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
Background The European Tobacco Product Directive (TPD) banned the sale of cigarettes with characterizing flavours from May 2017, with an extension for menthol cigarettes until May 2020. This offers a unique opportunity to research the profiles and behaviours of menthol and flavoured cigarette (MFC)...
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| Format: | Article |
| Language: | English |
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European Publishing
2020-10-01
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| Series: | Tobacco Prevention and Cessation |
| Online Access: | https://www.tobaccopreventioncessation.com/Cessation-behaviours-among-smokers-of-menthol-and-flavoured-cigarettes-following,128399,0,2.html |
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| author | Mateusz Zatoński Aleksandra Herbeć Witold Zatoński Kinga Janik-Koncewicz Krzysztof Przewoźniak Tibor Demjén Pete Driezen Esteve Fernández Geoffrey T. Fong Ann McNeill Marc Willemsen Ute Mons Yannis Tountas Antigona C. Trofor Constantine I. Vardavas |
| author_facet | Mateusz Zatoński Aleksandra Herbeć Witold Zatoński Kinga Janik-Koncewicz Krzysztof Przewoźniak Tibor Demjén Pete Driezen Esteve Fernández Geoffrey T. Fong Ann McNeill Marc Willemsen Ute Mons Yannis Tountas Antigona C. Trofor Constantine I. Vardavas |
| author_sort | Mateusz Zatoński |
| collection | DOAJ |
| description | Background
The European Tobacco Product Directive (TPD) banned the sale of cigarettes with characterizing flavours from May 2017, with an extension for menthol cigarettes until May 2020. This offers a unique opportunity to research the profiles and behaviours of menthol and flavoured cigarette (MFC) users in the European Union.
Objectives
To evaluate population-level changes in the cessation behaviours of MFC smokers, and whether they have been modified following the 2016 ban on cigarettes with characterising flavours, and in anticipation of the 2020 ban on menthol cigarettes.
Methods
Longitudinal analysis of smoking status and cessation behaviour among adult smokers of menthol and other flavoured cigarettes between Wave 1 (2016, pre-TPD) and Wave 2 (2018) of the EUREST-PLUS ITC Europe Surveys.
Results
There were significant but small declines in the weighted prevalence of menthol (by 0.94%; p=0.041) and other flavoured cigarettes (by 1.32%; p<0.001) use between Wave 1 and Wave 2, which tended to be driven by smokers switching to unflavoured tobacco, rather than quitting smoking. A narrow majority (51.6%) of menthol smokers did not change their preferred product, while 22.8% switched to unflavoured tobacco. Among other flavoured cigarette smokers, 11% did not change their preferred product, while 62.3% switched to unflavoured tobacco. Among smokers of menthol cigarettes, 14% quit smoking between Waves 1 and 2, compared with 9% among other flavoured cigarette smokers, and 12% among unflavoured tobacco smokers, but the differences were non-significant.
