State Cigarette Excise Tax, Secondhand Smoke Exposure, and Periodontitis in US Nonsmokers

Bibliographic Data

ID11017430
AuthorsAnne E Sanders (0000-0003-2607-9514, Anne Sanders and Gary Slade are with the Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill.), Anne Sanders (0000-0003-0405-2919), Dewi Nainggolan (corresponding author), Gary Slade (Anne Sanders and Gary Slade are with the Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill.)
Year2013
Volume103
Issue4
Pages740-746
Publication date2013-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300579
PMID22994169
PMCIDPMC3673254
OpenAlexW22994169
LanguageEN
Citations received5
References cited30

Objectives. We assessed the relationship of state cigarette excise tax with cigarette sales, secondhand smoke (SHS) exposure, and periodontitis among US lifetime nonsmokers. Methods. Cigarette excise tax and per capita sales data from 1983 to 1998 were obtained for 50 states and the District of Columbia. Periodontal data were analyzed for 3137 adults in 28 states from 3 National Health and Nutrition Examination Survey cycles (1999–2004). Measures of periodontal pocket depth and attachment level were used to classify people with moderate or severe periodontitis. SHS exposure was classified according to gender- or race/ethnicity–specific thresholds of serum cotinine concentration. Statistical analysis adjusted for the complex survey design. Results. For each additional $0.10 in excise tax, predicted sales decreased by 0.74 packs per person per month and adjusted odds of moderate or severe periodontitis decreased 22% (odds ratio [OR] = 0.78; 95% confidence interval [CI] = 0.62, 0.97). For each pack sold per person per month, adjusted odds of SHS exposure increased 28% (95% CI = 1.17, 1.40) and adjusted odds of periodontitis increased 15% (95% CI = 1.03, 1.29). Odds of periodontitis for those exposed to SHS were elevated 2-fold relative to those who were unexposed (OR = 2.03; 95% CI = 1.30, 3.20). Conclusions. Cigarette excise tax may protect nonsmokers against periodontitis

Andisol · Biology · Geological and Geophysical Studies · Geotechnical and construction materials studies · Ecology

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