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Children (Basel). 2019 Mar 11;6(3). pii: E44. doi: 10.3390/children6030044.

Smoke-Free Ordinances and Policies Protect Youth, but Ordinances Appear to Have Little Impact on Non-Combustible Tobacco Use.

Author information

1
Mississippi State University, Mississippi State, MS 39759, USA. nell.valentine@ssrc.msstate.edu.
2
Mississippi State University, Mississippi State, MS 39759, USA. emily.mcclelland@ssrc.msstate.edu.
3
Mississippi State University, Mississippi State, MS 39759, USA. robert.mcmillen@ssrc.msstate.edu.
4
American Academy of Pediatrics Julius B. Richmond Center of Excellence, Elk Grove Village, IL 60143, USA. robert.mcmillen@ssrc.msstate.edu.

Abstract

Smoke-free ordinances and policies protect youth from exposure to secondhand smoke (SHS) and cigarette use. This study investigated whether smoke-free ordinances also protect youth from the use of other tobacco products. We compared the prevalence of SHS exposure, cigarette smoking, cigar smoking, smokeless tobacco use, and e-cigarette use among high school students living in a municipality with or without a smoke-free ordinance and in homes with and without smoke-free policies. Data were analyzed using the 2017 Mississippi Youth Tobacco Survey (n = 1923). Smoke-free ordinances were found to be associated with lower prevalence of SHS exposure (41.9% vs. 51.5%), cigarette smoking (5.1% vs. 11.4%), and cigar smoking (7.2% vs. 10.9%). There were no differences in smokeless tobacco use (6.6% vs. 6.5%) or e-cigarette use (11.2% vs 12.1%). Smoke-free homes were associated with lower prevalence of SHS exposure (38.0% vs 74.6%), cigarette smoking (4.8% vs. 17.6%), cigar smoking (6.4% vs. 16.4%), smokeless tobacco use (4.9% vs. 13.2%), and e-cigarette use (9.6% vs. 19.5%), p < 0.05 for all comparisons. The results suggest that smoke-free ordinances and policies protect against exposure to tobacco smoke and use of combustible tobacco products, but smoke-free ordinances do not protect from smokeless tobacco and e-cigarette use. Tobacco-free, rather than smoke-free, ordinances might offer more protection.

KEYWORDS:

combustible tobacco products; e-cigarette; prevalence; smoke-free; tobacco; youth

PMID:
30862097
DOI:
10.3390/children6030044
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