Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys

Introduction: This study explores whether current smokers' social norms towards smoking and electronic cigarettes (e-cigarettes) vary across seven European countries alongside smoking and e-cigarette prevalence rates. At the time of surveying, England had the lowest current smoking prevalence a...

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Autores: East, Katherine, Hitchman, Sara, McDermott, Mairtin, McNeill, Ann, Herbeć, Aleksandra, Tountas, Yannis, Bécuwe, Nicolas, Demjén, Tibor, Fu Balboa, Marcela, Fernández Muñoz, Esteve, Mons, Ute, Trofor, Antigona, Zatoński, Witold, Fong, Geoffrey, Vardavas, Constantine I., EUREST-PLUS consortium
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/175481
Acceso en línea:https://hdl.handle.net/2445/175481
Access Level:acceso abierto
Palabra clave:Hàbit de fumar
Cigarretes electròniques
Smoking
Electronic cigarettes
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spelling Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe SurveysEast, KatherineHitchman, SaraMcDermott, MairtinMcNeill, AnnHerbeć, AleksandraTountas, YannisBécuwe, NicolasDemjén, TiborFu Balboa, MarcelaFernández Muñoz, EsteveMons, UteTrofor, AntigonaZatoński, WitoldFong, GeoffreyVardavas, Constantine I.EUREST-PLUS consortiumHàbit de fumarCigarretes electròniquesSmokingElectronic cigarettesIntroduction: This study explores whether current smokers' social norms towards smoking and electronic cigarettes (e-cigarettes) vary across seven European countries alongside smoking and e-cigarette prevalence rates. At the time of surveying, England had the lowest current smoking prevalence and Greece the highest. Hungary, Romania and Spain had the lowest prevalence of any e-cigarette use and England the highest. Methods: Respondents were adult (≥18 years) current smokers from the 2016 EUREST-PLUS ITC (Romania, Spain, Hungary, Poland, Greece, Germany) and ITC 4CV England Surveys (N=7779). Using logistic regression, associations between country and (a) smoking norms and (b) e-cigarette norms were assessed, adjusting for age, sex, income, education, smoking status, heaviness of smoking, and e-cigarette status. Results: Compared with England, smoking norms were higher in all countries: reporting that at least three of five closest friends smoke (19% vs 65-84% [AOR=6.9-24.0; Hungary-Greece]), perceiving that people important to them approve of smoking (8% vs 14-57% [1.9-51.1; Spain-Hungary]), perceiving that the public approves of smoking (5% vs 6-37% [1.7-15.8; Spain-Hungary]), disagreeing that smokers are marginalised (9% vs 16-50% [2.3-12.3; Poland-Greece]) except in Hungary. Compared with England: reporting that at least one of five closest friends uses e-cigarettes was higher in Poland (28% vs 36% [2.7]) but lower in Spain and Romania (28% vs 6-14% [0.3-0.6]), perceiving that the public approves of e-cigarettes was higher in Poland, Hungary and Greece (32% vs 36-40% [1.5-1.6]) but lower in Spain and Romania in unadjusted analyses only (32% vs 24-26%), reporting seeing e-cigarette use in public at least some days was lower in all countries (81% vs 12-55% [0.1-0.4]; Spain-Greece). Conclusions: Smokers from England had the least pro-smoking norms. Smokers from Spain had the least pro-e-cigarette norms. Friend smoking and disagreeing that smokers are marginalised broadly aligned with country-level current smoking rates. Seeing e-cigarette use in public broadly aligned with country-level any e-cigarette use. Generally, no other norms aligned with product prevalence.European Publishing2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/175481Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.18332/tid/104417Tobacco Induced Diseases, 2019, vol. 16, supl. 2https://doi.org/10.18332/tid/104417info:eu-repo/grantAgreement/EC/H2020/681109cc by (c) East et al., 2019http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1754812026-05-27T06:46:51Z
dc.title.none.fl_str_mv Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
title Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
spellingShingle Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
East, Katherine
Hàbit de fumar
Cigarretes electròniques
Smoking
Electronic cigarettes
