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Article: Association between tobacco industry denormalisation beliefs and support for tobacco endgame policies: a population-based study in Hong Kong

TitleAssociation between tobacco industry denormalisation beliefs and support for tobacco endgame policies: a population-based study in Hong Kong
Authors
Issue Date8-Mar-2024
PublisherBMJ Publishing Group
Citation
Tobacco Control, 2024 How to Cite?
Abstract

Objectives To examine the associations between tobacco industry denormalisation (TID) beliefs and support for tobacco endgame policies.

Methods A total of 2810 randomly selected adult respondents of population-based tobacco policy-related surveys (2018–2019) were included. TID beliefs (agree vs disagree/unsure) were measured by seven items: tobacco manufacturers ignore health, induce addiction, hide harm, spread false information, lure smoking, interfere with tobacco control policies and should be responsible for health problems. Score of each item was summed up and dichotomised (median=5, >5 strong beliefs; ≤5 weak beliefs). Support for tobacco endgame policies on total bans of tobacco sales (yes/no) and use (yes/no) was reported. Associations between TID beliefs and tobacco endgame policies support across various smoking status were analysed, adjusting for sociodemographics.

Results Fewer smokers (23.3%) had strong beliefs of TID than ex-smokers (48.4%) and never smokers (48.5%) (p<0.001). Support for total bans on tobacco sales (74.6%) and use (76.9%) was lower in smokers (33.3% and 35.3%) than ex-smokers (74.3% and 77.9%) and never smokers (76.0% and 78.3%) (all p values<0.001). An increase in the number of TID beliefs supported was positively associated with support for a total ban on sales (adjusted risk ratio 1.06, 95% CI 1.05 to 1.08, p<0.001) and use (1.06, 95% CI 1.05 to 1.07, p<0.001). The corresponding associations were stronger in smokers than non-smokers (sales: 1.87 vs 1.25, p value for interaction=0.03; use: 1.78 vs 1.21, p value for interaction=0.03).

Conclusion Stronger TID belief was associated with greater support for total bans on tobacco sales and use. TID intervention may increase support for tobacco endgame, especially in current smokers.


Persistent Identifierhttp://hdl.handle.net/10722/341685
ISSN
2023 Impact Factor: 4.0
2023 SCImago Journal Rankings: 1.654

 

DC FieldValueLanguage
dc.contributor.authorYao, Ying-
dc.contributor.authorCheung, Yee Tak Derek-
dc.contributor.authorWu, Yongda Socrates-
dc.contributor.authorGuo, Ziqiu-
dc.contributor.authorChan, Sik Kwan-
dc.contributor.authorZhao, Sheng Zhi-
dc.contributor.authorTong, Henry Sau Chai-
dc.contributor.authorLai, Vienna Wai Yin-
dc.contributor.authorLam, Tai Hing-
dc.contributor.authorHo, Sai Yin-
dc.contributor.authorWang, Man Ping-
dc.date.accessioned2024-03-20T06:58:17Z-
dc.date.available2024-03-20T06:58:17Z-
dc.date.issued2024-03-08-
dc.identifier.citationTobacco Control, 2024-
dc.identifier.issn0964-4563-
dc.identifier.urihttp://hdl.handle.net/10722/341685-
dc.description.abstract<p><strong>Objectives</strong> To examine the associations between tobacco industry denormalisation (TID) beliefs and support for tobacco endgame policies.</p><p><strong>Methods</strong> A total of 2810 randomly selected adult respondents of population-based tobacco policy-related surveys (2018–2019) were included. TID beliefs (agree vs disagree/unsure) were measured by seven items: tobacco manufacturers ignore health, induce addiction, hide harm, spread false information, lure smoking, interfere with tobacco control policies and should be responsible for health problems. Score of each item was summed up and dichotomised (median=5, >5 strong beliefs; ≤5 weak beliefs). Support for tobacco endgame policies on total bans of tobacco sales (yes/no) and use (yes/no) was reported. Associations between TID beliefs and tobacco endgame policies support across various smoking status were analysed, adjusting for sociodemographics.</p><p><strong>Results</strong> Fewer smokers (23.3%) had strong beliefs of TID than ex-smokers (48.4%) and never smokers (48.5%) (p<0.001). Support for total bans on tobacco sales (74.6%) and use (76.9%) was lower in smokers (33.3% and 35.3%) than ex-smokers (74.3% and 77.9%) and never smokers (76.0% and 78.3%) (all p values<0.001). An increase in the number of TID beliefs supported was positively associated with support for a total ban on sales (adjusted risk ratio 1.06, 95% CI 1.05 to 1.08, p<0.001) and use (1.06, 95% CI 1.05 to 1.07, p<0.001). The corresponding associations were stronger in smokers than non-smokers (sales: 1.87 vs 1.25, p value for interaction=0.03; use: 1.78 vs 1.21, p value for interaction=0.03).</p><p><strong>Conclusion</strong> Stronger TID belief was associated with greater support for total bans on tobacco sales and use. TID intervention may increase support for tobacco endgame, especially in current smokers.</p>-
dc.languageeng-
dc.publisherBMJ Publishing Group-
dc.relation.ispartofTobacco Control-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleAssociation between tobacco industry denormalisation beliefs and support for tobacco endgame policies: a population-based study in Hong Kong-
dc.typeArticle-
dc.identifier.doi10.1136/tc-2023-058393-
dc.identifier.eissn1468-3318-
dc.identifier.issnl0964-4563-

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