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. 1999 Sep;8(3):261–265. doi: 10.1136/tc.8.3.261

The effects of household and workplace smoking restrictions on quitting behaviours

A Farkas 1, E Gilpin 1, J Distefan 1, J Pierce 1
PMCID: PMC1763963  PMID: 10599569

Abstract

OBJECTIVE—To assess the association of household and workplace smoking restrictions with quit attempts, six month cessation, and light smoking.
DESIGN—Logistic regressions identified the association of household and workplace smoking restrictions with attempts to quit, six month cessation, and light smoking.
SETTING—Large population surveys, United States.
SUBJECTS—Respondents (n = 48 584) smoked during the year before interview in 1992-1993, lived with at least one other person, and were either current daily smokers or were former smokers when interviewed.
MAIN OUTCOME MEASURES—The outcome measures were an attempt to quit during the last 12 months, cessation for at least six months among those who made an attempt to quit, and light smoking (< 15 cigarettes a day).
RESULTS—Smokers who lived (odds ratio (OR) = 3.86; 95% confidence interval (CI) = 3.57 to 4.18) or worked (OR = 1.14; 95% CI = 1.05 to 1.24) under a total smoking ban were more likely to report a quit attempt in the previous year. Among those who made an attempt, those who lived (OR = 1.65, 95% CI = 1.43 to 1.91) or worked (OR = 1.21, 95% CI = 1.003 to 1.45) under a total smoking ban were more likely to be in cessation for at least six months. Current daily smokers who lived (OR = 2.73, 95% CI = 2.46 to 3.04) or worked (OR = 1.53, 95% CI = 1.38 to 1.70) under a total smoking ban were more likely to be light smokers.
CONCLUSIONS—Both workplace and household smoking restrictions were associated with higher rates of cessation attempts, lower rates of relapse in smokers who attempt to quit, and higher rates of light smoking among current daily smokers.


