The inclusion of e-cigarettes and heated tobacco products in smoke-free home and car rules: A cross-sectional survey of adults in Armenia and Georgia.

Autor:	Hayrumyan V; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Republic of Armenia., Sargsyan Z; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Republic of Armenia., Torosyan A; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health, Yerevan, Republic of Armenia., Dekanosidze A; Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia.; Tbilisi State Medical University, Tbilisi, Georgia., Grigoryan L; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health, Yerevan, Republic of Armenia., Alayan N; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Republic of Armenia., Kegler MC; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, United States., Sturua L; Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia.; Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia., Petrosyan V; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Republic of Armenia., Bazarchyan A; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health, Yerevan, Republic of Armenia., Haardörfer R; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, United States., Cui Y; Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University., Berg CJ; Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University.; George Washington Cancer Center, George Washington University, Washington, United States.
Jazyk:	angličtina
Zdroj:	Tobacco induced diseases [Tob Induc Dis] 2024 Jun 04; Vol. 22. Date of Electronic Publication: 2024 Jun 04 (Print Publication: 2024).
DOI:	10.18332/tid/189200
Abstrakt:	Introduction: Understanding who includes e-cigarettes and heated tobacco products (HTPs) in smoke-free home or car rules could inform public health interventions, particularly in countries with high smoking prevalence and recently implemented national smoke-free laws, like Armenia and Georgia. Methods: In 2022, we conducted a cross-sectional survey among 1468 adults in 28 Armenian and Georgian communities (mean age=42.92 years; 51.4% female, 31.6% past-month smoking). Multilevel regression (accounting for clustering within communities; adjusted for sociodemographics and cigarette use) examined e-cigarette/HTP perceptions (risk, social acceptability) and use intentions in relation to: 1) including e-cigarettes/HTPs in home and car rules among participants with home and car rules, respectively (logistic regressions); and 2) intention to include e-cigarettes/HTPs in home rules (linear regression, 1 = 'not at all' to 7 = 'extremely') among those without home rules. Results: Overall, 72.9% (n=1070) had home rules, 86.5% of whom included e-cigarettes/HTPs; 33.9% (n=498) had car rules, 81.3% of whom included e-cigarettes/HTPs. Greater perceived e-cigarette/HTP risk was associated with including e-cigarettes/HTPs in home rules (AOR=1.28; 95% CI: 1.08-1.50) and car rules (AOR=1.46; 95% CI: 1.14-1.87) and next-year intentions to include e-cigarettes/HTPs in home rules (β=0.38; 95% CI: 0.25-0.50). Lower e-cigarette/HTP use intentions were associated with including e-cigarettes/HTPs in home rules (AOR=0.75; 95% CI: 0.63-0.88). While perceived social acceptability was unassociated with the outcomes, other social influences were: having children and no other household smokers was associated with including e-cigarettes/HTPs in car rules, and having children was associated with intent to include e-cigarettes/HTPs in home rules. Conclusions: Interventions to address gaps in home and car rules might target e-cigarette/HTP risk perceptions. Competing Interests: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. All authors report that since the initial planning of the work C. J. Berg received support from the US Fogarty International Center/National Institutes of Health (NIH) (R01TW010664) and the National Cancer Institute (R01CA278229). Also, C.J. Berg reports that she is supported by other US NIH funding, specifically the National Cancer Institute (R01CA215155, R01CA239178, R01CA278229, MPIs: C.J. Berg and M.C. Kegler; R01CA275066, R21CA261884), the National Institute of Environmental Health Sciences/Fogarty (D43ES030927, MPIs: C.J. Berg and L. Sturua; D43TW012456, MPIs: C.J. Berg and V. Petrosyan), and the National Institute on Drug Abuse (R01DA054751). (© 2024 Hayrumyan V. et al.)
Databáze:	MEDLINE
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