Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Trimbos Institute, Utrecht, The Netherlands.
Int J Public Health. 2019 Dec;64(9):1335-1344. doi: 10.1007/s00038-019-01288-z. Epub 2019 Sep 5.
To determine adolescent-reported visibility of smoking in different public and private spaces in Europe and associations between smoking visibility and beliefs about the benefits of smoking.
We used SILNE-R cross-sectional survey data (2016/2017) of 10,798 14-16-year-old students from 55 secondary schools in seven European cities. Respondents reported for private and public spaces whether they had seen others smoke there in the last 6 months. Beliefs about the benefits of smoking were measured on a 7-item scale; higher scores indicated more positive beliefs. Multilevel linear regression analyses determined associations while controlling for potential confounders and stratifying by smoking status.
Most students reported observing others smoke in public spaces, especially at train/bus stations (84%). Positive beliefs about smoking of never smokers were positively associated with seeing others smoke in train/bus stations and leisure/sports facilities, but not at home, a friend's home, restaurants or bars, when fully adjusted. Associations were of similar magnitude for ever smokers.
Smoking in several public places is highly visible to adolescents. Reducing this visibility might weaken positive beliefs that adolescents have about smoking.
确定欧洲不同公共和私人场所青少年报告的吸烟可见度，以及吸烟可见度与对吸烟益处的信念之间的关系。
我们使用了 SILNE-R 横断面调查数据（2016/2017 年），涉及来自欧洲七个城市的 55 所中学的 10798 名 14-16 岁的学生。受访者报告了过去 6 个月他们在私人和公共空间中是否看到他人在那里吸烟。吸烟益处的信念通过 7 项量表来衡量；得分越高，表明信念越积极。多水平线性回归分析确定了在控制潜在混杂因素和按吸烟状况分层的情况下的关联。
大多数学生报告在公共场所看到他人吸烟，尤其是在火车站/汽车站（84%）。从不吸烟者看到他人在火车站/汽车站和休闲/体育设施吸烟时，对吸烟的积极信念与看到他人在这些地方吸烟呈正相关，但在家庭、朋友家中、餐馆或酒吧中则没有关联，在充分调整后也是如此。对于曾经吸烟者，关联的大小相似。
在几个公共场所吸烟对青少年来说是高度可见的。减少这种可见度可能会削弱青少年对吸烟的积极信念。
