International School of Public Health, T1International School of Public Health, Tbilisi State Medical University, Georgia.
1International School of Public Health, Tbilisi State Medical University, Georgia.
Georgian Med News. 2024 May(350):68-72.
Public smoke-free policy support can contribute to effective policy adoption, implementation, and impact. Furthermore, individuals may engage in behaviors to reduce secondhand smoke exposure (SHSe). This study examined factors associated with smoke-free policy support and behaviors to reduce SHSe.
We analyzed cross-sectional survey data among 261 students (Mage=22.26, SD=2.76; 55.6% female) at a large medical university in Tbilisi, Georgia. Multivariable regression analyses assessed sociodemographics, tobacco use, past-week SHSe, perceived risk of SHSe, and perceived smoke-free policy effectiveness in relation to smoke-free policy support; SHSe avoidance; and having asked others to put out cigarettes.
Overall, 38.3% reported current smoking, 62.8% lived with someone who used tobacco, and the average number of days of SHSe was 4.07 (SD=2.17). Most commons SHSe sources were open (58.2%) and closed public places (24.1%). The majority supported the smoking ban in closed (94.6%) and open public places (59.8%); 71.6% believed it should include other places. Average ratings were relatively high for perceived risk (M=3.38, 1=no-4=serious) but lower for perceived smoke-free policy effectiveness (M=2.51, 1=not-4=quite) and avoidance of SHSe (M=3.32, 1=never-5=always); 58.6% had asked someone to put out cigarettes. Greater smoke-free policy support, avoidance of SHSe, and having asked someone to put out cigarettes (respectively) were associated with nonsmoking status and greater perceived SHSe risk (p's<.01).
Despite general support for smoke-free policy and engagement in SHSe reduction behaviors in Georgia, additional efforts to reduce SHSe are needed (e.g., media campaigns to raise SHSe risk awareness, engaging nonsmoking adults in enforcement).
公共无烟政策支持有助于有效采纳、实施和影响政策。此外,个人可能会采取行为减少二手烟暴露(SHSe)。本研究调查了与无烟政策支持和减少 SHSe 行为相关的因素。
我们分析了格鲁吉亚第比利斯一所大型医科大学 261 名学生(Mage=22.26,SD=2.76;55.6%为女性)的横断面调查数据。多变量回归分析评估了社会人口统计学、烟草使用、过去一周的 SHSe、SHSe 风险感知以及对无烟政策有效性的感知与无烟政策支持、SHSe 回避以及要求他人熄灭香烟之间的关系。
总体而言,38.3%报告目前吸烟,62.8%与使用烟草的人同住,SHSe 的平均天数为 4.07(SD=2.17)。最常见的 SHSe 来源是开放(58.2%)和封闭公共场所(24.1%)。大多数人支持关闭(94.6%)和开放公共场所(59.8%)的禁烟令;71.6%认为应该包括其他地方。对感知风险的平均评分较高(M=3.38,1=no-4=serious),但对感知无烟政策有效性(M=2.51,1=not-4=quite)和回避 SHSe 的评分较低(M=3.32,1=never-5=always);58.6%曾要求他人熄灭香烟。无烟政策支持度较高、回避 SHSe 和要求他人熄灭香烟(分别)与不吸烟状态和更高的感知 SHSe 风险(p<.01)相关。
尽管格鲁吉亚普遍支持无烟政策并采取了减少 SHSe 的行为,但仍需要进一步努力减少 SHSe(例如,提高 SHSe 风险意识的媒体宣传活动,吸引不吸烟的成年人参与执法)。