Ickes Melinda J, Butler Karen, Wiggins Amanda T, Rayens Mary Kay, Hahn Ellen J
1 College of Nursing, BREATHE, University of Kentucky, Lexington, KY, USA.
West J Nurs Res. 2019 Aug;41(8):1203-1215. doi: 10.1177/0193945918822523. Epub 2019 Jan 4.
This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9%) favored raising the minimum legal age for tobacco sales to 21 (95% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support. In the adjusted analysis, older age, female sex, non-White, conservative political ideology (versus moderate), and support for a statewide smoke-free policy were each significantly associated with greater support for Tobacco 21. The results suggest multiple demographic and personal factors associated with support, even in a tobacco-growing state. Health care professionals, including nurses, must understand existing public attitudes to effectively advocate for tobacco policies in states with high tobacco use.
本研究调查了社会人口学特征与公众对《烟草21法案》态度之间的关联。通过2017年的一项随机电话调查，询问了1675名肯塔基州成年人是否支持/反对将购买烟草制品的最低法定年龄从18岁提高到21岁。超过半数（57.9%）的人支持将烟草销售的最低法定年龄提高到21岁（95%置信区间：[54.5, 61.2]）。使用加权调查数据进行多变量逻辑回归，以确定与支持相关的因素。在调整分析中，年龄较大、女性、非白人、保守政治意识形态（相对于温和派）以及对全州无烟政策的支持，均与对《烟草21法案》的更大支持显著相关。结果表明，即使在烟草种植州，也有多种人口统计学和个人因素与支持相关。包括护士在内的医疗保健专业人员必须了解现有的公众态度，以便在烟草使用率高的州有效地倡导烟草政策。
