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无烟工作场所和酒店业立法对吸烟行为的人口影响。全国人口调查的结果。

The population impact of smoke-free workplace and hospitality industry legislation on smoking behaviour. Findings from a national population survey.

机构信息

Maastricht University/CAPHRI, Maastricht, The Netherlands.

出版信息

Addiction. 2011 Apr;106(4):816-23. doi: 10.1111/j.1360-0443.2010.03247.x. Epub 2010 Dec 23.

DOI:10.1111/j.1360-0443.2010.03247.x
PMID:21182553
Abstract

AIMS

To study the impact of implementing smoke-free workplace and hospitality industry legislation on smoking behaviour.

DESIGN, SETTING AND PARTICIPANTS: A cross-sectional population survey from 2001 to 2008 (n ≈ 18,000 per year) was used to assess trends and seasonal patterns in smoking and quitting, and to examine whether changes could be observed after the workplace smoking ban in the Netherlands in 2004 and the hospitality industry ban in 2008.

MEASUREMENTS

Outcome measures were smoking prevalence, quit attempts and successful quit attempts. Interactions with educational level (socio-economic status) and bar visiting (exposure to the hospitality industry ban) were tested.

FINDINGS

The workplace ban was followed by a decrease in smoking prevalence (OR = 0.91, P < 0.001), but the hospitality industry ban was not (OR = 0.96, P = 0.127). Both bans, especially the workplace ban, were followed by an increase in quit attempts and successful quit attempts: workplace ban, OR = 1.31, P < 0.001; OR = 1.49, P < 0.001; hospitality industry ban, OR = 1.13, P = 0.013; OR = 1.44, P < 0.001. The workplace ban had a larger effect on successful quitting among higher-educated (OR = 0.35, P < 0.001) than on lower-educated respondents (OR = 0.74, P = 0.052). The hospitality industry ban had a larger effect on quit attempts among frequent bar visitors (OR = 1.48, P = 0.003) than on non-bar visitors (OR = 0.71, P = 0.014).

CONCLUSIONS

A workplace smoking ban in the Netherlands was followed by more changes in smoking and quitting than a hospitality industry ban. The hospitality industry ban only appeared to have an impact on quit attempts, and not on smoking prevalence.

摘要

目的

研究实施无烟工作场所和餐饮业法规对吸烟行为的影响。

设计、地点和参与者:使用 2001 年至 2008 年的横断面人群调查(每年约 18000 人)来评估吸烟和戒烟的趋势和季节性模式,并检查 2004 年荷兰实施工作场所禁烟令和 2008 年实施餐饮业禁烟令后是否可以观察到变化。

测量

测量结果为吸烟率、戒烟尝试和成功戒烟尝试。测试了与教育水平(社会经济地位)和酒吧访问(接触餐饮业禁令)的交互作用。

结果

工作场所禁令后吸烟率下降(OR=0.91,P<0.001),但餐饮业禁令后未下降(OR=0.96,P=0.127)。这两个禁令,特别是工作场所禁令,都导致戒烟尝试和成功戒烟尝试增加:工作场所禁令,OR=1.31,P<0.001;OR=1.49,P<0.001;餐饮业禁令,OR=1.13,P=0.013;OR=1.44,P<0.001。工作场所禁令对受过高等教育的人(OR=0.35,P<0.001)成功戒烟的影响大于对受教育程度较低的人的影响(OR=0.74,P=0.052)。餐饮业禁令对经常光顾酒吧的人的戒烟尝试的影响大于对非酒吧访客的影响(OR=1.48,P=0.003);OR=0.71,P=0.014)。

结论

荷兰实施工作场所禁烟令后,吸烟和戒烟的变化大于餐饮业禁烟令。餐饮业禁令似乎只对戒烟尝试有影响,而对吸烟率没有影响。

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