Gender differences in smoking and cessation behaviors among young adults after implementation of local comprehensive tobacco control.
OBJECTIVE
We sought to study gender differences in young adult smoking declines and enrollment in populationwide cessation services.


METHODS
The New York City (NYC) Department of Health and Mental Hygiene implemented populationwide cessation programs to distribute free nicotine replacement therapy (NRT); demographic data were collected from enrollees. Smoking prevalence was assessed using data from the Community Health Survey, an annual population-based survey.


RESULTS
Between 2002 and 2005, smoking among young adults in NYC declined from 23.8% to 18.8%, which was explained entirely by a 41.8% decline among young adult women (23.2% to 13.5); prevalence remained at 24% among young adult men. More young adult women enrolled in cessation services than did men, although once enrolled, the likelihood of using NRT was high among both groups.


CONCLUSIONS
Among young adults, women have been responsive to comprehensive tobacco control, but men require more-intensive strategies. Population-wide NRT distribution can be effective with young adults overall; however, additional resources need to be devoted to identifying successful outreach strategies for young adult men.
Ellis
Jennifer A
JA
Bureau of Tobacco Control, NYC Department of Health and Mental Hygiene, 2 Lafayette, CN-18, New York, NY 10007, USA. jellis1@health.nyc.gov
Perl
Sarah B
SB
Davis
Karen
K
Vichinsky
Laura
L
D000293:Adolescent; D000328:Adult; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D011640:Public Policy; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology*; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*