PURPOSE: The study investigated the relationships among local smoke-free public policies, county-level quitline call rate, and adult smoking status. DESIGN: A retrospective cross-sectional examination of demographic characteristics, smoking status of Kentuckians, and data from the Kentucky Tobacco Quitline were used to investigate the relationship of local smoke-free ordinances or Board of Health regulations together with county-level quitline use rates and population-level adult smoking status. SETTING: One hundred and four Kentucky counties. SUBJECTS: The sample was comprised of 14,184 Kentucky participants with complete demographic information collected from the 2009-2010 Behavioral Risk Factor Surveillance System (BRFSS). MEASURES: Individual-level demographics and smoking status from the BRFSS; county-level urban/rural status; quitline rates; and smoke-free policy status. ANALYSIS: Given the hierarchical structure of the dataset, with BRFSS respondents nested within county, multilevel modeling was used to determine the predictors of smoking status. RESULTS: For every 1-unit increase in the county-level call rate the likelihood of current smoking status decreased by 9%. Compared to those living in communities without a policy, those in communities with a smoke-free public policy were 18% less likely to be current smokers. Limitations include quitline call rate as the sole indicator of cessation demand, as well as the cross-sectional design. CONCLUSION: Communities with smoke-free policies and higher rates of quitline use have lower rates of adult smoking.
PURPOSE: The study investigated the relationships among local smoke-free public policies, county-level quitline call rate, and adult smoking status. DESIGN: A retrospective cross-sectional examination of demographic characteristics, smoking status of Kentuckians, and data from the Kentucky Tobacco Quitline were used to investigate the relationship of local smoke-free ordinances or Board of Health regulations together with county-level quitline use rates and population-level adult smoking status. SETTING: One hundred and four Kentucky counties. SUBJECTS: The sample was comprised of 14,184 Kentucky participants with complete demographic information collected from the 2009-2010 Behavioral Risk Factor Surveillance System (BRFSS). MEASURES: Individual-level demographics and smoking status from the BRFSS; county-level urban/rural status; quitline rates; and smoke-free policy status. ANALYSIS: Given the hierarchical structure of the dataset, with BRFSS respondents nested within county, multilevel modeling was used to determine the predictors of smoking status. RESULTS: For every 1-unit increase in the county-level call rate the likelihood of current smoking status decreased by 9%. Compared to those living in communities without a policy, those in communities with a smoke-free public policy were 18% less likely to be current smokers. Limitations include quitline call rate as the sole indicator of cessation demand, as well as the cross-sectional design. CONCLUSION: Communities with smoke-free policies and higher rates of quitline use have lower rates of adult smoking.
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Health focus: smoking control Strategy: policy; Manuscript format: research; Outcome measure: behavioral; Prevention Research; Quitline; Research purpose: relationship testing; Setting: state; Smoke-Free Policies; Smoking; Study design: nonexperimental; Target population circumstances: education/income level, geographic location; Target population: adults; Tobacco
Authors: Shu-Hong Zhu; Christopher M Anderson; Gary J Tedeschi; Bradley Rosbrook; Cynthia E Johnson; Michael Byrd; Elsa Gutiérrez-Terrell Journal: N Engl J Med Date: 2002-10-03 Impact factor: 91.245
Authors: Ellen J Hahn; Mary Kay Rayens; Sarah Adkins; Nick Simpson; Susan Frazier; David M Mannino Journal: Am J Public Health Date: 2014-04-17 Impact factor: 9.308