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The impact of smoke-free legislation on reducing exposure to secondhand smoke: differences across gender and socioeconomic groups

机译：无烟立法对减少二手烟暴露的影响：性别和社会经济群体之间的差异

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摘要

Background On 11 January 2009, Taiwan expanded its smoke-free legislation to all indoor public places and workplaces. This study examined the impact of this policy on secondhand smoke (SHS) exposure in adult non-smokers, across gender and socioeconomic status groups (SES). Methods An annual sample of about 13 000-14 000 non-smokers was drawn from cross-sectional nationwide data of Taiwan Adult Tobacco Behavior Surveys during 2005-2011. Logistic regressions were used to analyse the aggregate data to estimate the association between the 2009 smoke-free legislation and SHS exposures in homes and workplaces. Interaction terms were used to examine the impact of the 2009 smoke-free policy on reducing differences in SHS exposure across gender, education and income groups. Results The 2009 policy reduced the odds of SHS exposure in homes in 2009 (OR=0.76, 95% Cl 0.68 to 0.84) and in workplaces (year 2009: OR=0.49, 95% Cl 0.39 to 0.62; year 2010: OR=0.79, 95% Cl 0.66 to 0.95). The model with interaction terms showed that men were more likely than women to be exposed to workplace SHS (OR=2.02, 95% Cl 1.80 to 2.27) but were less likely to be exposed to home SHS (OR=0.79, 95% Cl 0.73 to 0.86). SHS exposure in homes was significantly related to lower socioeconomic status, but the 2009 smoke-free policy reduced the difference in SHS exposure across education levels. Conclusions The 2009 smoke-free policy reduced the SHS exposure for non-smokers. However, this impact on home SHS did not persist after 2009, and the effect of protection was unequal across gender and SES groups. Thus, further enforcement of smoking restrictions would be needed to reduce the risk of SHS exposure and improve protection against SHS risk among parts of the population with lower socioeconomic status.
机译：背景信息2009年1月11日，台湾将其无烟立法扩大到所有室内公共场所和工作场所。这项研究检查了该政策对不同性别和社会经济地位群体（SES）中成年非吸烟者二手烟（SHS）暴露的影响。方法从2005-2011年台湾成人烟草行为调查的全国性横断面数据中，每年抽取大约13000-14 000名非吸烟者作为样本。使用Logistic回归分析汇总数据，以估算2009年无烟立法与家庭和工作场所的SHS暴露之间的关联。交互作用术语用于检查2009年无烟政策对减少性别，教育和收入群体在SHS暴露中的差异的影响。结果2009年的政策降低了2009年家庭（OR = 0.76，95％Cl 0.68至0.84）和工作场所（2009年：OR = 0.49，95％Cl 0.39至0.62; 2010年：OR = 0.79）在家庭中SHS暴露的可能性。 ，95％Cl 0.66至0.95）。具有交互作用项的模型显示，男性比女性更有可能接触工作场所SHS（OR = 2.02，95％Cl 1.80至2.27），但不太可能接触家庭SHS（OR = 0.79，95％Cl 0.73）。至0.86）。家庭中的SHS暴露与较低的社会经济地位显着相关，但2009年的无烟政策减少了各个教育水平的SHS暴露差异。结论2009年的无烟政策减少了非吸烟者的SHS暴露。但是，对家庭SHS的这种影响在2009年之后并没有持续，并且保护的效果在性别和SES组之间是不平等的。因此，将需要进一步执行吸烟限制措施，以减少接触SHS的风险，并改善社会经济地位较低的部分人群对SHS风险的防护。

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  • 来源
    《Tobacco control》 |2015年第1期|62-69|共8页
  • 作者

    Yi-Wen Tsai; Li-Chuan Chang; Hai-Yen Sung; Teh-wei Hu; Shu-Ti Chiou;

  • 作者单位

    Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan, Republic of China;

    Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan, Republic of China;

    Institute for Health & Aging, University of California, San Francisco, California, USA;

    School of Public Health, University of California, Berkeley, California, USA;

    Institution of Public Health & Department of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China,School of Medicine, National Yang-Ming University, Health Promotion Administration, Ministry of Health and Welfare, New Taipei City, Taiwan, Republic of China, Changqing St, Xinzhuang District, New Taipei City, Tiawn 242, Republic of China;

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