PDF(Pubmed)
Abstract：
Tobacco smoke incursion (TSI) into private residences is a widespread problem in many countries. We sought to assess the prevalence of self-reported TSI and public attitudes about TSI in Israel, a country with a relatively high smoking prevalence and high population density.
We conducted a random digit dial survey among residents in Israel (N = 285) in 2017, which examined the frequency, source, correlates of, and attitudes towards TSI and potential regulatory options. The cooperation rate was 63.9%.
Among respondents, 44.7% reported ever experiencing home TSI, with higher exposure among residents of multi-unit housing (MUH) (MUH versus private homes: aOR (Adjusted Odds Ratio): 3.60, CI (Confidence Interval): [1.96, 6.58], p < .001). Most respondents (69.8%), including nearly half of smokers, prioritized the right of individuals to breath smoke-free air in their apartments over the right of smokers to smoke in their apartments. Women and non-smokers were more likely to support the right to breathe smoke-free air (Women versus men: aOR: 2.77 CI: [1.48, 5.16], p = .001; Nonsmokers versus smokers: aOR: 3.21 CI [1.59, 6.48], p = .001). However, only about a quarter (24.8%) of respondents who ever experienced TSI raised the issue with the neighbor who smoked, the neighbor\'s landlord, or the building committee. The vast majority (85.2%) of all respondents, including three-quarters of smokers, supported smoke-free legislation for multi-unit housing (MUH), with those ever-exposed to TSI and non-smokers more likely to support legislation (ever-exposed versus never-exposed aOR = 2.99, CI [1.28, 6.97], p = 0.011; nonsmokers versus smokers aOR = 3.00, CI [1.28, 7.01], p = 0.011).
Among study participants, tobacco smoke incursion was a common, yet unwelcome experience. Most respondents believed that the right to breathe smoke-free air in one\'s apartment superseded that of neighbors to smoke anywhere in their home, and most supported legislation to prevent TSI. Though further study is needed to understand better TSI and effective methods for its prevention, our findings suggest that policy interventions, including legal action at the level of the Supreme Court and/or the Knesset, are needed. Regulation, policy initiatives and campaigns to denormalize smoking in proximity to other people and private residences globally could reduce the scope of this widespread problem, protect individuals from home TSI, and improve population health.
We conducted a random digit dial survey among residents in Israel (N = 285) in 2017, which examined the frequency, source, correlates of, and attitudes towards TSI and potential regulatory options. The cooperation rate was 63.9%.
Among respondents, 44.7% reported ever experiencing home TSI, with higher exposure among residents of multi-unit housing (MUH) (MUH versus private homes: aOR (Adjusted Odds Ratio): 3.60, CI (Confidence Interval): [1.96, 6.58], p < .001). Most respondents (69.8%), including nearly half of smokers, prioritized the right of individuals to breath smoke-free air in their apartments over the right of smokers to smoke in their apartments. Women and non-smokers were more likely to support the right to breathe smoke-free air (Women versus men: aOR: 2.77 CI: [1.48, 5.16], p = .001; Nonsmokers versus smokers: aOR: 3.21 CI [1.59, 6.48], p = .001). However, only about a quarter (24.8%) of respondents who ever experienced TSI raised the issue with the neighbor who smoked, the neighbor\'s landlord, or the building committee. The vast majority (85.2%) of all respondents, including three-quarters of smokers, supported smoke-free legislation for multi-unit housing (MUH), with those ever-exposed to TSI and non-smokers more likely to support legislation (ever-exposed versus never-exposed aOR = 2.99, CI [1.28, 6.97], p = 0.011; nonsmokers versus smokers aOR = 3.00, CI [1.28, 7.01], p = 0.011).
Among study participants, tobacco smoke incursion was a common, yet unwelcome experience. Most respondents believed that the right to breathe smoke-free air in one\'s apartment superseded that of neighbors to smoke anywhere in their home, and most supported legislation to prevent TSI. Though further study is needed to understand better TSI and effective methods for its prevention, our findings suggest that policy interventions, including legal action at the level of the Supreme Court and/or the Knesset, are needed. Regulation, policy initiatives and campaigns to denormalize smoking in proximity to other people and private residences globally could reduce the scope of this widespread problem, protect individuals from home TSI, and improve population health.
