Attitudes, policy and behaviour change: the effect of attitudes towards smoke-free laws on quit attempts among smokers
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Virginia Commonwealth University, Health Behavior and Policy, United States of America
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A356
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ABSTRACT
Background:
A growing number of studies have examined the effects of smoke-free laws
on behavioral change among active smokers. However, few studies have evaluated
whether the effect of policies differ depending on attitudes towards laws. The aims of this study were to disentangle the effects of smoking bans at bars and smokers' attitudes towards such laws on quit attempts, in addition to exploring how these effects might vary by gender.
Methods:
Data from two panels (2006-2007 and 2010-2011) of the Current Population
Survey, Tobacco Use Supplements (CPS-TUS) were used to obtain information on smokers'
attitudes towards laws that ban smoking at bars and other smoking-related
behaviors. Step-wise empirical models were estimated to measure the effect of
smoke-free laws and attitudes on quit attempts among smokers. The analyses
included state fixed effects and controlled for a series of time-varying characteristics
at individual and state level. Stratified analyses were performed to evaluate
effects by gender.
Results:
Favorable attitudes towards
the smoke-free laws were significantly associated with quit attempts among
active smokers (OR = 1.12, p< 0.001). However, association between
implementation of laws and quitting was insignificantly. Stratified analyses by
gender indicated that attitudes were more likely to affect female smokers in their
smoking cessation process (OR = 1.16, p=0.001), relative to male smokers
(OR=1.09, P=0.07).
Conclusions:
This study provides insights
on how attitudes towards smoke-free laws influence individual self-control and
contribute to behavioral change among smokers, which supports economic
self-control theory. Attitudes yield differential effects by gender,
emphasizing potential gender disparities in smoking cessation processes. Thus,
addressing gender specificity in tobacco control policies is necessary in
future research.