| Summary: | Introduction
This study examined reasons why people planned to reduce or stop
tobacco consumption and their relationship with MPOWER scores, adjusting for
sociodemographic, cultural, and economic factors.
Methods
Data used were Euromonitor International’s Voice of the Consumer:
Nicotine Survey 2019–2020, World Bank’s country income and WHO’s MPOWER
policy scores. Analytical sample included 21913 adults of legal smoking age in
21 middle- and high-income countries who used nicotine and tobacco products
and planned to reduce or stop their consumption in the next 12 months. Poisson
regression models with robust error variance, adjusted for sociodemographic and
tobacco use covariables, generated adjusted risk ratios (ARRs) of selecting a certain
reason to reduce tobacco consumption dependent on continuous MPOWER scores.
Results
Main reasons to reduce or stop tobacco consumption were improving health
(85%), saving money (65%), pressure from family (19%), and using another
substance instead (4%). Country variation was observed by MPOWER scores.
Positive associations were found between some MPOWER scores and reasons to
reduce or stop tobacco consumption: enforcing bans on tobacco advertising and
using another substance (ARR=1.28; 95% CI: 1.11–1.47); warning about dangers
of tobacco and saving money (ARR=1.25; 95% CI: 1.19–1.32); offering help to quit
tobacco and using another substance (ARR=1.26; 95% CI: 1.10–1.45) or family
pressure (ARR=1.11; 95% CI: 1.04–1.17); anti-tobacco campaigns and using
another substance (ARR=1.15; 95% CI: 1.08–1.23); and raising taxes and saving
money (ARR=1.11; 95% CI: 1.09–1.13).
Conclusions
MPOWER scores are associated with reported reasons to quit tobacco
including to improve health, save money, respond to family pressure or use another
substance instead.
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