scholarly journals The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use

Author(s):  
Luz María Sánchez-Romero ◽  
Zhe Yuan ◽  
Yameng Li ◽  
David T. Levy

Background: Smokeless tobacco (SLT) prevalence was decreasing in Kentucky before 2007, but has since increased. This study examines the impact of policies on cigarette and SLT use by applying the SimSmoke tobacco control policy simulation model. Methods: Using data from the large-scale Tobacco Use Supplement of the Current Population Survey (TUS-CPS) and information on state-specific tobacco policies, Kentucky SimSmoke is updated and extended to incorporate exclusive SLT and dual cigarette and SLT use. The model is validated using survey data through 2017. The model was used to estimate the impact on smoking and SLT prevalence and attributable deaths of policies implemented between 1993 and 2018 and the impact of stronger future policies implemented in 2018 and maintained through 2060. Results: SimSmoke generally reflects trends in exclusive cigarette use from the TUS-CPS and the Behavioral Risk Factor Surveillance System (BRFSS), but underestimated the increase in SLT prevalence in recent years. SimSmoke projects that policies implemented between 1993 and 2018 reduced male and female cigarette use by 23.7% and 23.0%, and male and female SLT use by 4.9% by 2018, averting 9018 tobacco-attributable deaths by 2018, increasing to 89 547 by 2060. The largest reductions in cigarette and SLT use were attributed to cigarette price increases. Strengthening tobacco control policies could reduce smoking prevalence by 41% and 40%, and reduce SLT prevalence by 33% and 25% for males and females by 2060. Conclusion: Our results suggest that cigarette-oriented policies were effective in reducing SLT use but have been less successful in recent years. Future use rates can be further reduced through more restrictive statewide policies, which also target non-combustible nicotine products.

2019 ◽  
Vol 57 (4) ◽  
pp. e103-e115 ◽  
Author(s):  
David T. Levy ◽  
Zhe Yuan ◽  
Yameng Li ◽  
Ann W. St. Claire ◽  
Barbara A. Schillo

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 123-124
Author(s):  
Cristian I. Meghea ◽  
◽  
Oana Blaga ◽  
Marina Dascal ◽  
Teodora Fratila ◽  
...  

"Tobacco smoking is especially harmful for women because, in addition to its effects on mortality and morbidity, it negatively impacts pregnancy, reproductive, and health of the offspring. Data from our work in Romania revealed that pregnant tobacco smokers are seeking information and clinical advice related to e-cigarette use as a tobacco cessation approach. E-cigarette use increased rapidly in the recent years in the US and in other countries, including LMICs. The tobacco control field is deeply divided on how to respond to the increase in e-cigarette use. Additional evidence on the ethical issues related to e-cigarette use and tobacco cessation will inform our mHealth and other pregnancy tobacco cessation interventions and will guide future tobacco control policy direction. The objective of this study is to identify ethical concerns and associated attitudes and perceptions related to e-cigarette use for tobacco cessation during pregnancy among pregnant smokers, their life partners, medical professionals, and other stakeholders. We will interview (N=20) and conduct two focus groups with women who smoke (one focus group, N=10) and women who quit during pregnancy (one focus group, N=10); interview life partners (N=10) of such women; interview ObGyn physicians (N=10) and nurses (N=10); and interview (N=10) and conduct one focus group (N=10) with perinatal educators. Other relevant stakeholders will be also interviewed including the leadership of 2035 Tobacco Free Romania, the national Stop Smoking program, the Pure Air consortium, the Romanian Pneumology Society, the SAMAS NGO focused on maternal and child health and rights, and others. With respect to expected outcomes, the proposed application is anticipated to advance understanding of the smokers’ and other stakeholders’ ethical concerns and associated attitudes and perceptions related to e-cigarettes use for tobacco smoking cessation. The in-depth new knowledge will have a positive impact on the cessation of prenatal and postnatal tobacco smoking and will inform future tobacco control policy directions. Results will be available and will be presented at the time of the conference. This work is based on research partly funded through six NIH-funded projects (grant no. K01TW009654, R21TW010896, 5R21TW010896-02S1, 5R21TW010896-02S2, 1R21HD103039-0, 1R25TW010518-01A1). "


Author(s):  
Anh Ngo ◽  
Geoffrey T. Fong ◽  
Lorraine V. Craig ◽  
Ce Shang

Although increasing taxes has been established as the most effective tobacco control policy, it is not clear whether these policies reduce cigarette consumption equally among women and men. In this study, we examine whether the association between taxation/taxation structure and cigarette consumption differs by gender. The data is from the International Tobacco Control Policy Evaluation (ITC) Projects in 17 countries. Cigarette consumption was measured by gender for each ITC country. Generalized estimating equations (GEE) were employed to investigate gender differences in the association between cigarette consumption and tax structures, while controlling for time-variant demographic characteristics such as unemployment rates, proportions of adults, and percent of female population. Tiered tax structures are associated with higher cigarette consumption among both males and females. Female smokers are more responsive to an average tax increase than male smokers. Among males, higher ad valorem share in excise taxes is associated with lower cigarette consumption, but it is not the case for females. Females may not be as responsive to the prices raised by ad valorem taxes, despite being responsive to average taxes, suggesting that smokers by gender may face different prices.


