Public policy and smoking cessation among young adults in the United States.

Department of Economics, University of Illinois at Chicago and Health Economics Group, National Bureau of Economic Research, 601 S. Morgan Street, Chicago, IL 60607-7121, USA.
Health Policy (Impact Factor: 1.73). 07/2004; 68(3):321-32. DOI: 10.1016/j.healthpol.2003.10.007
Source: PubMed

ABSTRACT In the wake of significant budget shortfalls, numerous states have increased cigarette excise taxes to boost revenues. This study examines whether or not increasing the price of cigarettes, which will occur as a consequence of cigarette excise tax increases, and implementing stronger restrictions on smoking in private worksites and other public places have an impact on smoking cessation decisions of young adults, thereby influencing public health in the United States (US). This paper employs longitudinal data on young adults from the Monitoring the Future Surveys matched with information on site-specific prices and measures of clean indoor air restrictions. A Cox regression is employed to estimate the smoking cessation equations. The estimates clearly indicate that increasing the price of cigarettes increases the number of young adults who quit smoking. The average price elasticity of cessation is 0.35. In addition, stronger restrictions on smoking in private worksites and public places other than restaurants increase the probability of young adult smoking cessation. Given the well-documented benefits of smoking cessation, a significant increase in cigarette excises taxes may be one of the most effective means to reduce premature death and disease in the United States.

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    ABSTRACT: Objectives. We monitored the prevalence and patterns of use of the array of tobacco products available to young adults, who are at risk for initiation and progression to established tobacco use. Methods. We used data from waves 1 to 3 of GfK's KnowledgePanel (2011-2012), a nationally representative cohort of young adults aged 18 to 34 years (n = 2144). We examined prevalence and patterns of tobacco product use over time, associated demographics, and state-level tobacco policy. We used multivariable logistic regression to determine predictors of initiation of cigarettes as well as noncombustible and other combustible products. Results. The prevalence of ever tobacco use rose from 57.28% at wave 1 to 67.43% at wave 3. Use of multiple products was the most common pattern (66.39% of tobacco users by wave 3). Predictors of initiation differed by product type and included age, race/ethnicity, policy, and use of other tobacco products. Conclusions. Tobacco use is high among young adults and many are using multiple products. Efforts to implement policy and educate young adults about the risks associated with new and emerging products are critical to prevent increased initiation of tobacco use. (Am J Public Health. Published online ahead of print June 12, 2014: e1-e8. doi:10.2105/AJPH.2013.301802).
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    ABSTRACT: Tobacco, the world’s biggest preventable killer, described as the single most preventable cause of morbidity and mortality globally, with the World Bank predicting over 450 million tobacco-related deaths in the next fifty years. The WHO Framework Convention on Tobacco Control (FCTC) emphasizes the vital contribution of participation of health professional bodies, as well as training and healthcare institutions in tobacco control efforts. The WHO programme contains several activities for controlling tobacco-related diseases; importantly, emphasis is given to tobacco prevention activities in schools and development of national and community-based tobacco programmes in low and middle income countries. The Government of India through “The Cigarettes and Other Tobacco Products Act, 2003” has provisions to prohibit the sale of tobacco products to minors as well as within 100 yards of any educational institution. Even large cigarette tax increases would result in both substantially higher quitting rates and a considerable drop in smoking intensity. Moreover, counseling from a health professional is an effective method of helping patients quit the tobacco habit. Dentists can play an important role in helping patients quit using tobacco. The dental office is an ideal setting for tobacco cessation services since preventive treatment services, oral screening, and patient education have always been a large part of the dental practice. Tobacco cessation activities should be as natural as oral hygiene measures in dental offices. Nevertheless, monitoring of effective planning and execution of programmes by appropriate authorities at regular intervals is vital for successful achievement of the goal of “Tobacco Free Society.”

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May 22, 2014