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

Author:

Zatoński Mateusz123,Herbeć Aleksandra14,Zatoński Witold13,Janik-Koncewicz Kinga13,Driezen Pete56,Demjén Tibor7,Fernández Esteve891011,Fong Geoffrey T5612,Quah Anne C K5,Kyriakos Christina N1213,McNeill Ann14,Willemsen Marc15,Mons Ute16,Tountas Yannis17,Trofor Antigona C1819,Vardavas Constantine I132021,Przewoźniak Krzysztof12223,Vardavas Constantine I,Glahn Andrea,Kyriakos Christina N,Nguyen Dominick,Nikitara Katerina,Radu-Loghin Cornel,Starchenko Polina,Tsatsakis Aristidis,Girvalaki Charis,Igoumenaki Chryssi,Papadakis Sophia,Papathanasaki Aikaterini,Tzatzarakis Manolis,Vardavas Alexander I,Bécuwe Nicolas,Deaconu Lavinia,Goudet Sophie,Hanley Christopher,Rivière Oscar,Demjén Tibor,Kiss Judit,Kovacs Anna Piroska,Fernández Esteve,Castellano Yolanda,Fu Marcela,Nogueira Sarah O,Tigova Olena,McNeill Ann,East Katherine,Hitchman Sara C,Mons Ute,Kahnert Sarah,Tountas Yannis,Behrakis Panagiotis,Filippidis Filippos T,Gratziou Christina,Katsaounou Paraskevi,Peleki Theodosia,Petroulia Ioanna,Tzavara Chara,Trofor Antigona Carmen,Eremia Marius,Lotrean Lucia,Mihaltan Florin,Rohde Gernot,Asano Tamaki,Cichon Claudia,Far Amy,Genton Céline,Jessner Melanie,Hedman Linnea,Janson Christer,Lindberg Ann,Maguire Beth,Ravara Sofia,Vaccaro Valérie,Ward Brian,Willemsen Marc,de Vries Hein,Hummel Karin,Nagelhout Gera E,Zatoński Witold A,Herbeć Aleksandra,Janik-Koncewicz Kinga,Przewoźniak Krzysztof,Zatoński Mateusz,Fong Geoffrey T,Agar Thomas K,Driezen Pete,Gravely Shannon,Quah Anne C K,Thompson Mary E,

Affiliation:

1. Health Promotion Foundation, Warsaw, Poland

2. Tobacco Control Research Group, Department for Health, University of Bath, Bath, UK

3. European Observatory of Health Inequalities, President Stanislaw, Wojciechowski State University of Applied Sciences, Kalisz, Poland

4. Centre for Behaviour Change, Clinical, Educational and Health Psychology, University College London, UK

5. Department of Psychology, University of Waterloo, Waterloo, Canada

6. School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada

7. Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary

8. Cancer Epidemiology and Prevention Department, Catalan Institute of Oncology (ICO), L’Hospitalet de Llobregat, Spain

9. Tobacco Control Unit, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Spain

10. School of Medicine and Health Sciences, University of Barcelona (UB), Barcelona, Spain

11. Consortium for Biomedical Research in Respiratory Diseases (CIBER en Enfermedades Respiratorias, CIBERES), Madrid, Spain

12. Ontario Institute for Cancer Research, Toronto, Canada

13. European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium

14. Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK

15. Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands

16. German Cancer Research Center (DKFZ), Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, Heidelberg, Germany

17. Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens (UoA), Athens, Greece

18. University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Iasi, Romania

19. Aer Pur Romania, Bucharest, Romania

20. School of Medicine, University of Crete (UoC), Heraklion, Greece

21. European Respiratory Society, Lausanne, Switzerland

22. Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland

23. Collegium Civitas, Warsaw, Poland

Abstract

Abstract The European Tobacco Products Directive (TPD) introduced a ban on characterizing flavours in cigarettes (2016), including menthol (2020). The longitudinal data analysis of the EUREST-PLUS International Tobacco Control (ITC) Project Europe Surveys (n = 16 534; Wave 1 in 2016 and Wave 2 in 2018) found significant but small declines in the weighted prevalence of menthol (by 0.94%; P = 0.041) and other flavoured cigarette use (by 1.32%; P < 0.001) following the 2016 TPD. The declines tended to be driven primarily by the menthol and flavoured cigarette (MFC) smokers switching to unflavoured tobacco. Cigarette consumption declined between waves, but there were no statistically significant difference in decline between MFC and unflavoured tobacco smokers on smoking and cessation behaviours between the waves.

Funder

European Union’s Horizon 2020

University of Waterloo

Canadian Institutes of Health Research

Ontario Institute for Cancer Research

Ministry of Universities and Research, Government of Catalonia

Instituto Carlos III

European Regional Development Fund

ITC 4 Country Smoking and Vaping Survey

US National Cancer Institute

Dutch Cancer Foundation

National Institute for Health Research

NIHR

Department of Health and Social Care

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

Reference12 articles.

1. Evidence-based policy making? The case of Polish opposition to the EU Tobacco Products Directive;Zatoński;J Health Inequal,2016

2. Dependence, plans to quit, quitting self-efficacy and past cessation behaviours among menthol and other flavoured cigarette users in Europe: The EUREST-PLUS ITC Europe Surveys.;Herbeć;Tob Induc Dis,2018

3. Characterising smokers of menthol and flavoured cigarettes, their attitudes towards tobacco regulation, and the anticipated impact of the Tobacco Products Directive on their smoking and quitting behaviours: the EUREST-PLUS ITC Europe Surveys;Zatonski;Tob Induc Dis,2018

4. Study Protocol of European Regulatory Science on Tobacco (EUREST-PLUS): Policy implementation to reduce lung disease.;Vardavas;Tob Induc Dis,2018

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