2021 ◽  
Vol 7 (4) ◽  
pp. 379-391
Author(s):  
Yang Liu

Objectives: Based on the environmental protection law, this paper analyzes our current tobacco control policy and studies the effectiveness of the follow-up policy. Methods: This paper studies the impact of environmental law on tobacco industry and tobacco control from the legislative principles and regulatory subjects of environmental protection law. Grasping the basic connotation of tobacco control policy is the premise of understanding and implementing tobacco control. This paper analyzes tobacco control policy from the perspective of policy network and policy tools. Through the description of Smith policy model, find out the deficiencies in the implementation of tobacco control policy. Results: The smoking population in China tends to be younger, and the control of teenagers' smoking behavior should be more strict. Conduct investigation and management around the school, put forward certain requirements for students' parents, and carry out health education for students. Based on the legislative intention of environmental protection law, we should use policy tools, policy network and policy implementation process theory to supervise and manage the whole process of tobacco control implementation in China from the aspects of tobacco system, policy formulation, policy implementation and policy evaluation.. Conclusion: The government should strengthen the scientificity of tobacco control policy-making and improve its operability and unity. It should improve the implementation system of tobacco control policies and improve the construction of law enforcement subjects. An effective administrative punishment mechanism should be established and the information disclosure system of tobacco control policy should be strengthened. The social members should be guided to participate in and supervise. We should evaluate tobacco control policies and strive to improve the formulation, implementation and evaluation of tobacco control policies.


2019 ◽  
Vol 22 (7) ◽  
pp. 1139-1147 ◽  
Author(s):  
Lauren Czaplicki ◽  
Siobhan N Perks ◽  
Michael Liu ◽  
Alison Cuccia ◽  
Minal Patel ◽  
...  

Abstract Introduction Parents are essential stakeholders for policy implementation. However, data on parents’ support for e-cigarette- and tobacco-related policies is limited. This study examines parents’ support for five e-cigarette- and tobacco-related policies targeted to prevent youth initiation and exposure to industry marketing practices. Methods Data were from a 2018 nationally representative sample of US parents of 11- to 18-year-old middle and high school students. Weighted adjusted logistic regression models examined correlates of support for policy outcomes, controlling for demographics. Analyses were performed among the full sample (n = 2743) and among current tobacco users (n = 355). Results The majority of parents, including current tobacco users, supported tobacco control efforts to protect adolescents. More than 90% of all parents supported restrictions on e-cigarette marketing to youth and 75% supported a ban on flavored e-cigarette sales. Additionally, more than 80% of all parents supported increasing the age of tobacco product sale to 21, limiting tobacco retailer density near schools, and keeping tobacco products out of view where youth shop. Presence of strict home tobacco rules or reporting a high priority to prevent child’s e-cigarette use were significantly associated with higher odds of policy support. Results were similar among current tobacco users. Conclusions Parents are an important group of tobacco control stakeholders and should be utilized to garner support for tobacco control policies in the context of the recent growth in youth tobacco and e-cigarette use. Parents’ public support for tobacco control policies, particularly regulations on e-cigarette sales and marketing, can motivate advocates and policymakers to advance tobacco control policy agendas. Implications Youth tobacco and e-cigarette use in the United States has increased in recent years. Parents are important stakeholders to inform policy agendas and advance efforts to restrict youth access and exposure to tobacco products. This study provides evidence that parents of adolescents are highly supportive of youth-centered tobacco control policies, particularly those that restrict access to youth-targeted e-cigarette marketing and the sale of youth-appealing flavored e-cigarettes. Utilizing policy support to mobilize parents may be an important advocacy strategy to advance tobacco control policy agendas and curb rising rates of youth e-cigarette and tobacco use.


2017 ◽  
Vol 27 (2) ◽  
pp. 177-184 ◽  
Author(s):  
Jeff Niederdeppe ◽  
Maxwell Kellogg ◽  
Christofer Skurka ◽  
Rosemary J Avery

ObjectiveThis study tests whether exposure to state antismoking media campaigns is associated with increased support for comprehensive bans on smoking indoors and cigarette advertising.MethodsWe combine commercially available data on market-level state-sponsored antismoking advertisements with three waves of the Current Population Survey’s Tobacco Use Supplement to test the relationship between market-level volume of state antismoking advertising exposure and support for tobacco control policy between 2001 and 2002. We use logistic regression to assess which message themes employed in the advertisements are associated with increased support for tobacco control policy.ResultsThe overall market-level volume of exposure to state antismoking ads targeted to adults or the general population was associated with significant increases in support for comprehensive indoor smoking bans. These effects were driven by exposure to ads emphasising the health consequences of smoking to others, anti-industry appeals and irrationality/addiction appeals. Evidence of campaign impact on support for tobacco advertising bans was less clear and, when statistically significant, small in magnitude relative to the impact of the state economic and tobacco control policy environment.ConclusionsThis study shows that that large-scale antismoking media campaigns can have a meaningful secondary impact on support for comprehensive indoor smoking bans. Future research should identify the conditions under which mass media campaigns primarily targeting smoking behaviour may influence public support for a variety of other tobacco control policies.


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