scholarly journals Adolescent Support for Tobacco Control Policies and Associations with Tobacco Denormalization Beliefs and Harm Perceptions

Author(s):  
Jianjiu Chen ◽  
Sai Yin Ho ◽  
Lok Tung Leung ◽  
Man Ping Wang ◽  
Tai Hing Lam

Public support is crucial for advancing tobacco control policies. We investigated adolescent support for such policies, and its association with potential factors of social denormalization (SD) beliefs of smoking, tobacco industry denormalization (TID) beliefs (negative perceptions of the industry), and harm perceptions of smoking. In a cross-sectional survey in Hong Kong, 13,964 secondary school students (mean age 15.0 years, 51.3% boys) reported their support (yes/no) for each of 14 tobacco control policies (e.g., further increase tobacco tax). Tobacco-related beliefs and perceptions, and smoking status were also measured. Support for the 14 tobacco control policies ranged from 17.6% to 54.1%. In current non-smokers, SD beliefs, TID beliefs, and harm perceptions were all associated with support for all tobacco control policies. In current smokers, the study factors were each associated with support for two to three policies. To conclude, support for tobacco control policies was weak to moderate in Hong Kong adolescents. SD beliefs, TID beliefs, and harm perceptions of smoking were associated with policy support in current non-smokers. In current smokers, the corresponding associations were less consistent or weaker.

2021 ◽  
pp. tobaccocontrol-2020-056395
Author(s):  
Ariadna Feliu ◽  
Cristina Martinez ◽  
Armando Peruga ◽  
Luk Joossens ◽  
Eduardo Bianco ◽  
...  

BackgroundMonitoring tobacco control policy implementation is one of the keys for tobacco consumption reduction in Latin America (LA). This study reports on the adaptation of the Tobacco Control Scale (TCS) for use in LA countries and the level of tobacco control policy implementation in this region according to the scale.MethodsEcological cross-sectional survey. The questionnaire to measure tobacco control policies was a translated (into Spanish and Portuguese) and adapted version of the last TCS as used in Europe. The resulting TCS-LA maintains the same structure as the original TCS, with eight policy domains and 100 points (pts) as maximum score; however, four policy domains were adapted because the exact same rationale could not be applied. At least two non-governmental tobacco control experts were contacted per country to answer the TCS-LA.ResultsInformants from 17 out of 18 countries completed the questionnaire. Using the TCS-LA, Panama (70 pts), Uruguay (68 pts) and Ecuador (61 pts) exhibited the strongest tobacco control policies, while Guatemala (32 pts), Bolivia (30 pts) and Dominican Republic (29 pts) have implemented a lower number of tobacco control policies. Eight countries reached 50% of the TCS-LA total possible score, indicating a relatively good implementation level of tobacco control policies.ConclusionsPanama, Uruguay and Ecuador are the tobacco control policy leaders in LA; however, tobacco control in the region has room for improvement since nine countries have a total score under 50 pts. The TCS is a feasible and adaptable tool to monitor tobacco control in other WHO regions beyond Europe.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Schiavone ◽  
C Anderson ◽  
U Mons ◽  
V Winkler

