The effectiveness of tobacco control television advertisements in increasing the prevalence of smoke-free homes.
The effectiveness of tobacco control television advertisements in increasing the prevalence of smoke-free homes.
复制标题
烟草控制电视广告在增加无烟房屋的流行方面的有效性。
DOI：
10.1186/s12889-015-2207-2
复制
发表时间：
2015-09-08
影响因子：
4.5
通讯作者：
Gilmore AB
中科院分区：
文献类型：
--
作者：
Lewis S;Sims M;Richardson S;Langley T;Szatkowski L;McNeill A;Gilmore AB
大量证据表明，控制烟草的大众媒体运动可以改变吸烟行为。在英国，过去十年的运动有助于吸烟率的下降，并与持续吸烟者的卷烟消费量下降有关。然而，这些运动是否也能在改变吸烟者的行为方面发挥作用，从而保护他人免受他们在家中吸烟的有害影响，这一点就不那么明显了。我们调查了英国电视上的烟草控制运动，特别是针对二手烟的运动，是否与吸烟者拥有无烟家庭有关。我们使用了2004年至2010年间参加英格兰健康调查的9872户家庭的重复横断面全国调查数据，这些家庭中至少有一名成年吸烟者。对所有政府资助的电视烟草控制运动的暴露程度，以及对那些专门以二手烟为主题的电视烟草控制运动的暴露程度，以总评分点（Gross Rating Points, GRPs）来量化，这是对广告暴露的人均衡量标准，其中100 GRPs表示100%的成年人暴露一次或50%的成年人暴露两次。我们的结果是自我报告无烟家庭的存在（大多数日子里没有人在家里吸烟）。分析使用了广义的加性模型，控制了个体因素和时间趋势。总体而言，每月的电视宣传活动与拥有无烟家庭的可能性之间没有关联。然而，暴露于专门针对二手烟的运动中与接下来一个月无烟家庭的几率增加相关（每增加100个grp的比值比为1.07,95% CI为1.01至1.13），尽管在其他滞后期没有发现这种关联。这些影响不会因社会经济地位或家中是否有孩子而改变。我们的研究结果提供了初步证据，证明大众媒体特别关注二手烟可能有效减少家庭吸烟，需要对这类活动进行进一步评估。在英国，一般的烟草控制运动主要集中在促进戒烟上，除了减少吸烟的直接效果外，对无烟家庭的影响并不大。
There is considerable evidence that tobacco control mass media campaigns can change smoking behaviour. In the UK, campaigns over the last decade have contributed to declines in smoking prevalence and been associated with falls in cigarette consumption among continuing smokers. However, it is less evident whether such campaigns can also play a role in changing smokers’ behaviour in relation to protecting others from the harmful effects of their smoking in the home. We investigated whether exposure to English televised tobacco control campaigns, and specifically campaigns targeting second hand smoking, is associated with smokers having a smoke-free home. We used repeated cross-sectional national survey data on 9872 households which participated in the Health Survey for England between 2004 and 2010, with at least one adult current smoker living in the household. Exposure to all government-funded televised tobacco control campaigns, and to those specifically with a second hand smoking theme, was quantified in Gross Rating Points (GRPs), an average per capita measure of advert exposure where 100 GRPs indicates 100 % of adults exposed once or 50 % twice. Our outcome was self-reported presence of a smoke-free home (where no one smokes in the home on most days). Analysis used generalised additive models, controlling for individual factors and temporal trends. There was no association between monthly televised campaigns overall and the probability of having a smoke-free home. However, exposure to campaigns specifically targeting second hand smoke was associated with increased odds of a smoke-free home in the following month (odds ratio per additional 100 GRPs, 1.07, 95 % CI 1.01 to 1.13), though this association was not seen at other lags. These effects were not modified by socio-economic status or by presence of a child in the home. Our findings provide tentative evidence that mass media campaigns specifically focussing on second hand smoke may be effective in reducing smoking in the home, and further evaluation of campaigns of this type is needed. General tobacco control campaigns in England, which largely focus on promoting smoking cessation, do not impact on smoke-free homes over and above their direct effect at reducing smoking.