Tobacco control policies and the multidimensional context of tobacco use by gender: The case of Türkiye

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-08-01 DOI:10.1002/hpm.3835

Ebru Caglayan-Akay, Merve Ertok-Onurlu, Fulden Komuryakan

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引用次数: 0

Abstract

Objective

This study aims to determine the indicators of tobacco use in Türkiye within a multidimensional context as socio-demographic, physical, behavioural, and psychological as a response to the tobacco control policies.

Methods

The Turkish Health Survey data in 2014 and 2019 are employed within a probit model approach and the differences in tobacco are decomposed use by gender in order to reveal the gender differences. The samples in 2014 (total n = 19,129; males = 8 721, females = 10,408) and 2019 (total n = 17,084; males = 7 784, females = 9300) were restricted to 15-year-old and above.

Results

The findings indicate that being in the 30–49 age cohort, having lower education, and being married increase the likelihood of tobacco use. Future policies and campaigns should specifically target the single, pre-obese, employed males who consume alcohol. For females, the gender-specific policies should aim to reduce the prevalence of smoking, especially among separated or widows, obese, and out of the labour force. The contribution of mental health indicators on tobacco use has declined over the 5 years, which could be a result of the supportive free health services in Türkiye. The findings provide evidence for a significant and increasing gender difference in tobacco use in Türkiye along with reporting that the most significant contributors to gender differences in tobacco use are alcohol consumption and education level.

Conclusion

Even though the Ministry of Health and the government have been implementing anti-tobacco policies, legislations, and campaigns for years, the tobacco use prevalence has remained high and even increased in Türkiye.

查看原文本刊更多论文

烟草控制政策和按性别划分的烟草使用的多维背景：土耳其案例。

目的：本研究旨在从社会人口、身体、行为和心理等多维度确定土耳其的烟草使用指标：本研究旨在确定土耳其在社会人口、身体、行为和心理等多维背景下的烟草使用指标，作为对烟草控制政策的回应：方法：采用 probit 模型方法对 2014 年和 2019 年土耳其健康调查数据进行分析，并按性别对烟草使用差异进行分解，以揭示性别差异。2014年（总人数=19 129人；男性=8 721人，女性=10 408人）和2019年（总人数=17 084人；男性=7 784人，女性=9 300人）的样本仅限于15岁及以上人群：结果：研究结果表明，30-49 岁年龄组、教育程度较低和已婚会增加吸烟的可能性。未来的政策和运动应特别针对单身、肥胖前、有工作且饮酒的男性。对于女性而言，针对不同性别的政策应旨在降低吸烟率，尤其是在分居或丧偶、肥胖和非劳动力人群中。在过去 5 年中，心理健康指标对吸烟率的影响有所下降，这可能是土耳其免费医疗服务支持的结果。研究结果表明，土耳其烟草使用中的性别差异显著且不断扩大，同时报告称，造成烟草使用中性别差异的最主要因素是饮酒量和教育水平：结论：尽管卫生部和政府多年来一直在实施反烟政策、立法和开展反烟运动，但土耳其的烟草使用率仍然居高不下，甚至有所上升。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.