Abstract Background Second-hand smoke (SHS) is still an important public health problem. With joining the Framework Convention on Tobacco Control (FCTC), all parties acknowledged the health risks of SHS and agreed to implement policies to protect their populations from SHS in public places. The aim of this study was to explore the SHS exposure in restaurants and bars as well as its associations with smoke-free legislation in the European Union. Methods Data of Eurobarometer surveys 2014 and 2017 were used to estimate prevalence of SHS exposure. We also extracted data on individual confounders such as smoking status, gender, sex, age and information on social economic status. Additionally, we collected data on country specific data on smoking regulations in restaurants and bars from the Tobacco Control Scale to analyse associations with SHS exposure using multilevel logistic regression. Smoking regulations were categorized into the following three categories: partial ban, comprehensive ban with minor exceptions, and complete ban. Results Preliminary results on the prevalence of SHS in restaurants showed a decrease from 11.8% (95% confidence intervals (CI) 11.2-12.5) in 2014 to 8.8% (95% CI 8.3-9.3) in 2017. The crude multilevel model controlling only for smoking prevalence resulted in an odds ratio of 0.39 (95% CI 0.19-0.77) for comprehensive ban with minor exceptions and 0.28 (95% CI 0.16-0.50) for complete ban versus partial ban. Odds ratios remained at significant levels when controlling for all available confounders. Conclusions Between 2014 and 2017, SHS exposure in restaurants decreased significantly. Furthermore, strong associations with smoking regulations were observed suggesting a high compliance. Many tobacco control policies have been introduced during the last years but several countries need to strengthen their smoke-free tobacco control policies to further reduce SHS exposure preventing death, disease and disability. Key messages SHS exposure remains a significant public health challenge. The implementation of effective measures could be strengthened through a convergence of tobacco control strategies and policies among European Union member states.


2019 ◽  
Vol 22 (7) ◽  
pp. 1139-1147 ◽  
Author(s):  
Lauren Czaplicki ◽  
Siobhan N Perks ◽  
Michael Liu ◽  
Alison Cuccia ◽  
Minal Patel ◽  
...  

Abstract Introduction Parents are essential stakeholders for policy implementation. However, data on parents’ support for e-cigarette- and tobacco-related policies is limited. This study examines parents’ support for five e-cigarette- and tobacco-related policies targeted to prevent youth initiation and exposure to industry marketing practices. Methods Data were from a 2018 nationally representative sample of US parents of 11- to 18-year-old middle and high school students. Weighted adjusted logistic regression models examined correlates of support for policy outcomes, controlling for demographics. Analyses were performed among the full sample (n = 2743) and among current tobacco users (n = 355). Results The majority of parents, including current tobacco users, supported tobacco control efforts to protect adolescents. More than 90% of all parents supported restrictions on e-cigarette marketing to youth and 75% supported a ban on flavored e-cigarette sales. Additionally, more than 80% of all parents supported increasing the age of tobacco product sale to 21, limiting tobacco retailer density near schools, and keeping tobacco products out of view where youth shop. Presence of strict home tobacco rules or reporting a high priority to prevent child’s e-cigarette use were significantly associated with higher odds of policy support. Results were similar among current tobacco users. Conclusions Parents are an important group of tobacco control stakeholders and should be utilized to garner support for tobacco control policies in the context of the recent growth in youth tobacco and e-cigarette use. Parents’ public support for tobacco control policies, particularly regulations on e-cigarette sales and marketing, can motivate advocates and policymakers to advance tobacco control policy agendas. Implications Youth tobacco and e-cigarette use in the United States has increased in recent years. Parents are important stakeholders to inform policy agendas and advance efforts to restrict youth access and exposure to tobacco products. This study provides evidence that parents of adolescents are highly supportive of youth-centered tobacco control policies, particularly those that restrict access to youth-targeted e-cigarette marketing and the sale of youth-appealing flavored e-cigarettes. Utilizing policy support to mobilize parents may be an important advocacy strategy to advance tobacco control policy agendas and curb rising rates of youth e-cigarette and tobacco use.


2019 ◽  
Vol 24 (12) ◽  
pp. 4727-4738
Author(s):  
Eduardo Silva Reis ◽  
Patrícia Paula Lourenço e Arriaga ◽  
Octavian Adrian Postolache

Abstract Several anti-smoking campaigns have been used for decades to reduce smoking consumption. However, so far, there is no consensus regarding the effectiveness of inducing distinct emotions in reducing smoke consumption. This study tested the effects of two types of anti-smoking ads, inducing fear or humor, on emotions, perceived effectiveness, support for tobacco control policies, urges to smoke, and susceptibility to smoke. Participants (N = 108; 54 smokers) of both genders were randomly assigned to one of the two following emotion ads condition: fear (N = 52) or humor (N = 56). During exposure, the continuous flow of their emotions by self-report and physiologically was collected. Measures of ads impact on emotions, perceived effectiveness, urges and susceptibility to smoking, and support for tobacco policies were applied after exposure. The results have shown that fear ads were perceived as more effective and reduced the urges to smoke in smokers. Non-smokers were more supportive of tobacco control policies. In conclusion, this study showed that fear campaigns can reduce the urge to smoke among smokers and are perceived to be more effective. This perceived effectiveness can be partially explained by feelings of fear, regardless the other emotions it also triggers, and of the smoking status.


