Thomson Carey Conley, Fisher Laurie B, Winickoff Jonathan P, Colditz Graham A, Camargo Carlos A, King Charles, Frazier A Lindsay
Pulmonary and Critical Care Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
J Public Health Manag Pract. 2004 Nov-Dec;10(6):490-6. doi: 10.1097/00124784-200411000-00003.
The objective of the study described in this article was to examine the association between state cigarette excise taxes and smoking behaviors among youth in the United States. A survey was nationally mailed to adolescents in the Growing Up Today Study, an ongoing cohort of offspring of participants in the Nurses' Health Study II. A volunteer sample of 10,981 adolescent boy and girl participated in the Growing Up Today Study, who were 12 to 18 years old in 1999. Logistic regression was used to examine the relationship between state cigarette excise taxes (in quartiles) and experimentation (ever smoked) and established smoking (smoked at least 100 cigarettes in a lifetime). State tax levels in 1999 ranged from 2.5 to 100 cents. In a model that adjusted for age, gender, peer smoking, parental smoking, state clustering, state poverty level, and possession of tobacco promotional items, higher tax rates were associated with decreased odds of experimentation (test for trend p < 0.01). The highest quartile of tax (60-100 cents) was significantly associated with lower odds of experimentation (OR = 0.79; 95% CI, 0.64-0.98) and appeared protective against established smoking (OR = 0.80; 95% CI, 0.49-1.29). This study provides recent evidence that higher state cigarette excise taxes are associated with decreased experimental smoking among adolescent boys and girls. Higher state cigarette taxes may also be associated with lower odds of established smoking in this age group, although the association appears to be attenuated by peer and parental smoking. These results support the inclusion of tobacco taxes in state tobacco control programs.
本文所述研究的目的是检验美国各州香烟消费税与青少年吸烟行为之间的关联。一项调查被全国范围内邮寄给“今日成长研究”中的青少年，该研究是护士健康研究II参与者后代的一个正在进行的队列研究。一个由10981名青少年男孩和女孩组成的志愿者样本参与了“今日成长研究”，他们在1999年的年龄为12至18岁。使用逻辑回归来检验各州香烟消费税（按四分位数划分）与尝试吸烟（曾经吸烟）和固定吸烟（一生中至少吸过100支烟）之间的关系。1999年各州的税率范围为2.5美分至100美分。在一个对年龄、性别、同伴吸烟、父母吸烟、州聚类、州贫困水平和拥有烟草促销物品进行调整的模型中，较高的税率与尝试吸烟几率的降低相关（趋势检验p<0.01）。最高四分位数的税率（60 - 100美分）与较低的尝试吸烟几率显著相关（OR = 0.79；95%CI，0.64 - 0.98），并且似乎对固定吸烟有保护作用（OR = 0.80；95%CI，0.49 - 1.29）。这项研究提供了最新证据，表明较高的州香烟消费税与青少年男孩和女孩尝试吸烟的减少有关。较高的州香烟税也可能与该年龄组固定吸烟几率的降低有关，尽管这种关联似乎因同伴和父母吸烟而减弱。这些结果支持将烟草税纳入州烟草控制项目。
