Kaleta Dorota, Fronczak Adam, Usidame Bukola, Dziankowska-Zaborszczyk Elżbieta, Makowiec-Dąbrowska Teresa, Wojtysiak Piotr
Medical University of Lodz, Łódź, Poland (Department of Preventive Medicine).
University of Massachusetts, Boston, USA (Department of Public Policy).
Int J Occup Med Environ Health. 2016;29(1):137-48. doi: 10.13075/ijomeh.1896.00435.
Exposure to environmental tobacco smoke (ETS) constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland) implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ETS exposure by voluntary smoke-free home policy adoption. The aim of current analysis was to evaluate the prevalence and determinants of implementing smoking bans at place of residence among economically active males and females in Poland.
Data from cross-sectional, household study - Global Adult Tobacco Survey (GATS 2009-2010) were analyzed. The logistic regression model was applied for appropriate calculations.
Out of 3696 studied subjects only 37.1% adopted total smoking ban within the home. Decreased likelihood of adopting total smoking bans was associated with current smoker status, low education attainment, lack of awareness on adverse health consequences of ETS, low level of support for tobacco control policies, and cohabitation with a smoker in both genders. Having smoke-free homes was also linked with age in women, place of residence and work smoking policy in indoor areas in men.
Targeted activities to encourage adopting voluntary smoke-free rules among groups least likely to implement 100% smoking bans in the home and activities to decrease social acceptance of smoking in the presence of nonsmokers, children, pregnant woman are urgently needed.
接触环境烟草烟雾(ETS)对许多人的健康构成威胁。为了减少ETS暴露,各国(包括波兰)实施了在公共场所和工作场所吸烟的法律限制。目前,人们也更加关注通过采取自愿的无烟家庭政策来减少总体和家庭中的ETS暴露。当前分析的目的是评估波兰经济活跃的男性和女性在居住地实施吸烟禁令的患病率及决定因素。
分析了横断面家庭研究——全球成人烟草调查(2009 - 2010年GATS)的数据。应用逻辑回归模型进行适当计算。
在3696名研究对象中,只有37.1%的人在家中实施了全面吸烟禁令。实施全面吸烟禁令可能性降低与当前吸烟者身份、低教育程度、对ETS健康不良后果缺乏认识、对烟草控制政策支持水平低以及男女与吸烟者同居有关。无烟家庭也与女性的年龄、男性的居住地点以及室内工作场所吸烟政策有关。
迫切需要开展有针对性的活动,以鼓励在家庭中最不可能实施100%吸烟禁令的群体中采用自愿无烟规则,并开展活动减少在不吸烟者、儿童、孕妇面前吸烟的社会接受度。