UNITED STATES
Study: Strict tobacco laws led to fewer users

Research from New York University (NYU) School of Medicine and the NYU College of Global Public Health has found that states with strong tobacco control measures have fewer smokers and vapers, according to a press release by New York University.

The study, which was published in the journal Nicotine & Tobacco Research, found that state-level tobacco legislation influences both cigarette and e-cigarette use in the United States. Specifically, the study found that states with stronger implementation of tobacco control polices, such as smoke-free air laws and cigarette taxes, had lower rates of smokers and vapers.
The researchers based the study on state-specific data taken from a telephone survey of more than 60,000 U.S. adults, who reported on their cigarette and e-cigarette use, in the National Adult Tobacco Survey (2012-2014). The respondents’ smoking and vaping rates were then compared to state tobacco control policies found in the American Lung Association’s State of Tobacco Control reports published in 2013 and 2014.
Omar El-Shahawy, MD, MPH, PhD, the lead author of the study was quoted as saying, “Our research adds to the understanding of the geographic and sociodemographic factors underlying e-cigarette use within the existing tobacco control environment.
“Several decades of research on traditional cigarettes guided the existing tobacco control environment. E-cigarettes are relatively new and constantly evolving, which makes the FDA’s task in regulating them very challenging.
“There are still many unknowns pertaining to the role of e-cigarette in tobacco control. Until this ongoing debate is settled, tobacco control advocates and policy makers should continue focusing on enforcing the existing tobacco control interventions and regulatory framework.”
The study found that e-cigarette and cigarette use varied greatly by region and state. Overall, western and southern states had the highest e-cigarette use rates. E-cigarette use was highest in Oklahoma (10.3 per cent) and cigarette use was highest in West Virginia (26.1 per cent). More than 16 per cent of U.S. adults reported that they had tried an e-cigarette. Of those who had tried an e-cigarette, one-third reported that they were still using e-cigarettes when surveyed.

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