Impact of the tobacco products directive on self-reported exposure to e-cigarette advertising, promotion and sponsorship in smokers-findings from the EUREST-PLUS ITC Europe Surveys
File(s)
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Advertising, promotion and sponsorship of electronic cigarettes (ECAPS) have increased in recent years. Since May 2016, the Tobacco Products Directive 2014/40/EU (TPD2) prohibits ECAPS in various advertising channels, including media that have cross-border effects. The objective of this study was to investigate changes in exposure to ECAPS in a cohort of smokers from six European Union member states after implementation of TPD2. METHODS: Self-reported exposure to ECAPS overall and in various media and localities was examined over two International Tobacco Control Policy Evaluation survey waves (2016 and 2018) in a cohort of 6011 adult smokers from Germany, Greece, Hungary, Poland, Romania and Spain (EUREST-PLUS Project) using longitudinal generalized estimating equations models. RESULTS: Self-reported ECAPS exposure at both timepoints varied between countries and across examined advertising channels. Overall, there was a significant increase in ECAPS exposure [adjusted odds ratio (aOR): 1.25, 95% CI: 1.09-1.44]. Between waves, no consistent patterns of change in ECAPS exposure across countries and different media were observed. Generally, ECAPS exposure tended to decline in some channels regulated by TPD2, particularly on television and radio, while exposure tended to increase in some unregulated channels, such as at points of sale. CONCLUSIONS: The findings suggest that the TPD2 was generally effective in reducing ECAPS in regulated channels. Nonetheless, further research is warranted to evaluate its role in reducing ECAPS exposure, possibly by triangulation with additional sources of data.
Date Issued
2020-07-01
Date Acceptance
2020-02-25
Citation
European Journal of Public Health, 2020, 30 (Suppl_3), pp.iii55-iii61
ISSN
1101-1262
Publisher
Oxford University Press
Start Page
iii55
End Page
iii61
Journal / Book Title
European Journal of Public Health
Volume
30
Issue
Suppl_3
Copyright Statement
© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
This is a pre-copy-editing, author-produced version of an article accepted for publication in European Journal of Public Health following peer review. The definitive publisher-authenticated version is available online at: https://academic.oup.com/eurpub/article/30/Supplement_3/iii55/5904942
This is a pre-copy-editing, author-produced version of an article accepted for publication in European Journal of Public Health following peer review. The definitive publisher-authenticated version is available online at: https://academic.oup.com/eurpub/article/30/Supplement_3/iii55/5904942
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32918820
PII: 5904942
Subjects
Adult
Advertising
Electronic Nicotine Delivery Systems
Europe
Germany
Greece
Humans
Hungary
Poland
Romania
Self Report
Smokers
Spain
Tobacco Products
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-09-12