标题:Original quantitative research – Using the intervention ladder to examine policy influencer and general public support for potential tobacco control policies in Alberta and Quebec
摘要:Objective: To assess general public and policy influencer support for population-leveltobacco control policies in two Canadian provinces.Methods: We implemented the Chronic Disease Prevention Survey in 2016 to a censussample of policy influencers (n = 302) and a random sample of members of the public(n = 2400) in Alberta and Quebec, Canada. Survey respondents ranked their supportfor tobacco control policy options using a Likert-style scale, with aggregate responsespresented as net favourable percentages. Levels of support were further analyzed bycoding each policy option using the Nuffield Council on Bioethics intervention ladderframework, to assess its level of intrusiveness on personal autonomy.Results: Policy influencers and the public considered the vast majority of tobacco controlpolicy options as “extremely” or “very” favourable, although policy influencers inAlberta and Quebec differed on over half the policies, with stronger support in Quebec.Policy influencers and the public strongly supported more intrusive tobacco controlpolicy options, despite anticipated effects on personal autonomy (i.e. for policies targetingchildren/youth and emerging tobacco products like electronic cigarettes). They indicatedless support for fiscally based tobacco control policies (i.e. taxation), despite thesepolicies being highly effective.Conclusion: Overall, policy influencers and the general public strongly supportedmore restrictive tobacco control policies. This study further highlights policies wheresupport among both population groups was unanimous (potential “quick wins” forhealth advocates). It also highlights areas where additional advocacy work is requiredto communicate the population-health benefit of tobacco control policies.
关键词:health policy; tobacco control; public opinion; knowledge; attitudes and beliefs;Nuffield intervention ladder; survey research; population studies; Canada