Cessation behaviours among smokers of menthol and flavoured cigarettes following the implementation of the EU Tobacco Products Directive: findings from the EUREST-PLUS ITC Europe Surveys

Mateusz Zatoński^{1

2

3}, Aleksandra Herbeć^{1

4}, Witold Zatoński^{1

3}, Kinga Janik-Koncewicz^{1

3}, Pete Driezen^{5

6}, Tibor Demjén⁷, Esteve Fernández^{8

9

10

11}, Geoffrey T Fong^{5

6

12}, Anne C K Quah⁵, Christina N Kyriakos^{12

13}, Ann McNeill¹⁴, Marc Willemsen¹⁵, Ute Mons¹⁶, Yannis Tountas¹⁷, Antigona C Trofor^{18

19}, Constantine I Vardavas^{13

20

21}, Krzysztof Przewoźniak^{1

22

23}; EUREST-PLUS Consortium

Collaborators, Affiliations

Collaborators

EUREST-PLUS Consortium:
Constantine I Vardavas, Andrea Glahn, Christina N Kyriakos, Dominick Nguyen, Katerina Nikitara, Cornel Radu-Loghin, Polina Starchenko, Aristidis Tsatsakis, Charis Girvalaki, Chryssi Igoumenaki, Sophia Papadakis, Aikaterini Papathanasaki, Manolis Tzatzarakis, Alexander I Vardavas, Nicolas Bécuwe, Lavinia Deaconu, Sophie Goudet, Christopher Hanley, Oscar Rivière, Tibor Demjén, Judit Kiss, Anna Piroska Kovacs, Esteve Fernández, Yolanda Castellano, Marcela Fu, Sarah O Nogueira, Olena Tigova, Ann McNeill, Katherine East, Sara C Hitchman, Ute Mons, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Paraskevi Katsaounou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, Antigona Carmen Trofor, Marius Eremia, Lucia Lotrean, Florin Mihaltan, Gernot Rohde, Tamaki Asano, Claudia Cichon, Amy Far, Céline Genton, Melanie Jessner, Linnea Hedman, Christer Janson, Ann Lindberg, Beth Maguire, Sofia Ravara, Valérie Vaccaro, Brian Ward, Marc Willemsen, Hein de Vries, Karin Hummel, Gera E Nagelhout, Witold A Zatoński, Aleksandra Herbeć, Kinga Janik-Koncewicz, Krzysztof Przewoźniak, Mateusz Zatoński, Geoffrey T Fong, Thomas K Agar, Pete Driezen, Shannon Gravely, Anne C K Quah, Mary E Thompson

Affiliations

¹ Health Promotion Foundation, Warsaw, Poland.
² Tobacco Control Research Group, Department for Health, University of Bath, Bath, UK.
³ European Observatory of Health Inequalities, President Stanislaw, Wojciechowski State University of Applied Sciences, Kalisz, Poland.
⁴ Centre for Behaviour Change, Clinical, Educational and Health Psychology, University College London, UK.
⁵ Department of Psychology, University of Waterloo, Waterloo, Canada.
⁶ School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
⁷ Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.
⁸ Cancer Epidemiology and Prevention Department, Catalan Institute of Oncology (ICO), L'Hospitalet de Llobregat, Spain.
⁹ Tobacco Control Unit, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Spain.
¹⁰ School of Medicine and Health Sciences, University of Barcelona (UB), Barcelona, Spain.
¹¹ Consortium for Biomedical Research in Respiratory Diseases (CIBER en Enfermedades Respiratorias, CIBERES), Madrid, Spain.
¹² Ontario Institute for Cancer Research, Toronto, Canada.
¹³ European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.
¹⁴ Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
¹⁵ Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
¹⁶ German Cancer Research Center (DKFZ), Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, Heidelberg, Germany.
¹⁷ Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens (UoA), Athens, Greece.
¹⁸ University of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
¹⁹ Aer Pur Romania, Bucharest, Romania.
²⁰ School of Medicine, University of Crete (UoC), Heraklion, Greece.
²¹ European Respiratory Society, Lausanne, Switzerland.
²² Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
²³ Collegium Civitas, Warsaw, Poland.

PMID: 32918816
PMCID: PMC7526784
DOI: 10.1093/eurpub/ckaa050

Cessation behaviours among smokers of menthol and flavoured cigarettes following the implementation of the EU Tobacco Products Directive: findings from the EUREST-PLUS ITC Europe Surveys

Mateusz Zatoński et al. Eur J Public Health. 2020.

. 2020 Jul 1;30(Suppl_3):iii34-iii37.

doi: 10.1093/eurpub/ckaa050.

