Holman C D, Donovan R J, Corti B, Jalleh G, Frizzell S K, Carroll A M
Health Promotion Development and Evaluation Program, Department of Public Health and Graduate School of Management, The University of Western Australia, Perth.
Tob Control. 1997 Summer;6(2):115-21. doi: 10.1136/tc.6.2.115.
To evaluate the replacement of Western Australian tobacco sponsorship with health promotion sponsorship by the Western Australian Health Promotion Foundation (known as "Healthway"), following the Tobacco Control Act 1990.
Process measures of performance were collected from 25 tobacco replacement projects (sponsorship by Healthway of sport, racing, and arts groups previously supported by tobacco companies) and 727 other health sponsorship projects, that is, new sponsorship provided by Healthway to these groups. Cross-sectional survey data were obtained from 917 respondents at tobacco replacement and 2352 at other sponsorship venues.
Sport, racing, and arts venues sponsored by the Western Australian Health Promotion Foundation (Healthway) in 1991-95.
Population reach, occasions of media publicity, healthy structural changes, cognitive/attitudinal impact of health messages, and the prevalence of five health-risk behaviours.
Tobacco replacement and other sponsorship projects achieved comparable performance in publicity for health messages and in healthy structural change, but replacement projects achieved a fourfold higher level of direct population reach for a given amount of funding. Structural change towards a smoke-free environment occurred more often in tobacco replacement projects and a permanent smoke-free policy was achieved in 47% of projects, compared with 15% in other sponsorship projects. The prevalence ratio of current smoking at tobacco replacement venues was 1.86 (95% confidence interval 1.62 to 2.04) relative to other sponsorship venues. There was evidence of higher cognitive resistance to health messages at venues previously sponsored by tobacco companies.
A comprehensive ban on tobacco sponsorship linked to health promotion activities funded by tobacco tax delivers potential public health benefits that exceed those achieved by prohibition of tobacco sponsorship alone. Tobacco replacement venues offer opportunities for environmental modification, promotion of anti-smoking messages, and targeting groups that are hard to reach.
在1990年《烟草控制法》实施后，评估西澳大利亚健康促进基金会（简称“健康之路”）用健康促进赞助取代西澳大利亚烟草赞助的情况。
从25个烟草替代项目（健康之路对先前由烟草公司赞助的体育、赛马和艺术团体的赞助）和727个其他健康赞助项目（即健康之路向这些团体提供的新赞助）中收集绩效过程指标。横断面调查数据来自917名烟草替代项目的受访者和2352名其他赞助活动场所的受访者。
1991 - 1995年由西澳大利亚健康促进基金会（健康之路）赞助的体育、赛马和艺术场所。
人群覆盖范围、媒体宣传次数、健康结构变化、健康信息的认知/态度影响以及五种健康风险行为的流行率。
烟草替代项目和其他赞助项目在健康信息宣传和健康结构变化方面表现相当，但在给定资金量的情况下，替代项目的直接人群覆盖水平高出四倍。向无烟环境的结构变化在烟草替代项目中更常发生，47%的项目实现了永久性无烟政策，而其他赞助项目中这一比例为15%。与其他赞助场所相比，烟草替代场所当前吸烟的患病率比值为1.86（95%置信区间1.62至2.04）。有证据表明，在先前由烟草公司赞助的场所，对健康信息的认知抗性更高。
全面禁止与烟草税资助的健康促进活动相关的烟草赞助带来的潜在公共卫生益处超过仅禁止烟草赞助所取得的益处。烟草替代场所为环境改善、反吸烟信息推广以及针对难以触及的群体提供了机会。
