成人对于控烟策略和儿童烟草暴露的态度和行为
2018/01/15
背景和研究目的：自2000年以来，控烟措施已经较大程度改善国家和地区儿童烟草暴露。本研究旨在评价在公共和私人场所2000~2015年之间控烟态度和行为的改变，同时评价儿科医生和家庭医生对于烟草暴露问题的筛查和建议。
方法：分析年度控烟调查报告交叉数据
结果：2000年家庭禁烟比例为69.3%，而到了2015年升至79.5%（p<0.05）。车内禁烟则从68.1%增加至81.8%（p<0.05）。越来越多成人支持公共场所禁烟政策，而医务人员提供控烟咨询比例也有所增加。然而，仍有20%家庭允许室内和车内吸烟，而超过半数美国人未受到国家或地区接待场所禁烟的法律保护。
总结：尽管自2000年以来控烟取得巨大进步，但研究数据仍提示医务人员可以努力的方向帮助家庭和社会提高对于儿童免于烟草暴露保护的努力。
（Pediatrics. 2018 Jan;141(Suppl 1):S21-S29. doi: 10.1542/peds.2017-1026F.）
Adult Attitudes and Practices Regarding Smoking Restrictions and Child Tobacco Smoke Exposure: 2000 to 2015.
Pediatrics. 2018 Jan;141(Suppl 1):S21-S29. doi: 10.1542/peds.2017-1026F.
McMillen R, Wilson K, Tanski S, Klein JD, Winickoff JP.
Abstract
BACKGROUND AND OBJECTIVES:Since 2000, tobacco control efforts have greatly increased state and local protections from childhood tobacco smoke exposure. The objective of this study is to examine changes in attitudes and practices regarding smoking bans in multiple public and private settings from 2000 to 2015, as well as to examine the changes in pediatrician and family practitioner screening and counseling for tobacco smoke exposure.
METHODS:Cross-sectional data from the annual Social Climate Survey of Tobacco Control were analyzed.
RESULTS:The majority of adults, 69.3%, reported household smoking restrictions in 2000, and these restrictions increased to 79.5% through 2015 (P < .05). Car smoking prohibitions increased from 68.3% to 81.8% (P < .05). A growing majority of adults supports smoke-free policies in public settings, and tobacco counseling by child health care providers also increased. However, members of 1 in 5 households still permit smoking inside the home and family vehicle, and half of the US population is not protected by state or local laws prohibiting smoking inside of hospitality venues.
CONCLUSIONS:Despite dramatic progress since 2000, these trend data reveal potential areas where child health care clinicians might focus effort at the family and community level to accelerate the protection of children from tobacco smoke exposure.
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中国医院儿科实施控烟辅助措施：一项可行性研究
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