无烟法律与自愿无烟家庭规则之间的关联。
Association between smokefree laws and voluntary smokefree-home rules.
机构信息
Center for Tobacco Control Research and Education, University of California-San Francisco, CA 94143, USA.
出版信息
Am J Prev Med. 2011 Dec;41(6):566-72. doi: 10.1016/j.amepre.2011.08.014.
BACKGROUND
More states and localities are passing restrictions on smoking in public places and workplaces.
PURPOSE
To determine what, if any, association exists between enactment of strong laws making public places or workplaces smokefree on adoption of voluntary smokefree-home policies, particularly whether such laws are associated with increased smoking at home.
METHODS
Logistic regressions were used to estimate the OR of a person living with a 100% smokefree-home rule as a function of individual characteristics, household composition, and whether or not the residential region is covered by clean indoor air laws. The data came from successive waves of the Tobacco Use Supplement to Current Population Survey (TUS-CPS) for the years 1992-2007, and the American Nonsmokers' Rights Foundation database of state and local government clean indoor air laws. Analysis was conducted in 2010 and 2011.
RESULTS
Living in a county fully covered by a 100% clean indoor air law in workplaces or restaurants or bars is associated with an increased likelihood of having a voluntary 100% smokefree-home rule both for people living with smokers (OR=7.76, 95% CI=5.27, 11.43) and not living with smokers (OR=4.12, 95% CI=3.28, 5.16).
CONCLUSIONS
Strong clean indoor air laws are associated with large increases in voluntary smokefree-home policies both in the homes with and without smokers. These results support the hypothesis of norm spreading of clean indoor air laws.
背景
越来越多的州和地方通过限制在公共场所和工作场所吸烟的法规。
目的
确定在公共场所或工作场所实施强有力的禁烟法规与采纳自愿无烟家庭政策之间是否存在关联，特别是这些法规是否与家庭吸烟增加有关。
方法
使用逻辑回归来估计一个人与 100%无烟家庭规则相关的比值比（OR），作为个人特征、家庭构成以及居住地区是否涵盖清洁室内空气法规的函数。数据来自于 1992 年至 2007 年连续的当前人口调查（TUS-CPS）烟草使用补充调查和美国不吸烟者权利基金会的州和地方政府清洁室内空气法规数据库。分析于 2010 年和 2011 年进行。
结果
居住在完全覆盖 100%清洁室内空气法规的工作场所或餐馆或酒吧的县的人，与拥有自愿 100%无烟家庭规则的可能性增加有关，无论是与吸烟者同住（OR=7.76，95%CI=5.27, 11.43）还是不与吸烟者同住（OR=4.12，95%CI=3.28, 5.16）。
结论
强有力的清洁室内空气法规与吸烟者和不吸烟者家庭中自愿无烟家庭政策的大幅增加有关。这些结果支持清洁室内空气法规的规范传播假说。
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