Are Tobacco Control Policies Effective in Reducing Young Adult Smoking?

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Farrelly, Matthew C. ; Loomis, Brett R. ; Kuiper, Nicole ; Han, Beth ; Gfroerer, Joseph ; Caraballo, Ralph S. ; Pechacek, Terry F. ; Couzens, G. Lance
• Description:
  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.
  
  
• Subjects:
  Adolescent Adult Female Health Promotion Health Surveys Humans Logistic Models Male Public Policy Smoking Prevention Tobacco Products Tobacco Smoke Pollution Young Adult

  More +
• Source:
  J Adolesc Health. 54(4):481-486.
• Pubmed ID:
  24268360
• Pubmed Central ID:
  PMC4603421
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  54
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:92428bcd2e16dd940956cd01075513aeef35cc886686760e5c9206e33f7ac02b
• Download URL:
  https://stacks.cdc.gov/view/cdc/34933/cdc_34933_DS1.pdf
• File Type:
  [PDF - 355.03 KB ]