Yao Ying, Cheung Yee Tak Derek, Wu Yongda Socrates, Guo Ziqiu, Chan Sik Kwan, Zhao Sheng Zhi, Tong Henry Sau Chai, Lai Vienna Wai Yin, Lam Tai Hing, Ho Sai Yin, Wang Man Ping
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong.
Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Tob Control. 2024 Mar 8. doi: 10.1136/tc-2023-058393.
To examine the associations between tobacco industry denormalisation (TID) beliefs and support for tobacco endgame policies.
A total of 2810 randomly selected adult respondents of population-based tobacco policy-related surveys (2018-2019) were included. TID beliefs (agree vs disagree/unsure) were measured by seven items: tobacco manufacturers ignore health, induce addiction, hide harm, spread false information, lure smoking, interfere with tobacco control policies and should be responsible for health problems. Score of each item was summed up and dichotomised (median=5, >5 strong beliefs; ≤5 weak beliefs). Support for tobacco endgame policies on total bans of tobacco sales (yes/no) and use (yes/no) was reported. Associations between TID beliefs and tobacco endgame policies support across various smoking status were analysed, adjusting for sociodemographics.
Fewer smokers (23.3%) had strong beliefs of TID than ex-smokers (48.4%) and never smokers (48.5%) (p<0.001). Support for total bans on tobacco sales (74.6%) and use (76.9%) was lower in smokers (33.3% and 35.3%) than ex-smokers (74.3% and 77.9%) and never smokers (76.0% and 78.3%) (all p values<0.001). An increase in the number of TID beliefs supported was positively associated with support for a total ban on sales (adjusted risk ratio 1.06, 95% CI 1.05 to 1.08, p<0.001) and use (1.06, 95% CI 1.05 to 1.07, p<0.001). The corresponding associations were stronger in smokers than non-smokers (sales: 1.87 vs 1.25, p value for interaction=0.03; use: 1.78 vs 1.21, p value for interaction=0.03).
Stronger TID belief was associated with greater support for total bans on tobacco sales and use. TID intervention may increase support for tobacco endgame, especially in current smokers.
探讨烟草行业去常态化（TID）信念与对烟草终局政策支持之间的关联。
纳入了2810名从基于人群的烟草政策相关调查（2018 - 2019年）中随机选取的成年受访者。TID信念（同意与不同意/不确定）通过七个项目进行测量：烟草制造商忽视健康、诱导成瘾、隐瞒危害、传播虚假信息、引诱吸烟、干扰烟草控制政策以及应对健康问题负责。每个项目的得分相加并进行二分法划分（中位数 = 5，>5为强烈信念；≤5为微弱信念）。报告了对烟草销售全面禁令（是/否）和使用全面禁令（是/否）的烟草终局政策支持情况。分析了TID信念与不同吸烟状况下对烟草终局政策支持之间的关联，并对社会人口统计学因素进行了调整。
吸烟者中持有强烈TID信念的比例（23.3%）低于曾经吸烟者（48.4%）和从不吸烟者（48.5%）（p<0.001）。吸烟者对烟草销售全面禁令（74.6%）和使用全面禁令（76.9%）的支持率（分别为33.3%和35.3%）低于曾经吸烟者（74.3%和77.9%）和从不吸烟者（76.0%和78.3%）（所有p值<0.001）。支持的TID信念数量增加与对销售全面禁令的支持呈正相关（调整风险比1.06，95%置信区间1.05至1.08，p<0.001）以及与对使用全面禁令的支持呈正相关（1.06，95%置信区间1.05至1.07，p<0.001）。吸烟者中的相应关联比非吸烟者更强（销售：1.87对1.25，交互作用p值 = 0.03；使用：1.78对1.21，交互作用p值 = 0.03）。
更强的TID信念与对烟草销售和使用全面禁令的更大支持相关。TID干预可能会增加对烟草终局政策的支持，尤其是在当前吸烟者中。
