Tobacco control policies and smoking in a population of low education women, 1992-2002.

STUDY OBJECTIVE To examine recent trends and the role of tobacco control policies associated with smoking among women of low socioeconomic status. DESIGN Using four waves of the nationally representative tobacco use supplement to the current population survey (TUS-CPS)--(1992-2002), the study examined trends and used multivariate logistic models of smoking prevalence among low education women to examine the role of cigarette prices, clean air regulations, and tobacco control media campaigns, while controlling for other personal characteristics. SETTING USA. PARTICIPANTS Women ages 18 and older who report not having completed high school, compared with other women with greater educational attainment and men ages 18 and older with less than a high school degree. MAIN RESULTS Smoking among low education women declined at a greater rate over the study period than among more highly educated women, in contrast with trends of earlier periods. Low education women were found to be particularly responsive to media messages as well as price, especially in comparison with high education women. CONCLUSIONS The relation between health and socioeconomic status is not immutable; selected tobacco control policies, such as tax increases and media campaigns targeting low education women, may make inroads in reducing the smoking prevalence of this population.