The Second Affiliated Hospital, China Medical University, Shenyang, China.
School of Public Health, Shandong University, Jinan, China.
Front Public Health. 2022 Oct 18;10:986430. doi: 10.3389/fpubh.2022.986430. eCollection 2022.
Cigarettes have become the the biggest killer of contemporary female's health and beauty. What kind of health information is suitable for the general public is an important issue to be discussed globally. The purpose of this study is to generate systematic, rigorous, public-demand-oriented and appropriate core information relevant to tobacco control based on the best available evidence, combined with audience preferences and pre-dissemination content review from multidisciplinary expertise in order to improve the effectiveness of health communication of tobacco control.
Relevant systematic reviews meta-analysis that reported smoking on risks of female disease were identified by searching PubMed, Embase, the Cochrane Library, Web of Science, Clinical Trials.gov, and the International Clinical Trial Registry Platform. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) process was applied to assess the evidence in order to make rigorous core information. The audience prevalence survey was conducted to ensure that core information was targeted and tailored. Finally, the expert assessment was used for a pre-dissemination content review and to evaluate whether the core information was appropriate or not.
The final core information consisted of eight parts concerning the effects of smoking and female cardiovascular disease, diabetes, rheumatoid arthritis, respiratory disease, digestive system disease, mental disease, non-pregnant female reproductive system disease, as well as pregnant women and their fetuses. A total of 35 items of core information suitable for dissemination was included and the quality of evidence, the degree of public demand and the outcome of pre-dissemination content review were reported.
The core information related to female cardiovascular system diseases, as well as liver cancer and upper gastrointestinal cancer is the preferred content for health communication of tobacco control. The quality of evidence for core information related to pregnant women and their infants, as well as diseases of reproductive system, respiratory system, and diabetes needs to be improved to meet high public demand. The core information related to mental disease is more suitable for dissemination to patients with mental illness than to the general public. Besides, dissemination of core information should be individualized. Evidence-based Core Information for Health Communication of Tobacco Control would be helpful to provide evidence support for health communication related to tobacco control and enhance public health literacy for international communities that have high smoking prevalence and related disease burden.
香烟已成为当代女性健康和美丽的最大杀手。什么样的健康信息适合公众是一个需要全球讨论的重要问题。本研究旨在基于最佳现有证据，结合来自多学科专业知识的受众偏好和预传播内容审查，生成与烟草控制相关的系统、严谨、以公众需求为导向且适当的核心信息，以提高烟草控制健康传播的效果。
通过检索 PubMed、Embase、Cochrane 图书馆、Web of Science、ClinicalTrials.gov 和国际临床试验注册平台，确定了报道吸烟对女性疾病风险的相关系统评价和荟萃分析。应用推荐评估、制定与评价（GRADE）过程评估证据，以制定严谨的核心信息。进行受众流行率调查，以确保核心信息具有针对性和针对性。最后，使用专家评估进行预传播内容审查，并评估核心信息是否合适。
最终的核心信息包括八个部分，涉及吸烟对女性心血管疾病、糖尿病、类风湿关节炎、呼吸道疾病、消化系统疾病、精神疾病、非妊娠女性生殖系统疾病以及孕妇及其胎儿的影响。共包括 35 项适合传播的核心信息，并报告了证据质量、公众需求程度和预传播内容审查结果。
与女性心血管系统疾病以及肝癌和上消化道癌症相关的核心信息是烟草控制健康传播的首选内容。需要提高与孕妇及其婴儿以及生殖系统、呼吸系统和糖尿病相关疾病的核心信息的证据质量，以满足公众的高需求。与精神疾病相关的核心信息更适合向精神疾病患者传播，而不是向公众传播。此外，核心信息的传播应该个体化。基于证据的烟草控制健康传播核心信息将有助于为与烟草控制相关的健康传播提供证据支持，并提高高吸烟率和相关疾病负担国家/地区的公众健康素养。
