Is the public ready for a tobacco-free Ireland? A national survey of public knowledge and attitudes to tobacco endgame in Ireland.

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Control Pub Date : 2024-10-19 DOI:10.1136/tc-2023-057958
Ellen Juliet Cosgrave, Martina Blake, Edward Murphy, Aishling Sheridan, Frank Doyle, Paul Kavanagh
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Abstract

Aim: Ireland will not meet the tobacco endgame goal set in its 2013 Tobacco-Free Ireland (TFI) policy of reducing smoking prevalence to less than 5% by 2025. Public opinion on tobacco endgame, a key lever to realise this goal, is uncharted in Ireland. This study aimed to measure public knowledge and attitudes to tobacco endgame.

Methods: A telephone-administered cross-sectional survey of 1000 randomly dialled members of the general public was conducted in 2022. Prevalence of awareness, perceived achievability and support for the TFI goal and tobacco endgame measures was calculated and compared across tobacco product use status. Logistic regression identified factors independently associated with goal support.

Findings: Although TFI goal awareness was low (34.0%), support was high (74.6%), although most (60.2%) believed it achievable beyond 2025. Product-focused measures were popular while support for supply-focused measures was mixed: for example, 86.1% supported nicotine content reduction while 40.3% supported user licencing. Phasing out tobacco sales was highly supported (82.8%); for most, this was contingent on support for currently addicted users. TFI goal support was independently associated with female sex (adjusted odds ratio (aOR) 1.47, 95% CI 1.05 to 2.07), higher education (aOR 1.80, 95% CI 1.21 to 2.66) and non-tobacco product use (aOR 2.67, 95% CI 1.66 to 4.30).

Conclusions: Despite low awareness, tobacco endgame support is strong in Ireland. Public appetite for radically reducing tobacco product appeal and availability combined with public views on endgame achievability subject to extended timelines should be used to re-invigorate tobacco endgame discussion and planning in countries at risk of failing to meet declared targets.

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公众准备好迎接无烟爱尔兰了吗?关于爱尔兰公众对烟草终结者的认识和态度的全国性调查。
目的:爱尔兰将无法实现其 2013 年无烟草爱尔兰(TFI)政策中设定的烟草终局目标,即到 2025 年将吸烟率降至 5%以下。作为实现这一目标的关键杠杆,公众对烟草终结游戏的看法在爱尔兰尚无定论。本研究旨在衡量公众对烟草终局的认识和态度:方法:2022 年对 1000 名随机拨号的普通公众进行了电话横断面调查。计算了公众对烟草终结者目标和烟草终结者措施的认识、可实现性和支持率,并根据烟草制品使用状况进行了比较。逻辑回归确定了与目标支持度独立相关的因素:尽管对 TFI 目标的认知度较低(34.0%),但支持率却很高(74.6%),尽管大多数人(60.2%)认为该目标在 2025 年后仍可实现。以产品为重点的措施很受欢迎,而对以供应为重点的措施的支持则参差不齐:例如,86.1%的人支持减少尼古丁含量,40.3%的人支持向使用者发放许可证。逐步停止烟草销售得到了高度支持(82.8%);对大多数人来说,这取决于对目前上瘾用户的支持。对烟草终局目标的支持与女性性别(调整赔率 (aOR) 1.47,95% CI 1.05 至 2.07)、高等教育程度(aOR 1.80,95% CI 1.21 至 2.66)和非烟草产品使用(aOR 2.67,95% CI 1.66 至 4.30)独立相关:尽管公众对烟草的认知度较低,但爱尔兰公众对烟草终局的支持度很高。公众希望从根本上减少烟草制品的吸引力和供应量,同时公众也认为在延长时限的前提下可以实现最终目标,这些因素应被用来重新推动有可能无法实现既定目标的国家对烟草最终目标的讨论和规划。
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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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