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英格兰儿童和年轻人对无烟一代政策的看法:一项焦点小组研究。

Perceptions of Children and Young People in England on the Smokefree Generation Policy: A Focus Group Study.

作者信息

Davies Nathan P, Murray Rachael L, Langley Tessa, Morling Joanne R, Bains Manpreet

机构信息

Nottingham Centre for Public Health and Epidemiology, University of Nottingham, Nottingham, UK.

SPECTRUM Consortium, Edinburgh, UK.

出版信息

Nicotine Tob Res. 2025 May 22;27(6):1066-1072. doi: 10.1093/ntr/ntae300.

DOI:10.1093/ntr/ntae300
PMID:39688186
Abstract

BACKGROUND

Modeling shows smokefree generation (SFG) policies could effectively reduce smoking rates by banning tobacco sales to those born after a specific year. Little is known about how young people perceive the legitimacy and impact of the planned SFG policy in England.

METHODS

We conducted seven semi-structured focus groups with 36 participants aged 12-21 (mean = 15) in England over video call and in person. Twenty-one participants were female and 15 male. Participants were purposively sampled to include those from areas of greater deprivation and for use of tobacco or e-cigarettes. Data was analyzed using the framework approach.

RESULTS

Participants expressed broadly negative perceptions toward tobacco and its manufacturers. Most participants supported SFG policy goals and its focus on freedom from addiction and harm; some believed it should also encompass electronic cigarettes. Many believed the law would only be successful if it included stringent enforcement, accompanying tobacco licensing, and input from young people. A minority raised concerns about the loss of freedom to purchase tobacco.

CONCLUSIONS

Communication of the freedom-giving nature of SFG is likely to resonate with many young people. Enforcement, communication, and involvement of young people in SFG should be considered carefully to maximize policy impact.

IMPLICATIONS

The smokefree generation (SFG) policy's potential to offer freedom from addiction and disease can resonate with young people. Its effectiveness could be maximized through targeted enforcement in areas with high youth smoking rates and low adherence to age-of-sale laws, and through the introduction of additional policies that offer restrictive licensing of tobacco retailers. A phased approach to SFG, initially covering tobacco and later incorporating e-cigarettes as smoking prevalence declines, could balance reducing youth vaping and harm reduction; future research could investigate optimal policy conditions for this approach.

摘要

背景

模型显示,无烟一代(SFG)政策通过禁止向特定年份之后出生的人销售烟草,可有效降低吸烟率。对于英国年轻人如何看待计划中的SFG政策的合理性和影响,我们知之甚少。

方法

我们通过视频通话和面对面的方式,在英国对36名年龄在12至21岁(平均年龄 = 15岁)的参与者进行了七次半结构化焦点小组访谈。21名参与者为女性,15名参与者为男性。参与者是经过有目的抽样选取的,包括来自贫困程度较高地区且使用烟草或电子烟的人群。数据采用框架分析法进行分析。

结果

参与者对烟草及其制造商普遍持负面看法。大多数参与者支持SFG政策目标及其对摆脱成瘾和危害的关注;一些人认为该政策也应涵盖电子烟。许多人认为,只有该法律包括严格执法、配套的烟草许可证制度以及年轻人的参与,才会取得成功。少数人对购买烟草的自由丧失表示担忧。

结论

传达SFG政策给予自由的性质可能会引起许多年轻人的共鸣。应仔细考虑SFG政策中年轻人的执法、沟通和参与,以最大限度地发挥政策影响。

启示

无烟一代(SFG)政策在提供摆脱成瘾和疾病的自由方面的潜力,可能会引起年轻人的共鸣。通过在青少年吸烟率高且对销售年龄法律遵守率低的地区进行有针对性的执法,以及引入对烟草零售商进行限制性许可的额外政策,可以最大限度地提高其有效性。SFG政策采用分阶段实施的方法,最初涵盖烟草,随着吸烟率下降,后来将电子烟纳入其中,可以在减少青少年吸电子烟和减少危害之间取得平衡;未来的研究可以调查这种方法的最佳政策条件。

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Nicotine Tob Res. 2025 Feb 24;27(3):369-377. doi: 10.1093/ntr/ntae206.
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Trends in Harm Perceptions of E-Cigarettes vs Cigarettes Among Adults Who Smoke in England, 2014-2023.英格兰成年烟民对电子烟和香烟危害感知的变化趋势,2014-2023 年。
JAMA Netw Open. 2024 Feb 5;7(2):e240582. doi: 10.1001/jamanetworkopen.2024.0582.
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New Zealand reverses landmark tobacco controls.
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Tobacco endgame intervention impacts on health gains and Māori:non-Māori health inequity: a simulation study of the Aotearoa/New Zealand Tobacco Action Plan.烟草终局干预对健康收益和毛利人/非毛利人健康不平等的影响:对新西兰烟草行动计划的模拟研究。
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