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Impact of tobacco prices and smoke-free policy on smoking cessation, by gender and educational group: Spain, 1993-2012

Regidor E, Pascual C, Giráldez-García C, Galindo S, Martínez D, Kunst AE
Datos fuente
Int J Drug Policy. 2015 Jun 5. pii: S0955-3959(15)00164-4. doi: 10.1016/j.drugpo.2015.05.011.
  • Comunicaciones/Informes/Artículos (individual)
Publicado en ODS
BACKGROUND:To evaluate the effect of tobacco prices and the implementation of smoke-free legislation on smoking cessation in Spain, by educational level, across the period 1993-2012.METHODS:National Health Surveys data for the above two decades were used to calculate smoking cessation in people aged 25-64 years. The relationship between tobacco prices and smoking quit-ratio was estimated using multiple linear regression adjusted for time and the presence of smoke-free legislation. The immediate as well as the longer-term impact of the 2006 smoke-free law on quit-ratio was estimated using segmented linear regression analysis. The analyses were performed separately in men and women with high and low education, respectively.RESULTS:No relationship was observed between tobacco prices and smoking quit-ratio, except in women having a low educational level, among whom a rise in price was associated with a decrease in quit-ratio. The smoke-free law altered the smoking quit-ratio in the short term and altered also pre-existing trends. Smoking quit-ratio increased immediately after the ban - though this increase was significant only among women with a low educational level - and then decreased in subsequent years except among men with a high educational level.CONCLUSION:A clear relationship between tobacco prices and smoking quit-ratio was not observed in a recent period. After the implementation of smoke-free legislation the trend in the quit ratio in most of the socio-economic groups was different from the trend observed before implementation, so existing inequalities in smoking quit-ratio were not widened or narrowed.
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