Implementation of MPOWER policy in China:perceived differences of policy implementation and its impact on smoking behavior and quitting intentions
10.3969/j.issn.1672-8467.2025.05.002
- VernacularTitle:MPOWER政策在中国的实施:不同社会群体间的感知差异及其对吸烟行为与戒烟意愿的影响
- Author:
Si-yi WU
1
;
Chen-yu QIAN
1
;
Yu-chen ZHAO
1
;
Wen-jie GUO
1
;
Wei-yun ZHU
1
;
Pin-pin ZHENG
1
Author Information
1. 复旦大学公共卫生学院预防医学与健康教育教研室 上海 200032
- Publication Type:Journal Article
- Keywords:
tobacco control;
MPOWER;
smoke-free policies;
policy equality
- From:
Fudan University Journal of Medical Sciences
2025;52(5):629-638
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the implementation of MPOWER tobacco control policies in different regions and populations in China,as well as the impact of perceptions of tobacco control policies on individual smoking behavior and quit intentions,to promote the fairness of policy implementation and protection for vulnerable groups.Methods A multivariable regression model was constructed utilizing raw data from the China Adult Tobacco Survey to analyze disparities in perceived MPOWER policy implementation among various social demographics and its impact on smoking behavior and quitting intentions.Results Regarding protection from tobacco smoke(P),local economic level,urban-rural divide were significantly correlated with awareness of comprehensive smoking bans.For offering help to quit smoking(O),local tobacco industry revenue and individual age were associated with the doctor's advice for quitting.As to the warning about the harm of tobacco(W),economic level,geography and urban-rural disparity were correlated with the visibility of health warnings.About the tobacco advertising,promotion and sponsorship(E),geography was related to the exposure to tobacco advertisements,local tobacco industry revenue was associated with the tobacco promotion.For tobacco taxes(R),education level and age were significantly correlated with tobacco affordability.People who perceived comprehensive smoking bans(OR=0.69,95%CI:0.59-0.81)was associated with less smoking behavior,while people perceiving tobacco promotional activities(OR=2.51,95%CI:2.00-3.17)were more likely to smoke.Additionally,people who perceived comprehensive smoking bans(OR=1.70,95%CI:1.25-2.31)and health warning(OR=2.09,95%CI:1.48-3.01)had higher intention to quit smoking.Conclusion In economically disadvantaged regions and among specific socially vulnerable groups(such as low-income individuals,rural residents,and the elderly)in China,the perception of tobacco control policy implementation is relatively low,the perception of tobacco control policies can influence smoking behavior and quitting intentions.Legislative and enforcement efforts should be increased targeting these groups with lower perceptions of the policies to enhance the fairness of tobacco control measures.
