Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]

Background: Efforts to regulate tobacco products and reduce consumption in the European Union (EU) include the European Tobacco Products Directive (TPD), which went into force in May 2016. Despite the initial discussion to include a ban on sale of slim cigarettes, it was excluded in the final TPD. T...

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Main Authors: Constantine I Vardavas, Enkeleint A. Mechili, Pete Driezen, Krzysztof Przewoźniak, Charis Girvalaki, Christina N Kyriakos, Anne CK Quah, Ute Mons, Antigona C Trofor, Esteve Fernández, Paraskevi A Katsaounou, Tibor Demjén, Geoffrey T Fong, Witold Zatoński
Format: Article
Language:English
Published: F1000 Research Ltd 2022-09-01
Series:Open Research Europe
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Online Access:https://open-research-europe.ec.europa.eu/articles/1-52/v3
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author Constantine I Vardavas
Enkeleint A. Mechili
Pete Driezen
Krzysztof Przewoźniak
Charis Girvalaki
Christina N Kyriakos
Anne CK Quah
Ute Mons
Antigona C Trofor
Esteve Fernández
Paraskevi A Katsaounou
Tibor Demjén
Geoffrey T Fong
Witold Zatoński
author_facet Constantine I Vardavas
Enkeleint A. Mechili
Pete Driezen
Krzysztof Przewoźniak
Charis Girvalaki
Christina N Kyriakos
Anne CK Quah
Ute Mons
Antigona C Trofor
Esteve Fernández
Paraskevi A Katsaounou
Tibor Demjén
Geoffrey T Fong
Witold Zatoński
author_sort Constantine I Vardavas
collection DOAJ
description Background: Efforts to regulate tobacco products and reduce consumption in the European Union (EU) include the European Tobacco Products Directive (TPD), which went into force in May 2016. Despite the initial discussion to include a ban on sale of slim cigarettes, it was excluded in the final TPD. The main goal of this study was to examine support for a ban on slim cigarettes among smokers in six European Countries. Methods: Data from the 2018 (Wave 2) International Tobacco Control Policy Evaluation Project 6 European Country (ITC 6E) EUREST-PLUS project survey, a cross sectional study of adult smokers (n=5592) from Germany, Greece, Hungary, Poland, Romania, and Spain, was analysed. Descriptive statistics were used to estimate support for a ban on slim cigarettes by sociodemographic characteristics and smoking behaviors. Logistic regression analysis was used to examine factors associated with support for a ban on slim cigarettes and perceptions of harm. Results: Support for a ban on slims varied across countries, with highest support in Romania (33.8%), and lowest in Greece (18.0%). Female smokers (OR=0.78; 95%CI=0.67-0.91, daily smokers (OR=0.68; 95%CI=0.47-0.97), menthol smokers (OR=0.55; 95%CI=0.36-0.86), and smokers who did not have plans to quit within next six months (OR=0.45; 95%CI=0.36-0.56) had significantly lower odds of supporting a ban on slim cigarettes. Overall, 21% of smokers perceived slim cigarettes as less harmful than regular cigarettes. Conclusions: Support for a ban of slim cigarettes was relatively low among smokers, while misperceptions that slim cigarettes are less harmful is high, particularly among countries where slim cigarette use is more prevalent. Findings support a ban on slim cigarettes to reduce misperceptions around slim cigarettes being less harmful.
