Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002–2009
| العنوان: | Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002–2009 |
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| المؤلفون: | W. J. Christian, Ellen J. Hahn, Bin Huang, C. J. Walker |
| المصدر: | Southern Medical Journal |
| بيانات النشر: | Southern Medical Association, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Passive smoking, medicine.medical_treatment, Prevalence, Kentucky, medicine.disease_cause, tobacco, 01 natural sciences, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Environmental health, medicine, Humans, 030212 general & internal medicine, 0101 mathematics, Socioeconomic status, Health policy, Behavioral Risk Factor Surveillance System, Public Health & Environmental Medicine, business.industry, Public health, Smoking, 010102 general mathematics, General Medicine, smoke-free, Smoke-Free Policy, Smoking cessation, Female, Risk assessment, business, policy |
| الوصف: | This article evaluates changes in self-reported smoking prevalence in a state (Kentucky) with one of the highest smoking prevalence rates in the United States, during the onset of local enactments of local laws designed to reduce smoking in workplaces and public buildings. To date, there have been only a few studies evaluating the medium- to long-term effects of smoke-free ordinances on smoking prevalence, particularly at the local level. Objectives Many local communities in Kentucky, a state with one of the highest smoking prevalence rates in the United States, have enacted smoke-free ordinances that prohibit smoking in workplaces and enclosed buildings open to the public. Research has shown that such ordinances are clearly beneficial for public health, but their influence on smoking prevalence in the populations they cover remains unclear. This study explores the effect of local smoke-free ordinances on smoking prevalence in Kentucky. Methods We used a database of smoke-free ordinances maintained by the Kentucky Center for Smoke-Free Policy, Kentucky Behavioral Risk Factor Surveillance System survey data, and US Census data. We estimated the proportion of Kentucky adults living in counties with smoke-free ordinances of varying strength; examined bivariate associations between smoke-free ordinances and smoking prevalence; and fit regression models that adjusted for various county-level demographic, socioeconomic, and geographic factors. Results Smoking prevalence was approximately 5% lower in counties with smoke-free ordinances, even after adjusting for other relevant factors, including a trend in decreasing prevalence throughout the study region. There was a slight dose–response effect related to the strength of smoke-free ordinances after adjustment for these covariates. Smoke-free ordinances appear to have a modest effect on smoking prevalence across the span of several years. Conclusions Findings demonstrate that although smoking prevalence fell throughout the state during the study period, counties with smoke-free ordinances experienced a greater decline. Future research should examine the strength of smoke-free ordinances in greater detail to better understand their influence on smoking prevalence. |
| تدمد: | 1541-8243 0038-4348 |
| DOI: | 10.14423/smj.0000000000001000 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e9b6b0ea79234101fd26e0f4edec5e86 https://doi.org/10.14423/smj.0000000000001000 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e9b6b0ea79234101fd26e0f4edec5e86 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15418243 00384348 |
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| DOI: | 10.14423/smj.0000000000001000 |