation associated with coverage was most pronounced among lower-income women). (4) Conclusions: Heterogeneous associations between policies and cessation suggest that smoke-free policies may have important implications for health equity.
- Published
- 2019