Variations in Cigarette Smoking and Quit Attempts by Health Insurance Among US Adults in 41 States and 2 Jurisdictions, 2014

Public Health Reports
Shillpa NaavaalStephen Babb

Abstract

Information on the impact of health insurance on smoking and quit attempts at the state level is limited. We examined the state-specific prevalence of cigarette smoking and past-year quit attempts among adults aged 18-64 by health insurance and other individual- and state-level factors. We used data from 41 states, the District of Columbia, and Puerto Rico, the jurisdictions that administered the Health Care Access module of the 2014 Behavioral Risk Factor Surveillance System. Data on quit attempts included current smokers with a past-year quit attempt and former smokers who quit during the past year. Overall, smoking prevalence ranged from 14.6% among those with private insurance to 34.7% among Medicaid enrollees, and past-year quit-attempt prevalence ranged from 66.4% among the uninsured to 71.5% among Medicaid enrollees. By insurance group, differences in the prevalence of state-specific past-year quit attempts ranged from 15 to 26 percentage points. Regardless of insurance type, people who were non-Hispanic white and had lower education levels were less likely to attempt quitting than were Hispanic people, non-Hispanic black people, and adults with more than a high school education. We found disparities in smoking and quit ...Continue Reading

References

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Jan 6, 2017·MMWR. Morbidity and Mortality Weekly Report·Stephen BabbAhmed Jamal

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Citations

Jul 19, 2019·MMWR. Morbidity and Mortality Weekly Report·Kimp WaltonStephen Babb
Dec 10, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Su Fen LubitzRobert A Schnoll
Aug 7, 2019·Preventive Medicine Reports·Nimish ValviTomi Akinyemiju
Mar 6, 2021·American Journal of Preventive Medicine·Paula A KellerJeni Klein

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