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Changes in Smoking Prevalence and Number of Cigarettes Smoked Per Day Following the Implementation of a Comprehensive Tobacco Control Plan in New York City

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Abstract

The New York City (NYC) Health Department has implemented a comprehensive tobacco control plan since 2002, and there was a 27% decline in adult smoking prevalence in NYC from 2002 to 2008. There are conflicting reports in the literature on whether residual smoker populations have a larger or smaller share of “hardcore” smokers. Changes in daily consumption and daily and nondaily smoking prevalence, common components used to define hardcore smokers, were evaluated in the context of the smoking prevalence decline. Using the NYC Community Health Survey, an annual random digit dial, cross-sectional survey that samples approximately 10,000 adults, the prevalence of current heavy daily, light daily, and nondaily smokers among NYC adults was compared between 2002 and 2008. A five-level categorical cigarettes per day (CPD) variable was also used to compare the population of smokers between the 2 years. From 2002 to 2008, significant declines were seen in the prevalence of daily smoking, heavy daily smoking, and nondaily smoking. Among daily smokers, there is also evidence of population declines in all but the lowest smoking category (one to five CPD). The mean CPD among daily smokers declined significantly, from 14.6 to 12.5. After an overall decline in smoking since 2002, the remaining smokers may be less nicotine dependent, based on changes in daily consumption and daily and nondaily smoking prevalence. These findings suggest the need to increase media and cessation efforts targeted towards lighter smokers.

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References

  1. Frieden TR, Mostashari F, Kerker BD, Miller N, Hajat A, Frankel M. Adult tobacco use levels after intensive tobacco control measures: New York City, 2002–2003. Am J Public Health. 2005;95(6):1016-1023.

    Article  PubMed  Google Scholar 

  2. Hughes JR. The hardening hypothesis: is the ability to quit decreasing due to increasing nicotine dependence? A review and commentary. Drug Alcohol Depend. 2011;117(2–3):111-117.

    Article  PubMed  CAS  Google Scholar 

  3. Warner KE, Burns DM. Hardening and the hard-core smoker: concepts, evidence, and implications. Nicotine Tob Res. 2003;5:37-48.

    Article  PubMed  Google Scholar 

  4. Fagerstrom KO, Kunze M, Schoberberger R, et al. Nicotine dependence versus smoking prevalence: comparisons among countries and categories of smokers. Tob Control. 1996;5:52-56.

    Article  PubMed  CAS  Google Scholar 

  5. National Cancer Institute. Those who continue to smoke. Smoking and Tobacco Control Monograph No. 15. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 03–5370; 2003.

  6. Goodwin RD, Keyes KM, Hasin DS. Changes in cigarette use and nicotine dependence in the United States: evidence from the 2001–2002 wave of the national epidemiologic survey of alcoholism and related conditions. Am J Public Health. 2009;99(1):1-7.

    Article  Google Scholar 

  7. Jarvis MJ, Wardle J, Waller J, Owen L. Prevalence of hardcore smoking in England, and associated attitudes and beliefs: cross sectional study. BMJ. 2003;326:1061.

    Article  PubMed  Google Scholar 

  8. Augustson EM, Marcus SE. Use of the current population survey to characterize subpopulations of continued smokers: a national perspective on the “hardcore” smoker phenomenon. Nicotine Tob Res. 2004;6(4):621-629.

    Article  PubMed  Google Scholar 

  9. Costa ML, Cohen JE, Chaiton MO, Ip D, McDonald P, Ferrence R. “Hardcore” definitions and their application to a population-based sample of smokers. Nicotine Tob Res. 2010;12(8):860-864.

    Article  PubMed  Google Scholar 

  10. Mooney ME, Johnson EO, Breslau N, Bierut LJ, Hatsukami DK. Cigarette smoking reduction and changes in nicotine dependence. Nicotine Tob Res. 2011;13(6):426-430.

