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Understanding worldwide youth attitudes towards smoke-free policies: an analysis of the Global Youth Tobacco Survey

机译：了解全球青年对无烟政策的态度：《全球青年烟草调查》的分析

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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% Cl 2.27 to 2.67). Exposure to countermarketing (OR 1.40, 95% Cl 1.25 to 1.57) and school anti-smoking education (OR 1.22, 95% Cl 1.13 to 1.31) were also positively associated. Current smoking (OR 0.48, 95% Cl 0.41 to 0.53), susceptibility to smoking (OR 0.46, 95% Cl 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.
机译：背景技术全球公共场所的无烟政策（SFP）不断增加，但发展中国家却落后了。了解青年对SFP的态度可以为SFP计划提供信息。方法对主要在发展中国家的115个国家的13-15岁青年（2000-2006年）完成了全球青年烟草调查（GYTS）的数据进行了多级logistic回归分析。该分析检查了对SFP的支持与与吸烟状况有关的个人级别措施以及暴露于二手烟（SHS）之间的关系，从而控制了相关的人口统计学和环境因素以及国家级政策因素。结果总共有115个国家的356395名青年中有77.3％的人选择SFP，其中大多数是非吸烟者（78.7％）和吸烟者（63.6％）。在多变量分析中，烟雾危害知识是偏向SFP的最强预测因子（OR 2.42，95％Cl 2.27至2.67）。接触反营销（OR 1.40，95％Cl 1.25至1.57）和学校禁烟教育（OR 1.22，95％Cl 1.13至1.31）也呈正相关。当前吸烟（OR 0.48，95％Cl 0.41至0.53），吸烟易感性（OR 0.46，95％Cl 0.40至0.52）与烟草促进暴露呈负相关。观察到国家间存在重大差异。一个国家的任何国家无烟立法都与青睐此类政策的年轻人有积极的联系。结论世界各地的大多数年轻人在公共场所定期接受SHS的支持，但缺乏公共场所的无烟政策。青年对SFP的支持与对烟草烟雾有害影响的了解最正相关。加倍的教育努力为建立无烟环境和改善发展中国家儿童的健康提供了机会。

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  • 来源
    《Tobacco control》 |2011年第3期|p.207-211|共5页
  • 作者

    Howard K Koh; Hillel R Alpert; Christine M Judge; Robert W Caughey; Loris J Elqura; Gregory N Connolly; Charles W Warren;

  • 作者单位

    Harvard School of Public Health, Center for Global Tobacco Control, 401 Park Drive, Landmark Center, Third Floor East, Boston,Massachusetts 02115, USA;

    Center for Global Tobacco Control, Harvard School of Public Health, Boston,Massachusetts, USA;

    Harvard School of Public Health, Boston, Massachusetts,USA;

    Harvard School of Public Health, Boston, Massachusetts,USA;

    Harvard School of Public Health, Boston, Massachusetts,USA;

    Center for Global Tobacco Control, Harvard School of Public Health, Boston,Massachusetts, USA;

    Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia,USA;

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