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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

RETRACTED ARTICLE: Inequities in coverage of smokefree space policies within the United States

Authors: Christopher Lowrie, Amber L. Pearson, George Thomson

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Previous studies have found extensive geographic and demographic differences in tobacco use. These differences have been found to be reduced by effective public policies, including banning smoking in public spaces. Smokefree indoor and outdoor spaces reduce secondhand smoke exposure and denormalize smoking.

Methods

We evaluated regional and demographic differences in the proportion of the population covered by smokefree policies enacted in the United States prior to 2014, for both adults and children.

Results

Significant differences in coverage were found by ethnicity, region, income, and education (p < 0.001). Smokefree policy coverage was lower for jurisdictions with higher proportions of poor households, households with no high school diploma and the Southeast region. Increased ethnic heterogeneity was found to be a significant predictor of coverage in indoor “public spaces generally”, meaning that diversity is protective, with differential effect by region (p = 0.004) – which may relate to urbanicity. Children had a low level of protection in playgrounds and schools (~10% covered nationwide) – these spaces were found to be covered at lower rates than indoor spaces.

Conclusions

Disparities in smokefree space policies have potential to exacerbate existing health inequities. A national increase in smokefree policies to protect children in playgrounds and schools is a crucial intervention to reduce such inequities.
Literature
1.
World Health Organization, Tobacco: fact sheet N°339; 2015.
2.
U.S. Department of Health and Human Services, The health consequences of smoking—50 years of progress. A report of the surgeon general. 2014.
3.
Boyle P. Tobacco and public health: science and policy. USA: Oxford University Press; 2004.
4.
5.
Barnett R, Pearce J, Moon G. Community inequality and smoking cessation in New Zealand, 1981–2006. Soc Sci Med. 2009;68(5):876–84.CrossRefPubMed
6.
Moore S, Stewart S, Teixeira A. Decomposing social capital inequalities in health. J Epidemiol Community Health. 2014;68(3):233–8.CrossRefPubMed
7.
Jamal A, King BA, Neff LJ, Whitmill J, Babb SD, Graffunder CM. Current Cigarette Smoking Among Adults — United States, 2005–2015. MMWR Morb Mortal Wkly Rep. 2016;65:1205–11.CrossRefPubMed
8.
Nguyen KH, Marshall L, Brown S, Neff L. State-Specific Prevalence of Current Cigarette Smoking and Smokeless Tobacco Use Among Adults — United States, 2014. MMWR Morb Mortal Wkly Rep. 2016;65:1045–51.CrossRefPubMed
9.
Lawrence EM, Pampel FC, Mollborn S. Life course transitions and racial and ethnic differences in smoking prevalence. Adv Life Course Res. 2014;22:27–40.CrossRefPubMed
10.
11.
Aloise-Young PA, Cruickshank C, Chavez EL. Cigarette smoking and perceived health in school dropouts: a comparison of Mexican American and non-Hispanic white adolescents. J Pediatr Psychol. 2002;27(6):497–507.CrossRefPubMed
12.
Grant JD, et al. Associations of alcohol, nicotine, cannabis, and drug use/dependence with educational attainment: evidence from Cotwin-control analyses. Alcohol Clin Exp Res. 2012;36(8):1412–20.CrossRefPubMedPubMedCentral
13.
Reid JL, Hammond D, Driezen P. Socio-economic status and smoking in Canada, 1999–2006: has there been any progress on disparities in tobacco use? Canadian Can J Public Health. 2010;101(1):73–8.
14.
Leonardi-Bee J, Jere ML, Britton J. Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: a systematic review and meta-analysis. Thorax. 2011;66:847–55.
15.
Baha M, Le Faou A-L. Smokers’ reasons for quitting in an anti-smoking social context. Public Health. 2010;124(4):225–31.CrossRefPubMed
16.
DiFranza JR, et al. Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality. Pediatrics. 2006;117(6):e1237–48.CrossRefPubMed
17.
MacFadyen L, Hastings G, MacKintosh AM. Cross sectional study of young people's awareness of and involvement with tobacco marketing. BMJ. 2001;322(7285):513–7.CrossRefPubMedPubMedCentral
18.
Pierce JP, White VM, Emery SL. What public health strategies are needed to reduce smoking initiation? Tob Control. 2012;21(2):258–64.CrossRefPubMed
19.
Centers for Disease Control and Prevention, Tobacco industry marketing. 2016.
20.
21.
Albers AB, et al. Effect of smoking regulations in local restaurants on smokers’ anti-smoking attitudes and quitting behaviours. Tob Control. 2007;16(2):101–6.CrossRefPubMedPubMedCentral
22.
U.S. Department of Health and Human Services, Preventing tobacco use among youth and young adults: a report of the surgeon general: executive summary. 2012.
23.
Hahn EJ. Smokefree legislation a review of health and economic outcomes research. Am J Prev Med. 2010;39(6):S66–76.CrossRefPubMed
24.
Zablocki RW, et al. Smoking ban policies and their influence on smoking behaviors among current California smokers: a population-based study. Prev Med. 2014;59:73–8.CrossRefPubMed
25.
Chahine T, Subramanian S, Levy JI. Sociodemographic and geographic variability in smoking in the US: a multilevel analysis of the 2006–2007 current population survey, tobacco use supplement. Soc Sci Med. 2011;73(5):752–8.CrossRefPubMed
26.
Chaiton M, et al. Exposure to smoking on patios and quitting: a population representative longitudinal cohort study. Tob Control. 2014;0:1–6.
27.
Nykiforuk CI, Eyles J, Campbell HS. Smoke-free spaces over time: a policy diffusion study of bylaw development in Alberta and Ontario, Canada. Health Soc Care Community. 2008;16(1):64–74.CrossRefPubMed
28.
Hyland A, Barnoya J, Corral JE. Smoke-free air policies: past, present and future. Tob Control. 2012;21(2):154–61.CrossRefPubMed
29.
American Non-Smokers Rights Foundation, U.S. tobacco control Laws database: research applications. 2010.
30.
American Lung Association in California, Becoming a policy wonk on comprehensive outdoor secondhand smoke ordinances: answers to tough questions from opponents and elected officials. 2014.
31.
Bayer R, Bachynski KE. Banning smoking in parks and on beaches: science, policy, and the politics of denormalization. Health Aff. 2013;32(7):1291–8.CrossRef
32.
Hood, N.E., et al., Community characteristics associated with smokefree park policies in the United States. Nicotine Tob Res, 2014. 16(6): p. 828-835.
33.
34.
Wadsworth T, Kubrin CE. Structural factors and black interracial homicide: a new examination of the causal process. Criminology. 2004;42(3):647–72.CrossRef
35.
Thomson G, et al. Attitudes to smoke-free outdoor regulations in the USA and Canada: a review of 89 surveys. Tob Control. 2015;0:1–11.
36.
37.
Satterlund TD, et al. Barriers to adopting and implementing local-level tobacco control policies. J Community Health. 2011;36(4):616–23.CrossRefPubMed
38.
39.
Harris JK, Mueller NL. Policy activity and policy adoption in rural, suburban, and urban local health departments. J Public Health Manag Pract. 2013;19(2):E1–8.CrossRefPubMed
40.
Rosenblatt RA, Casey S, Richardson M. Rural–urban differences in the public health workforce: local health departments in 3 rural western states. Am J Public Health. 2002;92(7):1102–5.CrossRefPubMedPubMedCentral
Metadata
Title
RETRACTED ARTICLE: Inequities in coverage of smokefree space policies within the United States
Authors
Christopher Lowrie
Amber L. Pearson
George Thomson
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4385-6

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