Vuolo Mike, Kadowaki Joy, Kelly Brian C
Department of Sociology, The Ohio State University, Columbus, OH, USA
Department of Sociology, Purdue University, West Lafayette, IN, USA.
J Health Soc Behav. 2016 Sep;57(3):351-72. doi: 10.1177/0022146516653790.
According to Bird and Rieker's sociology of constrained choices, decisions and priorities concerning health are shaped by the contexts-including policy, community, and work/family-in which they are formulated. While each level received attention in the original and subsequent research, we contend their constrained choices theory provides a powerful multilevel framework for modeling health outcomes. We apply this framework to tobacco clean air restrictions, combining a comprehensive database of tobacco policies with the National Longitudinal Survey of Youth 1997 from ages 19 to 31. Using multilevel panel models, we find that clean air policies lower the odds of past 30 day smoking and dependence while controlling for other policy-, city-, and individual-level constraints. We also find unique between- and within-person effects, as well as gender effects, for the constraint levied by smoking bans. We argue for the theory's broad applicability beyond commonly cited findings regarding gender and biological influences.
根据伯德和里克的受限选择社会学理论，有关健康的决策和优先事项是由其制定时所处的环境塑造的，这些环境包括政策、社区以及工作/家庭。虽然在最初和后续研究中每个层面都受到了关注，但我们认为他们的受限选择理论为塑造健康结果提供了一个强大的多层次框架。我们将这个框架应用于烟草清洁空气限制，把一个全面的烟草政策数据库与1997年全国青年纵向调查（调查对象年龄为19至31岁）相结合。使用多层次面板模型，我们发现清洁空气政策在控制其他政策、城市和个人层面的限制因素的同时，降低了过去30天吸烟和烟草依赖的几率。我们还发现了吸烟禁令所施加的限制在个体间和个体内的独特影响，以及性别影响。我们认为该理论具有广泛的适用性，其适用范围超出了关于性别和生物影响的常见研究结果。
