title: Local smoke-free public policies, quitline call rate, and smoking status in Kentucky.
abstract: OBJECTIVE
  The study investigated the relationships among local smoke-free public policies, county-level quitline call rate, and adult smoking status.
  
  
  METHODS
  A retrospective cross-sectional examination of demographic characteristics, smoking status of Kentuckians, and data from the Kentucky Tobacco Quitline were used to investigate the relationship of local smoke-free ordinances or Board of Health regulations together with county-level quitline use rates and population-level adult smoking status.
  
  
  METHODS
  One hundred and four Kentucky counties.
  
  
  METHODS
  The sample was comprised of 14,184 Kentucky participants with complete demographic information collected from the 2009-2010 Behavioral Risk Factor Surveillance System (BRFSS).
  
  
  METHODS
  Individual-level demographics and smoking status from the BRFSS; county-level urban/rural status; quitline rates; and smoke-free policy status.
  
  
  METHODS
  Given the hierarchical structure of the dataset, with BRFSS respondents nested within county, multilevel modeling was used to determine the predictors of smoking status.
  
  
  RESULTS
  For every 1-unit increase in the county-level call rate the likelihood of current smoking status decreased by 9%. Compared to those living in communities without a policy, those in communities with a smoke-free public policy were 18% less likely to be current smokers. Limitations include quitline call rate as the sole indicator of cessation demand, as well as the cross-sectional design.
  
  
  CONCLUSIONS
  Communities with smoke-free policies and higher rates of quitline use have lower rates of adult smoking.
authors.forename: Anita F
authors.initials: AF
authors.lastname: Fernander
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Rayens
authors.forename: Sarah
authors.initials: S
authors.lastname: Adkins
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: Hahn
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D015277:Hotlines / Q000706:statistics & numerical data*; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D017533:Marital Status; D012189:Retrospective Studies; D061845:Smoke-Free Policy; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000379:methods / Q000706:statistics & numerical data*
keywords: Health focus: smoking control Strategy: policy; Manuscript format: research; Outcome measure: behavioral; Prevention Research; Quitline; Research purpose: relationship testing; Setting: state; Smoke-Free Policies; Smoking; Study design: nonexperimental; Target population circumstances: education/income level, geographic location; Target population: adults; Tobacco