2015-10-07

Introduction Light and intermittent smoking (LITS) has become increasingly common. Alcohol drinkers are more likely to smoke. We examined the association of smokefree law and bar law coverage and alcohol use with current smoking, LITS, and smoking quit attempts among US adults and alcohol drinkers. Methods Cross-sectional analyses among a population-based sample of US adults (n = 27,731) using restricted data from 2009 National Health Interview Survey and 2009 American Nonsmokers' Rights Foundation United States Tobacco Control Database. Multivariate logistic regression models examined the relationship of smokefree law coverage and drinking frequency (1) with current smoking among all adults; (2) with 4 LITS patterns among current smokers; and (3) with smoking quit attempts among 6 smoking subgroups. Same multivariate analyses were conducted but substituted smokefree bar law coverage for smokefree law coverage to investigate the association between smokefree bar laws and the outcomes. Finally we ran the above analyses among alcohol drinkers (n = 16,961) to examine the relationship of smokefree law (and bar law) coverage and binge drinking with the outcomes. All models controlled for demographics and average cigarette price per pack. The interactions of smokefree law (and bar law) coverage and drinking status was examined. Results Stronger smokefree law (and bar law) coverage was associated with lower odds of current smoking among all adults and among drinkers, and had the same effect across all drinking and binge drinking subgroups. Increased drinking frequency and binge drinking were related to higher odds of current smoking. Smokefree law (and bar law) coverage and drinking status were not associated with any LITS measures or smoking quit attempts. Conclusions Stronger smokefree laws and bar laws are associated with lower smoking rates across all drinking subgroups, which provides further support for these policies. More strict tobacco control measures might help reduce cigarette consumption and increase quit attempts.

Jiang, N, Gonzalez, ME, Ling, PM, Glantz, SA. (2015). Data from: Relationship of Smokefree Laws and Alcohol Use with Light and Intermittent Smoking and Quit Attempts among US Adults and Alcohol Users. [Data File]. Three third-party datasets were used for this study. 2009 restricted data from National Health Interview Survey (NHIS) is publicly available dataset (available at http://www.cdc.gov/nchs/nhis/nhis_2009_data_release.htm), howver, the authors of this study requested a restricted NHIS dataset (with geography variable) from the CDC Research Data Center (RDC) which hosts the restricted data. Due to ethical and legal reasons, the RDC does not make protected information (e.g., participants’ geography location) publically available. Researchers can gain access to analyze the restricted data via an application to the RDC. Interested researchers may submit an application to the RDC to gain remote access to analyze the data. A second dataset was derrived from the 2009 American Nonsmokers' Rights Foundation (ANRF) United States Tobacco Control Database. For the ANRF data, researchers can purchase a run of data from the database. The ANR Foundation (http://www.no-smoke.org/document.php?id=313) can be contacted at 510-841-3032 or by email atTobaccoLawsDatabase@no-smoke.org. Finally, Census Estimated Population data is publicly available and archived at the UCSCensus website. We used the SUB EST2009: Subcounty Resident Population Estimates: April 1, 2000 to July 1, 2009. File: 7/1/2009 Subcounty Estimates File.
Click on “Linked Publications” to access the publication and access supporting information on figshare at https://figshare.com/articles/_Relationship_of_Smokefree_Laws_and_Alcohol_Use_with_Light_and_Intermittent_Smoking_and_Quit_Attempts_among_US_Adults_and_Alcohol_Users_/1567636

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Alcohol Users IntroductionLight

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