Abstract
Introduction
This cross-sectional analysis of the 2020 Health Information National Trends Survey
(N=3,604) examines the associations of personal values with tobacco and alcohol control
policy support, which may inform policy-related communication efforts.
Methods
Respondents selected which of seven value options they considered most important in
their daily life and rated their support for eight proposed tobacco and alcohol control
policies (1=strongly oppose, 5=strongly support). Weighted proportions for each value
were described across sociodemographic characteristics, smoking status, and alcohol
use. Weighted bivariate and multivariable regressions tested associations of values
with mean policy support (alpha=0.89). Analyses occurred from 2021-2022.
Results
The most frequently selected values were “assuring my family is safe and secure” (30.2%),
“being happy” (21.1%) and “making my own decisions” (13.6%). Selected values varied
across sociodemographic and behavioral characteristics. For example, people with lower
education and incomes were overrepresented among those selecting “making my own decisions”
and “keeping myself in good health.” After adjusting for sociodemographics, smoking,
and alcohol use, people selecting family safety (β=0.20, 95%CI 0.06-0.33) or religious connection (β=0.34, 95%CI 0.14-0.54) as most important reported higher policy support than those
selecting making their own decisions, the value associated with the lowest mean policy
support. Mean policy support did not significantly differ across any other value comparisons.
Conclusions
Personal values are associated with support for alcohol and tobacco control policies,
with “making my own decisions” associated with lowest policy support. Future research
and communication efforts may consider aligning tobacco and alcohol control policies
with the idea of supporting autonomy.
Keywords
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Copyright
© 2023 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
