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Int. J. Environ. Res. Public Health 2017, 14(6), 634; doi:10.3390/ijerph14060634

Providing a Clean Environment for Adolescents: Evaluation of the Tobacco Hazards Prevention Act in Taiwan

1
Department of Respiratory Care and Graduate Institute of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City 61363, Chiayi, Taiwan
2
Nursing Department, National Tainan Junior College of Nursing, Tainan 700, Taiwan
3
Graduate Institute of Nursing, Chang Gung University of Science and Technology, Chiayi Campus and Chiayi Chang Gung Memorial Hospital, Puzi City 61363, Chiayi, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 14 May 2017 / Revised: 31 May 2017 / Accepted: 10 June 2017 / Published: 13 June 2017
(This article belongs to the Collection Health Behavior and Public Health)
View Full-Text   |   Download PDF [303 KB, uploaded 13 June 2017]

Abstract

Cigarette smoking not only damages the health of adolescents, but also contributes to air pollution. The Tobacco Hazards Prevention Act in Taiwan stipulates that cigarettes should not be sold to persons younger than 18 years. Therefore, schools should actively educate students and raise awareness of the Tobacco Hazards Prevention Act to reduce the level of damage to the health of adolescents and maintain good air quality. This study had two main goals: (1) to evaluate the stipulation that no person shall provide tobacco products to persons under the age of 18 and the effects of counseling strategies on store managers confirming customer ages before tobacco sale in southern Taiwan; and (2) to evaluate the situation of tobacco hazard prevention education conducted by school in southern Taiwan. A cross-sectional design was adopted for this study. Study I: The investigation involved an analysis of 234 retailers including convenience stores (n = 70), grocery stores (n = 83), and betel nut stalls (n = 81). The results indicated that among the 234 retailers, 171 (73.1%) of them routinely failed to confirm the buyers’ ages before allowing them to purchase tobacco. The number of retailers who exhibited failure to confirm customer ages before selling tobacco products had decreased from 171 (73.1%) to 59 (25.2%) and that of those who confirmed customer ages before selling tobacco products had increased from 63 (26.9%) to 175 (74.8%) after counseling strategies had been provided, thereby revealing statistical significance (χ2 = 11.26, p < 0.001). Study II: A total of 476 (89.1%) participants had received tobacco hazards prevention education and 58 (10.9%) had not. Among the various residential areas, the highest percentage of participants that did not received tobacco hazards prevention education located in the plane regions (8.4%). The government organizations should continue to adopt counseling strategies to reduce the rate of disobedience of the Tobacco Hazards Prevention Act by selling tobacco products to minors. Schools should pay close attention to tobacco hazard prevention education for junior high school students to ensure that such students are adequately educated about tobacco hazard prevention. View Full-Text
Keywords: tobacco hazards prevention; adolescent; clean environment; health promotion tobacco hazards prevention; adolescent; clean environment; health promotion
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Chen, M.-L.; Chou, L.-N.; Zheng, Y.-C. Providing a Clean Environment for Adolescents: Evaluation of the Tobacco Hazards Prevention Act in Taiwan. Int. J. Environ. Res. Public Health 2017, 14, 634.

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