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老年人被动吸烟的风险因素:土耳其的有序概率方法。

Passive smoking as a risk factor among older adults: an ordered probability approach for Türkiye.

机构信息

Department of Econometrics, Faculty of Economics and Administrative Sciences, Ataturk University, Erzurum, Türkiye.

Master Araştırma Eğitim ve Danışmanlık Hizmetleri Ltd. Şti., Ata Teknokent, Erzurum, Türkiye.

出版信息

Front Public Health. 2023 Jun 15;11:1142635. doi: 10.3389/fpubh.2023.1142635. eCollection 2023.

Abstract

BACKGROUND/AIM: Older adults represent a significant proportion of the population of many societies, and being one of the disadvantaged groups, they struggle with various difficulties in their social lives. Undoubtedly, passive smoking is one of these difficulties. Passive smoking among older adults, which is an important public health problem, is an issue that needs to be investigated. The aim of this study is to determine the relationship between the demographic and socio-economic characteristics of adults aged 60 and older in Türkiye and their exposure to secondhand smoke (SHS).

METHODS

In this study, a microdata set of the 2016 and 2019 Turkey Health Survey conducted by the Turkish Statistical Institute (TUIK) was used. This survey was conducted by TUIK in the relevant years using a stratified sampling method to best represent the whole of Turkey. The study considered only demographic and socio-economic characteristics to investigate passive smoking. Since all the variables used in the study were categorical, the relationship between the dependent variable and the independent variables was first investigated using chi-square tests. In addition, since the dependent variable has an ordered-categorical probability form, the generalized ordinal logit model was used for the analysis of passive smoking and related factors.

RESULTS

The rate of exposure to tobacco smoke of older adults who participated in the study in 2016 was 16%, while the rate of those who participated in the study in 2019 was 21%.

CONCLUSION

According to the findings of the study, older, uneducated, and uninsured smokers carry a more serious SHS risk. It may be beneficial for society for policy makers to carry out studies by considering these features a priority and focusing on policies in this context. Expanding smoke-free areas to cover older adult, increasing penalties as a deterrent, facilitating education, increasing state support for education, increasing education and public service announcements about tobacco harms, and facilitating social security are the main examples. This study's findings are crucial as a source of information for the development of policies and programs aimed at preventing the exposure of older adults to tobacco smoke.

摘要

背景/目的:老年人在许多社会中都占人口的很大比例,作为弱势群体之一,他们在社交生活中面临着各种困难。毫无疑问,被动吸烟就是其中之一。老年人被动吸烟是一个重要的公共卫生问题,需要进行调查。本研究旨在确定土耳其 60 岁及以上成年人的人口统计学和社会经济特征与他们接触二手烟(SHS)之间的关系。

方法

本研究使用了土耳其统计局(TUIK)在 2016 年和 2019 年进行的土耳其健康调查的微观数据集。该调查采用分层抽样方法,由 TUIK 在相关年份进行,以最好地代表整个土耳其。该研究仅考虑人口统计学和社会经济特征来调查被动吸烟。由于研究中使用的所有变量都是分类的,因此首先使用卡方检验调查了因变量与自变量之间的关系。此外,由于因变量具有有序分类概率形式,因此使用广义有序逻辑回归模型分析了被动吸烟及其相关因素。

结果

2016 年参与研究的老年人接触烟草烟雾的比例为 16%,而 2019 年参与研究的老年人接触烟草烟雾的比例为 21%。

结论

根据研究结果,年龄较大、未受教育和没有保险的吸烟者面临更严重的 SHS 风险。对于政策制定者来说,通过优先考虑这些特征并在这方面制定政策来开展研究,可能对社会有益。扩大无烟区以覆盖老年人,增加作为威慑的处罚,促进教育,增加国家对教育的支持,增加关于烟草危害的教育和公共服务公告,以及促进社会保障,是主要的例子。本研究的结果为制定旨在防止老年人接触烟草烟雾的政策和计划提供了信息来源。

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