Hayrumyan Varduhi, Sargsyan Zhanna, Torosyan Arevik, Dekanosidze Ana, Grigoryan Lilit, Alayan Nour, Kegler Michelle C, Sturua Lela, Petrosyan Varduhi, Bazarchyan Alexander, Haardörfer Regine, Cui Yuxian, Berg Carla J
Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Republic of Armenia.
National Institute of Health named after academician S. Avdalbekyan, Ministry of Health, Yerevan, Republic of Armenia.
Tob Induc Dis. 2024 Jun 4;22. doi: 10.18332/tid/189200. eCollection 2024.
Understanding who includes e-cigarettes and heated tobacco products (HTPs) in smoke-free home or car rules could inform public health interventions, particularly in countries with high smoking prevalence and recently implemented national smoke-free laws, like Armenia and Georgia.
In 2022, we conducted a cross-sectional survey among 1468 adults in 28 Armenian and Georgian communities (mean age=42.92 years; 51.4% female, 31.6% past-month smoking). Multilevel regression (accounting for clustering within communities; adjusted for sociodemographics and cigarette use) examined e-cigarette/HTP perceptions (risk, social acceptability) and use intentions in relation to: 1) including e-cigarettes/HTPs in home and car rules among participants with home and car rules, respectively (logistic regressions); and 2) intention to include e-cigarettes/HTPs in home rules (linear regression, 1 = 'not at all' to 7 = 'extremely') among those without home rules.
Overall, 72.9% (n=1070) had home rules, 86.5% of whom included e-cigarettes/HTPs; 33.9% (n=498) had car rules, 81.3% of whom included e-cigarettes/HTPs. Greater perceived e-cigarette/HTP risk was associated with including e-cigarettes/HTPs in home rules (AOR=1.28; 95% CI: 1.08-1.50) and car rules (AOR=1.46; 95% CI: 1.14-1.87) and next-year intentions to include e-cigarettes/HTPs in home rules (β=0.38; 95% CI: 0.25-0.50). Lower e-cigarette/HTP use intentions were associated with including e-cigarettes/HTPs in home rules (AOR=0.75; 95% CI: 0.63-0.88). While perceived social acceptability was unassociated with the outcomes, other social influences were: having children and no other household smokers was associated with including e-cigarettes/HTPs in car rules, and having children was associated with intent to include e-cigarettes/HTPs in home rules.
Interventions to address gaps in home and car rules might target e-cigarette/HTP risk perceptions.
了解哪些人将电子烟和加热烟草制品（HTP）纳入无烟家庭或汽车规定中，可为公共卫生干预措施提供参考，尤其是在吸烟率较高且最近实施了国家无烟法律的国家，如亚美尼亚和格鲁吉亚。
2022年，我们在亚美尼亚和格鲁吉亚的28个社区对1468名成年人进行了横断面调查（平均年龄=42.92岁；51.4%为女性，31.6%在过去一个月内吸烟）。多水平回归分析（考虑社区内的聚类情况；对社会人口统计学和香烟使用情况进行调整）研究了电子烟/HTP认知（风险、社会可接受性）以及与以下方面相关的使用意愿：1）分别在有家庭和汽车规定的参与者中，将电子烟/HTP纳入家庭和汽车规定（逻辑回归）；2）在没有家庭规定的人群中，将电子烟/HTP纳入家庭规定的意愿（线性回归，1 =“完全不”至7 =“极其愿意”）。
总体而言，72.9%（n = 1070）有家庭规定，其中86.5%将电子烟/HTP纳入规定；33.9%（n = 498）有汽车规定，其中81.3%将电子烟/HTP纳入规定。更高的电子烟/HTP风险认知与将电子烟/HTP纳入家庭规定（比值比[AOR]=1.28；95%置信区间[CI]：1.08 - 1.50）和汽车规定（AOR = 1.46；95% CI：1.14 - 1.87）以及下一年将电子烟/HTP纳入家庭规定的意愿（β = 0.38；95% CI：0.25 - 0.50）相关。较低的电子烟/HTP使用意愿与将电子烟/HTP纳入家庭规定相关（AOR = 0.75；95% CI：0.63 - 0.88）。虽然感知到的社会可接受性与结果无关，但其他社会影响因素如下：有孩子且家中没有其他吸烟者与将电子烟/HTP纳入汽车规定相关，有孩子与将电子烟/HTP纳入家庭规定的意愿相关。
针对家庭和汽车规定方面的差距进行干预，可能需要以电子烟/HTP风险认知为目标。
