Tobacco control challenges in East Asia: proposals for change in the world's largest epidemic region.
Tobacco control challenges in East Asia: proposals for change in the world's largest epidemic region.
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DOI：
10.1136/tobaccocontrol-2012-050852
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发表时间：
2014-07
期刊：
影响因子：
5.2
通讯作者：
Inoue M
中科院分区：
文献类型：
--
作者：
Katanoda K;Jiang Y;Park S;Lim MK;Qiao YL;Inoue M
东亚是世界上最大的烟草流行地区之一。虽然几项国际研究评估了该区域的烟草控制状况，但研究结果尚未与国家和城市一级的国内活动知识结合起来。我们利用国际和国内数据来源，分析了日本、中国和韩国这三个东亚国家目前的烟草控制状况。我们根据世卫组织指导实施《世卫组织烟草控制框架公约》的MPOWER（监测、保护、提供、警告、执法和提高）方法框架，在每个国家收集了2008年至2011年期间的数据。分析显示，37-53%的成年男性目前是吸烟者，中年男性吸烟率达到63%。不到20%的男性吸烟者计划戒烟，使用尼古丁替代药物的比例最高为14%。46%或更多的男性和20%或更多的女性分别在工作场所和家中被动吸烟。许多烟草业活动仍然不受限制和普遍存在。我们的研究结果表明，迫切需要以下一系列政策：提高卷烟价格以提高戒烟率，特别是成年男性；发展多元戒烟协助制度，为戒烟人士提供足够的协助；在工作场所和公共场所实施有效的无烟政策，减少被动吸烟的暴露；重建行政结构，使烟草业活动不规范。东亚所有烟草控制政策制定者都应重申这些标准方法的重要性。
East Asia is one of the world's largest tobacco epidemic regions. Although several international studies have evaluated the status of tobacco control in this region, the findings have not been integrated with knowledge on domestic activities at the national and municipal levels. We analysed the current tobacco control situation in three East Asian countries, Japan, China and the Republic of Korea, using both international and domestic data sources. We collected data between 2008 and 2011 in each country according to the framework of WHO's MPOWER (Monitoring, Protect, Offer, Warn, Enforcement and Raise) approach for guiding implementation of the WHO Framework Convention on Tobacco Control. Analysis revealed that 37–53% of adult men were current smokers and that smoking prevalence among middle-aged men reached 63%. Less than 20% of male smokers plan to quit and the use of nicotine replacement drugs was 14% at maximum. Forty-six percent or more of men and 20% or more of women were exposed to passive smoking at workplaces and at home, respectively. Many tobacco industry activities remain unrestricted and prevalent. Our findings indicate an urgent need for the following set of policies: raise cigarette prices to increase the quit attempt rate, particularly among adult men; develop a multi-component quitting assistance system to provide adequate assistance for smoking cessation; implement effective smoke-free policies in workplaces and public places to reduce exposure to passive smoking; and rebuild the administrative structure to denormalise tobacco industry activities. The importance of these standard approaches should be reaffirmed by all tobacco control policymakers in East Asia.
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168.9
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