Conclusions
Continued monitoring is needed to ascertain the long-term impact of TPD, including if the MFC smokers who moved to unflavoured cigarettes will be more likely to quit as a next step. There remains an opportunity for tobacco control prior to the implementation of the 2020 ban on menthol cigarettes. Countries with high menthol use should strengthen stop-smoking campaigns alongside the menthol cigarette ban to aid cessation. |
| first_indexed | 2024-03-08T09:23:51Z |
| format | Article |
| id | doaj.art-3e7fc121043647c5b9d1205d5a015df8 |
| institution | Directory Open Access Journal |
| issn | 2459-3087 |
| language | English |
| last_indexed | 2024-03-08T09:23:51Z |
| publishDate | 2020-10-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Prevention and Cessation |
| spelling | doaj.art-3e7fc121043647c5b9d1205d5a015df82024-01-31T10:31:15ZengEuropean PublishingTobacco Prevention and Cessation2459-30872020-10-016Supplement10.18332/tpc/128399128399Cessation behaviours among smokers of menthol and flavoured cigarettes following the implementation of the EU Tobacco Products Directive: Findings from the EUREST-PLUS ITC Europe SurveysMateusz Zatoński0Aleksandra Herbeć1Witold Zatoński2Kinga Janik-Koncewicz3Krzysztof Przewoźniak4Tibor Demjén5Pete Driezen6Esteve Fernández7Geoffrey T. Fong8Ann McNeill9Marc Willemsen10Ute Mons11Yannis Tountas12Antigona C. Trofor13Constantine I. Vardavas14Health Promotion Foundation, Warsaw, PolandHealth Promotion Foundation, Warsaw, PolandHealth Promotion Foundation, Warsaw, PolandEuropean Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, PolandFoundation ‘Smart Health - Health in 3D’, Warsaw, PolandDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaCatalan Institute of Oncology, L’Hopitalet de Llobregat, Barcelona, SpainDepartment of Psychology, University of Waterloo, Waterloo, CanadaAddictions Department, Kings College London, London, United KingdomDepartment of Health Promotion, Maastricht University (CAPHRI), Maastricht, NetherlandsGerman Cancer Research Center, Heidelberg, GermanyMedical School, University of Athens, Athens, GreeceUniversity of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Iasi, RomaniaSchool of Medicine, University of Crete, Heraklion, GreeceBackground The European Tobacco Product Directive (TPD) banned the sale of cigarettes with characterizing flavours from May 2017, with an extension for menthol cigarettes until May 2020. This offers a unique opportunity to research the profiles and behaviours of menthol and flavoured cigarette (MFC) users in the European Union. Objectives To evaluate population-level changes in the cessation behaviours of MFC smokers, and whether they have been modified following the 2016 ban on cigarettes with characterising flavours, and in anticipation of the 2020 ban on menthol cigarettes. Methods Longitudinal analysis of smoking status and cessation behaviour among adult smokers of menthol and other flavoured cigarettes between Wave 1 (2016, pre-TPD) and Wave 2 (2018) of the EUREST-PLUS ITC Europe Surveys. Results There were significant but small declines in the weighted prevalence of menthol (by 0.94%; p=0.041) and other flavoured cigarettes (by 1.32%; p<0.001) use between Wave 1 and Wave 2, which tended to be driven by smokers switching to unflavoured tobacco, rather than quitting smoking. A narrow majority (51.6%) of menthol smokers did not change their preferred product, while 22.8% switched to unflavoured tobacco. Among other flavoured cigarette smokers, 11% did not change their preferred product, while 62.3% switched to unflavoured tobacco. Among smokers of menthol cigarettes, 14% quit smoking between Waves 1 and 2, compared with 9% among other flavoured cigarette smokers, and 12% among unflavoured tobacco smokers, but the differences were non-significant. Conclusions Continued monitoring is needed to ascertain the long-term impact of TPD, including if the MFC smokers who moved to unflavoured cigarettes will be more likely to quit as a next step. There remains an opportunity for tobacco control prior to the implementation of the 2020 ban on menthol cigarettes. Countries with high menthol use should strengthen stop-smoking campaigns alongside the menthol cigarette ban to aid cessation.https://www.tobaccopreventioncessation.com/Cessation-behaviours-among-smokers-of-menthol-and-flavoured-cigarettes-following,128399,0,2.html |
| spellingShingle | Mateusz Zatoński Aleksandra Herbeć Witold Zatoński Kinga Janik-Koncewicz Krzysztof Przewoźniak Tibor Demjén Pete Driezen Esteve Fernández Geoffrey T. Fong Ann McNeill Marc Willemsen Ute Mons Yannis Tountas Antigona C. Trofor Constantine I. Vardavas 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 Tobacco Prevention and Cessation |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://www.tobaccopreventioncessation.com/Cessation-behaviours-among-smokers-of-menthol-and-flavoured-cigarettes-following,128399,0,2.html |
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