    Article  PubMed  CAS  Google Scholar 

  11. Shiffman S, Sayette MA. Validation of the nicotine dependence syndrome scale (NDSS): a criterion-group design contrasting chippers and regular smokers. Drug Alcohol Depend. 2005;79:45-52.

    Article  PubMed  Google Scholar 

  12. New York City Department of Health and Mental Hygiene. 2008 Community Health Survey. New York, NY: http://www.nyc.gov/html/doh/html/survey/survey.shtml. Accessed 9 Aug 2011.

  13. Gilpin EA, Emery SL, Farkas AJ, Distefan JM, White MM, Pierce JP. The California Tobacco Control Program: a decade of progress, results from the California Tobacco Control Surveys, 1990–1998. La Jolla, CA: University of California, San Diego. http://www.escholarship.org/uc/item/1904q1tf. Accessed 9 Aug 2011.

  14. O’Connor RJ, Giovino GA, Kozlowski LT, et al. Changes in nicotine intake and cigarette use over time in two nationally representative cross-sectional samples of smokers. Am J Epidemiol. 2006;164:750-759.

    Article  PubMed  Google Scholar 

  15. Al-Delaimy WK, Pierce JP, Messer K, White MW, Trinidad DR, Gilpin EA. The California Tobacco Control Program’s effect on adult smokers: (2) daily cigarette consumption levels. Tob Control. 2007;16:91-95.

    Article  PubMed  Google Scholar 

  16. Biener L, Harris JE, Hamilton W. Impact of the Massachusetts tobacco control programme: population based trend analysis. BMJ. 2000;321:351-354.

    Article  PubMed  CAS  Google Scholar 

  17. U.S. Census Bureau (2006–2008). 2006–2008 American Community Survey. http://factfinder.census.gov. Accessed 9 Aug 2011.

  18. Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF, Hartwell TD. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control. 1997;6(Suppl 2):S57-S62.

    Article  PubMed  Google Scholar 

  19. Hughes JR, Oliveto AH, Riggs R, et al. Concordance of different measures of nicotine dependence: two pilot studies. Addict Behav. 2004;29:1527-1539.

    Article  PubMed  Google Scholar 

  20. Moolchan ET, Radzius A, Epstein DH, et al. The Fagerstrom Test for Nicotine Dependence and the Diagnostic Interview Schedule. Do they diagnose the same smokers? Addict Behav. 2002;27:101-113.

    Article  PubMed  Google Scholar 

  21. Ellis JA, Gwynn C, Garg RK, et al. Secondhand smoke exposure among nonsmokers nationally and in New York City. Nicotine Tob Res. 2009;11(4):362-370.

    Article  PubMed  Google Scholar 

  22. Fiore MC, Jaen CR, Baker TB, et al. Treating tobacco use and dependence: 2008 update. clinical practice guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service. 2008. http://www.surgeongeneral.gov/tobacco/. Accessed on 9 Aug 2011.

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Funding Source

This work was supported by the New York City Department of Health and Mental Hygiene. No outside funding was provided.

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Authors and Affiliations

  1. Bureau of Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA

    Micaela H. Coady, Karen Davis, Elizabeth A. Kilgore & Sarah B. Perl

  2. Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, Queens, NY, USA

    John Jasek & Bonnie Kerker

  3. Bureau of Chronic Disease Prevetion and Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA

    Micaela H. Coady

Authors
  1. Micaela H. Coady
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  2. John Jasek
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  3. Karen Davis
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  4. Bonnie Kerker
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  5. Elizabeth A. Kilgore
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  6. Sarah B. Perl
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Correspondence to Micaela H. Coady.

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Coady, M.H., Jasek, J., Davis, K. et al. Changes in Smoking Prevalence and Number of Cigarettes Smoked Per Day Following the Implementation of a Comprehensive Tobacco Control Plan in New York City. J Urban Health 89, 802–808 (2012). https://doi.org/10.1007/s11524-012-9683-9

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  • DOI: https://doi.org/10.1007/s11524-012-9683-9

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