Shang Ce, Huang Jidong, Cheng Kai-Wen, Li Qing, Chaloupka Frank J
Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA.
Department of Economics, University of Illinois at Chicago, Chicago, IL 60608, USA.
Int J Environ Res Public Health. 2016 Mar 9;13(3):306. doi: 10.3390/ijerph13030306.
Point-of-sale (POS) tobacco advertising has been linked to youth smoking susceptibility and experimental smoking. However, there is limited evidence of the association between POS advertising bans and youth smoking participation. This study aims to examine how such bans are associated with current smoking, daily smoking, and regular smoking (≥ 1 cigarettes per day) participation among youth.
one to two waves (primarily one wave) of the Global Youth Tobacco Survey were conducted in 130 countries between 2007 and 2011. These surveys were linked to the WHO "MPOWER" data using country and year identifiers to analyze the association between POS advertising bans (a dichotomous measure of the existence of such bans) and smoking participation in the past month. Weighted logistic regressions were employed to analyze this association while controlling for age, gender, parents' smoking status, 6 MPOWER policy scores, and GDP per capita.
We find that in countries with POS advertising bans, current smoking (OR = 0.73, p ≤ 0.1), daily smoking (OR = 0.70, p ≤ 0.1), and regular smoking (OR = 0.75, p ≤ 0.05) participation in the past month is significantly lower, suggesting that POS promotion bans can potentially reduce youth smoking. This study provides evidence to support the implementation of POS promotion regulations by the US FDA and implementation of the WHO FCTC guidelines regarding restrictions on tobacco POS promotion.
销售点（POS）烟草广告与青少年吸烟易感性和尝试吸烟有关。然而，关于销售点广告禁令与青少年吸烟行为之间关联的证据有限。本研究旨在探讨此类禁令与青少年当前吸烟、每日吸烟以及经常吸烟（每天≥1支烟）行为之间的关联。
2007年至2011年期间，在130个国家进行了一到两轮（主要是一轮）全球青少年烟草调查。这些调查通过国家和年份标识符与世界卫生组织的“MPOWER”数据相链接，以分析销售点广告禁令（此类禁令存在与否的二分变量）与过去一个月内吸烟行为之间的关联。在控制年龄、性别、父母吸烟状况、6项MPOWER政策得分以及人均国内生产总值的同时，采用加权逻辑回归分析这种关联。
我们发现，在实施销售点广告禁令的国家，过去一个月内当前吸烟（优势比=0.73，p≤0.1）、每日吸烟（优势比=0.70，p≤0.1）以及经常吸烟（优势比=0.75，p≤0.05）的比例显著较低，这表明销售点促销禁令可能会减少青少年吸烟。本研究为美国食品药品监督管理局实施销售点促销规定以及世界卫生组织《烟草控制框架公约》关于限制烟草销售点促销的指南提供了支持证据。
