Abstract：
OBJECTIVE: To examine the associations between tobacco industry denormalisation (TID) beliefs and support for tobacco endgame policies.
METHODS: A total of 2810 randomly selected adult respondents of population-based tobacco policy-related surveys (2018-2019) were included. TID beliefs (agree vs disagree/unsure) were measured by seven items: tobacco manufacturers ignore health, induce addiction, hide harm, spread false information, lure smoking, interfere with tobacco control policies and should be responsible for health problems. Score of each item was summed up and dichotomised (median=5, >5 strong beliefs; ≤5 weak beliefs). Support for tobacco endgame policies on total bans of tobacco sales (yes/no) and use (yes/no) was reported. Associations between TID beliefs and tobacco endgame policies support across various smoking status were analysed, adjusting for sociodemographics.
RESULTS: Fewer smokers (23.3%) had strong beliefs of TID than ex-smokers (48.4%) and never smokers (48.5%) (p<0.001). Support for total bans on tobacco sales (74.6%) and use (76.9%) was lower in smokers (33.3% and 35.3%) than ex-smokers (74.3% and 77.9%) and never smokers (76.0% and 78.3%) (all p values<0.001). An increase in the number of TID beliefs supported was positively associated with support for a total ban on sales (adjusted risk ratio 1.06, 95% CI 1.05 to 1.08, p<0.001) and use (1.06, 95% CI 1.05 to 1.07, p<0.001). The corresponding associations were stronger in smokers than non-smokers (sales: 1.87 vs 1.25, p value for interaction=0.03; use: 1.78 vs 1.21, p value for interaction=0.03).
CONCLUSIONS: Stronger TID belief was associated with greater support for total bans on tobacco sales and use. TID intervention may increase support for tobacco endgame, especially in current smokers.
METHODS: A total of 2810 randomly selected adult respondents of population-based tobacco policy-related surveys (2018-2019) were included. TID beliefs (agree vs disagree/unsure) were measured by seven items: tobacco manufacturers ignore health, induce addiction, hide harm, spread false information, lure smoking, interfere with tobacco control policies and should be responsible for health problems. Score of each item was summed up and dichotomised (median=5, >5 strong beliefs; ≤5 weak beliefs). Support for tobacco endgame policies on total bans of tobacco sales (yes/no) and use (yes/no) was reported. Associations between TID beliefs and tobacco endgame policies support across various smoking status were analysed, adjusting for sociodemographics.
RESULTS: Fewer smokers (23.3%) had strong beliefs of TID than ex-smokers (48.4%) and never smokers (48.5%) (p<0.001). Support for total bans on tobacco sales (74.6%) and use (76.9%) was lower in smokers (33.3% and 35.3%) than ex-smokers (74.3% and 77.9%) and never smokers (76.0% and 78.3%) (all p values<0.001). An increase in the number of TID beliefs supported was positively associated with support for a total ban on sales (adjusted risk ratio 1.06, 95% CI 1.05 to 1.08, p<0.001) and use (1.06, 95% CI 1.05 to 1.07, p<0.001). The corresponding associations were stronger in smokers than non-smokers (sales: 1.87 vs 1.25, p value for interaction=0.03; use: 1.78 vs 1.21, p value for interaction=0.03).
CONCLUSIONS: Stronger TID belief was associated with greater support for total bans on tobacco sales and use. TID intervention may increase support for tobacco endgame, especially in current smokers.
摘要：
目的：研究烟草行业非规范化（TID）信念与对烟草残局政策的支持之间的关联。
方法：共有2810名随机选择的基于人群的烟草政策相关调查（2018-2019年）的成年受访者被纳入研究。TID信念（同意与不同意/不确定）由七个项目来衡量：烟草制造商忽视健康，诱导成瘾，隐藏伤害，传播虚假信息,引诱吸烟,干预烟草控制政策，应对健康问题负责。对每个项目的得分进行汇总和二分（中位数=5，>5个坚定信念；≤5个弱信念）。报告了对完全禁止烟草销售（是/否）和使用（是/否）的烟草残局政策的支持。分析了TID信念与跨各种吸烟状况的烟草残局政策支持之间的关联，适应社会人口统计学。
结果：有强烈TID信念的吸烟者（23.3%）比戒烟者（48.4%）和从不吸烟者（48.5%）少（p<0.001）。吸烟者对烟草销售(74.6%)和烟草使用(76.9%)的支持低于戒烟者(33.3%和35.3%)和从不吸烟者(76.0%和78.3%)(所有p值<0.001)。支持的TID信念数量的增加与支持全面禁止销售（调整风险比1.06，95％CI1.05至1.08，p<0.001）和使用（1.06，95％CI1.05至1.07，p<0.001）呈正相关。吸烟者的相应关联比非吸烟者更强（销售额：1.87vs1.25，相互作用的p值=0.03；使用：1.78vs1.21，相互作用的p值=0.03）。
结论：更强的TID信念与对全面禁止烟草销售和使用的更大支持相关。TID干预可能会增加对烟草残局的支持，尤其是目前的吸烟者。
方法：共有2810名随机选择的基于人群的烟草政策相关调查（2018-2019年）的成年受访者被纳入研究。TID信念（同意与不同意/不确定）由七个项目来衡量：烟草制造商忽视健康，诱导成瘾，隐藏伤害，传播虚假信息,引诱吸烟,干预烟草控制政策，应对健康问题负责。对每个项目的得分进行汇总和二分（中位数=5，>5个坚定信念；≤5个弱信念）。报告了对完全禁止烟草销售（是/否）和使用（是/否）的烟草残局政策的支持。分析了TID信念与跨各种吸烟状况的烟草残局政策支持之间的关联，适应社会人口统计学。
结果：有强烈TID信念的吸烟者（23.3%）比戒烟者（48.4%）和从不吸烟者（48.5%）少（p<0.001）。吸烟者对烟草销售(74.6%)和烟草使用(76.9%)的支持低于戒烟者(33.3%和35.3%)和从不吸烟者(76.0%和78.3%)(所有p值<0.001)。支持的TID信念数量的增加与支持全面禁止销售（调整风险比1.06，95％CI1.05至1.08，p<0.001）和使用（1.06，95％CI1.05至1.07，p<0.001）呈正相关。吸烟者的相应关联比非吸烟者更强（销售额：1.87vs1.25，相互作用的p值=0.03；使用：1.78vs1.21，相互作用的p值=0.03）。
结论：更强的TID信念与对全面禁止烟草销售和使用的更大支持相关。TID干预可能会增加对烟草残局的支持，尤其是目前的吸烟者。
