Farrelly Matthew C, Arnold Kristin Y, Juster Harlan R, Allen Jane A
Public Health Policy Research Program, RTI International, Research Triangle Park, North Carolina (Dr Farrelly and Mss Arnold and Allen); and Tobacco Surveillance, Evaluation and Research, Bureau of Chronic Disease Evaluation and Research, New York State Department of Health, Albany (Dr Juster).
J Public Health Manag Pract. 2014 Mar-Apr;20(2):E1-6. doi: 10.1097/PHH.0b013e31829aa28e.
Quantify the degree to which changes in state-level adult smoking prevalence subsequently influence youth smoking prevalence.
Analysis of data from the Tobacco Use Supplement to the Current Population Survey (TUS-CPS) collected from 1995 to 2006 and the National Youth Tobacco Survey (NYTS) collected from 1999 to 2006.
Adults 25 years or older who completed the TUS-CPS and youth in middle and high school who completed the NYTS.
Current smoking among middle and high school students as a function of the change in state-level adult smoking, controlling for individual-level sociodemographic characteristics and state-level tobacco control policy variables.
Among middle school students, declines in state-level adult smoking rates are associated with lower odds of current smoking (P < .05), and each doubling of the decline in adult smoking rates is associated with a 6.0% decrease in youth smoking. Among high school students, declines in state-level adult smoking rates are not associated with current smoking. Higher cigarette prices were associated with lower odds of smoking among middle and high school students. Greater population coverage by smoke-free air laws and greater funding for tobacco control programs were associated with lower odds of current smoking among high school students but not middle school students. Compliance with youth access laws was not associated with middle or high school smoking.
By quantifying the effect of changes in state-level adult smoking rates on youth smoking, this study enhances the precision with which the tobacco control community can assess the return on investment for adult-focused tobacco control programs.
量化州级成人吸烟率的变化对青少年吸烟率的后续影响程度。
分析1995年至2006年收集的当前人口调查烟草使用补充调查（TUS-CPS）数据以及1999年至2006年收集的全国青少年烟草调查（NYTS）数据。
完成TUS-CPS的25岁及以上成年人以及完成NYTS的初中和高中学生。
将初中和高中学生当前吸烟情况作为州级成人吸烟变化的函数，同时控制个体层面的社会人口学特征和州级烟草控制政策变量。
在中学生中，州级成人吸烟率下降与当前吸烟几率降低相关（P <.05），成人吸烟率下降每翻倍，青少年吸烟率下降6.0%。在高中生中，州级成人吸烟率下降与当前吸烟情况无关。较高的香烟价格与初中和高中学生吸烟几率降低相关。无烟空气法覆盖的人口比例增加以及烟草控制项目资金增加与高中生当前吸烟几率降低相关，但与中学生无关。遵守青少年准入法律与初中或高中学生吸烟情况无关。
通过量化州级成人吸烟率变化对青少年吸烟的影响，本研究提高了烟草控制界评估以成人为重点的烟草控制项目投资回报率的精确性。
