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Public support for tobacco control policies: The role of the protection of children against tobacco
Affiliation:1. Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands;2. Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands;3. Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands;1. Lien Centre for Palliative Care, Duke-NUS Medical School Singapore, Singapore;2. Health Services and Systems Research Programme, Duke-NUS Medical School Singapore, Singapore;3. Department of Renal Medicine, Singapore General Hospital, Singapore;1. Statistics Netherlands, Henri Faasdreef 312, 2492 JP, The Hague, The Netherlands;2. Netherlands Interdisciplinary Demographic Institute (NIDI), Lange Houtstraat 29, 2511 CV The Hague, The Netherlands;1. Belgian Health Care Knowledge Centre, Kruidtuinlaan 55, 1000 Brussels, Belgium;2. Skeletal Biology and Engineering Research Center, Department of Development and Regeneration KU Leuven, Rheumatology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium;3. Orphan Drug Colleges and Commission for advice on temporary reimbursement of a pharmaceutical product, National Institute for Health and Disability Insurance, Brussels, Belgium;1. School of Public Health, University of Adelaide, Level 9, Adelaide Health and Medical Sciences Building, The University of Adelaide, 5005, Australia;2. School of Economics, University of Adelaide, Level 4, 10 Pulteney Street, The University of Adelaide, 5005, Australia;1. Department of Palliative Medicine, Rijeka University Hospital Center, Krešimirova 42, 51000 Rijeka, Croatia;2. Department of Social Medicine and Organization of Health Care, Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Rockefellerova 3, 10000 Zagreb, Croatia;3. Centre for Coordination of Palliative Care of the City of Zagreb, Preradovićeva 17/1, 10000 Zagreb, Croatia;4. European Observatory on Health Systems and Policies, LSE Health and Social Care, Sheffield Street, London WC2A 2AE, United Kingdom
Abstract:IntroductionIn many countries, health advocates aim to increase public support for tobacco control policies by framing these policies in terms of child protection. We examined whether support for the protection of children is indeed associated with support for tobacco control policies, even among smokers, opponents of state intervention and opponents of a governmental role in tobacco control.MethodsWe used a survey on a representative sample of Dutch adults of 18 years and older (n = 1631). The survey measured respondents’ support for banning tobacco displays, raising the age of sale for tobacco to 21 years and limiting tobacco sales to specialized shops. Regression analyses were done to assess the association with respondents’ support for the protection of children against tobacco. In further analyses, subgroup interactions were added.ResultsRespondents’ support for the protection of children against tobacco with legislation was positively related to support for all three policies. Associations were weaker for smokers (except for raising the age of sale) but similar for opponents of state intervention and opponents of a governmental role in tobacco control.ConclusionThis is the first paper to empirically support the idea that emphasizing the need to protect children against tobacco enhances support for tobacco control policies. This ‘child effect’ is effective in all segments of the population, albeit somewhat weaker among smokers.
Keywords:Tobacco control  Public policy  Public support  Advocacy  Prevention
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