What impact have tobacco control policies, cigarette price and tobacco control programme funding had on Australian adolescents' smoking? Findings over a 15-year period
Article first published online: 21 JUN 2011
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction
Volume 106, Issue 8, pages 1493–1502, August 2011
How to Cite
White, V. M., Warne, C. D., Spittal, M. J., Durkin, S., Purcell, K. and Wakefield, M. A. (2011), What impact have tobacco control policies, cigarette price and tobacco control programme funding had on Australian adolescents' smoking? Findings over a 15-year period. Addiction, 106: 1493–1502. doi: 10.1111/j.1360-0443.2011.03429.x
- Issue published online: 12 JUL 2011
- Article first published online: 21 JUN 2011
- Accepted manuscript online: 14 MAR 2011 06:52AM EST
- Submitted 14 July 2010; initial review completed 8 October 2010; final version accepted 3 March 2011
- clean indoor air;
- point-of-sale advertising;
- smoking prevalence;
- youth access
Aims To assess the impact of tobacco control policies relating to youth access, clean indoor air and tobacco advertising at point-of-sale and outdoors, in addition to cigarette price and per capita tobacco control spending, on adolescent smoking prevalence.
Design Repeated cross-sectional surveys. Logistic regression analyses examined association between policies and smoking prevalence.
Setting Australia, 1990–2005.
Participants A nationally representative sample of secondary students (aged 12–17 years) participating in a triennial survey (sample size per survey range: 20 560 to 27 480).
Measurements Students' report of past-month smoking. In each jurisdiction, extent of implementation of the three policies for the year of the survey was determined. For each survey year, national per capita tobacco control spending was determined and jurisdiction-specific 12-month change in cigarette price obtained.
Findings Extent of implementation of the three policy areas varied between states and over the survey years. Multivariate analyses that adjusted for demographic factors, year and all tobacco control variables showed that 12-month cigarette price increases [odds ratio (OR): 0.98, 95% confidence interval (CI): 0.97–0.99], greater per capita tobacco control spending (OR: 0.99, 95% CI: 0.98–0.99) and stronger implementation of clean indoor air policies (OR: 0.93, 95% CI: 0.92–0.94) were associated with reduced smoking prevalence.
Conclusions Adult-directed, population-based tobacco control policies such as clean indoor air laws and increased prices of cigarettes, implemented as part of a well-funded comprehensive tobacco control programme are associated with lower adolescent smoking.