Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014
Background Smoking is still highly prevalent in Europe. According to the WHO, tobacco control policies vary substantially across countries. The Tobacco Control Scale (TCS) was developed to quantify the implementation of tobacco control policies at country level in Europe. The objective was to asses...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Impact-of-tobacco-control-policies-on-smoking-prevalence-and-quit-ratios-in-27-European,83951,0,2.html |
| _version_ | 1819049058204909568 |
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| author | Ariadna Feliu Luk Joossens Filippos T. Filippidis Geoffrey T. Fong Constantine I. Vardavas Yolanda Castellano Cristina Martinez Esteve Fernández |
| author_facet | Ariadna Feliu Luk Joossens Filippos T. Filippidis Geoffrey T. Fong Constantine I. Vardavas Yolanda Castellano Cristina Martinez Esteve Fernández |
| author_sort | Ariadna Feliu |
| collection | DOAJ |
| description | Background
Smoking is still highly prevalent in Europe.
According to the WHO, tobacco control policies vary substantially across
countries. The Tobacco Control Scale (TCS) was developed to quantify the
implementation of tobacco control policies at country level in Europe. The objective was to assess the impact of
tobacco control policies (quantified by TCS scores) on smoking prevalence and
quit ratios and their relative changes from 2006-2014 in 27 European Union (EU27)
countries.
Methods
We conducted an ecological study at the country level. We
used TCS scores in EU27 in 2007, and the prevalence of tobacco and quit ratios (No.
ex-smokers/ No. ever smokers) data from the Eurobarometer surveys (2006 and
2014 waves). We analysed the relationship between the TCS scores and smoking
prevalence and quit ratios and their relative changes by means of scatter
plots, Spearman rank-correlation coefficients (r sp ), and a multiple
linear regression model
adjusted for all TCS components.
Results
In EU27, the smoking
prevalence decreased by 14% (95%CI:7.3%-20.6%) (2006-2014) and varied from a
relative decrease of 48.9% in Sweden to 0.4% in Bulgaria. The increase in the quit
ratio in EU27 was 19.2% (95%CI:5.4%-33.1%) (2006-2014) and ranged from 125.8%
in Sweden to 4.3% in Bulgaria. The correlation between TCS scores and smoking
prevalence was negative (r sp =-0.444;p=0.02). A positive correlation was observed
between TCS scores and quit ratios in 2014 (r sp =0.373;p=0.06) and
in the relative changes in smoking prevalence (r sp =0.415;p=0.03). The
percentage of smoking prevalence in 2014 explained by all TCS components in the
regression model was 28.9%
Conclusions
European countries with
higher TCS scores, which indicates higher tobacco control efforts, have
lower prevalence of smokers, higher quit ratios, and higher relative decreases
in their smoking prevalence over the last decade. Funding: EC Horizon2020 HCO-6-2015 (EUREST-PLUS
No. 681109); Government of Spain & European Regional Development Fund
(RTICC RD12/0036/0053); Government of Catalonia (2014SGR999). |
| first_indexed | 2024-12-21T11:26:07Z |
| format | Article |
| id | doaj.art-49f08f3e0b1d4bbab31da9ff2e9565a2 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T11:26:07Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-49f08f3e0b1d4bbab31da9ff2e9565a22022-12-21T19:05:40ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8395183951Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014Ariadna Feliu0Luk Joossens1Filippos T. Filippidis2Geoffrey T. Fong3Constantine I. Vardavas4Yolanda Castellano5Cristina Martinez6Esteve Fernández7Institut Català d'Oncologia, Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, SpainAssociation of European Cancer Leagues, BelgiumImperial College London, Department of Primary Care and Public Health, School of Public Health, United KingdomUniversity of Waterloo, Department of Psychology and School of Public Health and Health Systems, CanadaUniversity of Crete, Clinic of Social and Family Medicine, School of Medicine, GreeceInstitut Català d'Oncologia, Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, SpainInstitut Català d'Oncologia, Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, SpainInstitut Català d'Oncologia, Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, SpainBackground Smoking is still highly prevalent in Europe. According to the WHO, tobacco control policies vary substantially across countries. The Tobacco Control Scale (TCS) was developed to quantify the implementation of tobacco control policies at country level in Europe. The objective was to assess the impact of tobacco control policies (quantified by TCS scores) on smoking prevalence and quit ratios and their relative changes from 2006-2014 in 27 European Union (EU27) countries. Methods We conducted an ecological study at the country level. We used TCS scores in EU27 in 2007, and the prevalence of tobacco and quit ratios (No. ex-smokers/ No. ever smokers) data from the Eurobarometer surveys (2006 and 2014 waves). We analysed the relationship between the TCS scores and smoking prevalence and quit ratios and their relative changes by means of scatter plots, Spearman rank-correlation coefficients (r sp ), and a multiple linear regression model adjusted for all TCS components. Results In EU27, the smoking prevalence decreased by 14% (95%CI:7.3%-20.6%) (2006-2014) and varied from a relative decrease of 48.9% in Sweden to 0.4% in Bulgaria. The increase in the quit ratio in EU27 was 19.2% (95%CI:5.4%-33.1%) (2006-2014) and ranged from 125.8% in Sweden to 4.3% in Bulgaria. The correlation between TCS scores and smoking prevalence was negative (r sp =-0.444;p=0.02). A positive correlation was observed between TCS scores and quit ratios in 2014 (r sp =0.373;p=0.06) and in the relative changes in smoking prevalence (r sp =0.415;p=0.03). The percentage of smoking prevalence in 2014 explained by all TCS components in the regression model was 28.9% Conclusions European countries with higher TCS scores, which indicates higher tobacco control efforts, have lower prevalence of smokers, higher quit ratios, and higher relative decreases in their smoking prevalence over the last decade. Funding: EC Horizon2020 HCO-6-2015 (EUREST-PLUS No. 681109); Government of Spain & European Regional Development Fund (RTICC RD12/0036/0053); Government of Catalonia (2014SGR999).http://www.journalssystem.com/tid/Impact-of-tobacco-control-policies-on-smoking-prevalence-and-quit-ratios-in-27-European,83951,0,2.htmlWCTOH |
| spellingShingle | Ariadna Feliu Luk Joossens Filippos T. Filippidis Geoffrey T. Fong Constantine I. Vardavas Yolanda Castellano Cristina Martinez Esteve Fernández Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 Tobacco Induced Diseases WCTOH |
| title | Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 |
| title_full | Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 |
| title_fullStr | Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 |
| title_full_unstemmed | Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 |
| title_short | Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 - 2014 |
| title_sort | impact of tobacco control policies on smoking prevalence and quit ratios in 27 european union countries from 2006 2014 |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Impact-of-tobacco-control-policies-on-smoking-prevalence-and-quit-ratios-in-27-European,83951,0,2.html |
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