Health Communication and Informatics Research Branch (HCIRB), Behavioral Research Program, Division of Cancer Control & Population Sciences, National Cancer Institute, Rockville, Maryland.
Health Communication and Informatics Research Branch (HCIRB), Behavioral Research Program, Division of Cancer Control & Population Sciences, National Cancer Institute, Rockville, Maryland.
Am J Prev Med. 2023 Sep;65(3):448-457. doi: 10.1016/j.amepre.2023.03.010. Epub 2023 Mar 17.
This cross-sectional analysis of the 2020 Health Information National Trends Survey (N=3,604) examines the associations of personal values with tobacco and alcohol control policy support, which may inform policy-related communication efforts.
Respondents selected which of 7 value options they considered most important in their daily life and rated their support for 8 proposed tobacco and alcohol control policies (1=strongly oppose, 5=strongly support). Weighted proportions for each value were described across sociodemographic characteristics, smoking status, and alcohol use. Weighted bivariate and multivariable regressions tested the associations of values with mean policy support (alpha=0.89). Analyses occurred from 2021 to 2022.
The most frequently selected values were assuring my family is safe and secure (30.2%), being happy (21.1%), and making my own decisions (13.6%). Selected values varied across sociodemographic and behavioral characteristics. For example, people with lower education and incomes were overrepresented among those selecting making my own decisions and keeping myself in good health. After adjusting for sociodemographics, smoking, and alcohol use, people selecting family safety (β=0.20, 95% CI=0.06, 0.33) or religious connection (β=0.34, 95% CI=0.14, 0.54) as most important reported higher policy support than those selecting making their own decisions, the value associated with the lowest mean policy support. Mean policy support did not significantly differ across any other value comparisons.
Personal values are associated with support for alcohol and tobacco control policies, with making my own decisions associated with the lowest policy support. Future research and communication efforts may consider aligning tobacco and alcohol control policies with the idea of supporting autonomy.
本研究利用 2020 年健康信息国家趋势调查（N=3604）的横断面数据分析，探讨了个人价值观与烟草和酒精控制政策支持的关联，这可能为相关政策沟通工作提供信息。
受访者选择他们认为日常生活中最重要的 7 种价值观选项，并对 8 项拟议的烟草和酒精控制政策表示支持（1=强烈反对，5=强烈支持）。根据社会人口统计学特征、吸烟状况和饮酒情况，描述了每种价值观的加权比例。加权单变量和多变量回归检验了价值观与平均政策支持的关联（α=0.89）。分析于 2021 年至 2022 年进行。
最常被选择的价值观是确保家人安全（30.2%）、快乐（21.1%）和自主决策（13.6%）。选择的价值观因社会人口统计学和行为特征而异。例如，受教育程度和收入较低的人更倾向于选择自主决策和保持身体健康。在调整了社会人口统计学、吸烟和饮酒因素后，选择家庭安全（β=0.20，95%CI=0.06，0.33）或宗教联系（β=0.34，95%CI=0.14，0.54）作为最重要的价值观的人，比选择自主决策的人报告了更高的政策支持率，而自主决策是与最低平均政策支持率相关的价值观。在任何其他价值观比较中，平均政策支持率均无显著差异。
个人价值观与支持酒精和烟草控制政策相关，自主决策与最低的政策支持率相关。未来的研究和沟通工作可以考虑将烟草和酒精控制政策与支持自主的理念相协调。
