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首页> 外文期刊>International Journal of Environmental Research and Public Health >Facilitators and Barriers of Smokers’ Compliance with Smoking Bans in Public Places: A Systematic Review of Quantitative and Qualitative Literature
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Facilitators and Barriers of Smokers’ Compliance with Smoking Bans in Public Places: A Systematic Review of Quantitative and Qualitative Literature

机译:吸烟者在公共场所遵守禁烟令的促进者和障碍者:对定量和定性文献的系统评价

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Background : Environmental tobacco smoke (ETS) exposure is associated with an increased risk of many diseases. Many countries have ratified a national smoking ban in public places, but studies on factors related to smoking issues in public places post-ban are lacking. Aim : To identify facilitators and barriers that influenced smokers’ compliance with smoking bans in public places. Methods : Using PubMed, MEDLINE, and the Web of Science database, we conducted a systematic search of English articles published before June 2015 on factors of smokers’ compliance with the smoking bans in public places. Results : A total of 390 references were identified, among which seventeen articles (twelve quantitative studies, two qualitative studies, three mixed-method studies) were included in this review. These studies focused on four types of public places including recreational venues ( n = 7), hospital ( n = 5), school ( n = 4), and workplace ( n = 1). Factors at the individual-, interpersonal-, and organizational-level were identified: at the individual level, nicotine dependence, insufficiency of tobacco-related knowledge, and the negative attitudes towards smoking bans were the most commonly identified barriers; at the interpersonal level, the smoking behaviors of people around, close relatives, and friends’ approval were the main barriers; and at the organizational level, the main barriers were inefficient implementation of the bans and the inconvenience of the designative smoking areas. Conclusions : This synthesis of the literature provided evidence of the identified barriers and facilitators of smokers’ compliance with the smoking bans. It will be beneficial for the policy-maker to consider interventions on multiple levels of factors to overcome the barriers and enhance smokers’ compliance with the smoking bans in public places.
机译:背景:暴露于环境烟草烟雾(ETS)与许多疾病的风险增加相关。许多国家已经批准了公共场所的国家禁烟令,但是缺乏对与禁令后公共场所的吸烟问题有关的因素的研究。目的:找出影响吸烟者在公共场所遵守禁烟令的促进因素和障碍。方法:我们使用PubMed,MEDLINE和Web of Science数据库,系统搜索了2015年6月之前发表的有关吸烟者在公共场所遵守禁烟令的英语文章。结果:共鉴定了390篇参考文献,其中包括十七篇文章(十二项定量研究,两项定性研究,三项混合方法研究)。这些研究集中于四种类型的公共场所,包括娱乐场所(n = 7),医院(n = 5),学校(n = 4)和工作场所(n = 1)。确定了个人,人际和组织层面的因素:在个人层面,尼古丁依赖,与烟草有关的知识不足以及对禁烟令的消极态度是最常见的障碍;在人际关系层面,周围人,近亲的吸烟行为以及朋友的认可是主要障碍;在组织一级,主要障碍是禁令执行效率低下以及指定吸烟区的不便。结论:文献的综合提供了已发现的障碍和促进吸烟者遵守禁烟令的证据。对于政策制定者而言,考虑采取多种因素干预措施以克服障碍并增强吸烟者对公共场所吸烟禁令的遵守状况将是有益的。

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