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A longitudinal analysis of smoke‐free laws and smoking initiation disparities among young adults in the United States

dc.contributor.authorTitus, Andrea R.
dc.contributor.authorXie, Yanmei
dc.contributor.authorThrasher, James F.
dc.contributor.authorLevy, David T.
dc.contributor.authorElliott, Michael R.
dc.contributor.authorPatrick, Megan E.
dc.contributor.authorFleischer, Nancy L.
dc.date.accessioned2022-03-07T03:11:09Z
dc.date.available2023-04-06 22:11:08en
dc.date.available2022-03-07T03:11:09Z
dc.date.issued2022-03
dc.identifier.citationTitus, Andrea R.; Xie, Yanmei; Thrasher, James F.; Levy, David T.; Elliott, Michael R.; Patrick, Megan E.; Fleischer, Nancy L. (2022). "A longitudinal analysis of smoke‐free laws and smoking initiation disparities among young adults in the United States." Addiction 117(3): 730-738.
dc.identifier.issn0965-2140
dc.identifier.issn1360-0443
dc.identifier.urihttps://hdl.handle.net/2027.42/171820
dc.description.abstractBackground and AimsTobacco control policies may differentially impact smoking initiation among socio‐demographic groups. We measured longitudinal associations between exposure to smoke‐free laws in grade 12 (modal age 18 years) and patterns of smoking initiation in the United States.DesignProspective longitudinal analysis.Setting and ParticipantsWe used data on US young adults sampled at modal age 18 years from the Monitoring the Future Survey. Baseline data were collected between 2000 and 2017, with the last year of follow‐up in 2018. The sample number varied by outcome and time‐point, ranging from 7314 to 17 702.MeasurementsSmoke‐free law coverage in work‐places and hospitality venues (restaurants/bars) was measured as the percentage of the county population covered by each type of law. We examined associations with any past 30‐day smoking initiation and daily smoking initiation at modal ages 19/20, 21/22 and 23/24, using Poisson regression and calculating average marginal effects. We explored effect modification by sex, race/ethnicity and parental education by testing the significance of interaction terms.FindingsWork‐place law coverage at modal age 18 was associated with a lower probability of daily smoking initiation at modal ages 21/22 [−2.4 percentage points (p.p.); 95% confidence interval (CI) = −3.9, –0.9] and 23/24 (−2.0 p.p.; 95% CI = −3.9, –0.2). Hospitality law coverage was associated with a lower probability of daily smoking initiation at modal ages 19/20 (−1.6 p.p.; 95% CI = −2.8, –0.4), 21/22 (−2.3 p.p.; 95% CI = −3.7, –0.9) and 23/24 (−1.8 p.p.; 95% CI = −3.6, –0.0). Findings were inconclusive with regard to associations with any past 30‐day smoking initiation and with regard to effect modification, after adjusting for multiple testing.ConclusionsExposure to smoke‐free laws at age 18 appears to be prospectively associated with reduced daily smoking initiation 1–6 years later.
dc.publisherWiley Periodicals, Inc.
dc.publisherInstitute for Social Research, University of Michigan
dc.subject.othersmoking initiation
dc.subject.otherHealth disparities
dc.subject.otherhealth equity
dc.subject.otherpublic policy
dc.subject.othersmoke‐free law
dc.subject.othertobacco
dc.titleA longitudinal analysis of smoke‐free laws and smoking initiation disparities among young adults in the United States
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbsecondlevelPsychiatry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171820/1/add15658.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171820/2/add15658_am.pdf
dc.identifier.doi10.1111/add.15658
dc.identifier.sourceAddiction
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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