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
Artículo
en Inglés
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1060424
Biblioteca responsable:
BR79.1
Ubicación: 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:
Disponible
Colección:
Bases de datos nacionales
/
Brasil
Contexto en salud:
ODS3 - Meta 3A Fortalecer la implementación de la estructura de la Convención de la Organización Mundial de la Salud para el Control del Tabaco
/
ODS3 - Salud y Bienestar
Problema de salud:
Educación, Comunicación, Capacitación y Conciencia Pública
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Medidas no Relacionadas con el Precio
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Protección contra la Exposición
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Meta 3.8: Alcanzar cobertura universal de salud
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Meta 3.9: Reducir la cantidad de muertes producidas por químicos peligrosos y la contaminación del aire, agua y suelo
/
Meta 3.5: Prevención y tratamiento del consumo de sustancias psicoactivas
Base de datos:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Asunto principal:
Contaminación por Humo de Tabaco
/
Tabaquismo
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Ambientes Libres de Humo
/
Prevención del Hábito de Fumar
Tipo de estudio:
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Aspecto:
Determinantes sociales de la salud
Idioma:
Inglés
Revista:
BMJ Open
Año:
2017
Tipo del documento:
Artículo
Institución/País de afiliación:
Dante Pazzanese Institute of Cardiology/BR
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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
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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
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Division of Epidemiology & Population Health, St John's Medical College & Research Institute/IN
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Estudios Clinicos Latinoamerica ECLA/AR
/
Faculty of Health Science North, West University Potchefstroom Campus/ZA
/
Faculty of Health Sciences, Simon Fraser University/CA