Rural Department of Community Health, La Trobe Rural Health School, La Trobe University, P.O Box 199, Bendigo, VIC, 3552, Australia.
Department of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia.
BMC Public Health. 2020 May 24;20(1):773. doi: 10.1186/s12889-020-08920-1.
Assessing public opinion towards tobacco policies is important, particularly when determining the possible direction of future public health policies. The aim of this study was to describe the implementation of tobacco retailer licensing systems by state and territory governments in Australia, and to use the National Drug Strategy Household Survey (NDSHS) to assess levels of public support for a retailer licensing system in each jurisdiction over time and by a range of socio-demographic and behavioural attributes.
National and state/territory estimates of public support for a tobacco retailer licensing system were derived as proportions using NDSHS data from 2004 to 2016. The effect of one's jurisdiction of residence on the likelihood of supporting such an initiative in 2016 was assessed using logistic regression while controlling for various socio-demographic and behavioural characteristics.
Public support for a tobacco retailer licensing system ranged from a high of 67.2% (95% CI 66.5-67.9%) nationally in 2007 and declined to 59.5% (95% CI 58.9-60.2%) in 2016. In 2016, support was greatest amongst those from Tasmania, those aged 50 years and older, females, those from the least disadvantaged areas, those living in major cities, never-smokers and never-drinkers. After adjusting for the socio-demographic and behavioural attributes of respondents, those from Queensland were significantly less likely to support a licensing system (adjusted OR = 0.85, 95% CI 0.77-0.94) compared to those from other jurisdictions, while those from Tasmania were significantly more likely to support a licensing system compared to those from other jurisdictions (adjusted OR = 1.29, 95% CI 1.09-1.52).
A clear majority of the public support a tobacco retailer licensing system, regardless of whether or not such a system is already in place in their jurisdiction of residence. Tobacco control initiatives other than a retailer licensing system may explain some of the residual variations in support observed between jurisdictions.
评估公众对烟草政策的意见很重要，尤其是在确定未来公共卫生政策的可能方向时。本研究的目的是描述澳大利亚州和地区政府实施烟草零售商许可证制度的情况，并利用国家毒品策略家庭调查（NDSHS）来评估随着时间的推移，以及通过一系列社会人口和行为特征，每个司法管辖区对零售商许可证制度的公众支持程度。
使用 NDSHS 数据，从 2004 年到 2016 年，得出全国和州/地区对烟草零售商许可证制度的公众支持率的估计值。使用逻辑回归评估居住在不同司法管辖区对 2016 年支持此类举措的可能性的影响，同时控制各种社会人口和行为特征。
公众对烟草零售商许可证制度的支持率从 2007 年的全国最高 67.2%（95%CI 66.5-67.9%）下降到 2016 年的 59.5%（95%CI 58.9-60.2%）。2016 年，塔斯马尼亚州、50 岁及以上的人、女性、来自最不发达地区的人、居住在主要城市的人、从不吸烟和不饮酒的人支持度最高。在调整了受访者的社会人口和行为特征后，与其他司法管辖区相比，昆士兰州的人明显不太可能支持许可证制度（调整后的 OR=0.85，95%CI 0.77-0.94），而塔斯马尼亚州的人明显更有可能支持许可证制度与其他司法管辖区相比（调整后的 OR=1.29，95%CI 1.09-1.52）。
无论他们居住的司法管辖区是否已经实施了这样的制度，大多数公众都支持烟草零售商许可证制度。除了零售商许可证制度之外，烟草控制举措可能解释了观察到的各司法管辖区之间支持率存在的一些剩余差异。
