The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use
BackgroundSmokeless tobacco (SLT) prevalence was decreasing in Kentucky before 2007, but has since increased. This study examines the impact of policies on cigarette and SLT use by applying the SimSmoke tobacco control policy simulation model. MethodsUsing data from the large-scale Tobacco Use Suppl...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2022-05-01
|
| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_3936_6f2f01f74ad44bb144eeff85e24228a1.pdf |
| _version_ | 1827997502417141760 |
|---|---|
| author | Luz María Sánchez-Romero Eugene Yuan Yameng Li David T. Levy |
| author_facet | Luz María Sánchez-Romero Eugene Yuan Yameng Li David T. Levy |
| author_sort | Luz María Sánchez-Romero |
| collection | DOAJ |
| description | BackgroundSmokeless tobacco (SLT) prevalence was decreasing in Kentucky before 2007, but has since increased. This study examines the impact of policies on cigarette and SLT use by applying the SimSmoke tobacco control policy simulation model. MethodsUsing data from the large-scale Tobacco Use Supplement of the Current Population Survey (TUS-CPS) and information on state-specific tobacco policies, Kentucky SimSmoke is updated and extended to incorporate exclusive SLT and dual cigarette and SLT use. The model is validated using survey data through 2017. The model was used to estimate the impact on smoking and SLT prevalence and attributable deaths of policies implemented between 1993 and 2018 and the impact of stronger future policies implemented in 2018 and maintained through 2060. ResultsSimSmoke generally reflects trends in exclusive cigarette use from the TUS-CPS and the Behavioral Risk Factor Surveillance System (BRFSS), but underestimated the increase in SLT prevalence in recent years. SimSmoke projects that policies implemented between 1993 and 2018 reduced male and female cigarette use by 23.7% and 23.0%, and male and female SLT use by 4.9% by 2018, averting 9018 tobacco-attributable deaths by 2018, increasing to 89 547 by 2060. The largest reductions in cigarette and SLT use were attributed to cigarette price increases. Strengthening tobacco control policies could reduce smoking prevalence by 41% and 40%, and reduce SLT prevalence by 33% and 25% for males and females by 2060. ConclusionOur results suggest that cigarette-oriented policies were effective in reducing SLT use but have been less successful in recent years. Future use rates can be further reduced through more restrictive statewide policies, which also target non-combustible nicotine products. |
| first_indexed | 2024-04-10T05:29:20Z |
| format | Article |
| id | doaj.art-a5bf2686166f46ceb37233dc9701b31e |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:20Z |
| publishDate | 2022-05-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-a5bf2686166f46ceb37233dc9701b31e2023-03-07T09:10:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-05-0111559260910.34172/ijhpm.2020.1873936The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette UseLuz María Sánchez-Romero0Eugene Yuan1Yameng Li2David T. Levy3Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USALombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USALombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USALombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USABackgroundSmokeless tobacco (SLT) prevalence was decreasing in Kentucky before 2007, but has since increased. This study examines the impact of policies on cigarette and SLT use by applying the SimSmoke tobacco control policy simulation model. MethodsUsing data from the large-scale Tobacco Use Supplement of the Current Population Survey (TUS-CPS) and information on state-specific tobacco policies, Kentucky SimSmoke is updated and extended to incorporate exclusive SLT and dual cigarette and SLT use. The model is validated using survey data through 2017. The model was used to estimate the impact on smoking and SLT prevalence and attributable deaths of policies implemented between 1993 and 2018 and the impact of stronger future policies implemented in 2018 and maintained through 2060. ResultsSimSmoke generally reflects trends in exclusive cigarette use from the TUS-CPS and the Behavioral Risk Factor Surveillance System (BRFSS), but underestimated the increase in SLT prevalence in recent years. SimSmoke projects that policies implemented between 1993 and 2018 reduced male and female cigarette use by 23.7% and 23.0%, and male and female SLT use by 4.9% by 2018, averting 9018 tobacco-attributable deaths by 2018, increasing to 89 547 by 2060. The largest reductions in cigarette and SLT use were attributed to cigarette price increases. Strengthening tobacco control policies could reduce smoking prevalence by 41% and 40%, and reduce SLT prevalence by 33% and 25% for males and females by 2060. ConclusionOur results suggest that cigarette-oriented policies were effective in reducing SLT use but have been less successful in recent years. Future use rates can be further reduced through more restrictive statewide policies, which also target non-combustible nicotine products.https://www.ijhpm.com/article_3936_6f2f01f74ad44bb144eeff85e24228a1.pdfsmokeless tobaccocigarettetobacco policysimulation |
| spellingShingle | Luz María Sánchez-Romero Eugene Yuan Yameng Li David T. Levy The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use International Journal of Health Policy and Management smokeless tobacco cigarette tobacco policy simulation |
| title | The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use |
| title_full | The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use |
| title_fullStr | The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use |
| title_full_unstemmed | The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use |
| title_short | The Kentucky SimSmoke Tobacco Control Policy Model of Smokeless Tobacco and Cigarette Use |
| title_sort | kentucky simsmoke tobacco control policy model of smokeless tobacco and cigarette use |
| topic | smokeless tobacco cigarette tobacco policy simulation |
| url | https://www.ijhpm.com/article_3936_6f2f01f74ad44bb144eeff85e24228a1.pdf |
| work_keys_str_mv | AT luzmariasanchezromero thekentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT eugeneyuan thekentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT yamengli thekentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT davidtlevy thekentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT luzmariasanchezromero kentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT eugeneyuan kentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT yamengli kentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse AT davidtlevy kentuckysimsmoketobaccocontrolpolicymodelofsmokelesstobaccoandcigaretteuse |