Ji Seokmin, Moon Byungchan, Kwon Younggyu, Kim Kyumin
Department of Health Policy & Management, College of Public Health Science, Korea University, Seoul 02841, Republic of Korea.
Global Procurment Development Institute, Gyeonggi 10403, Republic of Korea.
Healthcare (Basel). 2024 Dec 27;13(1):30. doi: 10.3390/healthcare13010030.
: Adolescent smoking can lead to various health problems including atherosclerosis and cardiovascular disease, making it more difficult to quit smoking during adulthood. This study aims to evaluate the effect of the ordinance by assessing adolescents' smoking cessation behaviors and environmental conditions, according to the "Ordinance for the Prevention of Child and Adolescent Smoking and Support for Smoking Cessation", which was enacted in 2019 in Gwangju City, South Korea, for the first time in the country. : The data for the analysis were obtained from the 2018 and 2021 Korea Youth Risk Behavior Survey. Propensity score matching (PSM) ensured homogeneity between ordinance-adopted and non-adopted areas, followed by a difference-in-differences (DID) analysis to assess changes in adolescent smoking behavior, secondhand smoke exposure, and related advertisements. : The difference-in-differences analysis of the homogeneous treatment and control groups in 2018 and 2021 showed statistically significant reductions in the variables "experience of secondhand smoke indoors at school" in the secondhand smoke category, and "exposure to smoking advertisements in convenience stores" in the smoking advertising category. However, there were no statistically significant changes in the other eight variables, such as smoking behavior and smoking cessation advertising. : The results of this study suggest that the ordinance enacted in Gwangju Metropolitan City in 2019 created a positive environment for smoking prevention in convenience stores and schools for adolescents. Furthermore, if the ordinance is supplemented with the management of smoking behaviors and smoking cessation advertisements, it is expected to achieve the main purpose of the policy, which is to protect adolescents from smoking.
青少年吸烟会导致包括动脉粥样硬化和心血管疾病在内的各种健康问题，这使得成年后戒烟变得更加困难。本研究旨在根据韩国光州市于2019年在国内首次颁布的《儿童和青少年吸烟预防及戒烟支持条例》，通过评估青少年的戒烟行为和环境状况来评估该条例的效果。
分析数据来自2018年和2021年韩国青少年风险行为调查。倾向得分匹配（PSM）确保了采用条例地区和未采用条例地区之间的同质性，随后进行了差分分析（DID），以评估青少年吸烟行为、二手烟暴露及相关广告的变化。
2018年和2021年对同质处理组和对照组进行的差分分析显示，在二手烟类别中，变量“在学校室内接触二手烟的经历”以及在吸烟广告类别中变量“在便利店接触吸烟广告”有统计学意义的减少。然而，吸烟行为和戒烟广告等其他八个变量没有统计学意义的变化。
本研究结果表明，2019年光州市颁布的条例为青少年在便利店和学校创造了一个积极的预防吸烟环境。此外，如果该条例辅以吸烟行为管理和戒烟广告，有望实现该政策的主要目的，即保护青少年免受吸烟危害。
