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Alison B. Albers, PhD, Lois Biener, PhD, Michael Siegel, MD, MPH, Debbie M. Cheng, ScD and Nancy Rigotti, MD

Alison B. Albers and Michael Siegel are with the Social and Behavioral Sciences Department, Boston University School of Public Health, Boston, MA. Lois Biener is with the Center for Survey Research, University of Massachusetts, Boston. Debbie M. Cheng is with the Biostatistics Department, Boston University School of Public Health, Boston. Nancy Rigotti is with Massachusetts General Hospital, Boston, and Harvard Medical School, Boston.

Correspondence: Requests for reprints should be sent to Alison B. Albers, PhD, Social and Behavioral Sciences Department, Boston University School of Public Health, 801 Massachusetts Ave, Crosstown Center 4th Floor, Boston, MA 02118 (e-mail: aalbers{at}bu.edu).

Objectives. We sought to determine whether adolescents living in households in which smoking was banned were more likely to develop antismoking attitudes and less likely to progress to smoking compared with those living in households in which smoking was not banned.

Methods. We completed a longitudinal 4-year, 3-wave study of a representative sample of 3834 Massachusetts youths aged 12 to 17 years at baseline; 2791 (72.8%) were reinterviewed after 2 years, and 2217 (57.8%) were reinterviewed after 4 years. We used a 3-level hierarchical linear model to analyze the effect of a household ban on antismoking attitudes and smoking behaviors.

Results. The absence of a household smoking ban increased the odds that youths perceived a high prevalence of adult smoking, among both youths living with a smoker (odds ratio [OR] = 1.56; 95% confidence interval [CI] = 1.15, 2.13) and those living with nonsmokers (OR = 1.75; 95% CI = 1.29, 2.37). Among youths who lived with nonsmokers, those with no home ban were more likely to transition from nonsmoking to early experimentation (OR = 1.89; 95% CI = 1.30, 2.74) than were those with a ban.

Conclusions. Home smoking bans may promote antismoking attitudes among youths and reduce progression to smoking experimentation among youths who live with nonsmokers.

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