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Tobacco control policies are egalitarian: A vulnerabilities perspective on clean indoor air laws, cigarette prices, and tobacco use disparities

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  • Dinno, Alexis
  • Glantz, Stanton

Abstract

This study models independent associations of state or local strong clean indoor air laws and cigarette prices with current smoker status and consumption in a multilevel framework, including interactions with educational attainment, household income and race/ethnicity and the relationships of these policies to vulnerabilities in smoking behavior. Cross sectional survey data are employed from the February 2002 panel of the Tobacco Use Supplement of the Current Population Survey (54,024 individuals representing the US population aged 15-80). Non-linear relationships between both outcome variables and the predictors were modeled. Independent associations of strong clean indoor air laws were found for current smoker status (OR 0.66), and consumption among current smokers (-2.36 cigarettes/day). Cigarette price was found to have independent associations with both outcomes, an effect that saturated at higher prices. The odds ratio for smoking for the highest versus lowest price over the range where there was a price effect was 0.83. Average consumption declined (-1.16 cigarettes/day) over the range of effect of price on consumption. Neither policy varied in its effect by educational attainment, or household income. The association of cigarette price with reduced smoking participation and consumption was not found to vary with race/ethnicity. Population vulnerability in consumption appears to be structured by non-white race categories, but not at the state and county levels at which the policies we studied were enacted. Clean indoor air laws and price increases appear to benefit all socio-economic and race/ethnic groups in our study equally in terms of reducing smoking participation and consumption.

Suggested Citation

  • Dinno, Alexis & Glantz, Stanton, 2009. "Tobacco control policies are egalitarian: A vulnerabilities perspective on clean indoor air laws, cigarette prices, and tobacco use disparities," Social Science & Medicine, Elsevier, vol. 68(8), pages 1439-1447, April.
  • Handle: RePEc:eee:socmed:v:68:y:2009:i:8:p:1439-1447
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    2. Lauren M. Dutra & Matthew C. Farrelly & James Nonnemaker & Brian Bradfield & Jennifer Gaber & Minal Patel & Elizabeth C. Hair, 2019. "Differential Relationship between Tobacco Control Policies and U.S. Adult Current Smoking by Poverty," IJERPH, MDPI, vol. 16(21), pages 1-16, October.
    3. Andrea R. Titus & Lucie Kalousova & Rafael Meza & David T. Levy & James F. Thrasher & Michael R. Elliott & Paula M. Lantz & Nancy L. Fleischer, 2019. "Smoke-Free Policies and Smoking Cessation in the United States, 2003–2015," IJERPH, MDPI, vol. 16(17), pages 1-12, September.
    4. Brian A. King & Andrew J. Hyland & Ron Borland & Ann McNeill & K. Michael Cummings, 2011. "Socioeconomic Variation in the Prevalence, Introduction, Retention, and Removal of Smoke-Free Policies among Smokers: Findings from the International Tobacco Control (ITC) Four Country Survey," IJERPH, MDPI, vol. 8(2), pages 1-24, January.
    5. Isabel Martinez Leal & Matthew Taing & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Kathy Le & Litty Koshy & Tzuan A. Chen & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & , 2021. "Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions," IJERPH, MDPI, vol. 18(11), pages 1-25, May.
    6. Okechukwu, Cassandra & Bacic, Janine & Cheng, Kai-Wen & Catalano, Ralph, 2012. "Smoking among construction workers: The nonlinear influence of the economy, cigarette prices, and antismoking sentiment," Social Science & Medicine, Elsevier, vol. 75(8), pages 1379-1386.
    7. Elaine M. Hernandez & Mike Vuolo & Laura C. Frizzell & Brian C. Kelly, 2019. "Moving Upstream: The Effect of Tobacco Clean Air Restrictions on Educational Inequalities in Smoking Among Young Adults," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1693-1721, October.
    8. Nargis, Nigar & Xue, Zheng & Asare, Samuel & Bandi, Priti & Jemal, Ahmedin, 2023. "Declining trend in cigarette smoking among U.S. adults over 2008–2018: A decomposition analysis," Social Science & Medicine, Elsevier, vol. 328(C).
    9. Anastase Tchicaya & Nathalie Lorentz & Stefaan Demarest, 2016. "Socioeconomic Inequalities in Smoking and Smoking Cessation Due to a Smoking Ban: General Population-Based Cross-Sectional Study in Luxembourg," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
    10. Mohammad Siahpush & Ron Borland & Geoffrey T. Fong & Tara Elton-Marshall & Hua-Hie Yong & Charamporn Holumyong, 2011. "Socioeconomic Differences in the Effectiveness of the Removal of the “Light” Descriptor on Cigarette Packs: Findings from the International Tobacco Control (ITC) Thailand Survey," IJERPH, MDPI, vol. 8(6), pages 1-11, June.
    11. Fred C. Pampel & Damien Bricard & Myriam Khlat & Stéphane Legleye, 2017. "Life Course Changes in Smoking by Gender and Education: A Cohort Comparison Across France and the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 309-330, June.
    12. Nan Jiang & Mariaelena Gonzalez & Pamela M. Ling & Kelly C. Young-Wolff & Stanton A. Glantz, 2017. "Smoke-Free Laws and Hazardous Drinking: A Cross-Sectional Study among U.S. Adults," IJERPH, MDPI, vol. 14(4), pages 1-11, April.

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