Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA.
Nicotine Tob Res. 2012 Jul;14(7):871-9. doi: 10.1093/ntr/ntr301. Epub 2011 Dec 21.
Several cross-sectional studies have examined factors associated with support for tobacco control policies. The current study utilized a longitudinal design to test smoking status and attitude toward smoking measured in adolescence as prospective predictors of support for tobacco control policies measured in adulthood.
Participants (N = 4,834) were from a longitudinal study of a Midwestern community-based sample. Hierarchical multiple regression analyses tested adolescent smoking status and attitude toward smoking as prospective predictors (after controlling for sociodemographic factors, adult smoking status, and adult attitude toward smoking) of support for regulation of smoking in public places, discussion of the dangers of smoking in public schools, prohibiting smoking in bars, eliminating smoking on television and in movies, prohibiting smoking in restaurants, and increasing taxes on cigarettes.
Participants who smoked during adolescence demonstrated more support for discussion of the dangers of smoking in public schools and less support for increasing taxes on cigarettes but only among those who smoked as adults. Those with more positive attitudes toward smoking during adolescence demonstrated less support as adults for prohibiting smoking in bars and eliminating smoking on television and in movies. Moreover, a significant interaction indicated that those with more positive attitudes toward smoking as adolescents demonstrated less support as adults for prohibiting smoking in restaurants, but only if they became parents as adults.
This study's findings suggest that interventions designed to deter adolescent smoking may have future benefits in increasing support for tobacco control policies.
多项横断面研究调查了与支持控烟政策相关的因素。本研究采用纵向设计，测试青少年时期的吸烟状况和对吸烟的态度，作为成年后支持控烟政策的前瞻性预测指标。
参与者（N=4834）来自中西部社区的一项纵向研究。分层多元回归分析测试了青少年吸烟状况和对吸烟的态度，作为支持公共场所吸烟管制、在公立学校讨论吸烟危害、禁止酒吧吸烟、禁止电视和电影中的吸烟镜头、禁止餐厅吸烟以及提高香烟税收的前瞻性预测指标（在控制社会人口因素、成年吸烟状况和成年对吸烟的态度后）。
青少年时期吸烟的参与者表现出更支持在公立学校讨论吸烟危害，但对提高香烟税收的支持较少，但仅在成年后吸烟的参与者中如此。青少年时期对吸烟态度越积极的人，成年后越不支持禁止酒吧吸烟和禁止电视和电影中的吸烟镜头。此外，显著的交互作用表明，青少年时期对吸烟态度越积极的人，成年后越不支持禁止在餐厅吸烟，但仅在成年后成为父母的情况下如此。
本研究的结果表明，旨在阻止青少年吸烟的干预措施可能对增加对控烟政策的支持具有未来的益处。
