Understanding worldwide youth attitudes towards smoke-free policies: an analysis of the Global Youth Tobacco Survey
Understanding worldwide youth attitudes towards smoke-free policies: an analysis of the Global Youth Tobacco Survey
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DOI：
10.1136/tc.2010.038885
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发表时间：
2011-05-01
期刊：
影响因子：
5.2
通讯作者：
Warren, Charles W.
中科院分区：
文献类型：
--
作者：
Koh, Howard K.;Alpert, Hillel R.;Warren, Charles W.
公共场所的无烟政策（SFP）在全球范围内不断增加，但发展中国家却落在后面。了解青年对SFP的态度，可以告知SFP initiatives.Methods一个多层次的logistic回归分析的数据收集的青少年年龄在13-15岁（2000-2006年）谁完成了全球青年烟草调查（GYTS）在115个国家，主要是在发展中国家，进行了。该分析研究了支持SFP和个人水平的措施与吸烟状况，暴露于二手烟（SHS），控制人口和环境因素的利益和国家层面的政策因素之间的关系。包括大多数不吸烟者（78.7%）和吸烟者（63.6%）。在多变量分析中，了解烟雾危害是支持SFP的最强预测因子（OR 2.42，95%CI 2.27至2.67）。暴露于反营销（OR 1.40，95% CI 1.25至1.57）和学校反吸烟教育（OR 1.22，95% CI 1.13至1.31）也呈正相关。目前吸烟（OR 0.48，95% CI 0.41至0.53），吸烟易感性（OR 0.46，95% CI 0.40至0.52）和暴露于烟草宣传呈负相关。观察到国家一级的差异很大。在一个国家的任何国家无烟立法的存在与青年赞成这种policy.Conclusions的积极相关的大多数青年世界各地的支持，但缺乏，在公共场所的无烟政策，而经常暴露于SHS。青少年对SFP的支持与对烟草烟雾有害影响的了解呈正相关。加倍教育努力是在发展中国家建立无烟环境和改善儿童健康的机会。
Background Smoke-free policies (SFPs) in public places are increasing globally, but developing countries are lagging behind. Understanding youth attitudes towards SFPs can inform SFP initiatives.Methods A multilevel logistic regression analysis of data collected from youth aged 13-15 years (2000-2006) who completed the Global Youth Tobacco Survey (GYTS) in 115 countries, primarily in the developing world, was conducted. The analysis examined relationships between support for SFPs and individual-level measures related to smoking status, and exposure to secondhand smoke (SHS), controlling for demographic and environmental factors of interest and country-level policy factors.Results In all, 77.3% of 356 395 youth in 115 countries favoured SFPs, including majorities of non-smokers (78.7%) and smokers (63.6%). In the multivariable analysis knowledge of smoke harm was the strongest predictor of favouring SFPs (OR 2.42, 95% CI 2.27 to 2.67). Exposure to countermarketing (OR 1.40, 95% CI 1.25 to 1.57) and school anti-smoking education (OR 1.22, 95% CI 1.13 to 1.31) were also positively associated. Current smoking (OR 0.48, 95% CI 0.41 to 0.53), susceptibility to smoking (OR 0.46, 95% CI 0.40 to 0.52) and exposure to tobacco promotion were negatively associated. Significant country-level variation was observed. The presence of any national smoke-free legislation in a country was positively associated with youth favouring such policies.Conclusions The majority of youth worldwide support, yet lack, smoke-free policies in public places, while being regularly exposed to SHS. Youth support of SFPs is most positively associated with knowledge of the harmful effects of tobacco smoke. Redoubling education efforts represents an opportunity to establish smoke-free environments and improve health of children in developing countries.