Local Smoke-Free Public Policies, Quitline Call Rate, and Smoking Status in Kentucky.
Wednesday, February 12, 2014
Posted by: Natalia Gromov
J Health Promot. 2014 Jan 16. [Epub ahead of print]
Local Smoke-Free Public
Policies, Quitline Call Rate, and Smoking Status in Kentucky.
Fernander AF, Rayens MK,
Adkins S, Hahn EJ
The study investigated the relationships among local smoke-free public
policies, county-level quitline call rate, and adult smoking status. DESIGN: A
retrospective cross-sectional examination of demographic characteristics,
smoking status of Kentuckians, and data from the Kentucky Tobacco Quitline were
used to investigate the relationship of local smoke-free ordinances or Board of
Health regulations together with county-level quitline use rates and
population-level adult smoking status. SETTING: One hundred and four Kentucky
counties. SUBJECTS: The sample was comprised of 14,184 Kentucky participants
with complete demographic information collected from the 2009-2010 Behavioral
Risk Factor Surveillance System (BRFSS). MEASURES: Individual-level
demographics and smoking status from the BRFSS; county-level urban/rural
status; quitline rates; and smoke-free policy status. ANALYSIS: Given the
hierarchical structure of the dataset, with BRFSS respondents nested within county,
multilevel modeling was used to determine the predictors of smoking status.
RESULTS: For every 1-unit increase in the county-level call rate the likelihood
of current smoking status decreased by 9%. Compared to those living in
communities without a policy, those in communities with a smoke-free public
policy were 18% less likely to be current smokers. Limitations include quitline
call rate as the sole indicator of cessation demand, as well as the
cross-sectional design. CONCLUSION: Communities with smoke-free policies and
higher rates of quitline use have lower rates of adult smoking.