000252827 001__ 252827
000252827 005__ 20190829100003.0
000252827 0247_ $$a10.1136/tobaccocontrol-2017-053986$$2doi
000252827 02470 $$2DOI$$a10.1136/tobaccocontrol-2017-053986
000252827 037__ $$aARTICLE
000252827 245__ $$aPublic smoking ban and socioeconomic inequalities in smoking prevalence and cessation: a cross-sectional population-based study in Geneva, Switzerland (1995–2014)
000252827 260__ $$c2018
000252827 269__ $$a2018
000252827 336__ $$aJournal Articles
000252827 520__ $$aIntroduction 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.
000252827 6531_ $$aPublic smoking ban
000252827 6531_ $$aSmoking prevalence
000252827 6531_ $$aSocioeconomic inequalities
000252827 6531_ $$aCross-sectional population-based study
000252827 6531_ $$aBus santé study
000252827 6531_ $$aGeneva
000252827 700__ $$aSandoval, José Luis
000252827 700__ $$aLeão, Teresa
000252827 700__ $$aCullati, Stéphane
000252827 700__ $$aTheler, Jean-Marc
000252827 700__ $$g149002$$0240604$$aJoost, Stéphane
000252827 700__ $$aHumair, Jean-Paul
000252827 700__ $$aGaspoz, Jean-Michel
000252827 700__ $$aGuessous, Idris
000252827 773__ $$q663-669$$k6$$j27$$tTobacco Control
000252827 8560_ $$falain.borel@epfl.ch
000252827 85641 $$uhttps://t.co/JT2AfLKn6K
000252827 85641 $$uhttp://tobaccocontrol.bmj.com/content/early/2018/01/25/tobaccocontrol-2017-053986.info
000252827 909CO $$qGLOBAL_SET$$particle$$pENAC$$ooai:infoscience.epfl.ch:252827
000252827 909C0 $$xU10244$$zCharbonnier, Valérie$$pLASIG$$0252045
000252827 960__ $$astephane.joost@epfl.ch
000252827 973__ $$rREVIEWED$$sPUBLISHED$$aEPFL
000252827 980__ $$aARTICLE