Journal of Urban Health

, Volume 82, Issue 1, pp 58–70

Smoking practices in New York City: The use of a population-based survey to guide policy-making and programming

  • Farzad Mostashari
  • Bonnie D. Kerker
  • Anjum Hajat
  • Nancy Miller
  • Thomas R. Frieden
Original Articles: Various Topic

DOI: 10.1093/jurban/jti008

Cite this article as:
Mostashari, F., Kerker, B.D., Hajat, A. et al. J Urban Health (2005) 82: 58. doi:10.1093/jurban/jti008

Abstract

To inform New York City’s (NYC’s) tobacco control program, we identified the neighborhoods with the highest smoking rates, estimated the burden of second-band smoke exposure, assessed the early response to state taxation, and examined cessation practices. We used a stratified random design to conduct a digit-dialed telephone survey in 2002 among 9,674 New York City adults. Our main outcome measures included prevalence of cigarette smoking, exposure to second-hand smoke, the response of smokers to state tax increases, and cessation practices. Even after controlling for sociodemographic factors (age, racelethnicity, income, education, marital status, employment status, and foreign-born status) smoking rates were highest in Central Harlem and in the South Bronx. Sixteen percent of nonsmokers reported frequent exposure to second-hand smoke at home or in a workplace. Among smokers with a child with asthma, only 33% reported having a no-smoking policy in their homes. More than one fifth of smokers reported reducing the number of cigarettes they smoked in response to the state tax increase. Of current smokers who tried to quit, 65% used no cessation aid. These data were used to inform New York City’s smoke-free legislation, taxation, public education, and a free nicotine patch give-away program. In conclusion, large, local surveys can provide essential data to effectively advocate for, plan, implement, and evaluate a comprehensive tobacco control program.

Keywords

Smoking prevalenceTobacco controlTobacco use cessationCommunity health surveysHealth policyTaxation

Copyright information

© Oxford University Press on behalf of the New York Academy of Medicine 2005

Authors and Affiliations

  • Farzad Mostashari
    • 1
  • Bonnie D. Kerker
    • 1
  • Anjum Hajat
    • 2
  • Nancy Miller
    • 3
  • Thomas R. Frieden
    • 4
  1. 1.Bureau of Epidemiology ServicesNew York City Department of Health and Mental HygieneNew YorkUSA
  2. 2.North Carolina Center for Public Health PreparednessUniversity of North Carolina School of Public HealthUSA
  3. 3.Bureau of Tobacco ControlNew York City Department of Health and Mental HygieneNew YorkUSA
  4. 4.New York City Department of Health and Mental HygieneNew York