Smokeless tobacco consumption in Grant County, New Mexico

Impact of tobacco control policies and mass media campaigns on monthly adult smoking prevalence

OBJECTIVES

We sought to assess the impact of several tobacco control policies and televised antismoking advertising on adult smoking prevalence.

METHODS

We used a population survey in which smoking prevalence was measured each month from 1995 through 2006. Time-series analysis assessed the effect on smoking prevalence of televised antismoking advertising (with gross audience rating points [GRPs] per month), cigarette costliness, monthly sales of nicotine replacement therapy (NRT) and bupropion, and smoke-free restaurant laws.

RESULTS

Increases in cigarette costliness and exposure to tobacco control media campaigns significantly reduced smoking prevalence. We found a 0.3-percentage-point reduction in smoking prevalence by either exposing the population to televised antismoking ads an average of almost 4 times per month (390 GRPs) or by increasing the costliness of a pack of cigarettes by 0.03% of gross average weekly earnings. Monthly sales of NRT and bupropion, exposure to NRT advertising, and smoke-free restaurant laws had no detectable impact on smoking prevalence.

CONCLUSIONS

Increases in the real price of cigarettes and tobacco control mass media campaigns broadcast at sufficient exposure levels and at regular intervals are critical for reducing population smoking prevalence.

Smokeless tobacco consumption by Mexican-Americans and Anglo-Americans in southwestern New Mexico

A telephone survey was conducted to compare the extent of smokeless tobacco consumption by Anglo-Americans and Mexican-Americans. Using systematic random sampling, one out of every 25 phone numbers was selected from the Grant County, New Mexico, telephone directory. Two hundred and ten individuals were interviewed. All of the female respondents, including 46 Mexican-Americans and 81 Anglo-Americans, indicated that they did not use smokeless tobacco. Twenty-five percent of the 51 Anglo-American males and 26% of the 30 Mexican-American males identified themselves as consumers of smokeless tobacco. A chi-square analysis revealed no significance difference between the number of Mexican-Americans and Anglo-Americans among the male self-identified users of smokeless tobacco.

Smokeless tobacco consumption by Mexican-American University students

A modified version of the Illinois Department of Public Health Smokeless Tobacco Survey was administered to 220 women and 134 men attending a state university in New Mexico. The respondents included 65 male and 83 female Mexican-Americans as well as 118 female and 59 male Anglo-Americans. All Mexican-American women identified themselves as nonusers of smokeless tobacco. Of the Anglo-American women, one indicated that she used snuff, and 3 disclosed that they chewed tobacco. 33% of the Anglo-American men and 18% of the Mexican-American men stated that they used smokeless tobacco products. A chi-squared analysis showed this difference was significant. Implications are discussed.