PDF(Pubmed)
Abstract：
CONCLUSIONS: For decades, tobacco advertisements and promotions have been common in mass media and public places in China. In 2015, China amended the Advertising Law to prohibit the distribution of tobacco advertising, while also initiating waves of tobacco control media campaigns. This study investigates the associations between exposure to anti- and pro-smoking messages, smoking status, and people\'s smoking-related beliefs and willingness to support tobacco control policies.
METHODS: A secondary data analysis was performed with the 2018 Global Adult Tobacco Survey of 19,376 adults aged ≥15 years in China. Anti- and pro-smoking message exposures were measured as the sum of sources (media or places) where respondents have seen the messages. Multivariable logistic regression analyses were conducted to examine the relationships among smoking status, message exposure, and the outcome variables (health harm beliefs, support for increasing tax on cigarettes, support for using part of the increased tax on tobacco control) controlling for smoking status and demographic differences.
RESULTS: Overall, 63.3% of the respondents reported being exposed to anti-smoking messages from at least 1 source, while 18.1% were exposed to pro-smoking messages from at least 1 source. Adults who currently, formerly, and never smoked differed in their beliefs about smoking and willingness to support tobacco control policies. Greater reported exposure to anti-smoking messages was positively associated with belief that smoking is harmful, support for increased cigarette tax, and support for using increased tax revenue for tobacco control measures. Meanwhile, greater reported exposure to pro-smoking messages was negatively related to willingness to support cigarette tax increases.
CONCLUSIONS: While national and local tobacco control campaigns in China have reached a large proportion of the adult population, there is still room for improvement. China might consider expanding anti-tobacco campaigns, as reported exposure to these messages is associated with increased public awareness of the health hazards of smoking and support for increasing cigarette taxes.
METHODS: A secondary data analysis was performed with the 2018 Global Adult Tobacco Survey of 19,376 adults aged ≥15 years in China. Anti- and pro-smoking message exposures were measured as the sum of sources (media or places) where respondents have seen the messages. Multivariable logistic regression analyses were conducted to examine the relationships among smoking status, message exposure, and the outcome variables (health harm beliefs, support for increasing tax on cigarettes, support for using part of the increased tax on tobacco control) controlling for smoking status and demographic differences.
RESULTS: Overall, 63.3% of the respondents reported being exposed to anti-smoking messages from at least 1 source, while 18.1% were exposed to pro-smoking messages from at least 1 source. Adults who currently, formerly, and never smoked differed in their beliefs about smoking and willingness to support tobacco control policies. Greater reported exposure to anti-smoking messages was positively associated with belief that smoking is harmful, support for increased cigarette tax, and support for using increased tax revenue for tobacco control measures. Meanwhile, greater reported exposure to pro-smoking messages was negatively related to willingness to support cigarette tax increases.
CONCLUSIONS: While national and local tobacco control campaigns in China have reached a large proportion of the adult population, there is still room for improvement. China might consider expanding anti-tobacco campaigns, as reported exposure to these messages is associated with increased public awareness of the health hazards of smoking and support for increasing cigarette taxes.
摘要：
结论：几十年来，烟草广告和促销在中国的大众媒体和公共场所已经很普遍。2015年，我国修订《广告法》，禁止烟草广告的发行，同时还发起了一波又一波的控烟媒体运动。这项研究调查了暴露于反吸烟和支持吸烟信息之间的关联，吸烟状况,以及人们与吸烟相关的信念和支持烟草控制政策的意愿。
方法：对2018年中国19,376名≥15岁成年人的全球成人烟草调查进行了二次数据分析。反吸烟和赞成吸烟的信息暴露被测量为受访者看到信息的来源（媒体或地点）的总和。进行了多变量逻辑回归分析，以检查吸烟状况之间的关系，消息曝光，和结果变量(健康危害信念，支持增加香烟税，支持使用部分增加的烟草控制税)控制吸烟状况和人口差异。
结果：总体而言，63.3%的受访者表示接触过至少一种来源的反吸烟信息，而18.1%的人暴露于来自至少一个来源的支持吸烟的信息。成年人目前，以前，他们对吸烟的信念和支持烟草控制政策的意愿不同。报道的更多的反吸烟信息暴露与吸烟有害的信念呈正相关，支持增加香烟税，并支持将增加的税收用于控烟措施。同时,更多报道的吸烟信息与支持卷烟税增加的意愿负相关。
结论：虽然中国的国家和地方控烟运动已经达到了成年人的很大比例，仍有改进的空间。中国可能会考虑扩大反烟运动，据报道，接触这些信息与公众对吸烟危害健康的认识提高以及对增加香烟税的支持有关。
方法：对2018年中国19,376名≥15岁成年人的全球成人烟草调查进行了二次数据分析。反吸烟和赞成吸烟的信息暴露被测量为受访者看到信息的来源（媒体或地点）的总和。进行了多变量逻辑回归分析，以检查吸烟状况之间的关系，消息曝光，和结果变量(健康危害信念，支持增加香烟税，支持使用部分增加的烟草控制税)控制吸烟状况和人口差异。
结果：总体而言，63.3%的受访者表示接触过至少一种来源的反吸烟信息，而18.1%的人暴露于来自至少一个来源的支持吸烟的信息。成年人目前，以前，他们对吸烟的信念和支持烟草控制政策的意愿不同。报道的更多的反吸烟信息暴露与吸烟有害的信念呈正相关，支持增加香烟税，并支持将增加的税收用于控烟措施。同时,更多报道的吸烟信息与支持卷烟税增加的意愿负相关。
结论：虽然中国的国家和地方控烟运动已经达到了成年人的很大比例，仍有改进的空间。中国可能会考虑扩大反烟运动，据报道，接触这些信息与公众对吸烟危害健康的认识提高以及对增加香烟税的支持有关。
