보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제22권2호
  • /
  • Pages.77-95
  • /
  • 2005
  • /
  • 1229-4128(pISSN)
  • /
  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

서울특별시 기초의회 의원들의 흡연규제정책 지지도 및 관련 요인

Predictors of Local Legislators' Support for Tobacco Control Policies in Seoul Metropolitan City

  • 이원영 (중앙대학교 의과대학 예방의학교실)
  • Lee, Weon-Young (Department of Preventive Medicine, College of Medicine, ChungAng University)
  • 발행 : 2005.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study measured the extent of local legislators' support for tobacco control policies and identified the predictors of that. Methods: Local legislators, from 21 Gu in Seoul Metropolitan City, underwent a self-administrated questionaire during the 6-week period from December 1, 2004 to January 15, 2005. Multiple linear regression model was used to assess relationships between five groups of variables(political factors including political ideology, personal characteristics, tobacco experiences, tobacco knowledge, contact with local health officers) and support for tobacco control policies based on an 11-item scale. Results: The rates of support for 'penalizing merchants who sell cigarettes to minors' and 'instituting a law mandating that parents should not smoke in a car when children are present' were highest as 87.5% and 82.0% respectively, and those for 'increasing price of cigarettes' and 'regulating stores that sell cigarettes' were lowest as 52.2% and 51.7% respectively. Support was higher among local legislators who thought government had a duty to promote healthy life styles, knew second-hand smoke could cause lung cancer, knew tobacco caused more deaths than alcohol. Support among ex-smokers and nonsmokers was higher than current smokers. Conclusions: The findings indicate that local legislators who oppose tobacco control measures may not be opposed to tobacco control per se, but are more generally opposed to a government role in health promotion, Thus, Tobacco control advocates need to be more attentive to the way tobacco control issues are framed for particular legislators. Further, they could work to increase tobacco knowledge among local legislators.

키워드

참고문헌

  1. 김광기 외 7명. 알코올소비 빛 음주관련 폐해 통계 지표의 정보화에 관한 연구. 부산: 인제대학교, 2002. 보건복지부 건강증진기금 지원
  2. 박명호. 한국정당정치의 이념적 특성과 변화 전망. 세계지역연구논총 2004;22(2):420-441
  3. 보건복지부. 국가흡연예방 및 금연사업 안내. 서울: 보건복지부, 2005
  4. 성명제, 박노욱. 지방세 세목별 세수추계에 관한 연구. 서울: 조세연구원, 2003
  5. 손해룡. 정부 금연종합대책. 금연운동협의회 주관 금연지도자교육 자료집. 연세대학교 보건대학원, 2003년 3월
  6. 안형식. 보건행정체계. 예방의학편찬위원회 편. 예방의학과 공중보건. 서울: 계축문화사, 2004. 쪽 717-708
  7. 윤석준. 지역사회 보건소 중심의 금연사업 현황과 발전 방향. 지역보건연구회 동계심포지엄자 료집. 고려대학교, 2004년 2월
  8. 이기우. 지방의회와 지방자치단체장간의 관계정립 방안. 자치공론논단집 2003;41-61
  9. 이신호 외 10명. 제3기 지역보건의료계획 현지평가. 서울: 한국보건산업진흥원, 2004
  10. 한국금연운동협의회. 홉연에 의한 질병부담. http://www.kash.or.kr/user/main.asp/leftType=2&mainType=pds41. 2002
  11. Aday LA. Designing and conducting health surveys: a comprehensive guide. San Francisco, CA: Jossey-Bass, 1989
  12. Arno PS, Brank AM, Gostin LO, Morgan J. Tobacco industry strategies to oppose federal regulation. JAMA 1996;275:1258-1262 https://doi.org/10.1001/jama.275.16.1258
  13. Ashley MJ et al. Knowledge about tobacco and attitudes toward tobacco control: How different are smokers and nonsmokers? Canadian Journal of Public Health 2000; 91(5):376-380
  14. Cohen JE et al. State Legislator's Perceptions of Lobbyists and Lobbying on Tobacco Control Issues. Tobacco Control 1997;6: 332-336 https://doi.org/10.1136/tc.6.4.332
  15. Cohen JE et al. Political ideology and tobacco control. Tobacco Control 2000;9:263-267 https://doi.org/10.1136/tc.9.3.263
  16. Cohen JE et al. Predictors of Canadian legislators' support for tobacco control policies. Social Science & Medicine 2002; 55:1069-1076 https://doi.org/10.1016/S0277-9536(01)00244-1
  17. Flynn BS et al. Predictors of state legislator's intention to vote for cigarette tax increases. Preventive Medicine 1998;27:157-165 https://doi.org/10.1006/pmed.1998.0308
  18. Glantz SA. Samuels B. The politics of local tobacco control. JAMA 1991;266(15):2210-2217
  19. Glantz SA, Begay ME. Tobacco industry campaign contributions are affecting tobacco control policy-making in california. JAMA 1994;272(15):1176-1182 https://doi.org/10.1001/jama.272.15.1176
  20. Goldstein AO et al. State legislators' attitudes and voting intension toward tobacco control legislation. Am J of Public Health 1997; 87(7):1197-1200 https://doi.org/10.2105/AJPH.87.7.1197
  21. Guia NA et al. How provincial and territorial legislators view tobacco and tobacco control: finding from a canadian study. Chronic Diseaes in Canada 2000;19(2): 20-27
  22. Hahn EJ, Tomey CP, Rayens MK, McCoy CA. Kentucky legislators' views on tobaccopolicy. Am J Prev Med 1999;16(2):81-84 https://doi.org/10.1016/S0749-3797(98)00134-2
  23. Howard KA et al. Opinion leaders' support for tobacco control policies and participation in tobacco control activities. Am J Public Health 2000;90(8):1282-1287
  24. IngeIhart R, Klingermann H. Party identification, ideological preference, and the left-right dimension among western mass publics. London, England: John Wiley & Sons, 1976
  25. Jacobson PD, Wasserman J, Raube K. The politics of antismoking legislation. J of Health Politics, Policy, and Law 1993; 18(4):787-819
  26. Jacobson PD, Wasserman J. The implementation and enforcement of tobacco control laws: policy implications for activists and the industry. Journal of Health Politics, Policy and Law 1994;24(3):567-594
  27. Jacobson PD, Wasserman J, Anderson JR. Historical overview of tobacco legislation and regulation. J Soc Issues 1997;53:75-95 https://doi.org/10.1111/0022-4537.619976
  28. McAllister I. Public opinion in Australia on restricting smoking in public places. Tobacco Control 1995;4:30-35 https://doi.org/10.1136/tc.4.1.30
  29. Menashe CL, Siegel M. The power of frame: An analysis of newspaper coverage of a national policy debate, 1997-1998. J Health Commun 1998;3:307-325
  30. Moore S, Wolfe SM, Lindes D, Douglas CE. Epidemiology and failed tobacco control legislation. JAMA 1994;272(15):1171-1175 https://doi.org/10.1001/jama.272.15.1171
  31. Novotny TE, Romano RA, Davis RM, Mills SL. The public health practice of tobacco control: lessons learned and directions for the states in the 1990s. Ann Rev Public Health 1992;13:287-318 https://doi.org/10.1146/annurev.pu.13.050192.001443
  32. Tesh SN. Hidden arguments: political ideology and disease prevention policy. New Brunswick, New Jersey: Rutgers University Press, 1988
  33. The World Bank. Curbing the epidemic; governments and the economics of tobacco control. Washington DC: The International Bank for Reconstruction and Development, 1999
  34. U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Georgia: U.S. DHHS, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, office on Smoking and Health, 2000