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Youth exposure to in-vehicle second-hand smoke and their smoking behaviours: trends and associations in repeated national surveys (2006-2012)

机译：年轻人暴露于车内二手烟及其吸烟行为：反复进行的全国调查中的趋势和关联（2006-2012）

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Objective To extend the limited international evidence on youth in-vehicle second-hand smoke (SHS) exposure by examining trends in New Zealand, a country with a national smoke-free goal and indoors smoke-free environment legislation. Methods We tracked exposure rates and explored the associations between in-vehicle SHS exposure and smoking behaviours. In-home exposure was also examined for comparative purposes. Data were collected in annual surveys of over 25 000 year 10 school students (14-15-year olds) for a 7-year period (2006-2012). Questions covered smoking behaviour, exposure to smoking and demographics. Results Youth SHS exposure rates in-vehicle and in-home trended down slightly over time (p＜0.0001 for both) with 23% exposed in-vehicle in the previous week in 2012. However, marked inequalities in exposure between ethnic groups, and by school-based socioeconomic position, persisted. The strongest association with SHS exposure was parental smoking (eg, for both parents versus neither smoking in 2012: in-vehide SHS exposure adjusted OR: 7.4; 95% Cl: 6.5 to 8.4). After adjusting for seven other factors associated with initiation, logistic regression analyses revealed statistically significant associations of in-vehicle SHS exposure with susceptibility to initiation and smoking. Conclusions The slow decline in SHS exposure in vehicles and the lack of progress in reducing relative inequalities is problematic. To accelerate progress, the New Zealand Government could follow the example of other jurisdictions and prohibit smoking in cars carrying children. Other major policy interventions, beside enhanced smoke-free environments, will also likely be required if New Zealand is to achieve its 2025 smoke-free nation goal.
机译：目的通过研究新西兰的发展趋势，以扩大有关青少年车载二手烟（SHS）暴露的有限国际证据，新西兰是一个具有国家无烟目标且室内无烟环境法规的国家。方法我们追踪了暴露率，并探讨了车内SHS暴露与吸烟行为之间的关系。为了进行比较，还检查了室内暴露。在为期7年（2006-2012年）的25,000多名10年级在校学生（14-15岁）的年度调查中收集了数据。问题包括吸烟行为，吸烟状况和人口统计。结果2012年，青少年在车内和家庭中的SHS暴露率随时间略有下降（两者均p均＜0.0001），在2012年的前一周有23％的车内暴露。坚持以学校为基础的社会经济地位。与SHS暴露的最强关联是父母吸烟（例如，2012年父母双方都不吸烟）：车内SHS暴露调整为OR：7.4； 95％Cl：6.5至8.4）。在调整了与启动有关的其他七个因素后，逻辑回归分析显示了车载SHS暴露与对启动和吸烟的敏感性之间的统计学显着相关性。结论车辆中SHS暴露的缓慢下降以及在减少相对不平等方面缺乏进展是有问题的。为了加快进步，新西兰政府可以效法其他司法管辖区，并禁止在载有儿童的汽车中吸烟。如果新西兰要实现其2025年无烟国家目标，那么除了增强无烟环境外，还可能需要采取其他主要政策干预措施。

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  • 来源
    《Tobacco control》 |2015年第2期|146-152|共7页
  • 作者

    Benjamin Healey; Janet Hoek; Nick Wilson; George Thomson; Steve Taylor; Richard Edwards;

  • 作者单位

    Department of Public Health, University of Otago, 23A Mein Street, Newtown, Wellington 6021, New Zealand;

    Department of Marketing, University of Otago, Dunedin, New Zealand;

    Department of Public Health, University of Otago, Wellington, New Zealand;

    Department of Public Health, University of Otago, Wellington, New Zealand;

    School of Public Health and Psychosocial Studies, AUT University, Auckland, New Zealand;

    Department of Public Health, University of Otago, Wellington, New Zealand;

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