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 |
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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. |
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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.</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 & jurisprudence ; Risk ; Smoke ; Smoking ; Smoking - legislation & 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. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-29d54d6172da86397861c3b14e12b207201222d992c8b153f2e0574d75cb99753</citedby><cites>FETCH-LOGICAL-c436t-29d54d6172da86397861c3b14e12b207201222d992c8b153f2e0574d75cb99753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29860468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mayne, Stephanie L</creatorcontrib><creatorcontrib>Auchincloss, Amy H</creatorcontrib><creatorcontrib>Tabb, Loni Philip</creatorcontrib><creatorcontrib>Stehr, Mark</creatorcontrib><creatorcontrib>Shikany, James M</creatorcontrib><creatorcontrib>Schreiner, Pamela J</creatorcontrib><creatorcontrib>Widome, Rachel</creatorcontrib><creatorcontrib>Gordon-Larsen, Penny</creatorcontrib><title>Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><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. <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><subject>Adult</subject><subject>Adults</subject><subject>Bans</subject><subject>Cigarettes</subject><subject>Confidence intervals</subject><subject>Coronary artery</subject><subject>Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>No-smoking policies</subject><subject>Original Contributions</subject><subject>Restaurants - legislation & jurisprudence</subject><subject>Risk</subject><subject>Smoke</subject><subject>Smoking</subject><subject>Smoking - legislation & jurisprudence</subject><subject>Smoking - psychology</subject><subject>Tobacco</subject><subject>Trends</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1LHDEUhoO06Ppx0x9QAkWQwmhyMkkmXgjTrVVBENRSehUyM1k3626yTWZs_femXT_aXnh14JyHh3POi9A7SvYpUezAzOzB7c9fTMIaGtFSikIAF2_QiBAChQIBG2gzpRkhlCpO1tEGqEqQUlQjNKtTCq0zvQs-4TDBn0zExnf40qbeDNH4Hl8twq3zN3mUkW-un7507NTcuRCx87ifWjyuLz-f1fiqH7r7Q1xj4MV3m4V_Gtvo7cTMk915rFvo65fj6_FpcX5xcjauz4u2ZKIvQHW87ASV0JlKMCUrQVvW0NJSaIBIIBQAOqWgrRrK2QQs4bLsJG8bpSRnW-ho5V0OzcJ2rfV9NHO9jG5h4r0Oxul_J95N9U2401xVIClkwd6jIIYfQ_6DXrjU2vnceBuGpIGUSjFgSmT0w3_oLAzR5_M0MCKAVbIimfq4otoYUop28rwMJfp3hDpHqFcRZvj93-s_o0-ZZWB3BYRh-ZroAd17oj8</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Mayne, Stephanie L</creator><creator>Auchincloss, Amy H</creator><creator>Tabb, Loni Philip</creator><creator>Stehr, Mark</creator><creator>Shikany, James M</creator><creator>Schreiner, Pamela J</creator><creator>Widome, Rachel</creator><creator>Gordon-Larsen, Penny</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180601</creationdate><title>Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study</title><author>Mayne, Stephanie L ; Auchincloss, Amy H ; Tabb, Loni Philip ; Stehr, Mark ; Shikany, James M ; Schreiner, Pamela J ; Widome, Rachel ; Gordon-Larsen, Penny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-29d54d6172da86397861c3b14e12b207201222d992c8b153f2e0574d75cb99753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Bans</topic><topic>Cigarettes</topic><topic>Confidence intervals</topic><topic>Coronary artery</topic><topic>Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>No-smoking policies</topic><topic>Original Contributions</topic><topic>Restaurants - legislation & jurisprudence</topic><topic>Risk</topic><topic>Smoke</topic><topic>Smoking</topic><topic>Smoking - legislation & jurisprudence</topic><topic>Smoking - psychology</topic><topic>Tobacco</topic><topic>Trends</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mayne, Stephanie L</creatorcontrib><creatorcontrib>Auchincloss, Amy H</creatorcontrib><creatorcontrib>Tabb, Loni Philip</creatorcontrib><creatorcontrib>Stehr, Mark</creatorcontrib><creatorcontrib>Shikany, James M</creatorcontrib><creatorcontrib>Schreiner, Pamela J</creatorcontrib><creatorcontrib>Widome, Rachel</creatorcontrib><creatorcontrib>Gordon-Larsen, Penny</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mayne, Stephanie L</au><au>Auchincloss, Amy H</au><au>Tabb, Loni Philip</au><au>Stehr, Mark</au><au>Shikany, James M</au><au>Schreiner, Pamela J</au><au>Widome, Rachel</au><au>Gordon-Larsen, Penny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>187</volume><issue>6</issue><spage>1250</spage><epage>1258</epage><pages>1250-1258</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><abstract>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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>29860468</pmid><doi>10.1093/aje/kwx372</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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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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