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spelling doaj.art-80c93b78be2c489f9e6f3364635cf4aa2023-05-20T00:00:00ZengF1000 Research LtdOpen Research Europe2732-51212022-09-01116334Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]Constantine I Vardavas0Enkeleint A. Mechili1https://orcid.org/0000-0002-4072-296XPete Driezen2https://orcid.org/0000-0003-2320-0999Krzysztof Przewoźniak3Charis Girvalaki4https://orcid.org/0000-0001-6849-0972Christina N Kyriakos5Anne CK Quah6Ute Mons7Antigona C Trofor8https://orcid.org/0000-0003-3252-7715Esteve Fernández9Paraskevi A Katsaounou10https://orcid.org/0000-0002-8736-619XTibor Demjén11Geoffrey T Fong12Witold Zatoński13European Network for Smoking and Tobacco Prevention, Chausse d'lxelles 144, Brussels, 1050, BelgiumDepartment of Health Care, Faculty of Health,, University of Vlora, Vlora, 9401, AlbaniaDepartment of Psychology, University of Waterloo, Waterloo, Ontario, N2L 3G1, CanadaMaria Skłodowska-Curie National Research Institute of Oncology, 15B Wawelska Street, Warsaw, 02-034, PolandEuropean Network for Smoking and Tobacco Prevention, Chausse d'lxelles 144, Brussels, 1050, BelgiumDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, 310 Reynolds Building, St. Dunstan's Road, London, W6 9RP, UKDepartment of Psychology, University of Waterloo, Waterloo, Ontario, N2L 3G1, CanadaCancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, Heidelberg, 69120, GermanyUniversity of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Strada Universității 16, Iași, 700115, RomaniaTobacco Control Unit, Catalan Institute of Oncology (ICO), Av Gran Via De L’Hospitalet 199-203, L’Hospitalet de Llobregat, Catalonia, 08908, SpainFirst ICU Evaggelismos Hospital Athens, National and Kapodistrian University of Athens, Ipsilantou 45-47, Athens, 10676, GreeceSmoking or Health Hungarian Foundation, Fiumei 18/B IB IV LPH I 2, Budapest, 1044, HungaryDepartment of Psychology, University of Waterloo, Waterloo, Ontario, N2L 3G1, CanadaHealth Promotion Foundation, Mszczonowska, Nadarzyn, 05-830, PolandBackground: Efforts to regulate tobacco products and reduce consumption in the European Union (EU) include the European Tobacco Products Directive (TPD), which went into force in May 2016. Despite the initial discussion to include a ban on sale of slim cigarettes, it was excluded in the final TPD. The main goal of this study was to examine support for a ban on slim cigarettes among smokers in six European Countries. Methods: Data from the 2018 (Wave 2) International Tobacco Control Policy Evaluation Project 6 European Country (ITC 6E) EUREST-PLUS project survey, a cross sectional study of adult smokers (n=5592) from Germany, Greece, Hungary, Poland, Romania, and Spain, was analysed. Descriptive statistics were used to estimate support for a ban on slim cigarettes by sociodemographic characteristics and smoking behaviors. Logistic regression analysis was used to examine factors associated with support for a ban on slim cigarettes and perceptions of harm. Results: Support for a ban on slims varied across countries, with highest support in Romania (33.8%), and lowest in Greece (18.0%). Female smokers (OR=0.78; 95%CI=0.67-0.91, daily smokers (OR=0.68; 95%CI=0.47-0.97), menthol smokers (OR=0.55; 95%CI=0.36-0.86), and smokers who did not have plans to quit within next six months (OR=0.45; 95%CI=0.36-0.56) had significantly lower odds of supporting a ban on slim cigarettes. Overall, 21% of smokers perceived slim cigarettes as less harmful than regular cigarettes. Conclusions: Support for a ban of slim cigarettes was relatively low among smokers, while misperceptions that slim cigarettes are less harmful is high, particularly among countries where slim cigarette use is more prevalent. Findings support a ban on slim cigarettes to reduce misperceptions around slim cigarettes being less harmful.https://open-research-europe.ec.europa.eu/articles/1-52/v3Tobacco Products Directive slim cigarettes tobacco policy European Unioneng
spellingShingle Constantine I Vardavas
Enkeleint A. Mechili
Pete Driezen
Krzysztof Przewoźniak
Charis Girvalaki
Christina N Kyriakos
Anne CK Quah
Ute Mons
Antigona C Trofor
Esteve Fernández
Paraskevi A Katsaounou
Tibor Demjén
Geoffrey T Fong
Witold Zatoński
Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
Open Research Europe
Tobacco Products Directive
slim cigarettes
tobacco policy
European Union
eng
title Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
title_full Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
title_fullStr Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
title_full_unstemmed Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
title_short Smokers’ support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys [version 3; peer review: 1 approved, 2 approved with reservations, 1 not approved]
title_sort smokers support for the ban on sale of slim cigarettes in six european countries findings from the eurest plus itc europe surveys version 3 peer review 1 approved 2 approved with reservations 1 not approved
topic Tobacco Products Directive
slim cigarettes
tobacco policy
European Union
eng
url https://open-research-europe.ec.europa.eu/articles/1-52/v3
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