Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study

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 Ri...

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Veröffentlicht in:American journal of epidemiology 2018-06, Vol.187 (6), p.1250-1258
Hauptverfasser: Mayne, Stephanie L, Auchincloss, Amy H, Tabb, Loni Philip, Stehr, Mark, Shikany, James M, Schreiner, Pamela J, Widome, Rachel, Gordon-Larsen, Penny
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container_issue 6
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container_title American journal of epidemiology
container_volume 187
creator Mayne, Stephanie L
Auchincloss, Amy H
Tabb, Loni Philip
Stehr, Mark
Shikany, James M
Schreiner, Pamela J
Widome, Rachel
Gordon-Larsen, Penny
description 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.
doi_str_mv 10.1093/aje/kwx372
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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. &lt;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.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwx372</identifier><identifier>PMID: 29860468</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adult ; Adults ; Bans ; Cigarettes ; Confidence intervals ; Coronary artery ; Evaluation ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; No-smoking policies ; Original Contributions ; Restaurants - legislation &amp; jurisprudence ; Risk ; Smoke ; Smoking ; Smoking - legislation &amp; jurisprudence ; Smoking - psychology ; Tobacco ; Trends ; Young Adult ; Young adults</subject><ispartof>American journal of epidemiology, 2018-06, Vol.187 (6), p.1250-1258</ispartof><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018</rights><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. 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subjects Adult
Adults
Bans
Cigarettes
Confidence intervals
Coronary artery
Evaluation
Female
Humans
Longitudinal Studies
Male
Middle Aged
No-smoking policies
Original Contributions
Restaurants - legislation & jurisprudence
Risk
Smoke
Smoking
Smoking - legislation & jurisprudence
Smoking - psychology
Tobacco
Trends
Young Adult
Young adults
title Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study
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