Browsing by Author "Vater, Laura B."

Now showing 1 - 5 of 5
  • Thumbnail Image
    Item
    The Before and After
    (Springer, 2020-06) Vater, Laura B.; Medicine, School of Medicine
  • Thumbnail Image
    Item
    Impact of smoke-free ordinance strength on smoking prevalence and lung cancer incidence
    (PLOS, 2021-04-16) Nguyen, Ryan H.; Vater, Laura B.; Timsina, Lava R.; Durm, Gregory A.; Rupp, Katelin; Wright, Keylee; Spitznagle, Miranda H.; Paul, Brandy; Jalal, Shadia I.; Carter-Harris, Lisa; Hudmon, Karen S.; Hanna, Nasser H.; Loehrer, Patrick J.; Ceppa, DuyKhanh P.; Surgery, School of Medicine
    Background: Smoke-free ordinances (SFO) have been shown to be effective public health interventions, but there is limited data on the impact SFO on lung cancer outcomes. We explored the effect of county-level SFO strength with smoking prevalence and lung cancer incidence in Indiana. Methods: We obtained county-level lung cancer incidence from the Indiana State Cancer Registry and county-level characteristics from the Indiana Tobacco Prevention and Cessation Commission's policy database between 1995 and 2016. Using generalized estimating equations, we performed multivariable analyses of smoking prevalence and age-adjusted lung cancer rates with respect to the strength of smoke-free ordinances at the county level over time. Results: Of Indiana's 92 counties, 24 had a SFO by 2011. In 2012, Indiana enacted a state-wide SFO enforcing at least moderate level SFO protection. Mean age-adjusted lung cancer incidence per year was 76.8 per 100,000 population and mean smoking prevalence per year was 25% during the study period. Counties with comprehensive or moderate SFO had a smoking prevalence 1.2% (95% CI [-1.88, -0.52]) lower compared with counties with weak or no SFO. Counties that had comprehensive or moderate SFO also had an 8.4 (95% CI [-11.5, -5.3]) decrease in new lung cancer diagnosis per 100,000 population per year compared with counties that had weak or no SFO. Conclusion: Counties with stronger smoke-free air ordinances were associated with decreased smoking prevalence and fewer new lung cancer cases per year. Strengthening SFO is paramount to decreasing lung cancer incidence.
  • Thumbnail Image
    Item
    In the Valley
    (Springer, 2021) Vater, Laura B.; Medicine, School of Medicine
  • Thumbnail Image
    Item
    In the Valley
    (Springer, 2021-04) Vater, Laura B.; Medicine, School of Medicine
  • Thumbnail Image
    Item
    Trends in Cancer-Center Spending on Advertising in the United States, 2005 to 2014
    (The JAMA Network, 2016-08-01) Vater, Laura B.; Donohue, Julie M.; Park, Seo Young; Schenker, Yael; Department of Medicine, IU School of Medicine
    In the United States, cancer centers commonly advertise clinical services directly to the public. Potential benefits of such advertising include informing patients about available treatments and reducing the stigma of cancer.1, 2 Potential risks include misleading vulnerable patients and creating false hopes, increasing demand for unnecessary tests and treatments, adversely affecting existing clinician-patient relationships, and increasing healthcare costs.3, 4 Understanding trends in the advertising spending of cancer centers and the characteristics of the centers that spend the most can inform the debate about the impact of these advertisements. Our hypothesis was that advertising spending has increased and that spending is concentrated among for-profit cancer centers.