Tobacco control environment in the United States and individual consumer characteristics in relation to continued smoking: Differential responses among menthol smokers?

PREVENTIVE MEDICINE

卷:65

Article

Lewis, Michael¹  Wang, Yanwen²  Berg, Carla J.³ 

[1] Emory Univ, Goizueta Business Sch, Dept Mkt, Atlanta, GA 30322 USA

[2] Univ Colorado, Leeds Sch Business, Mkt Div, Boulder, CO 80309 USA

[3] Emory Univ, Rollins Sch Publ Hlth, Dept Behav Sci & Hlth Educ, Atlanta, GA 30322 USA

关键词: Smoking;    Smoking cessation;    Tobacco use;   

DOI  :  10.1016/j.ypmed.2014.04.019

来源: Elsevier

【 摘 要 】

Objective. We used a consumer panel augmentedwith state- specificmeasures of tobacco control activities to examine the main effects and interactions among consumer behaviors, particularly menthol cigarette smoking, and tobacco control environment on cessation over a six- year period. Methods. We used the Nielson Homescan Panel, which tracks consumer purchasing behaviors, and tobacco control information matched to panelist zip code. We focused on 1582 households purchasing = 20 packs from 2004 to 2009. Our analysis included demographics; purchasing behavior including menthol versus nonmenthol use (= 80% of cigarettes purchased being menthol), quality preferences (average price/pack), purchase recency, and nicotine intake (nicotine levels of cigarettes purchased); and tobacco control metrics (taxation, anti- tobacco advertising, smoke- free policies). Results. Menthol smoking (Hazard Ratio [HR]= 0.79, 95% Confidence Interval [CI] 0.64, 0.99), being African American (HR= 0.67, CI 0.46, 0.98), beingmale (HR= 0.46, CI 0.28, 0.74), higher quality premium preferences (HR= 0.80, CI 0.77, 0.91), lower recency (HR= 1.04, CI 1.02, 1.05), and higher nicotine intake rates (HR= 0.99, CI 0.99, 0.99) were related to continued smoking. No significant interactions were found. Conclusion. While there were no interactions between menthol use and effects of tobacco control activities, we did find additional support for the decreased cessation rates among menthol cigarette smokers, particularly in the African American population. (C) 2014 Elsevier Inc. All rights reserved.

【 授权许可】

Free