2020 ◽  
pp. tobaccocontrol-2019-055554
Author(s):  
Renny Nurhasana ◽  
Suci Puspita Ratih ◽  
Teguh Dartanto ◽  
Faizal Rahmanto Moeis ◽  
Risky Kusuma Hartono ◽  
...  

BackgroundThe current tobacco control policies in Indonesia are known to be ineffective in reducing tobacco consumption. Therefore, increasing cigarette prices is one of the effective instruments that should be supported by governments and society. This study aims to assess public support for cigarette price increases as well as to generate scientific evidence for the government and policymakers.MethodThis cross-sectional survey obtained data through telephone interviews with 1000 respondents aged ≥18 years old in Indonesia. The interviews started from 1 May 2018 to 31 May 2018.ResultRespondents were varied in terms of age, gender, level of education, income, occupation, area of living and smoking status. This study found that 87.9% of the respondents including 80% of smokers support cigarette price increase to prevent children from buying cigarettes. Approximately 74.0% of smokers said they would stop smoking if cigarette prices were Rp70 000 (US$5) per package. The multivariate analysis revealed that age, income, money spent on cigarettes per day and the perception of current cigarette prices are the factors influencing support for higher cigarette prices.ConclusionThe increase in cigarette prices is supported by society at large, including active smokers. The government must consistently adjust cigarette prices through an excise taxing and cigarette retail price mechanism. Governments, academicians, non-governmental organisations and tobacco control activists should generate a unified understanding that increasing cigarette prices will improve overall life quality.


2021 ◽  
Author(s):  
Xinlin Chen ◽  
Xuefei Gu ◽  
Tingting Li ◽  
Lirong Xu ◽  
Qiaoyan Liu ◽  
...  

Abstract Background:Online ride-hailing is a fast-developing new travel mode, and tobacco control policies on it have not yet been improved. This study aims to reveal the smoking status and influencing factors of ride-hailing drivers, so as to provide a basis for the formulation of tobacco control policies.Methods:The cross-sectional data used in this study were derived from an online survey of full-time ride-hailing drivers in China. Questionnaires were employed to collect variables including sociodemographic and work-related characteristics, health status, health behavior, health literacy, and smoking status. Chi-Square test and multivariate logistic regression were used to analyze the influencing factors of current smoking.Results:A total of 8990 ride-hailing drivers were investigated, in which 5024 were current smokers, accounted to 55.9%. Current smokers (53.7% (2696/5024) v 44.2% (1752/3966); P<0.001) and drivers who smoked on the car (85.8% (1389/1618) v 38.4 (1307/3406); P<0.001) were more likely to allow passengers to smoke. Logistic regression analysis showed that men (OR=0.519, 95%CI (0.416, 0.647)), central regions (OR=1.172, 95%CI (1.049, 1.309)), eastern regions (OR=1.330, 95%CI (1.194, 1.480)), working at both daytime and night (OR=1.287, 95%CI (1.164, 1.424)), and working at non-fixed time (OR=0.847, 95%CI (0.718, 0.999)), 35-54 years old (OR=0.585, 95%CI (0.408, 0.829)), current drinker (OR=1.663, 95%CI (1.526, 1.813)), eating very irregularly (OR=1.370, 95%CI (1.233, 1.523)), the number of days a week of engaging in at least 10 minutes of moderate or vigorous exercise ≥ 3 (OR=0.752, 95%CI (0.646, 0.875)), taking the initiative to acquire health knowledge occasionally (OR=0.882, 95%CI (0.783, 0.992)) or frequently (OR=0.675, 95%CI (0.591, 0.770)) , underweight (OR=1.249, 95%CI (1.001, 1.559)) and overweight (OR=0.846, 95%CI (0.775, 0.924)) were associated with the prevalence of current smoking among online ride-hailing drivers (P<0.05). Conclusions:The smoking rate of ride-hailing drivers was high, and the social demographic and work-related characteristics, and health-related factors all affected their smoking behavior. Tobacco control measures targeted at online-hailing drivers should correct their cultural beliefs about smoking, increase their health literacy, guide them to exercise more and keep a regular schedule, as well as combine with drinking intervention and weight intervention.