摘要：
背景：烟草烟雾侵入私人住宅（TSI）是许多国家普遍存在的问题。我们试图评估以色列自我报告TSI的患病率和公众对TSI的态度，吸烟率和人口密度相对较高的国家。
方法：我们在2017年对以色列居民（N=285）进行了随机数字拨号调查，检查了频率，来源,的相关性，以及对TSI的态度和潜在的监管选择。合作率为63.9%。
结果：在受访者中，44.7%报告曾经经历过家庭TSI，多单元住房（MUH）居民的风险较高（MUH与私人住宅：aOR（调整后赔率比）：3.60，CI（置信区间）：[1.96，6.58]，p<.001)。大多数受访者(69.8%)，包括近一半的吸烟者，个人在公寓里呼吸无烟空气的权利优先于吸烟者在公寓里吸烟的权利。女性和非吸烟者更有可能支持呼吸无烟空气的权利（女性与男性：aOR：2.77CI：[1.48,5.16]，p=.001；非吸烟者与吸烟者：OR：3.21CI[1.59，6.48]，p=.001）。然而,只有约四分之一(24.8%)曾经历过TSI的受访者向吸烟的邻居提出了这个问题，邻居的房东，或者建筑委员会.绝大多数(85.2%)的受访者，包括四分之三的吸烟者,支持多单元住房(MUH)的无烟立法，那些曾经接触过TSI和不吸烟者的人更有可能支持立法(曾经接触过与从未接触过的aOR=2.99，CI[1.28，6.97]，p=0.011；不吸烟者与吸烟者的aOR=3.00，CI[1.28，7.01]，p=0.011)。
结论：在研究参与者中，烟草烟雾入侵是常见的，但不受欢迎的经验。大多数受访者认为，在自己的公寓里呼吸无烟空气的权利取代了邻居在家中任何地方吸烟的权利，以及大多数支持的防止TSI的立法。虽然需要进一步的研究来更好地了解TSI及其预防的有效方法，我们的研究结果表明，政策干预，包括最高法院和/或以色列议会一级的法律行动，是需要的。Regulation,在全球范围内，对其他人和私人住宅附近的吸烟进行非规范化的政策举措和运动可以减少这一普遍问题的范围，保护个人免受家庭TSI的侵害，改善人口健康。
方法：我们在2017年对以色列居民（N=285）进行了随机数字拨号调查，检查了频率，来源,的相关性，以及对TSI的态度和潜在的监管选择。合作率为63.9%。
结果：在受访者中，44.7%报告曾经经历过家庭TSI，多单元住房（MUH）居民的风险较高（MUH与私人住宅：aOR（调整后赔率比）：3.60，CI（置信区间）：[1.96，6.58]，p<.001)。大多数受访者(69.8%)，包括近一半的吸烟者，个人在公寓里呼吸无烟空气的权利优先于吸烟者在公寓里吸烟的权利。女性和非吸烟者更有可能支持呼吸无烟空气的权利（女性与男性：aOR：2.77CI：[1.48,5.16]，p=.001；非吸烟者与吸烟者：OR：3.21CI[1.59，6.48]，p=.001）。然而,只有约四分之一(24.8%)曾经历过TSI的受访者向吸烟的邻居提出了这个问题，邻居的房东，或者建筑委员会.绝大多数(85.2%)的受访者，包括四分之三的吸烟者,支持多单元住房(MUH)的无烟立法，那些曾经接触过TSI和不吸烟者的人更有可能支持立法(曾经接触过与从未接触过的aOR=2.99，CI[1.28，6.97]，p=0.011；不吸烟者与吸烟者的aOR=3.00，CI[1.28，7.01]，p=0.011)。
结论：在研究参与者中，烟草烟雾入侵是常见的，但不受欢迎的经验。大多数受访者认为，在自己的公寓里呼吸无烟空气的权利取代了邻居在家中任何地方吸烟的权利，以及大多数支持的防止TSI的立法。虽然需要进一步的研究来更好地了解TSI及其预防的有效方法，我们的研究结果表明，政策干预，包括最高法院和/或以色列议会一级的法律行动，是需要的。Regulation,在全球范围内，对其他人和私人住宅附近的吸烟进行非规范化的政策举措和运动可以减少这一普遍问题的范围，保护个人免受家庭TSI的侵害，改善人口健康。
