Journal article
Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study
American journal of epidemiology, v 187(6), pp 1250-1258
01 Jun 2018
PMID: 29860468
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Indoor smoking bans have often been associated with reductions in smoking prevalence. However, few studies have evaluated their association with within-person changes in smoking behaviors. We linked longitudinal data from 5,105 adults aged 18-30 years at baseline from the Coronary Artery Risk Development in Young Adults (CARDIA) Study (1985-2011) to state, county, and local policies mandating 100% smoke-free bars and restaurants by census tract. We used fixed-effects models to examine the association of smoking bans with within-person change in current smoking risk, smoking intensity (smoking ≥10 cigarettes/day on average vs. <10 cigarettes/day), and quitting attempts, using both linear and nonlinear adjustment for secular trends. In models assuming a linear secular trend, smoking bans were associated with a decline in current smoking risk and smoking intensity and an increased likelihood of a quitting attempt. The association with current smoking was greatest among participants with a bachelor's degree or higher. In models with a nonlinear secular trend, pooled results were attenuated (confidence intervals included the null), but effect modification results were largely unchanged. Findings suggest that smoking ban associations may be difficult to disentangle from other tobacco control interventions and emphasize the importance of evaluating equity throughout policy implementation.
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Details
- Title
- Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study
- Creators
- Stephanie L Mayne - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PennsylvaniaAmy H Auchincloss - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PennsylvaniaLoni Philip Tabb - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PennsylvaniaMark Stehr - School of Economics, LeBow College of Business, Drexel University, Philadelphia, PennsylvaniaJames M Shikany - Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AlabamaPamela J Schreiner - Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MinnesotaRachel Widome - Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MinnesotaPenny Gordon-Larsen - Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
- Publication Details
- American journal of epidemiology, v 187(6), pp 1250-1258
- Publisher
- Oxford University Press; United States
- Grant note
- HHSN268201300026C / NHLBI NIH HHS HHSN268201300027C / NHLBI NIH HHS P2C HD050924 / NICHD NIH HHS HHSN268201300025C / NHLBI NIH HHS HHSN268200900041C / NHLBI NIH HHS P30 DK056350 / NIDDK NIH HHS HHSN268201300029C / NHLBI NIH HHS P30 ES010126 / NIEHS NIH HHS R01 HL114091 / NHLBI NIH HHS HHSN268201300028C / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Economics (School of Economics); Urban Health Collaborative; Epidemiology and Biostatistics; Center for Public Policy
- Web of Science ID
- WOS:000434091300017
- Scopus ID
- 2-s2.0-85049007820
- Other Identifier
- 991014878134204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health