ArticleSouthern medical journal2019
Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002-2009.
Article in Southern medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- SimSmoke simulation models distinguished by race/ethnicity: past and future trends and the potential role of policy.Journal of the National Cancer Institute. Monographs · 2025Article
- Lung Cancer Prevention Among Appalachian Kentucky Women: A Community-Engaged Mixed Method Study.American journal of health promotion : AJHP · 2025Article
- Identifying risk factors for adverse lung health outcomes among rural Appalachian women.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Adult asthma associated with roadway density and housing in rural Appalachia: the Mountain Air Project (MAP).Environmental health : a global access science source · 2023Article
- Non-Smoker's Exposure to Second-Hand Smoke in South Africa during 2017.International journal of environmental research and public health · 2020Article
- "Youth Are More Aware and Intelligent than Imagined": The Mountain Air Youth Photovoice Project.International journal of environmental research and public health · 2019Article
- Examining Adult E-cigarette Use in Kentucky and Its Appalachian Region Using the Behavioral Risk Factor Surveillance System, 2016-2017.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesMany local communities in Kentucky, a state with one of the highest smoking prevalence rates in the United States, have enacted smoke-free ordinances that prohibit smoking in workplaces and enclosed buildings open to the public. Research has shown that such ordinances are clearly beneficial for public health, but their influence on smoking prevalence in the populations they cover remains unclear. This study explores the effect of local smoke-free ordinances on smoking prevalence in Kentucky.
methodsWe used a database of smoke-free ordinances maintained by the Kentucky Center for Smoke-Free Policy, Kentucky Behavioral Risk Factor Surveillance System survey data, and US Census data. We estimated the proportion of Kentucky adults living in counties with smoke-free ordinances of varying strength; examined bivariate associations between smoke-free ordinances and smoking prevalence; and fit regression models that adjusted for various county-level demographic, socioeconomic, and geographic factors.
resultsSmoking prevalence was approximately 5% lower in counties with smoke-free ordinances, even after adjusting for other relevant factors, including a trend in decreasing prevalence throughout the study region. There was a slight dose-response effect related to the strength of smoke-free ordinances after adjustment for these covariates. Smoke-free ordinances appear to have a modest effect on smoking prevalence across the span of several years.
conclusionsFindings demonstrate that although smoking prevalence fell throughout the state during the study period, counties with smoke-free ordinances experienced a greater decline. Future research should examine the strength of smoke-free ordinances in greater detail to better understand their influence on smoking prevalence.
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