Keywords: smoking cessation; smoking restrictions

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Selected References

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  1. Ashley M. J., Ferrence R. Reducing children's exposure to environmental tobacco smoke in homes: issues and strategies. Tob Control. 1998 Spring;7(1):61–65. doi: 10.1136/tc.7.1.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Biener L., Abrams D. B., Follick M. J., Dean L. A comparative evaluation of a restrictive smoking policy in a general hospital. Am J Public Health. 1989 Feb;79(2):192–195. doi: 10.2105/ajph.79.2.192. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Biener L., Cullen D., Di Z. X., Hammond S. K. Household smoking restrictions and adolescents' exposure to environmental tobacco smoke. Prev Med. 1997 May-Jun;26(3):358–363. doi: 10.1006/pmed.1997.0152. [DOI] [PubMed] [Google Scholar]
  4. Borland R., Chapman S., Owen N., Hill D. Effects of workplace smoking bans on cigarette consumption. Am J Public Health. 1990 Feb;80(2):178–180. doi: 10.2105/ajph.80.2.178. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Brenner H., Fleischle B. Smoking regulations at the workplace and smoking behavior: a study from southern Germany. Prev Med. 1994 Mar;23(2):230–234. doi: 10.1006/pmed.1994.1031. [DOI] [PubMed] [Google Scholar]
  6. Bridges R. B., Combs J. G., Humble J. W., Turbek J. A., Rehm S. R., Haley N. J. Puffing topography as a determinant of smoke exposure. Pharmacol Biochem Behav. 1990 Sep;37(1):29–39. doi: 10.1016/0091-3057(90)90037-i. [DOI] [PubMed] [Google Scholar]
  7. Brigham J., Gross J., Stitzer M. L., Felch L. J. Effects of a restricted work-site smoking policy on employees who smoke. Am J Public Health. 1994 May;84(5):773–778. doi: 10.2105/ajph.84.5.773. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Djordjevic M. V., Fan J., Ferguson S., Hoffmann D. Self-regulation of smoking intensity. Smoke yields of the low-nicotine, low-'tar' cigarettes. Carcinogenesis. 1995 Sep;16(9):2015–2021. doi: 10.1093/carcin/16.9.2015. [DOI] [PubMed] [Google Scholar]
  9. Ebert R. V., McNabb M. E., McCusker K. T., Snow S. L. Amount of nicotine and carbon monoxide inhaled by smokers of low-tar, low-nicotine cigarettes. JAMA. 1983 Nov 25;250(20):2840–2842. [PubMed] [Google Scholar]
  10. Farkas A. J., Pierce J. P., Zhu S. H., Rosbrook B., Gilpin E. A., Berry C., Kaplan R. M. Addiction versus stages of change models in predicting smoking cessation. Addiction. 1996 Sep;91(9):1271–1292. [PubMed] [Google Scholar]
  11. Frederiksen L. W., Martin J. E., Webster J. S. Assessment of smoking behavior. J Appl Behav Anal. 1979 Winter;12(4):653–664. doi: 10.1901/jaba.1979.12-653. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Gottlieb N. H., Eriksen M. P., Lovato C. Y., Weinstein R. P., Green L. W. Impact of a restrictive work site smoking policy on smoking behavior, attitudes, and norms. J Occup Med. 1990 Jan;32(1):16–23. doi: 10.1097/00043764-199001000-00008. [DOI] [PubMed] [Google Scholar]
  13. Kinne S., Kristal A. R., White E., Hunt J. Work-site smoking policies: their population impact in Washington State. Am J Public Health. 1993 Jul;83(7):1031–1033. doi: 10.2105/ajph.83.7.1031. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. McMorrow M. J., Foxx R. M. Nicotine's role in smoking: an analysis of nicotine regulation. Psychol Bull. 1983 Mar;93(2):302–327. [PubMed] [Google Scholar]
  15. Petersen L. R., Helgerson S. D., Gibbons C. M., Calhoun C. R., Ciacco K. H., Pitchford K. C. Employee smoking behavior changes and attitudes following a restrictive policy on worksite smoking in a large company. Public Health Rep. 1988 Mar-Apr;103(2):115–120. [PMC free article] [PubMed] [Google Scholar]
  16. Pierce J. P., Gilpin E. A., Farkas A. J. Can strategies used by statewide tobacco control programs help smokers make progress in quitting? Cancer Epidemiol Biomarkers Prev. 1998 Jun;7(6):459–464. [PubMed] [Google Scholar]
  17. Rosenstock I. M., Stergachis A., Heaney C. Evaluation of smoking prohibition policy in a health maintenance organization. Am J Public Health. 1986 Aug;76(8):1014–1015. doi: 10.2105/ajph.76.8.1014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Shopland D. R., Hartman A. M., Gibson J. T., Mueller M. D., Kessler L. G., Lynn W. R. Cigarette smoking among U.S. adults by state and region: estimates from the current population survey. J Natl Cancer Inst. 1996 Dec 4;88(23):1748–1758. doi: 10.1093/jnci/88.23.1748. [DOI] [PubMed] [Google Scholar]
  19. Sorsensen G., Rigotti N., Rosen A., Pinney J., Prible R. Effects of a worksite nonsmoking policy: evidence for increased cessation. Am J Public Health. 1991 Feb;81(2):202–204. doi: 10.2105/ajph.81.2.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Stave G. M., Jackson G. W. Effect of a total work-site smoking ban on employee smoking and attitudes. J Occup Med. 1991 Aug;33(8):884–890. doi: 10.1097/00043764-199108000-00014. [DOI] [PubMed] [Google Scholar]
  21. Stillman F. A., Becker D. M., Swank R. T., Hantula D., Moses H., Glantz S., Waranch H. R. Ending smoking at the Johns Hopkins Medical Institutions. An evaluation of smoking prevalence and indoor air pollution. JAMA. 1990 Sep 26;264(12):1565–1569. [PubMed] [Google Scholar]
  22. Sutton S. R., Russell M. A., Iyer R., Feyerabend C., Saloojee Y. Relationship between cigarette yields, puffing patterns, and smoke intake: evidence for tar compensation? 1982 Aug 28-Sep 4Br Med J (Clin Res Ed) 285(6342):600–603. doi: 10.1136/bmj.285.6342.600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Velicer W. F., Prochaska J. O., Rossi J. S., Snow M. G. Assessing outcome in smoking cessation studies. Psychol Bull. 1992 Jan;111(1):23–41. doi: 10.1037/0033-2909.111.1.23. [DOI] [PubMed] [Google Scholar]
  24. Woodruff T. J., Rosbrook B., Pierce J., Glantz S. A. Lower levels of cigarette consumption found in smoke-free workplaces in California. Arch Intern Med. 1993 Jun 28;153(12):1485–1493. [PubMed] [Google Scholar]

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