Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA.
Addiction. 2021 Aug;116(8):2198-2206. doi: 10.1111/add.15434. Epub 2021 Feb 18.
In the United States, some states and localities have added vaping restrictions to established smoke-free indoor air laws in order to reduce electronic cigarette use. Yet, if smokers use e-cigarettes to quit, such restrictions could have the unintended effect of attenuating the original smoke-free air policy's effects on smoking. This study estimated changes in current smoking, past-year smoking cessation, and recent vaping following the introduction of smoke- and vape-free air laws.
Observational study of nationally representative data from the 2014-2018 National Health Interview Survey.
United States.
PARTICIPANTS/CASES: 87 334 participants, 18-54 years of age.
Multivariable linear regressions estimated the association between increased exposure to smoke- and vape-free worksite and restaurant laws and self-reported current smoking and recent vaping among emerging adults (ages 18-25), as well as past-12-month smoking cessation among prime age adults (ages 26-54). All regressions adjusted for respondent sociodemographic and other tobacco control policies, along with state and year fixed effects.
Smoke-free worksite laws were associated with significant reductions in the likelihood of current smoking ( = - 0.050, 95% CI: -0.098, -0.002, P = 0.038) and recent vaping ( = - 0.040, 95% CI: -0.072, -0.007, P = 0.013), as well as increases in the likelihood of smoking cessation ( = 0.026, 95% CI: 0.000, 0.052, P = 0.046). Adding vaping restrictions to smoke-free worksite laws did not yield further reductions in recent vaping ( = 0.008, 95% CI: -0.021, 0.036, P = 0.568) and counteracted over half of the estimated association with current smoking relative to smoke-free policies alone ( = 0.030, 95% CI: -0.028, 0.088, P = 0.301).
From 2014 to 2018, increased adoption of smoke-free worksite laws in the United States was associated with reductions in both current smoking and recent vaping, as well as increases in smoking cessation. Adding vaping restrictions to smoke-free worksite laws, however, was not associated with a reduction in recent vaping among emerging adults and may have attenuated the smoke-free policy's impact on current smoking in this age group.
在美国，一些州和地方将电子烟限制纳入现有的室内禁烟法律，以减少电子烟的使用。然而，如果吸烟者使用电子烟戒烟，那么这些限制可能会对最初的无烟空气政策对吸烟的影响产生意想不到的影响。本研究估计了在引入无烟和电子烟空气法律后，当前吸烟、过去一年戒烟和最近电子烟使用的变化。
对 2014-2018 年全国健康访谈调查中具有全国代表性的数据进行观察性研究。
美国。
参与者/病例：87334 名 18-54 岁的参与者。
多变量线性回归估计了增加接触无烟和电子烟工作场所和餐厅法律与新兴成年人（18-25 岁）自我报告的当前吸烟和最近电子烟使用以及主要年龄成年人（26-54 岁）过去 12 个月的戒烟之间的关联。所有回归都调整了受访者的社会人口统计学和其他烟草控制政策，以及州和年份固定效应。
无烟工作场所法律与当前吸烟（ = -0.050，95%CI：-0.098，-0.002，P=0.038）和最近电子烟使用（ = -0.040，95%CI：-0.072，-0.007，P=0.013）的可能性显著降低有关，同时与戒烟的可能性增加（ = 0.026，95%CI：0.000，0.052，P=0.046）有关。将电子烟限制纳入无烟工作场所法律并没有进一步降低最近电子烟使用的可能性（ = 0.008，95%CI：-0.021，0.036，P=0.568），并且与仅无烟政策相比，抵消了当前吸烟与无烟政策相关的近一半（ = 0.030，95%CI：-0.028，0.088，P=0.301）。
2014 年至 2018 年期间，美国越来越多地采用无烟工作场所法律与当前吸烟和最近电子烟使用的减少以及戒烟的增加有关。然而，将电子烟限制纳入无烟工作场所法律并没有与新兴成年人最近电子烟使用的减少有关，并且可能会削弱该无烟政策对该年龄组当前吸烟的影响。
