Trends in adult cigarette smoking in California compared with the rest of the United States, 1978-1994

Citation
M. Siegel et al., Trends in adult cigarette smoking in California compared with the rest of the United States, 1978-1994, AM J PUB HE, 90(3), 2000, pp. 372-379
Citations number
66
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health","Medical Research General Topics
Journal title
AMERICAN JOURNAL OF PUBLIC HEALTH
ISSN journal
00900036 → ACNP
Volume
90
Issue
3
Year of publication
2000
Pages
372 - 379
Database
ISI
SICI code
0090-0036(200003)90:3<372:TIACSI>2.0.ZU;2-M
Abstract
Objectives. This study compared trends in adult cigarette smoking prevalenc e in California and the remainder of the United States between 1978 and 199 4. Methods. We used data from National Health Interview Surveys and Behavioral Risk Factor Surveillance System surveys to compare trends in smoking preva lence among persons 18 years and older. Results. In both California and the remainder of the United States, the est imated annual rate of decline in adult smoking prevalence accelerated signi ficantly from 1985 to 1990: to -1.22 percentage points per year (95% confid ence interval [CI]= -1.51, -0.93) in California and to -0.93 percentage poi nts per year (95% CI= -1.13, -0.73) in the remainder of the nation. The rat e of decline slowed significantly from 1990 to 1994: to -0.39 percentage po ints per year (95% CI= -0.34, 0.24) in the remainder of the United States. Conclusions. The presence of an aggressive tobacco control intervention has supported a significant decline in adult smoking prevalence in California from 1985 to 1990 and a slower but still significant decline from 1990 to 1 994, a period in which there was no significant decline in the remainder of the nation. To restore nationwide progress in reducing smoking prevalence, other states should consider similar interventions.