title_short Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
title_full Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
title_fullStr Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
title_full_unstemmed Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
title_sort Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys
dc.creator.none.fl_str_mv East, Katherine
Hitchman, Sara
McDermott, Mairtin
McNeill, Ann
Herbeć, Aleksandra
Tountas, Yannis
Bécuwe, Nicolas
Demjén, Tibor
Fu Balboa, Marcela
Fernández Muñoz, Esteve
Mons, Ute
Trofor, Antigona
Zatoński, Witold
Fong, Geoffrey
Vardavas, Constantine I.
EUREST-PLUS consortium
author East, Katherine
author_facet East, Katherine
Hitchman, Sara
McDermott, Mairtin
McNeill, Ann
Herbeć, Aleksandra
Tountas, Yannis
Bécuwe, Nicolas
Demjén, Tibor
Fu Balboa, Marcela
Fernández Muñoz, Esteve
Mons, Ute
Trofor, Antigona
Zatoński, Witold
Fong, Geoffrey
Vardavas, Constantine I.
EUREST-PLUS consortium
author_role author
author2 Hitchman, Sara
McDermott, Mairtin
McNeill, Ann
Herbeć, Aleksandra
Tountas, Yannis
Bécuwe, Nicolas
Demjén, Tibor
Fu Balboa, Marcela
Fernández Muñoz, Esteve
Mons, Ute
Trofor, Antigona
Zatoński, Witold
Fong, Geoffrey
Vardavas, Constantine I.
EUREST-PLUS consortium
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hàbit de fumar
Cigarretes electròniques
Smoking
Electronic cigarettes
topic Hàbit de fumar
Cigarretes electròniques
Smoking
Electronic cigarettes
description Introduction: This study explores whether current smokers' social norms towards smoking and electronic cigarettes (e-cigarettes) vary across seven European countries alongside smoking and e-cigarette prevalence rates. At the time of surveying, England had the lowest current smoking prevalence and Greece the highest. Hungary, Romania and Spain had the lowest prevalence of any e-cigarette use and England the highest. Methods: Respondents were adult (≥18 years) current smokers from the 2016 EUREST-PLUS ITC (Romania, Spain, Hungary, Poland, Greece, Germany) and ITC 4CV England Surveys (N=7779). Using logistic regression, associations between country and (a) smoking norms and (b) e-cigarette norms were assessed, adjusting for age, sex, income, education, smoking status, heaviness of smoking, and e-cigarette status. Results: Compared with England, smoking norms were higher in all countries: reporting that at least three of five closest friends smoke (19% vs 65-84% [AOR=6.9-24.0; Hungary-Greece]), perceiving that people important to them approve of smoking (8% vs 14-57% [1.9-51.1; Spain-Hungary]), perceiving that the public approves of smoking (5% vs 6-37% [1.7-15.8; Spain-Hungary]), disagreeing that smokers are marginalised (9% vs 16-50% [2.3-12.3; Poland-Greece]) except in Hungary. Compared with England: reporting that at least one of five closest friends uses e-cigarettes was higher in Poland (28% vs 36% [2.7]) but lower in Spain and Romania (28% vs 6-14% [0.3-0.6]), perceiving that the public approves of e-cigarettes was higher in Poland, Hungary and Greece (32% vs 36-40% [1.5-1.6]) but lower in Spain and Romania in unadjusted analyses only (32% vs 24-26%), reporting seeing e-cigarette use in public at least some days was lower in all countries (81% vs 12-55% [0.1-0.4]; Spain-Greece). Conclusions: Smokers from England had the least pro-smoking norms. Smokers from Spain had the least pro-e-cigarette norms. Friend smoking and disagreeing that smokers are marginalised broadly aligned with country-level current smoking rates. Seeing e-cigarette use in public broadly aligned with country-level any e-cigarette use. Generally, no other norms aligned with product prevalence.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/175481
url https://hdl.handle.net/2445/175481
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.18332/tid/104417
Tobacco Induced Diseases, 2019, vol. 16, supl. 2
https://doi.org/10.18332/tid/104417
info:eu-repo/grantAgreement/EC/H2020/681109
dc.rights.none.fl_str_mv cc by (c) East et al., 2019
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) East et al., 2019
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv European Publishing
publisher.none.fl_str_mv European Publishing
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300719

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