Tobacco control policy and smoking cessation and intensity in a longitudinal sample of US older adults (1992 - 2014)
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University of Michigan, Department of Sociology, United States of America
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A904
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ABSTRACT
Background:
US Older adults have lower smoking rates than adults in other age groups; only
about eight percent of people 65 and older smoke. These lower smoking rates have limited research into the effects of tobacco control policy on smoking cessation in
later life, but the lack of attention is misguided. Quitting even relatively late in life confers health and life expectancy
benefits. This study addresses two questions: were changes in average cigarette
prices and smoke-free laws associated with an increased likelihood of cessation
and/or decreased smoking intensity among older adults? Did the effects of
tobacco control policies on the likelihood of cessation and/or decreased
smoking intensity vary by education and/or race?
Methods:
Geocoded longitudinal data
from the 1992 to 2014 waves of the Health and Retirement Study including
smokers 51 and older were used to assess the relationship between changes in
100% smoke-free laws and average cigarette pack price and the likelihood of smoking
cessation or change in the number of cigarettes smoked daily. All analyses were
stratified by gender.
Results:
The enactment of a
non-hospitality workplace law was associated with an increased likelihood of
cessation among men, but not among women. Transition to other smoke-free laws
was not associated with increased cessation or lowered intensity. High school
graduates decreased their smoking intensity in response to cigarette price
change more than those with less than high school. The most consistent
predictor of increased probability of cessation and decreased smoking intensity
among these older adults was a negative change in health.
Conclusions:
These results suggest that
older adults' smoking is less sensitive to changes in smoke-free policies or
increased cigarette prices than that of younger adults.