Historique
Article de Périodique
Impact of tobacco prices and smoke-free policy on smoking cessation, by gender and educational group: Spain, 1993-2012 (2015)
Auteur(s) :
E. REGIDOR ;
C. PASCUAL ;
C. GIRALDEZ-GARCAA ;
S. GALINDO ;
D. MARTINEZ ;
A. E. KUNST
Article en page(s) :
1215-1221
Domaine :
Tabac / Tobacco / e-cigarette
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ARRET DU TABAC
;
TABAC
;
PRIX
;
INTERDICTION DE FUMER
;
SEVRAGE
;
LEGISLATION
;
ENQUETE
;
NIVEAU D'ETUDES
Thésaurus géographique
ESPAGNE
Résumé :
Background: To evaluate the effect of tobacco prices and the implementation of smoke-free legislation on smoking cessation in Spain, by educational level, across the period 1993-2012.
Methods: National Health Surveys data for the above two decades were used to calculate smoking cessation in people aged 25-64 years. The relationship between tobacco prices and smoking quit-ratio was estimated using multiple linear regression adjusted for time and the presence of smoke-free legislation. The immediate as well as the longer-term impact of the 2006 smoke-free law on quit-ratio was estimated using segmented linear regression analysis. The analyses were performed separately in men and women with high and low education, respectively.
Results: No relationship was observed between tobacco prices and smoking quit-ratio, except in women having a low educational level, among whom a rise in price was associated with a decrease in quit-ratio. The smoke-free law altered the smoking quit-ratio in the short term and altered also pre-existing trends. Smoking quit-ratio increased immediately after the ban - though this increase was significant only among women with a low educational level - and then decreased in subsequent years except among men with a high educational level.
Conclusion: A clear relationship between tobacco prices and smoking quit-ratio was not observed in a recent period. After the implementation of smoke-free legislation the trend in the quit ratio in most of the socio-economic groups was different from the trend observed before implementation, so existing inequalities in smoking quit-ratio were not widened or narrowed.
Highlights:
A relationship between tobacco prices and smoking cessation has not been observed.
Low education women were the exception: quit ratio a fell with the price increase.
The smoke-free legislation altered the quit-ratio in the short term in all groups.
In subsequent years the quit-ratio declined except in high education men.
Methods: National Health Surveys data for the above two decades were used to calculate smoking cessation in people aged 25-64 years. The relationship between tobacco prices and smoking quit-ratio was estimated using multiple linear regression adjusted for time and the presence of smoke-free legislation. The immediate as well as the longer-term impact of the 2006 smoke-free law on quit-ratio was estimated using segmented linear regression analysis. The analyses were performed separately in men and women with high and low education, respectively.
Results: No relationship was observed between tobacco prices and smoking quit-ratio, except in women having a low educational level, among whom a rise in price was associated with a decrease in quit-ratio. The smoke-free law altered the smoking quit-ratio in the short term and altered also pre-existing trends. Smoking quit-ratio increased immediately after the ban - though this increase was significant only among women with a low educational level - and then decreased in subsequent years except among men with a high educational level.
Conclusion: A clear relationship between tobacco prices and smoking quit-ratio was not observed in a recent period. After the implementation of smoke-free legislation the trend in the quit ratio in most of the socio-economic groups was different from the trend observed before implementation, so existing inequalities in smoking quit-ratio were not widened or narrowed.
Highlights:
A relationship between tobacco prices and smoking cessation has not been observed.
Low education women were the exception: quit ratio a fell with the price increase.
The smoke-free legislation altered the quit-ratio in the short term in all groups.
In subsequent years the quit-ratio declined except in high education men.
Affiliation :
Department of Preventive Medicine and Public Health, Universidad Complutense de Madrid, Madrid, Spain