近年來,許多國家都頒布了公共場所禁煙令,,但有反對聲音認為這樣不過是把吸煙者逼回家里吸煙而已,。近日,歐洲一項最新研究則顯示,,公共場所禁煙也會帶動家庭中的主動禁煙,。相關論文發(fā)表在最新一期的英國《煙草控制》(Tobacco Control)雜志上。
研究報告稱,,歐洲多國研究人員在2003年至2004年,、2008年至2009年對數(shù)千名吸煙者進行了兩次調查。在這兩次調查之間,,多個歐洲國家頒布了公共場所禁煙令,。結果顯示,公共場所禁煙后,,吸煙者在家中也主動禁煙的比例明顯上升,。具體來說,這一比例在愛爾蘭上升了25%,,在法國上升了17%,,在德國上升了38%,在荷蘭上升了28%,。
研究人員還分析了英國頒布公共場所禁煙令前對1000多名吸煙者的調查數(shù)據,,結果顯示在沒有公共場所禁煙令的情形下,吸煙者在家庭中禁煙的比例也會上升,,但上升幅度沒有上述國家那么大,。研究人員認為,這些結果有力地證明,,在公共場所禁煙,,可以促使吸煙者在家里也主動禁煙。(生物谷Bioon.com)
doi:10.1136/tobaccocontrol-2011-050131
PMC:
PMID:
Impact of national smoke-free legislation on home smoking bans: findings from the International Tobacco Control Policy Evaluation Project Europe Surveys
Mons, Ute; Nagelhout, Gera E; Allwright, Shane; Guignard, Romain; van den Putte, Bas; Willemsen, Marc C; Fong, Geoffrey T; Brenner, Hermann; Ptschke-Langer, Martina; Breitling, Lutz P
Objectives To measure changes in prevalence and predictors of home smoking bans (HSBs) among smokers in four European countries afterthe implementation of national smoke-free legislation.Design Two waves of the International Tobacco Control Policy Evaluation Project Europe Surveys, which is a prospective panel study.Pre- and post-legislation data were used from Ireland, France, Germany and the Netherlands. Two pre-legislation waves fromthe UK were used as control.Participants 4634 respondents from the intervention countries and 1080 from the control country completed both baseline and follow-upand were included in the present analyses.Methods Multiple logistic regression models to identify predictors of having or of adopting a total HSB, and Generalised EstimatingEquation models to compare patterns of change after implementation of smoke-free legislation to a control country withoutsuch legislation.Results Most smokers had at least partial smoking restrictions in their home, but the proportions varied significantly between countries.After implementation of national smoke-free legislation, the proportion of smokers with a total HSB increased significantlyin all four countries. Among continuing smokers, the number of cigarettes smoked per day either remained stable or decreasedsignificantly. Multiple logistic regression models indicated that having a young child in the household and supporting smokingbans in bars were important correlates of having a pre-legislation HSB. Prospective predictors of imposing a HSB between surveywaves were planning to quit smoking, supporting a total smoking ban in bars and the birth of a child. Generalised EstimatingEquation models indicated that the change in total HSB in the intervention countries was greater than that in the controlcountry.Conclusions The findings suggest that smoke-free legislation does not lead to more smoking in smokers' homes. On the contrary, our findingsdemonstrate that smoke-free legislation may stimulate smokers to establish total smoking bans in their homes.Impact of smoke-free legislationhome smoking restrictionssecond-hand smokeprospective studypreventionpublic policysocioeconomic statussurveillance and monitoringcessationsmoking-caused diseaseprevalenceenvironmental tobacco smokeadvocacypublic opinionpackaging and labellingsocial psychologyresearch methodspsychosocial theories.