David C Colston1, Beomyoung Cho1, James F Thrasher2,3, Andrea R Titus1, Yanmei Xie4, Sherry Emery5, Michael R Elliott6,7, Nancy L Fleischer1. 1. Department of Epidemiology, Center for Social Epidemiology and Population Health, 51329School of Public Health, University of Michigan, Ann Arbor, MI, USA. 2. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, 2629University of South Carolina, Columbia, SC, USA. 3. Department of Tobacco Research, Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico. 4. Biostatistics Core of the Rogel Cancer Center, 1259University of Michigan, Ann Arbor, MI, USA. 5. Social Data Collaboratory, NORC at the University of Chicago, Chicago, IL, USA. 6. Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA. 7. Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Abstract
PURPOSE: To evaluate sociodemographic differences in the relationship between state and national anti-smoking media campaigns and cessation behaviors among adult smokers in the U.S. DESIGN: Repeated cross-sectional analysis. SETTING: U.S. nationally representative survey of adults ages 18 and older, 2001-2015. SUBJECTS: 76,278 year-ago smokers from the 2001-2015 Tobacco Use Supplement to the Current Population Survey. MEASURES: Area-level exposure to State-sponsored and "Tips from former smokers" anti-tobacco media campaigns was the primary predictor of this study. Outcome variables included: quit attempt in the past 12 months, past 30-day smoking cessation, and past 90-day smoking cessation among year-ago smokers. ANALYSIS: We conducted modified Poisson regression models to examine the association between media campaign exposure and cessation behaviors. We also examined effect modification on the additive scale by sex, race/ethnicity, income, and education using average marginal effects. RESULTS: Year-ago smokers with greater exposure to media campaigns were more likely to report 30-day (Prevalence Ratio [PR]: 1.18, CI: 1.03, 1.36) and 90-day cessation (PR: 1.18, CI: 1.00, 1.41) compared to respondents with less campaign exposure. We found no evidence of effect modification by sociodemographic variables. CONCLUSION: Exposure to anti-smoking media campaigns were associated with year-ago smokers' cessation behaviors. However, there were no differences in the association by sex, race/ethnicity, income, or education, indicating that broadly focused media campaigns may be insufficient to reduce smoking cessation among priority populations, and thus health disparities generally.
PURPOSE: To evaluate sociodemographic differences in the relationship between state and national anti-smoking media campaigns and cessation behaviors among adult smokers in the U.S. DESIGN: Repeated cross-sectional analysis. SETTING: U.S. nationally representative survey of adults ages 18 and older, 2001-2015. SUBJECTS: 76,278 year-ago smokers from the 2001-2015 Tobacco Use Supplement to the Current Population Survey. MEASURES: Area-level exposure to State-sponsored and "Tips from former smokers" anti-tobacco media campaigns was the primary predictor of this study. Outcome variables included: quit attempt in the past 12 months, past 30-day smoking cessation, and past 90-day smoking cessation among year-ago smokers. ANALYSIS: We conducted modified Poisson regression models to examine the association between media campaign exposure and cessation behaviors. We also examined effect modification on the additive scale by sex, race/ethnicity, income, and education using average marginal effects. RESULTS: Year-ago smokers with greater exposure to media campaigns were more likely to report 30-day (Prevalence Ratio [PR]: 1.18, CI: 1.03, 1.36) and 90-day cessation (PR: 1.18, CI: 1.00, 1.41) compared to respondents with less campaign exposure. We found no evidence of effect modification by sociodemographic variables. CONCLUSION: Exposure to anti-smoking media campaigns were associated with year-ago smokers' cessation behaviors. However, there were no differences in the association by sex, race/ethnicity, income, or education, indicating that broadly focused media campaigns may be insufficient to reduce smoking cessation among priority populations, and thus health disparities generally.
Entities:
Keywords:
awareness; education/communications; gender specific; health communications; health disparities; health policy; interventions; opportunity; specific populations; strategies; tobacco control; underserved populations
Authors: Catherine S Nagawa; Lori Pbert; Bo Wang; Sarah L Cutrona; Maryann Davis; Stephenie C Lemon; Rajani S Sadasivam Journal: Prev Med Rep Date: 2022-07-05
Authors: David C Colston; Yanmei Xie; James F Thrasher; Megan E Patrick; Andrea R Titus; Sherry Emery; M Chandler McLeod; Michael R Elliott; Nancy L Fleischer Journal: Nicotine Tob Res Date: 2022-03-01 Impact factor: 5.825
Authors: Yu Wang; Zongshuan Duan; Sherry L Emery; Scott R Weaver; Shannon R Self-Brown; David L Ashley; Jidong Huang Journal: JAMA Netw Open Date: 2022-05-02