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Original Article
The effect of community-level smoke-free ordinances on smoking rates in men based on Community Health Surveys
Hye Ah Lee, Hyesook Park, Ho Kim, Kyunghee Jung-Choi
Epidemiol Health. 2014;36:e2014037.   Published online December 26, 2014
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  • 11 Web of Science
  • 7 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
As one of smoke-free policies, communities have established the smoke-free ordinances since August 2010. Thus, this study aimed to evaluate the effects of community-level smoke-free ordinances (SFO) on smoking rates in men using multiyear Community Health Survey (CHS) data.
Data on community-level SFO were collected from a website on Enhanced Local Laws and Regulation Information System. Regional smoking-related data were obtained from CHS data from 2008 to 2012 and the age-standardized rates of current smoking in men, attempts to quit smoking, and smoke-free campaign experiences including the mean number of cigarettes smoked (smoking amount) were calculated. Repeated measures analysis of variance was performed to evaluate the effects of regional implementation of SFO and the duration on change of smoking rates.
Overall current smoking rates and daily mean cigarettes smoked were lower in community where SFO had been implemented compared to those without implementation, and there was a significant difference in smoking rates between 2010 and 2008. Cross-sectional analysis of the effects of regional SFO revealed clear difference in rate of current smoking, but longitudinal analysis showed no significant differences. Stratifying by age groups, however, showed that groups less than 30 years of age had low smoking rates in community with ordinance compared to those without SFO since 2010. Yearly surveys measuring the number of cigarettes smoked, attempts to quit smoking, and experiences of smoke-free campaigns showed regional differences in the duration of implementation, but these differences were not significant in longitudinal analysis. Furthermore, there was a difference in regional socioeconomic characteristics between community with and without SFO implementation.
For effective smoking control, it is necessary to evaluate current policies and develop indices to evaluate the practical implementation of ordinances. As more communities to pass the SFO, long-term observation and assessments required.
Korean summary
2008년부터 2012년까지 조사된 지역사회건강조사 자료를 이용하여, 지역별 금연 조례 시행에 대한 효과를 평가한 연구 결과로, 종단적 분석을 통해 접근하였을 때 시간에 따른 흡연율 감소 폭은 조례 시행/미시행 지역간에 차이를 보이지 않았으며, 지역의 사회경제적 특성 요인에 차이가 존재하는 것으로 나타났다. 효과적인 흡연 규제를 위해, 현 시행중인 정책에 대한 효과 평가 및 장기적인 평가가 필요하다.


Citations to this article as recorded by  
  • Effects of municipal smoke-free ordinances on secondhand smoke exposure in the Republic of Korea
    Siwoo Kim, Yuri Lee, Changwoo Han, Min Kyung Kim, Ichiro Kawachi, Juhwan Oh
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • What explains the link between childhood ADHD and adolescent depression? Investigating the role of peer relationships and academic attainment
    Victoria Powell, Lucy Riglin, Gemma Hammerton, Olga Eyre, Joanna Martin, Richard Anney, Anita Thapar, Frances Rice
    European Child & Adolescent Psychiatry.2020; 29(11): 1581.     CrossRef
  • Attitudes of Korean smokers towards smoke-free public places: findings from the longitudinal ITC Korea Survey, 2005–2010
    Eunja Park, Sung-il Cho, Hong Gwan Seo, Yeol Kim, Hyun-Suk Jung, Pete Driezen, Janine Ouimet, Anne C K Quah, Geoffrey T. Fong
    BMJ Open.2019; 9(8): e025298.     CrossRef
  • Second‐hand smoke prevalence in 252 regions of South Korea in three exposure locations
    Li‐Yuan Sun, Jae‐Hyun Park
    Japan Journal of Nursing Science.2018; 15(3): 210.     CrossRef
  • The effect of contextual factors on unintentional injury hospitalization: from the Korea National Hospital Discharge Survey
    Hye Ah Lee, Hyejin Han, Seonhwa Lee, Bomi Park, Bo Hyun Park, Won Kyung Lee, Ju Ok Park, Sungok Hong, Young Taek Kim, Hyesook Park
    BMC Public Health.2018;[Epub]     CrossRef
  • The Potential Roles of Extracellular Vesicles in Cigarette Smoke-Associated Diseases
    A-Reum Ryu, Do Hyun Kim, Eunjoo Kim, Mi Young Lee
    Oxidative Medicine and Cellular Longevity.2018; 2018: 1.     CrossRef
  • Affecting Factors of Secondhand Smoke Exposure in Korea: Focused on Different Exposure Locations
    Li-Yuan Sun, Hae-Kwan Cheong, Eun-Whan Lee, Kyeong-Jin Kang, Jae-Hyun Park
    Journal of Korean Medical Science.2016; 31(9): 1362.     CrossRef

Epidemiol Health : Epidemiology and Health