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青少年对公共场所无烟政策的看法及其决定因素——来自五个欧洲国家全球青少年烟草调查的证据

Opinion of teenagers on smoking-free policy in public places and its determinants - evidence from a global youth tobacco survey in five European countries.

作者信息

Świątkowska Beata, Olewnik Aleksandra, Kaleta Dorota

机构信息

Department of Hygiene and Epidemiology, Medical University, Łódź, Poland.

出版信息

Ann Agric Environ Med. 2024 Jun 27;31(2):219-226. doi: 10.26444/aaem/173531. Epub 2023 Oct 20.

Abstract

INTRODUCTION AND OBJECTIVE

Smoking-free policies protect non-smokers from the negative effects of smoking, but many young adults still use products containing nicotine. The aim of this article is to analyze the factors that influence young people's attitudes towards the ban on smoking in public places.

MATERIAL AND METHODS

Data were obtained from a representative sample of young adults aged 13-15 from the Global Youth Tobacco Survey (GYTS) conducted in the Czech Republic, Lithuania, Romania, Slovakia and Slovenia. Logistic regression analysis was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs).

RESULTS

At least a quarter of the adolescents were exposed to cigarette smoking, about 40% have parents who smoke and over 50% declared that they have peers who smoke. A higher proportion of adolescents have knowledge about the harmful effects of second-hand smoking (62.6-71.9%), but at least one-fifth of young people are still exposed to the marketing of tobacco products. Compared with current smoking, those with never smoked were significantly associated with positive attitude toward to restricting smoking in all five analyzed countries, with an AOR= 4.74 (95% CI: 3.61-6.23), AOR=4.33 (95% CI: 2.32-8.07), AOR=2.85 (95% CI: 2.19-3.70) and AOR=2.45 (95% CI: 1.65-3.64), respectively. Gender, age, smoking, exposure to second-hand smoke, knowledge about the harmful effects of smoking, anti-smoking education, seeing people using tobacco and exposure to tobacco marketing, were significantly associated with the attitudes of young people towards restricting smoking in public places.

CONCLUSIONS

The study provides useful information on factors that should be taken into account when planning anti-smoking strategies so that young people are able to resist the pressure to use tobacco products.

摘要

引言与目的

无烟政策可保护非吸烟者免受吸烟的负面影响,但许多年轻人仍在使用含尼古丁产品。本文旨在分析影响年轻人对公共场所禁烟态度的因素。

材料与方法

数据取自捷克共和国、立陶宛、罗马尼亚、斯洛伐克和斯洛文尼亚开展的全球青少年烟草调查(GYTS)中13至15岁年轻人的代表性样本。采用逻辑回归分析计算比值比(OR)和95%置信区间(CI)。

结果

至少四分之一的青少年接触过吸烟行为,约40%的青少年父母吸烟,超过50%的青少年表示有吸烟的同龄人。较高比例的青少年了解二手烟的有害影响(62.6 - 71.9%),但至少五分之一的年轻人仍接触到烟草制品营销。与当前吸烟者相比,在所有五个被分析国家中,从未吸烟者对限制吸烟持积极态度的关联度显著更高,其调整后比值比(AOR)分别为4.74(95%置信区间:3.61 - 6.23)、4.33(95%置信区间:2.32 - 8.07)、2.85(95%置信区间:2.19 - 3.70)和2.45(95%置信区间:1.65 - 3.64)。性别、年龄、吸烟情况、接触二手烟情况、对吸烟有害影响的了解、反吸烟教育、看到他人使用烟草以及接触烟草营销,均与年轻人对公共场所限制吸烟的态度显著相关。

结论

该研究为制定反吸烟策略时应考虑的因素提供了有用信息,以便年轻人能够抵御使用烟草制品的压力。

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