Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.

<h4>Background</h4>Tobacco policies, including clean indoor air laws and cigarette taxes, increase smoking cessation in part by stimulating the use of cessation treatments. We explored whether the associations between tobacco policies and treatment use varies across sociodemographic grou...

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Autores principales:	Johannes Thrul, Kira E Riehm, Joanna E Cohen, G Caleb Alexander, Jon S Vernick, Ramin Mojtabai
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4ed0d7e8e20c4049815a4b067ee6c920
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spelling	oai:doaj.org-article:4ed0d7e8e20c4049815a4b067ee6c9202021-12-02T20:14:53ZTobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.1932-620310.1371/journal.pone.0241512https://doaj.org/article/4ed0d7e8e20c4049815a4b067ee6c9202021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0241512https://doaj.org/toc/1932-6203<h4>Background</h4>Tobacco policies, including clean indoor air laws and cigarette taxes, increase smoking cessation in part by stimulating the use of cessation treatments. We explored whether the associations between tobacco policies and treatment use varies across sociodemographic groups.<h4>Methods</h4>We used data from 62,165 U.S. adult participants in the 2003 and 2010/11 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) who reported smoking cigarettes during the past-year. We built on prior structural equation models used to quantify the degree to which smoking cessation treatment use (prescription medications, nicotine replacement therapy, counseling/support groups, quitlines, and internet resources) mediated the association between clean indoor air laws, cigarette excise taxes, and recent smoking cessation. In the current study, we added selected moderators to each model to investigate whether associations between tobacco polices and smoking cessation treatment use varied by sex, race/ethnicity, education, income, and health insurance status.<h4>Results</h4>Associations between clean indoor air laws and the use of prescription medication and nicotine replacement therapies varied significantly between racial/ethnic, age, and education groups in 2003. However, none of these moderation effects remained significant in 2010/11. Higher cigarette excise taxes in 2010/2011 were associated with higher odds of using counseling among older adults and higher odds of using prescription medications among younger adults. No other moderator reached statistical significance. Smoking cessation treatments did not mediate the effect of taxes on smoking cessation in 2003 and were not included in these analyses.<h4>Conclusions</h4>Sociodemographic differences in associations between clean indoor air laws and smoking cessation treatment use have decreased from 2003 to 2010/11. In most cases, policies appear to stimulate smoking cessation treatment use similarly across varied sociodemographic groups.Johannes ThrulKira E RiehmJoanna E CohenG Caleb AlexanderJon S VernickRamin MojtabaiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0241512 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Johannes Thrul Kira E Riehm Joanna E Cohen G Caleb Alexander Jon S Vernick Ramin Mojtabai Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
description	<h4>Background</h4>Tobacco policies, including clean indoor air laws and cigarette taxes, increase smoking cessation in part by stimulating the use of cessation treatments. We explored whether the associations between tobacco policies and treatment use varies across sociodemographic groups.<h4>Methods</h4>We used data from 62,165 U.S. adult participants in the 2003 and 2010/11 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) who reported smoking cigarettes during the past-year. We built on prior structural equation models used to quantify the degree to which smoking cessation treatment use (prescription medications, nicotine replacement therapy, counseling/support groups, quitlines, and internet resources) mediated the association between clean indoor air laws, cigarette excise taxes, and recent smoking cessation. In the current study, we added selected moderators to each model to investigate whether associations between tobacco polices and smoking cessation treatment use varied by sex, race/ethnicity, education, income, and health insurance status.<h4>Results</h4>Associations between clean indoor air laws and the use of prescription medication and nicotine replacement therapies varied significantly between racial/ethnic, age, and education groups in 2003. However, none of these moderation effects remained significant in 2010/11. Higher cigarette excise taxes in 2010/2011 were associated with higher odds of using counseling among older adults and higher odds of using prescription medications among younger adults. No other moderator reached statistical significance. Smoking cessation treatments did not mediate the effect of taxes on smoking cessation in 2003 and were not included in these analyses.<h4>Conclusions</h4>Sociodemographic differences in associations between clean indoor air laws and smoking cessation treatment use have decreased from 2003 to 2010/11. In most cases, policies appear to stimulate smoking cessation treatment use similarly across varied sociodemographic groups.
format	article
author	Johannes Thrul Kira E Riehm Joanna E Cohen G Caleb Alexander Jon S Vernick Ramin Mojtabai
author_facet	Johannes Thrul Kira E Riehm Joanna E Cohen G Caleb Alexander Jon S Vernick Ramin Mojtabai
author_sort	Johannes Thrul
title	Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
title_short	Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
title_full	Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
title_fullStr	Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
title_full_unstemmed	Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.
title_sort	tobacco control policies and smoking cessation treatment utilization: a moderated mediation analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4ed0d7e8e20c4049815a4b067ee6c920
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Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.

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