Tobacco control environment: cross-sectional survey of policy implementation, social unacceptability, knowledge of tobacco health harms and relationship to quit ratio in 17 low-income, middle-income and high-income countries
BMJ Open
; 31(7): 01381-01381, 2017. graf, tab
Artigo
em Inglês
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1060424
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
OBJECTIVES:
This study examines in a cross-sectional study 'the tobacco control environment' including tobacco policy implementation and its association with quit ratio.SETTING:
545 communities from 17 high-income, upper-middle, low-middle and low-income countries (HIC, UMIC, LMIC, LIC) involved in the Environmental Profile of a Community's Health (EPOCH) study from 2009 to 2014.PARTICIPANTS:
Community audits and surveys of adults (35-70 years, n=12 953).PRIMARY AND SECONDARY OUTCOMEMEASURES:
Summary scores of tobacco policy implementation (cost and availability of cigarettes, tobacco advertising, antismoking signage), social unacceptability and knowledge were associated with quit ratios (former vs ever smokers) using multilevel logistic regression models.RESULTS:
Average tobacco control policy score was greater in communities from HIC. Overall 56.1% (306/545) of communities had >2 outlets selling cigarettes and in 28.6% (154/539) there was access to cheap cigarettes (80% of participants disapproved youth smoking (95.7% HIC, 57.6% UMIC, 76.3% LMIC and 58.9% LIC). The average knowledge score was >80% in 48.4% of communities (94.6% HIC, 53.6% UMIC, 31.8% LMIC and 35.1% LIC). Summary scores of policy implementation, social unacceptability and knowledge were positively and significantly associated with quit ratio and the associations varied by gender, for example, communities in the highest quintile of the combined scores had 5.0 times the quit ratio in men (Odds ratio (OR) 5·0, 95% CI 3.4 to 7.4) and 4.1 times the quit ratio in women (OR 4.1, 95% CI 2.4 to 7.1)...
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Brasil
Contexto em Saúde:
ODS3 - 3A Fortalecer a implementação da estrutura da Convenção da OMS para o Controle do Tabaco
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Educação, Comunicação, Treinamento e Conscientização da População
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Medidas não Relacionadas ao Preço
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Proteção contra Exposição
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Meta 3.8 Atingir a cobertura universal de saúde
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Meta 3.9: Reduzir o número de mortes por produtos químicos perigosos e contaminação do ar e água do solo
/
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Base de dados:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Poluição por Fumaça de Tabaco
/
Tabagismo
/
Ambientes Livres de Fumo
/
Prevenção do Hábito de Fumar
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Idioma:
Inglês
Revista:
BMJ Open
Ano de publicação:
2017
Tipo de documento:
Artigo
Instituição/País de afiliação:
Dante Pazzanese Institute of Cardiology/BR
/
Department of Cardiology, Westmead Hospital and The George Institute, University of Sydney/AU
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Department of Community Health Sciences and Medicine, Aga Khan University/PK
/
Department of Community Health, University Kebangsaan Malaysia Medical Centre/MY
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Department of Community Medicine, Dr Somervell Memorial CSI Medical College/IN
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Department of Social Medicine, Wroclaw Medical University/PL
/
Division of Epidemiology & Population Health, St John's Medical College & Research Institute/IN
/
Estudios Clinicos Latinoamerica ECLA/AR
/
Faculty of Health Science North, West University Potchefstroom Campus/ZA
/
Faculty of Health Sciences, Simon Fraser University/CA