Comprehensive Indoor Smoking Bans and Smoking Prevalence: Evidence from the BRFSS

Carton, Thomas; Darden, Michael; Levendis, John; Lee, Sang H.; Ricket, Iben

doi:10.1162/ajhe_a_00061

Cited by 19 publications

(14 citation statements)

References 22 publications

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“…As described above, we find that comprehensive smoking bans are effective in improving infant birth outcomes, among low-educated mothers. We extend these analyses to older children using data from the NHIS; these results are reported in (Carton et al 2016;Anger et al, 2011;Shetty et al 2011;Fichtenberg et al 2002;Eisner et al, 1998).…”

Section: B Child Health Outcomesmentioning

confidence: 99%

Impact of Comprehensive Smoking Bans on the Health of Infants and Children

McGeary¹,

Dave²,

Lipton³

et al. 2020

American Journal of Health Economics

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As evidence of the negative effects of environmental tobacco smoke (ETS) has mounted, an increasingly popular public policy response has been to impose restrictions on smoking through 100% smoke-free bans (comprehensive smoking bans). Yet sparse information exists regarding the impact these smoking bans at the state and local levels have on the health of children and infants. A rationale for expansion of smoke-free laws implicitly presumes that potential public health gains from reducing adult cigarette consumption and declines in adult ETS exposure extend to children. However, if smokers compensate by shifting their consumption of cigarettes from public venues that impose a comprehensive smoking ban to smoking at home, then these policies may have a harmful effect on children and infants. This study provides estimates of how comprehensive smoking bans impact the venue of smoking, and the health of children and infants. Using models that exploit state-and county-level changes to smoking ban legislation over time, estimates suggest that smoking bans have improved the health of both infants and children, mainly through implementation of more comprehensive bans. Further, we find no evidence of displacement among smokers (both smokers with and without children in the household), and actually find that the bans had a positive spillover effect in terms of reducing smoking inside the home-an effect which may further explain the improvement in infant and children's health. Our effect magnitudes imply that expanding comprehensive coverage from 60% (current level) to 100% of the population can prevent between approximately 1,110-1,750 low birthweight births among low-educated mothers, resulting in economic cost savings of about $71-$111 million annually. Health improvements among older children add to these economic benefits.

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Section: B Child Health Outcomesmentioning

confidence: 99%

Impact of Comprehensive Smoking Bans on the Health of Infants and Children

McGeary¹,

Dave²,

Lipton³

et al. 2020

American Journal of Health Economics

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“…For example, many states implemented statewide indoor smoking bans between 2000 and 2010, which was shown to reduce smoking, especially in low‐income persons (Carton et al. ). Thus, to date, evidence on the effects of Medicaid cessation coverage on smoking cessation has not been nationally representative, and it may have been subject to confounding from secular trends in quitting behavior in the general low‐income population that may be related to state uptake of coverage without being specific to Medicaid beneficiaries.…”

mentioning

confidence: 99%

Does State Medicaid Coverage of Smoking Cessation Treatments Affect Quitting?

Kostova

Babb

et al. 2018

Health Services Research

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“…While fixed-effects models reduce bias by controlling for all time-invariant characteristics, including those not measured, an important limitation of these models is loss of precision due to the reduction in sample size of including only participants with within-person change. 59 Finally, prior research suggests stricter tobacco policies may be more likely to be passed in areas with lower smoking rates, 60 leading to concerns about reverse causation. However, this is less of a concern with individual-level data, as an individuals’ decision to smoke is unlikely to influence policymakers’ decisions to enact tobacco control policies in a given area.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Associations of Local Cigarette Prices and Smoking Bans with Smoking Behavior in the Multi-Ethnic Study of Atherosclerosis

et al. 2017

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Background Few studies have examined associations of geographically proximal cigarette prices with within-person changes in smoking outcomes, or assessed interactions between cigarette prices and smoking bans. Methods We linked neighborhood cigarette prices (inflation-adjusted) at chain supermarkets and drug stores and bar/restaurant smoking ban policies to cohort participants (632 smokers from the Multi-Ethnic Study of Atherosclerosis, 2001–2012, baseline mean aged 58) using geocoded retailer and participant addresses. We used fixed-effects models to investigate associations of within-person changes in price and ban exposures with within-person changes in five smoking outcomes: current smoking, heavy (≥10 cigarettes) smoking, cessation, relapse, and intensity (average number of cigarettes smoked per day, natural log-transformed). We assessed intensity associations among all smokers, and heavy (≥10 cigarettes per day) and light (<10) baseline smokers. Finally, we tested interactions between cigarette price and bans. Results $1 increase in price was associated with a 3% reduction in risk of current smoking (aRR: 0.97, 95% confidence interval [CI]: 0.93, 1.0), a 7% reduction in risk of heavy smoking (aRR: 0.93, CI: 0.87, 0.99), a 20% increase in risk of smoking cessation (aRR 1.2, CI: 0.99, 1.4), and a 35% reduction in the average number of cigarettes smoked per day by heavy baseline smokers (ratio of geometric means: 0.65, CI: 0.45%, 0.93%). We found no association between smoking bans and outcomes, and no evidence that price effects were modified by the presence of bans. Conclusions Results underscore the importance of local prices, but not hospitality smoking bans, in influencing older adults’ smoking behaviors.

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Comprehensive Indoor Smoking Bans and Smoking Prevalence: Evidence from the BRFSS

Cited by 19 publications

References 22 publications

Impact of Comprehensive Smoking Bans on the Health of Infants and Children

Impact of Comprehensive Smoking Bans on the Health of Infants and Children

Does State Medicaid Coverage of Smoking Cessation Treatments Affect Quitting?

Longitudinal Associations of Local Cigarette Prices and Smoking Bans with Smoking Behavior in the Multi-Ethnic Study of Atherosclerosis

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