Smoke-free hospitality environments and cognitive health: A population-based study in the United States
Introduction: Cigarette smoking is among the largest risk factors for cognitive decline in later life. This study examines the associations between hospitality smoke-free coverage in the US and the prevalence of self-rated cognitive function decline and disparities therein. Methods: I use the repeat...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335524003760 |
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| author | Lucie Kalousová |
| author_facet | Lucie Kalousová |
| author_sort | Lucie Kalousová |
| collection | DOAJ |
| description | Introduction: Cigarette smoking is among the largest risk factors for cognitive decline in later life. This study examines the associations between hospitality smoke-free coverage in the US and the prevalence of self-rated cognitive function decline and disparities therein. Methods: I use the repeated cross-sectional Behavioral Risk Factor Surveillance data collected between 2017 and 2022 from a sample of Americans 45 years and older and estimate logistic regression models predicting self-rated cognitive function decline by calculated smoke-free hospitality coverage in restaurants and bars. Results: Fully adjusted models indicate a marginally statistically significant 0.16 percentage point reduction [CI −0.35 to 0.02] in the probability of self-rated cognitive function decline for a 10 % increase in the smoke-free bar coverage. The effect is statistically significant and larger for women, a 0.29 [CI −0.50 to −0.01] percentage point decrease, and for non-smokers, a 0.35 [CI −0.56 to −0.15] percentage point decrease. I do not find a parallel effect of smoke-free restaurant laws and I find no effect of either law on self-rated cognitive function decline-related limitations in daily life for either hospitality law. Conclusions: The findings suggest that smoke-free bar laws could play a role in preventing cognitive decline among older adults in the United States. Effective public health strategies against cognitive decline should include both targeted and broad-based policy measures. |
| format | Article |
| id | doaj-art-471f9a21c944452a9ccb5b091f814dc6 |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-471f9a21c944452a9ccb5b091f814dc62025-02-08T05:00:12ZengElsevierPreventive Medicine Reports2211-33552025-02-0150102961Smoke-free hospitality environments and cognitive health: A population-based study in the United StatesLucie Kalousová0Corresponding author.; Departments of Medicine, Health, and Society & Sociology, Vanderbilt University, 2201 West End Ave, Nashville, TN 37235, USAIntroduction: Cigarette smoking is among the largest risk factors for cognitive decline in later life. This study examines the associations between hospitality smoke-free coverage in the US and the prevalence of self-rated cognitive function decline and disparities therein. Methods: I use the repeated cross-sectional Behavioral Risk Factor Surveillance data collected between 2017 and 2022 from a sample of Americans 45 years and older and estimate logistic regression models predicting self-rated cognitive function decline by calculated smoke-free hospitality coverage in restaurants and bars. Results: Fully adjusted models indicate a marginally statistically significant 0.16 percentage point reduction [CI −0.35 to 0.02] in the probability of self-rated cognitive function decline for a 10 % increase in the smoke-free bar coverage. The effect is statistically significant and larger for women, a 0.29 [CI −0.50 to −0.01] percentage point decrease, and for non-smokers, a 0.35 [CI −0.56 to −0.15] percentage point decrease. I do not find a parallel effect of smoke-free restaurant laws and I find no effect of either law on self-rated cognitive function decline-related limitations in daily life for either hospitality law. Conclusions: The findings suggest that smoke-free bar laws could play a role in preventing cognitive decline among older adults in the United States. Effective public health strategies against cognitive decline should include both targeted and broad-based policy measures.http://www.sciencedirect.com/science/article/pii/S2211335524003760Self-rated cognitive declineAD/RDSmoke-free lawsIndoor tobacco exposureTobacco controlHealth disparities |
| spellingShingle | Lucie Kalousová Smoke-free hospitality environments and cognitive health: A population-based study in the United States Preventive Medicine Reports Self-rated cognitive decline AD/RD Smoke-free laws Indoor tobacco exposure Tobacco control Health disparities |
| title | Smoke-free hospitality environments and cognitive health: A population-based study in the United States |
| title_full | Smoke-free hospitality environments and cognitive health: A population-based study in the United States |
| title_fullStr | Smoke-free hospitality environments and cognitive health: A population-based study in the United States |
| title_full_unstemmed | Smoke-free hospitality environments and cognitive health: A population-based study in the United States |
| title_short | Smoke-free hospitality environments and cognitive health: A population-based study in the United States |
| title_sort | smoke free hospitality environments and cognitive health a population based study in the united states |
| topic | Self-rated cognitive decline AD/RD Smoke-free laws Indoor tobacco exposure Tobacco control Health disparities |
| url | http://www.sciencedirect.com/science/article/pii/S2211335524003760 |
| work_keys_str_mv | AT luciekalousova smokefreehospitalityenvironmentsandcognitivehealthapopulationbasedstudyintheunitedstates |