Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia- ICO, L'Hospitalet de Llobregat, Barcelona, Spain.
Departament of Clinical Sciences, School of Medicine and Health Sciences, Campus de Bellvitge, Universitat de Barcelona, L'Hospitalet del Llobregat, Barcelona, Spain.
Tob Control. 2019 Jan;28(1):101-109. doi: 10.1136/tobaccocontrol-2017-054119. Epub 2018 Feb 22.
Tobacco use is still highly prevalent in Europe, despite the tobacco control efforts made by the governments. The development of tobacco control policies varies substantially across countries. The Tobacco Control Scale (TCS) was introduced to quantify the implementation of tobacco control policies across European countries OBJECTIVE: To assess the midterm association of tobacco control policies on smoking prevalence and quit ratios among 27 European Union (EU) Member States (EU27).
Ecological study. We used the TCS in EU27 in 2007 and the prevalence of tobacco and quit ratios data from the Eurobarometer survey (2006 (n=27 585) and 2014 (n=26 793)). We analysed the relationship between the TCS scores and smoking prevalence and quit ratios and their relative changes (between 2006 and 2014) by means of scatter plots and multiple linear regression models.
In EU27, countries with higher scores in the TCS, which indicates higher tobacco control efforts, have lower prevalence of smokers, higher quit ratios and higher relative decreases in their prevalence rates of smokers over the last decade. The correlation between TCS scores and smoking prevalence (r=-0.444; P=0.02) and between the relative changes in smoking prevalence (r=-0.415; P=0.03) was negative. A positive correlation was observed between TCS scores and quit ratios (r=0.373; P=0.06). The percentage of smoking prevalence explained by all TCS components was 28.9%.
EU27 should continue implementing comprehensive tobacco control policies as they are key for reducing the prevalence of smoking and an increase tobacco cessation rates in their population.
尽管政府采取了烟草控制措施，但欧洲的烟草使用仍然非常普遍。各国的烟草控制政策发展存在很大差异。烟草控制量表（TCS）的引入是为了量化欧洲各国的烟草控制政策的实施情况。
评估烟草控制政策对 27 个欧盟（EU）成员国（EU27）吸烟流行率和戒烟率的中期影响。
生态研究。我们在 EU27 中使用了 2007 年的 TCS 和 Eurobarometer 调查（2006 年（n=27585）和 2014 年（n=26793））中的吸烟流行率和戒烟率数据。我们通过散点图和多元线性回归模型分析了 TCS 得分与吸烟流行率和戒烟率及其相对变化（2006 年至 2014 年）之间的关系。
在 EU27 中，TCS 得分较高的国家（表明烟草控制力度较大），吸烟者的比例较低，戒烟率较高，过去十年中吸烟者的比例相对下降幅度也较高。TCS 得分与吸烟流行率（r=-0.444；P=0.02）和吸烟流行率的相对变化（r=-0.415；P=0.03）之间呈负相关。TCS 得分与戒烟率呈正相关（r=0.373；P=0.06）。TCS 所有组成部分解释的吸烟流行率百分比为 28.9%。
EU27 应继续实施全面的烟草控制政策，因为这些政策是降低吸烟流行率和提高其人口中戒烟率的关键。
