Associations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study.

TitleAssociations of Bar and Restaurant Smoking Bans With Smoking Behavior in the CARDIA Study: A 25-Year Study.
Publication TypeJournal Article
Year of Publication2018
AuthorsMayne SL, Auchincloss AH, Tabb LPhilip, Stehr M, Shikany JM, Schreiner PJ, Widome R, Gordon-Larsen P
JournalAm J Epidemiol
Volume187
Issue6
Pagination1250-1258
Date Published2018 06 01
ISSN1476-6256
KeywordsAdult, Female, Humans, Longitudinal Studies, Male, Middle Aged, Restaurants, Smoking, Young Adult
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.

DOI10.1093/aje/kwx372
Alternate JournalAm. J. Epidemiol.
PubMed ID29860468
PubMed Central IDPMC5982712
Grant ListHHSN268201300026C / HL / NHLBI NIH HHS / United States
P30 ES010126 / ES / NIEHS NIH HHS / United States
HHSN268201300025C / HL / NHLBI NIH HHS / United States
HHSN268201300027C / HL / NHLBI NIH HHS / United States
HHSN268200900041C / HL / NHLBI NIH HHS / United States
HHSN268201300028C / HL / NHLBI NIH HHS / United States
R01 HL114091 / HL / NHLBI NIH HHS / United States
P30 DK056350 / DK / NIDDK NIH HHS / United States
HHSN268201300029C / HL / NHLBI NIH HHS / United States
P2C HD050924 / HD / NICHD NIH HHS / United States