National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Beijing, P R China.
Tob Control. 2010 Oct;19 Suppl 2(Suppl_2):i40-6. doi: 10.1136/tc.2009.029850. Epub 2009 Aug 13.
To examine levels of support for comprehensive smoke-free policies in six large Chinese cities.
Data from Wave 1 of the International Tobacco Control (ITC) China Survey (April-August 2006) were analysed. The ITC China Survey employed a multistage sampling design in Beijing, Shenyang, Shanghai, Changsha, Guangzhou and Yinchuan (none of which has comprehensive smoke-free policies in place). Face-to-face interviews were conducted with 4815 smokers and 1270 non-smokers. Multivariate logistic regression models were used to identify factors associated with support for comprehensive smoke-free policies.
About one in two Chinese urban smokers and four in five non-smokers believed that secondhand smoke (SHS) causes lung cancer. The majority of respondents supported comprehensive smoke-free policies in hospitals, schools and public transport vehicles while support for smoke-free workplaces, restaurants and bars was lower. Levels of support were generally comparable between smokers and non-smokers. Support for comprehensive smoke-free policies was positively associated with knowledge about the harm of SHS. Respondents who worked in a smoke-free worksite or who frequented smoke-free indoor entertainment places were more likely to support comprehensive smoking restriction in bars and restaurants.
Considerable support for smoke-free policies exists in these six large cities in China. Greater public education about the dangers of SHS may further increase support. Experiencing the benefits of smoke-free indoor entertainment places and/or workplaces increases support for these policies and suggests that some initial smoke-free policy implementation may hasten the diffusion of these public health policies.
调查中国 6 个大城市对全面禁烟政策的支持程度。
对“国际烟草控制政策评估项目中国（ITC 中国）调查”第一波数据（2006 年 4 月至 8 月）进行分析。该调查采用多阶段抽样设计，在北京、沈阳、上海、长沙、广州和银川进行（这些城市均未实施全面禁烟政策）。对 4815 名吸烟者和 1270 名非吸烟者进行了面对面访谈。采用多变量逻辑回归模型来确定与全面禁烟政策支持度相关的因素。
约 1/2 的中国城市吸烟者和 4/5 的非吸烟者认为，二手烟（SHS）会导致肺癌。大多数受访者支持在医院、学校和公共交通工具上实施全面禁烟政策，而对工作场所、餐馆和酒吧禁烟的支持率较低。吸烟者和非吸烟者对全面禁烟政策的支持程度大致相当。对全面禁烟政策的支持与对 SHS 危害的认识呈正相关。在无烟工作场所工作或经常光顾无烟室内娱乐场所的受访者更有可能支持在酒吧和餐馆实施全面禁烟限制。
在中国这 6 个大城市中，对禁烟政策的支持度相当高。加强对 SHS 危害的公众教育可能会进一步提高支持率。体验到无烟室内娱乐场所和/或工作场所的好处会增加对这些政策的支持，并表明一些初步的禁烟政策实施可能会加速这些公共卫生政策的推广。
