Beyond the European Union Tobacco Products Directive: smokers' and recent quitters' support for further tobacco control measures (2016-2018)

Sarah O Nogueira^{1

2

3}, Pete Driezen^{4

5}, Marcela Fu^{1

2

3

6}, Sara C Hitchman⁷, Olena Tigova^{1

2

3

6}, Yolanda Castellano^{1

2

3

6}, Christina N Kyriakos^{8

9}, Mateusz Zygmunt Zatoński^{10

11

12}, Ute Mons^{13

14}, Anne C K Quah⁴, Tibor Demjén¹⁵, Antigona Carmen Trofor^{16

17}, Krzysztof Przewozniak^{11

18

19}, Paraskevi Katsaounou²⁰, Geoffrey Fong^{4

5

21}, Constantine I Vardavas^{9

22}, Esteve Fernández^{23

2

3

6}; EUREST-PLUS Consortium

Collaborators, Affiliations

Collaborators

EUREST-PLUS Consortium:
Andrea Glahn, 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, Judit Kiss, Anna Piroska Kovacs, Ann McNeill, Katherine East, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, 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, Thomas K Agar, Shannon Gravely, Mary E Thompson

Affiliations

¹ Tobacco Control Unit, Cancer Epidemiology and Prevention Programme, Institut Catala d' Oncologia (ICO), L'Hospitalet de Llobregat, Catalunya, Spain.
² School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Catalunya, Spain.
³ Tobacco Control Research Group, Epidemiology and Public Health Programme (EPIBELL), Institut d'Investigació Biomèdica Mèdica (IDIBELL), Barcelona, Catalonia, Spain.
⁴ Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada.
⁵ School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
⁶ Consortium for Biomedical Research in Respiratory Diseases (CIBERES), Madrid, Spain.
⁷ Department of Addictions, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
⁸ Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, London, UK.
⁹ European Network for Smoking and Tobacco Prevention, Brussels, Brussels, Belgium.
¹⁰ Tobacco Control Research Group, Department for Health, University of Bath, Bath, UK.
¹¹ Health Promotion Foundation, Warsaw, Poland.
¹² Institute - European Observatory of Health Inequalities, Calisia University, Kalisz, Poland.
¹³ Heart Center, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
¹⁴ Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Centre, Heidelberg, Germany.
¹⁵ Smoking or Health Hungarian Foundation, Budapest, Hungary.
¹⁶ University of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
¹⁷ Aer Pur Romania, Bucharest, Romania.
¹⁸ Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
¹⁹ Collegium Civitas, Warsaw, Poland.
²⁰ Pulmonary and Critical Care Department, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
²¹ Ontario Institute for Cancer Research, Toronto, Ontario, Canada.
²² Laboratory of Toxicology, School of Medicine, University of Crete, Heraklion, Crete, Greece.
²³ Tobacco Control Unit, Cancer Epidemiology and Prevention Programme, Institut Catala d' Oncologia (ICO), L'Hospitalet de Llobregat, Catalunya, Spain efernandez@iconcologia.net.

PMID: 33727255
DOI: 10.1136/tobaccocontrol-2020-056177

Beyond the European Union Tobacco Products Directive: smokers' and recent quitters' support for further tobacco control measures (2016-2018)

Sarah O Nogueira et al. Tob Control. 2022 Nov.

. 2022 Nov;31(6):765-769.

doi: 10.1136/tobaccocontrol-2020-056177. Epub 2021 Mar 16.

Authors

Collaborators

EUREST-PLUS Consortium:
Andrea Glahn, 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, Judit Kiss, Anna Piroska Kovacs, Ann McNeill, Katherine East, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, 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, Thomas K Agar, Shannon Gravely, Mary E Thompson

Affiliations

¹ Tobacco Control Unit, Cancer Epidemiology and Prevention Programme, Institut Catala d' Oncologia (ICO), L'Hospitalet de Llobregat, Catalunya, Spain.
² School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Catalunya, Spain.
³ Tobacco Control Research Group, Epidemiology and Public Health Programme (EPIBELL), Institut d'Investigació Biomèdica Mèdica (IDIBELL), Barcelona, Catalonia, Spain.
⁴ Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada.
⁵ School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
⁶ Consortium for Biomedical Research in Respiratory Diseases (CIBERES), Madrid, Spain.
⁷ Department of Addictions, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
⁸ Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, London, UK.
⁹ European Network for Smoking and Tobacco Prevention, Brussels, Brussels, Belgium.
¹⁰ Tobacco Control Research Group, Department for Health, University of Bath, Bath, UK.
¹¹ Health Promotion Foundation, Warsaw, Poland.
¹² Institute - European Observatory of Health Inequalities, Calisia University, Kalisz, Poland.
¹³ Heart Center, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
¹⁴ Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Centre, Heidelberg, Germany.
¹⁵ Smoking or Health Hungarian Foundation, Budapest, Hungary.
¹⁶ University of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
¹⁷ Aer Pur Romania, Bucharest, Romania.
¹⁸ Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
¹⁹ Collegium Civitas, Warsaw, Poland.
²⁰ Pulmonary and Critical Care Department, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
²¹ Ontario Institute for Cancer Research, Toronto, Ontario, Canada.
²² Laboratory of Toxicology, School of Medicine, University of Crete, Heraklion, Crete, Greece.
²³ Tobacco Control Unit, Cancer Epidemiology and Prevention Programme, Institut Catala d' Oncologia (ICO), L'Hospitalet de Llobregat, Catalunya, Spain efernandez@iconcologia.net.

PMID: 33727255
DOI: 10.1136/tobaccocontrol-2020-056177

Abstract

Background: Several measures recommended by the WHO Framework Convention on Tobacco Control have not been implemented in the European Union, despite changes in the legislation such as the Tobacco Products Directive (TPD). This study aims to understand smokers' and recent quitters' levels of support for tobacco control measures that go beyond the TPD during and after its implementation.

Methods: Data from wave 1 (2016, n=6011) and wave 2 (2018, n=6027) of the EUREST-PLUS International Tobacco Control Policy Evaluation Project Six European Countries Survey, a cohort of adult smokers in Germany, Greece, Hungary, Poland, Romania, Spain were used to estimate the level of support for seven different tobacco control measures, overall and by country.

Results: In 2018, the highest support was for implementing measures to further regulate tobacco products (50.5%) and for holding tobacco companies accountable for the harm caused by smoking (48.8%). Additionally, in 2018, 40% of smokers and recent quitters supported a total ban on cigarettes and other tobacco products within ten years, if assistance to quit smoking is provided. Overall, support for tobacco control measures among smokers and recent quitters after the implementation of the TPD remained stable over time.

Conclusion: There is considerable support among smokers and recent quitters for tobacco control measures that go beyond the current measures implemented. A significant percentage of smokers would support a ban on tobacco products in the future if the government provided assistance to quit smoking. This highlights the importance of implementing measures to increase smoking cessation in conjunction with other policies.

Keywords: end game; public opinion; public policy.

PubMed Disclaimer

Conflict of interest statement

Competing interests: GF has served as an expert witness on behalf of governments in litigation involving the tobacco industry. KP reports grants and personal fees from the Polish League Against Cancer, outside the submitted work.

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

FDN-148477/CIHR/Canada

LinkOut - more resources

Full Text Sources
- HighWire
- Ovid Technologies, Inc.
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Beyond the European Union Tobacco Products Directive: smokers' and recent quitters' support for further tobacco control measures (2016-2018)

Collaborators

Affiliations

Beyond the European Union Tobacco Products Directive: smokers' and recent quitters' support for further tobacco control measures (2016-2018)

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical