Voluntary home and car smoke-free rules in Japan: a cross-sectional study in 2015

Voluntary home and car smoke-free rules in Japan: a cross-sectional study in 2015
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DOI:
10.1136/bmjopen-2018-024615
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发表时间:
2019-06-01
期刊:
影响因子:
2.9
通讯作者:
Tabuchi, Takahiro
Tabuchi, Takahiro
中科院分区:
医学3区
文献类型:
--
作者:
Shojima, Kensaku;Tabuchi, Takahiro

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目的最近,东京都议会通过了一项法令,禁止在私人住宅和汽车内(如果有儿童在场)吸烟。然而,以前没有研究调查过日本现有的自愿家庭和汽车无烟规则。因此,我们认为,我们研究了全面的家庭和汽车无烟规则的流行率和决定因素。设计一项横断面研究。设置互联网调查数据,并使用“在互联网调查中成为受访者”的逆概率加权进行调整。对2015年5600名15-69岁的受访者进行分析,以估计加权百分比和流行率(PR),其中95%有全面的家庭和汽车的无烟rules.Main结果措施回答“吸烟是永远不允许的”在他们的家庭和汽车被定义为有家庭和汽车的无烟rules.Results总体而言,47.0%(95%CI =45.8%至48.3%)的受访者实施全面的家庭和汽车的无烟rules. Results。同意“吸烟缓解压力”的人不太可能有全面的无烟规则(PR=0.76,0.71至0.82),特别是在电子尼古丁输送系统的使用者中(PR=0.49,0.30至0.81)。高等教育与全面无烟规则的较高PR显著相关(PR=1.30,1.19至1.41)。与儿童生活在一起显着相关的PR更高的无烟规则在目前的吸烟者比不与儿童生活在一起(PR=2.91,1.99至4.27)。结论在日本,约50%的受访者有自愿的无烟规则在家里和汽车。在2018年东京家庭和汽车无烟立法实施之前,有关当前自愿无烟规则的信息将作为家庭和汽车无烟状态的基线信息。
Objectives Recently, the Tokyo Metropolitan Assembly passed an ordinance prohibiting smoking in private homes and cars if children are present. However, no previous study has investigated existing, voluntary home and car smoke-free rules in Japan. Therefore, we examined prevalence and determinants of comprehensive home and car smoke-free rules.Design A cross-sectional study.Setting Internet survey data with adjustments using inverse probability weighting for 'being a respondent in an internet survey'.Participants 5600 respondents aged 15-69 years in 2015 were analysed to estimate weighted percentages and prevalence ratios (PRs) with 95% CIs of having comprehensive home and car smoke-free rules.Main outcome measures Respondents who answered 'smoking is never allowed' in their home and car were defined as having home and car smoke-free rules.Results Overall, 47.0% (95% CI=45.8% to 48.3%) of respondents implemented comprehensive home and car smoke-free rules. People who agreed with ` smoking relieves stress' were less likely to have comprehensive smoke-free rules (PR=0.76, 0.71 to 0.82), especially among ever-users of electronic nicotine delivery systems (PR=0.49, 0.30 to 0.81). Higher education was significantly associated with higher PR for comprehensive smoke-free rules (PR=1.30, 1.19 to 1.41). Living with children was significantly associated with higher PR for smoke-free rules among current smokers than not living with children (PR=2.91, 1.99 to 4.27).Conclusions In Japan, about 50% of respondents had voluntary smoke-free rules in the home and car. Information on current voluntary smoke-free rules will be useful as baseline information on home and car smokefree status before enforcement of the 2018 Tokyo home and car smoke-free legislation.