How do policy advisors and practitioners prioritise the protection of children from secondhand smoke exposure in a country with advanced tobacco control policy?

Deborah Doreen Ritchie; Amanda Amos; April Shaw; Rachel ODonnell; Sean Semple; Steve Turner; Claudia Martin

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How do policy advisors and practitioners prioritise the protection of children from secondhand smoke exposure in a country with advanced tobacco control policy?

机译：在拥有先进烟草控制政策的国家，政策顾问和从业人员如何优先保护儿童免受二手烟暴露？

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Objectives The aim is to extend understanding of the policy and practice discourses that inform the development of national tobacco control policy to protect children from secondhand smoke exposure (SHSE) in the home, particularly in a country with successful implementation of smoke-free public places legislation. The Scottish experience will contribute to the tobacco control community, particularly those countries at a similar level of tobacco control, as normalising discourses about protecting children from SHSE are becoming more widespread. Design Case study design using qualitative interviews and focus groups (FGs) with policy makers, health and childcare practitioners during which they were presented with the findings of the Reducing Families' Exposure to Secondhand Smoke (REFRESH) intervention and discussed the implications for their policy and practice priorities. Setting Scotland, UK Participants Qualitative interviews and FGs were conducted with 30 policy makers and practitioners who were purposively recruited. Results Participants accepted the harm of SHSE to children; however, action is limited by political expedience due to-the perception of a shift of the public health priority from smoking to alcohol, current financial constraints, more immediate child protection concerns and continuing unresolved ethical arguments. Conclusions In a country, such as Scotland, with advanced tobacco control strategies, there continue to be challenges to policy and practice development in the more contentious arena of the home. Children's SHSE in their homes is unequivocally accepted as an important health priority, but it is not currently perceived to be a top public health priority in Scotland.

机译：目标目的是扩大对政策和实践话语的理解，这些话语有助于制定国家烟草控制政策，以保护儿童免受家庭中二手烟暴露（SHSE）的侵害，特别是在成功实施无烟公共场所立法的国家中。苏格兰的经验将为烟草控制界做出贡献，特别是在那些具有相似烟草控制水平的国家，因为有关保护儿童免受SHSE影响的规范化讨论变得越来越普遍。设计案例研究设计，通过与政策制定者，健康和育儿从业人员进行定性访谈和焦点小组（FG），向他们介绍了减少家庭二手烟暴露（REFRESH）干预措施的发现，并讨论了其对政策和政策的影响。练习优先级。在苏格兰，英国参与者对有意招募的30位决策者和从业人员进行了定性访谈和FG。结果参与者接受了SHSE对儿童的危害；但是，由于人们对公共卫生的优先事项从吸烟转向饮酒，当前的财政困难，更加直接的儿童保护问题以及持续存在的未解决的道德争论的认识，政治行动限制了行动。结论在像苏格兰这样的拥有先进烟草控制策略的国家，在家庭中争议更大的领域，政策和实践的发展仍然面临挑战。明确将儿童在家中的SHSE视为重要的健康重点，但目前尚未将其视为苏格兰公共卫生的重中之重。

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《Tobacco control》 |2015年第1期|70-76|共7页
作者
Deborah Doreen Ritchie; Amanda Amos; April Shaw; Rachel ODonnell; Sean Semple; Steve Turner; Claudia Martin;
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School of Health in Social Science, University of Edinburgh, Teviot Place, Edinburgh EH98AG, UK;

UK Centre for Tobacco Control Studies, Centre for Population Health Science, University of Edinburgh, Edinburgh, UK;

ASH Scotland, Edinburgh, UK;

ASH Scotland, Edinburgh, UK;

Department of Environmental and Occupational Medicine, University of Aberdeen, Aberdeen, UK;

Department of Child Health, University of Aberdeen, Aberdeen, UK;

Centre for Population Health Science, University of Edinburgh, Edinburgh, UK;

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How do policy advisors and practitioners prioritise the protection of children from secondhand smoke exposure in a country with advanced tobacco control policy?

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