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  4. Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation: a cross-sectional population-based study in Geneva, Switzerland (1995–2014)
 
research article

Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation: a cross-sectional population-based study in Geneva, Switzerland (1995–2014)

Sandoval, José Luis
•
Leão, Teresa
•
Cullati, Stéphane
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2018
Tobacco Control

Introduction Smoking bans were suggested to reduce smoking prevalence and increase quit ratio but their equity impact remains unclear. We aimed to characterise the socioeconomic status (SES)-related inequalities in smoking prevalence and quit ratio before and after the implementation of a public smoking ban. Methods We included data from 17 544 participants in the population-based cross-sectional Bus Santé study in Geneva, Switzerland, between 1995 and 2014. We considered educational attainment (primary, secondary and tertiary) as a SES indicator. Outcomes were smoking prevalence (proportion of current smokers) and quit ratio (ex-smokers to ever-smokers ratio). We used segmented linear regression to assess the overall impact of smoking ban on outcome trends. We calculated the relative (RII) and slope (SII, absolute difference) indexes of inequality, quantifying disparities between educational groups in outcomes overall (1995–2014), before and after ban implementation (November 2009). Results Least educated participants displayed higher smoking prevalence (RII=2.04, P<0.001; SII=0.15, P<0.001) and lower quit ratio (RII=0.73, P<0.001; SII=−0.18, P<0.001). As in other studies, smoking ban implementation coincided with a temporary reduction of smoking prevalence (P=0.003) and increase in quit ratio (P=0.02), with a progressive return to preban levels. Inequalities increased (P<0.05) in relative terms for smoking prevalence (RIIbefore=1.84, P<0.001 and RIIafter=3.01, P<0.001) and absolute terms for both outcomes (smoking prevalence: SIIbefore=0.14, P<0.001 and SIIafter=0.19, P<0.001; quit ratio: SIIbefore=−0.15, P<0.001 and SIIafter=−0.27, P<0.001). Conclusions Implementation of a public smoking ban coincided with a short-lived decrease in smoking prevalence and increase in quit ratio but also with a widening in SES inequalities in smoking-related outcomes.

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Type
research article
DOI
10.1136/tobaccocontrol-2017-053986
Author(s)
Sandoval, José Luis
Leão, Teresa
Cullati, Stéphane
Theler, Jean-Marc
Joost, Stéphane  
Humair, Jean-Paul
Gaspoz, Jean-Michel
Guessous, Idris
Date Issued

2018

Published in
Tobacco Control
Volume

27

Issue

6

Start page

663

End page

669

Subjects

Public smoking ban

•

Smoking prevalence

•

Socioeconomic inequalities

•

Cross-sectional population-based study

•

Bus santé study

•

Geneva

URL
https://t.co/JT2AfLKn6K
http://tobaccocontrol.bmj.com/content/early/2018/01/25/tobaccocontrol-2017-053986.info
Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LASIG  
Available on Infoscience
February 1, 2018
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/144568
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