Department of Mental Health, Hampton House, 624 North Broadway, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Department of Mental Health, Hampton House, 624 North Broadway, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Prev Med. 2020 Jul;136:106098. doi: 10.1016/j.ypmed.2020.106098. Epub 2020 Apr 22.
The role of smoking cessation treatments in the link between clean indoor air laws and cigarette taxes with smoking cessation is not known. This study examined whether the use of smoking cessation treatments mediates the association between clean indoor air laws and cigarette excise taxes, on the one hand, and recent smoking cessation, on the other hand. Using data on 62,165 adult participants in the 2003 and 2010-2011 Current Population Survey-Tobacco Use Supplement who reported smoking cigarettes in the past year, we employed structural equation models to quantify the degree to which smoking cessation treatments (prescription medications, nicotine replacement therapy, counseling/support groups, quitlines, and internet-based resources) mediate the association between clean indoor air laws, cigarette excise taxes and recent smoking cessation. Recent smoking cessation was associated with clean indoor air laws in 2003 and with both clean indoor air laws and excise taxes in 2010-2011. Smoking cessation treatments explained between 29% to 39% of the effect of clean indoor air laws and taxes on recent smoking cessation. While clean indoor air laws remained significantly associated with the recent smoking cessation over the first decade of the 2000s, excise taxes gained a more prominent role in later years of that decade. The influence of these policies was partly mediated through the use of smoking cessation treatments, underscoring the importance of policies that make these treatments more widely available.
关于戒烟治疗在清洁室内空气法规和香烟税与戒烟之间的联系中的作用尚不清楚。本研究检验了戒烟治疗的使用是否在清洁室内空气法规和香烟消费税与近期戒烟之间的关联中起中介作用。使用了 2003 年和 2010-2011 年“当前人口调查-烟草使用补充调查”中报告过去一年吸烟的 62165 名成年参与者的数据，我们采用结构方程模型来量化戒烟治疗（处方药物、尼古丁替代疗法、咨询/支持小组、戒烟热线和基于互联网的资源）在清洁室内空气法规、香烟消费税与近期戒烟之间的关联中起中介作用的程度。近期戒烟与 2003 年的清洁室内空气法规以及 2010-2011 年的清洁室内空气法规和消费税有关。戒烟治疗解释了清洁室内空气法规和税收对近期戒烟的影响的 29%至 39%。虽然清洁室内空气法规在 21 世纪的头十年仍与近期戒烟显著相关，但消费税在该十年的后期发挥了更重要的作用。这些政策的影响部分通过使用戒烟治疗来介导，突出了使这些治疗方法更广泛可用的政策的重要性。
