Transitions in product use during the implementation of the European Tobacco Products Directive: cohort study findings from the EUREST-PLUS ITC Europe Surveys.
File(s)
Author(s)
Type
Journal Article
Abstract
BACKGROUND: The emergence of new types of tobacco and tobacco-related products on the European Union (EU) market has precipitated the possibility for both poly-tobacco use and transitions between products. In the EU, the regulatory environment has shifted with the implementation of the European Tobacco Products Directive (TPD) in May 2016, which may influence consumer transitions between products. METHODS: The aim of this paper was to examine trends and transitions in tobacco products from 2016 to 2018 -before and after implementation of the TPD in the EU. Data come from Wave 1 (pre-TPD) and Wave 2 (post-TPD) of the EUREST-PLUS ITC Six European Country Survey, a cohort study of adults who at the time of recruitment were smokers from six EU countries- Germany, Greece, Hungary, Poland, Romania, and Spain. D (N = 3195). Bivariate and logistic regression analyses of weighted data was conducted using SAS-callable SUDAAN. RESULTS: Overall, among those who smoked factory-made cigarettes (FM) only at Wave 1, 4.3% switched to roll-your-own tobacco (RYO) only. Among RYO only users at Wave 1, 17.0% switched to FM only, however compared to all other countries, respondents from Hungary had the highest percentage of FM only users at Wave 1 switch to RYO only at Wave 2 (18.0%). CONCLUSIONS: The most prominent transition overall was from smoking RYO exclusively at Wave 1 to smoking FM tobacco exclusively at Wave 2, however this varied across countries. As the tobacco control regulatory environment of the EU develops, it is important to continue to monitor transitions between types of products, as well as trends in cessation.
Date Issued
2020-09-12
Date Acceptance
2020-09-01
Citation
European Journal of Public Health, 2020, 30 (Supplement_3), pp.iii10-iii17
ISSN
1101-1262
Publisher
Oxford University Press (OUP)
Start Page
iii10
End Page
iii17
Journal / Book Title
European Journal of Public Health
Volume
30
Issue
Supplement_3
Copyright Statement
© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model). 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 Constantine I Vardavas, Christina N Kyriakos, Pete Driezen, Charis Girvalaki, Katerina Nikitara, Filippos T Filippidis, Esteve Fernández, Ute Mons, Krzysztof Przewoźniak, Antigona C Trofor, Tibor Demjén, Paraskevi A Katsaounou, Witold Zatoński, Marc Willemsen, Geoffrey T Fong, the EUREST-PLUS Consortium, Transitions in product use during the implementation of the European Tobacco Products Directive: cohort study findings from the EUREST-PLUS ITC Europe Surveys, European Journal of Public Health, Volume 30, Issue Supplement_3, July 2020, Pages iii10–iii17 is available online at: https://doi.org/10.1093/eurpub/ckaa023
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model). 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 Constantine I Vardavas, Christina N Kyriakos, Pete Driezen, Charis Girvalaki, Katerina Nikitara, Filippos T Filippidis, Esteve Fernández, Ute Mons, Krzysztof Przewoźniak, Antigona C Trofor, Tibor Demjén, Paraskevi A Katsaounou, Witold Zatoński, Marc Willemsen, Geoffrey T Fong, the EUREST-PLUS Consortium, Transitions in product use during the implementation of the European Tobacco Products Directive: cohort study findings from the EUREST-PLUS ITC Europe Surveys, European Journal of Public Health, Volume 30, Issue Supplement_3, July 2020, Pages iii10–iii17 is available online at: https://doi.org/10.1093/eurpub/ckaa023
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32918817
PII: 5904939
Subjects
EUREST-PLUS Consortium
Public Health
1117 Public Health and Health Services
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-09-12