Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys

Charis Girvalaki, Filippos T. Filippidis, Christina N. Kyriakos, Pete Driezen, Aleksandra Herbeć, Ute Mons, Sophia Papadakis, Enkeleint A. Mechili, Paraskevi A. Katsaounou, Krzysztof Przewoźniak, Esteve Fernández, Antigona C. Trofor, Tibor Demjén, Geoffrey T. Fong, Constantine I. Vardavas and on behalf of the EUREST-PLUS Consortium
Additional contact information
Charis Girvalaki: Medical School, University of Crete, Heraklion, 71003 Crete, Greece
Filippos T. Filippidis: Department of Primary Care and Public Health, Imperial College, London W6 8RP, UK
Christina N. Kyriakos: Medical School, University of Crete, Heraklion, 71003 Crete, Greece
Pete Driezen: Department of Psychology and School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Aleksandra Herbeć: Health Promotion Foundation, 00 764 Warsaw, Poland
Ute Mons: Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
Sophia Papadakis: Medical School, University of Crete, Heraklion, 71003 Crete, Greece
Enkeleint A. Mechili: Medical School, University of Crete, Heraklion, 71003 Crete, Greece
Paraskevi A. Katsaounou: Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, 10561 Athens, Greece
Krzysztof Przewoźniak: Health Promotion Foundation, 00 764 Warsaw, Poland
Esteve Fernández: Tobacco Control Unit, Catalan Institute of Oncology (ICO), 08908 L’Hospitalet de Llobregat, Barcelona, Catalonia, Spain
Antigona C. Trofor: University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, 700115 Iasi, Romania
Tibor Demjén: Smoking or Health Hungarian Foundation, 1044 Budapest, Hungary
Geoffrey T. Fong: Health Promotion Foundation, 00 764 Warsaw, Poland
Constantine I. Vardavas: Medical School, University of Crete, Heraklion, 71003 Crete, Greece
on behalf of the EUREST-PLUS Consortium: The members of the EUREST-PLUS consortium are listed in the Acknowledgements.

IJERPH, 2020, vol. 17, issue 17, 1-16

Abstract: The European Tobacco Products Directive (TPD) was introduced in 2016 in an effort to decrease prevalence of smoking and increase cessation in the European Union (EU). This study aimed to explore quitting behaviours, motivation, reasons and perceptions about quitting, as well as predictors (reported before the TPD implementation) associated with post-TPD quit status. A cohort study was conducted involving adult smokers from six EU countries ( n = 3195). Data collection occurred pre-(Wave 1; 2016) and post-(Wave 2; 2018) TPD implementation. Bivariate and logistic regression analyses of weighted data were conducted. Within this cohort sample, 415 (13.0%) respondents reported quitting at Wave 2. Predictors of quitting were moderate or high education, fewer cigarettes smoked per day at baseline, a past quit attempt, lower level of perceived addiction, plans for quitting and the presence of a smoking-related comorbidity. Health concerns, price of cigarettes and being a good example for children were among the most important reasons that predicted being a quitter at Wave 2. Our findings show that the factors influencing decisions about quitting may be shared among European countries. European policy and the revised version of TPD could emphasise these factors through health warnings and/or campaigns and other policies.

Keywords: quit smoking; predictors; reasons; perceptions; European policies; TPD; World Health Organization Framework Convention on Tobacco Control (WHO FCTC) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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