Smoke-Free Laws and Hazardous Drinking: A Cross-Sectional Study among U.S. Adults

Nan Jiang, Mariaelena Gonzalez, Pamela M. Ling, Kelly C. Young-Wolff and Stanton A. Glantz
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Nan Jiang: Department of Population Health, School of Medicine, New York University, New York, NY 10016, USA
Mariaelena Gonzalez: School of Social Sciences, Humanities & Arts, University of California, Merced, CA 95343, USA
Pamela M. Ling: Center for Tobacco Control Research and Education, University of California, San Francisco, CA 94143, USA
Kelly C. Young-Wolff: Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA
Stanton A. Glantz: Center for Tobacco Control Research and Education, University of California, San Francisco, CA 94143, USA

IJERPH, 2017, vol. 14, issue 4, 1-11

Abstract: Tobacco and alcohol use are strongly associated. This cross-sectional study examined the relationship of smoke-free law coverage and smoke-free bar law coverage with hazardous drinking behaviors among a representative sample of U.S. adult drinkers ( n = 17,057). We merged 2009 National Health Interview Survey data, American Nonsmokers’ Rights Foundation U.S. Tobacco Control Laws Database, and Census Population Estimates. Hazardous drinking outcomes included heavy drinking (>14 drinks/week for men; >7 drinks/week for women) and binge drinking (?5 drinks on one or more days during past year). Chi-square tests compared hazardous drinking by sociodemographic factors. Multivariable logistic regression models were used to examine if smoke-free law and bar law coverages were associated with hazardous drinking, controlling for sociodemographics and smoking status. Subset analyses were conducted among drinkers who also smoked ( n = 4074) to assess the association between law coverages and hazardous drinking. Among all drinkers, smoke-free law coverage was not associated with heavy drinking (adjusted odds ratio (AOR) = 1.22, 95% confidence interval (CI) = 0.99–1.50) or binge drinking (AOR = 1.09, 95% CI = 0.93–1.26). Smoke-free bar law coverage was also found to be unrelated to hazardous drinking. Similar results were found among those drinkers who smoked. Findings suggest that smoke-free laws and bar laws are not associated with elevated risk for alcohol-related health issues.

Keywords: smoking; alcohol; hazardous drinking; smoke-free law (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
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