Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, 801 NE 13th Street, Oklahoma City, OK 73104, USA.
Int J Environ Res Public Health. 2019 Sep 12;16(18):3378. doi: 10.3390/ijerph16183378.
Policy at the local level is a critical component of comprehensive tobacco control programs. This study examined the relationships of individual and social factors with support for tobacco-related public policy using cross-sectional data (n = 4461) from adults participating in a statewide survey. Weighted multivariate, multinomial logistic regression examined associations between individual and social factors and support for tobacco-free city properties and support for limiting the number of stores that sell tobacco near schools. Oklahomans were more likely to favor policies that create tobacco-free city properties than policies that limit the number of stores that sell tobacco near schools. While non-smokers were most likely to favor both policies, support for both policies was greater than 50% among current smokers. Knowledge of secondhand smoke (SHS) exposure harm and female gender were predictors of support for both policies and among current, former, and never smokers. Rural-urban status was a predictor of support among former smokers and never smokers. Tobacco use among friends and family was only a predictor among never smokers' support for limiting the sale of tobacco near schools. This study demonstrates that level of support differs by policy type, individual smoking status, as well as among subpopulations, and identifies critical elements in the theory of change for tobacco control programs.
地方政策是综合烟草控制计划的重要组成部分。本研究使用参加全州范围调查的成年人的横断面数据（n=4461），考察了个体和社会因素与支持烟草相关公共政策之间的关系。加权多元多项逻辑回归分析了个体和社会因素与支持创建无烟草城市财产和支持限制学校附近销售烟草商店数量的政策之间的关联。俄克拉荷马州人更倾向于支持创建无烟草城市财产的政策，而不是限制学校附近销售烟草商店数量的政策。虽然不吸烟者最有可能支持这两种政策，但在当前吸烟者中，对这两种政策的支持率均超过 50%。二手烟（SHS）暴露危害的知识和女性性别是支持这两种政策的预测因素，并且在当前、以前和从不吸烟者中也是如此。城乡地位是以前吸烟者和从不吸烟者支持的预测因素。在朋友和家人中吸烟只是从不吸烟者支持限制学校附近销售烟草的预测因素。本研究表明，支持程度因政策类型、个体吸烟状况以及亚人群而异，并确定了烟草控制计划变革理论中的关键要素。