Authors

Collaborators

EUREST-PLUS Consortium:
Constantine I Vardavas, Andrea Glahn, Christina N Kyriakos, Dominick Nguyen, Katerina Nikitara, Cornel Radu-Loghin, Polina Starchenko, Aristidis Tsatsakis, Charis Girvalaki, Chryssi Igoumenaki, Sophia Papadakis, Aikaterini Papathanasaki, Manolis Tzatzarakis, Alexander I Vardavas, Nicolas Bécuwe, Lavinia Deaconu, Sophie Goudet, Christopher Hanley, Oscar Rivière, Tibor Demjén, Judit Kiss, Anna Piroska Kovacs, Esteve Fernández, Yolanda Castellano, Marcela Fu, Sarah O Nogueira, Olena Tigova, Ann McNeill, Katherine East, Sara C Hitchman, Ute Mons, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Paraskevi Katsaounou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, Antigona Carmen Trofor, Marius Eremia, Lucia Lotrean, Florin Mihaltan, Gernot Rohde, Tamaki Asano, Claudia Cichon, Amy Far, Céline Genton, Melanie Jessner, Linnea Hedman, Christer Janson, Ann Lindberg, Beth Maguire, Sofia Ravara, Valérie Vaccaro, Brian Ward, Marc Willemsen, Hein de Vries, Karin Hummel, Gera E Nagelhout, Witold A Zatoński, Aleksandra Herbeć, Kinga Janik-Koncewicz, Krzysztof Przewoźniak, Mateusz Zatoński, Geoffrey T Fong, Thomas K Agar, Pete Driezen, Shannon Gravely, Anne C K Quah, Mary E Thompson

Affiliations

¹ Health Promotion Foundation, Warsaw, Poland.
² Tobacco Control Research Group, Department for Health, University of Bath, Bath, UK.
³ European Observatory of Health Inequalities, President Stanislaw, Wojciechowski State University of Applied Sciences, Kalisz, Poland.
⁴ Centre for Behaviour Change, Clinical, Educational and Health Psychology, University College London, UK.
⁵ Department of Psychology, University of Waterloo, Waterloo, Canada.
⁶ School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
⁷ Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.
⁸ Cancer Epidemiology and Prevention Department, Catalan Institute of Oncology (ICO), L'Hospitalet de Llobregat, Spain.
⁹ Tobacco Control Unit, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Spain.
¹⁰ School of Medicine and Health Sciences, University of Barcelona (UB), Barcelona, Spain.
¹¹ Consortium for Biomedical Research in Respiratory Diseases (CIBER en Enfermedades Respiratorias, CIBERES), Madrid, Spain.
¹² Ontario Institute for Cancer Research, Toronto, Canada.
¹³ European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.
¹⁴ Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
¹⁵ Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
¹⁶ German Cancer Research Center (DKFZ), Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, Heidelberg, Germany.
¹⁷ Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens (UoA), Athens, Greece.
¹⁸ University of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
¹⁹ Aer Pur Romania, Bucharest, Romania.
²⁰ School of Medicine, University of Crete (UoC), Heraklion, Greece.
²¹ European Respiratory Society, Lausanne, Switzerland.
²² Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
²³ Collegium Civitas, Warsaw, Poland.

PMID: 32918816
PMCID: PMC7526784
DOI: 10.1093/eurpub/ckaa050

Abstract

The European Tobacco Products Directive (TPD) introduced a ban on characterizing flavours in cigarettes (2016), including menthol (2020). The longitudinal data analysis of the EUREST-PLUS International Tobacco Control (ITC) Project Europe Surveys (n = 16 534; Wave 1 in 2016 and Wave 2 in 2018) found significant but small declines in the weighted prevalence of menthol (by 0.94%; P = 0.041) and other flavoured cigarette use (by 1.32%; P < 0.001) following the 2016 TPD. The declines tended to be driven primarily by the menthol and flavoured cigarette (MFC) smokers switching to unflavoured tobacco. Cigarette consumption declined between waves, but there were no statistically significant difference in decline between MFC and unflavoured tobacco smokers on smoking and cessation behaviours between the waves.

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References

1. EU. European Tobacco Product Directive 2014. Available at: https://ec.europa.eu/health//sites/health/files/tobacco/docs/dir_201440_....
1. Zatoński M. Evidence-based policy making? The case of Polish opposition to the EU Tobacco Products Directive. J Health Inequal 2016;1:36–9.
1. Herbeć A, Zatoński M, Zatoński WA, et al.Dependence, plans to quit, quitting self-efficacy and past cessation behaviours among menthol and other flavoured cigarette users in Europe: The EUREST-PLUS ITC Europe Surveys. Tob Induc Dis 2018;16:19. - PMC - PubMed
1. Zatonski M, Herbec A, Zatonski W, et al.Characterising smokers of menthol and flavoured cigarettes, their attitudes towards tobacco regulation, and the anticipated impact of the Tobacco Products Directive on their smoking and quitting behaviours: the EUREST-PLUS ITC Europe Surveys. Tob Induc Dis 2018;16:A4. - PMC - PubMed
1. Vardavas CI, Bécuwe N, Demjén T, et al.Study Protocol of European Regulatory Science on Tobacco (EUREST-PLUS): Policy implementation to reduce lung disease. Tob Induc Dis 2018;16:2. - PMC - PubMed

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Cessation behaviours among smokers of menthol and flavoured cigarettes following the implementation of the EU Tobacco Products Directive: findings from the EUREST-PLUS ITC Europe Surveys

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Cessation behaviours among smokers of menthol and flavoured cigarettes following the implementation of the EU Tobacco Products Directive: findings from the EUREST-PLUS ITC Europe Surveys

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