Variations in support for secondhand smoke restrictions across diverse rural regions of the United States.
Prev Med
; 116: 157-165, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-30261241
ABSTRACT
Significant disparities exist between rural-urban U.S. POPULATIONS Besides higher smoking rates, rural Americans are less likely to be protected from SHS. Few studies focus across all regions, obscuring regional-level differences. This study compares support for SHS restrictions across all HHS regions. DATA 2014/15 TUS-CPS; respondents (nâ¯=â¯228,967) 47,805 were rural residents and 181,162 urban. We examined bi-variates across regions and urban-rural adjusted odds ratios within each. Smoking inside the home was assessed along with attitudes toward smoking in bars, casinos, playgrounds, cars, and cars with kids. Urban respondents were significantly more supportive of all SHS policies (e.g. smoking in bars [57.9% vs. 51.4%]; support for kids in cars [94.8% vs. 92.5%]. Greatest difference between urban-rural residents was in Mid-Atlantic (bar restrictions) and Southeast (home bans) almost 10% less supportive. Logistic regression confirmed rural residents least likely, overall, to support SHS in homes (ORâ¯=â¯0.78, 95% CI 0.74, 0.81); in cars (ORâ¯=â¯0.87, 95% CI 0.79, 0.95), on playgrounds (ORâ¯=â¯0.88, 95% CI.83, 0.94) and in bars ORâ¯=â¯0.88, 95% CI 0.85, 0.92), when controlling for demographics and smoking status. South Central rural residents were significantly less likely to support SHS policies-home bans, smoking in cars with kids, on playgrounds, in bars and casinos; while Heartland rural residents were significantly more supportive of policies restricting smoking in cars, cars with kids and on playgrounds. Southeast and South Central had lowest policy score with no comprehensive state-level SHS policies. Understanding differences is important to target interventions to reduce exposure to SHS and related health disparities.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
População Rural
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Poluição por Fumaça de Tabaco
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Exposição Ambiental
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Disparidades nos Níveis de Saúde
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Política Antifumo
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article