2017 ◽  
Vol 18 (4) ◽  
pp. 571-580 ◽  
Author(s):  
Hyojin Sung ◽  
Dorie E. Apollonio

Background. The 2014 Surgeon General’s Report noted that high smoking rates in vulnerable populations such as the homeless have been a persistent public health problem; smoking prevalence among individuals experiencing homelessness exceeds 70%. Historically, service providers for the homeless have not enacted comprehensive tobacco control policies. Method. We conducted a qualitative study of homeless housing programs in San Francisco. Administrators representing 9 of the city’s 11 homeless service agencies were interviewed to assess institutional smoking-related policies and cessation programs and perceived barriers and receptivity to instituting tobacco control interventions. Results. Respondents indicated that although most programs had adopted smoke-free grounds and some had eliminated evidence of staff smoking, the smoking status of clients was assessed only when required by funders. None of the programs offered smoking cessation interventions. Most administrators were receptive to adopting policies that would promote a tobacco-free culture; however, they noted that their clients had unique challenges that made traditional smoking cessation programs unfeasible. Conclusions. Homeless housing programs in San Francisco have not yet adopted a tobacco-free culture. Existing policies were created in response to external mandates, and smoking cessation programs may need to be modified in order to effectively reach clients.


2009 ◽  
Vol 5 (2) ◽  
pp. 197-218 ◽  
Author(s):  
John A. Tauras ◽  
Richard M. Peck ◽  
Stavros Tsipas ◽  
Frank Chaloupka

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e030504
Author(s):  
Sujith Ramachandran ◽  
Sandra Bentley ◽  
Ethan Casey ◽  
John P Bentley

ObjectiveThe aim of this study is to estimate the prevalence of smoking behaviour on campus and to identify the key factors that influence adherence to a campus smoke-free policy.Design & participantsThis study employed a cross-sectional, self-administered survey of undergraduate students at the University of Mississippi. A random sample of all available undergraduate classes was recruited for data collection. Students were provided a survey that included questions on demographics, alcohol use, smoking status, policy awareness, policy attitudes, smoking attitudes, policy support, barriers to policy success and policy violations.ResultsThe prevalence of past 30-day smoking was 23%. More than 63% of current smokers report ever smoking on campus, but less than 10% ever received a warning or a ticket for their violation. Nearly all respondents (92.5%) reported witnessing someone smoking on campus, and 22% reported witnessing someone receiving a ticket. Barriers to policy success include lack of reminders about the policy, lack of support from students and University administrators, and insufficient fines. Smoking behaviour (OR: 7.96; 95% CI: 5.13 to 12.36), beliefs about policy adherence (OR: 0.52; 95% CI: 0.40 to 0.69), support for the policy (OR: 0.71; 95% CI: 0.55 to 0.91) and attitudes against smoking behaviour (OR: 0.35; 95% CI: 0.25 to 0.49) were all significantly associated with self-reported policy violations.ConclusionsThis study found that violations of the campus smoke-free policy were fairly frequent and the policy has been largely ineffective, indicating a need for other interventions. Approaches to improve adherence to the policy should address barriers such as reminders about the policy, better policy enforcement and support from the administration.


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