Mechili Enkeleint A, Przewoźniak Krzysztof, Driezen Pete, Kyriakos Christina N, Girvalaki Charis, Mons Ute, Quah Anne Ck, Fernández Esteve, Trofor Antigona C, Demjén Tibor, Katsaounou Paraskevi A, Zatoński Witold, Fong Geoffrey T, Vardavas Constantine I
Department of Health Care, Faculty of Health,, University of Vlora, Vlora, 9401, Albania.
European Network for Smoking and Tobacco Prevention, Chausse d'lxelles 144, Brussels, 1050, Belgium.
Open Res Eur. 2023 Jun 19;1:52. doi: 10.12688/openreseurope.13405.4. eCollection 2021.
Efforts to regulate tobacco products and reduce consumption in the European Union (EU) include the European Tobacco Products Directive (TPD), which went into force in May 2016. Despite the initial discussion to include a ban on sale of slim cigarettes, it was excluded in the final TPD. The main goal of this study was to examine support for a ban on slim cigarettes among smokers in six European Countries. Data from the 2018 (Wave 2) International Tobacco Control Policy Evaluation Project 6 European Country (ITC 6E) EUREST-PLUS project survey, a cross sectional study of adult smokers (n=5592) from Germany, Greece, Hungary, Poland, Romania, and Spain, was analysed. Descriptive statistics were used to estimate support for a ban on slim cigarettes by sociodemographic characteristics and smoking behaviors. Logistic regression analysis was used to examine factors associated with support for a ban on slim cigarettes and perceptions of harm. Support for a ban on slims varied across countries, with highest support in Romania (33.8%), and lowest in Greece (18.0%). Female smokers (OR=0.78; 95%CI=0.67-0.91, daily smokers (OR=0.68; 95%CI=0.47-0.97), menthol smokers (OR=0.55; 95%CI=0.36-0.86), and smokers who did not have plans to quit within next six months (OR=0.45; 95%CI=0.36-0.56) had significantly lower odds of supporting a ban on slim cigarettes. Overall, 21% of smokers perceived slim cigarettes as less harmful than regular cigarettes. Support for a ban of slim cigarettes was relatively low among smokers, while misperceptions that slim cigarettes are less harmful is high, particularly among countries where slim cigarette use is more prevalent. Findings support a ban on slim cigarettes to reduce misperceptions around slim cigarettes being less harmful.
欧盟为规范烟草制品并减少烟草消费所做的努力包括《欧洲烟草制品指令》（TPD），该指令于2016年5月生效。尽管最初讨论过纳入禁止销售细长型香烟的条款，但在最终的TPD中被排除。本研究的主要目的是调查六个欧洲国家吸烟者对禁止销售细长型香烟的支持情况。分析了2018年（第2波）国际烟草控制政策评估项目6个欧洲国家（ITC 6E）EUREST-PLUS项目调查的数据，该调查是一项针对来自德国、希腊、匈牙利、波兰、罗马尼亚和西班牙的成年吸烟者（n=5592）的横断面研究。描述性统计用于按社会人口特征和吸烟行为估计对禁止销售细长型香烟的支持情况。逻辑回归分析用于检验与支持禁止销售细长型香烟及危害认知相关的因素。对禁止销售细长型香烟的支持在各国有所不同，罗马尼亚的支持率最高（33.8%），希腊最低（18.0%）。女性吸烟者（比值比[OR]=0.78；95%置信区间[CI]=0.67 - 0.91）、每日吸烟者（OR=0.68；95%CI=0.47 - 0.97）、薄荷醇吸烟者（OR=0.55；95%CI=0.36 - 0.86）以及未来六个月内没有戒烟计划的吸烟者（OR=0.45；95%CI=0.36 - 0.56）支持禁止销售细长型香烟的几率显著较低。总体而言，21%的吸烟者认为细长型香烟比普通香烟危害小。吸烟者对禁止销售细长型香烟的支持率相对较低，而认为细长型香烟危害较小的错误认知较高，尤其是在细长型香烟使用更为普遍的国家。研究结果支持禁止销售细长型香烟，以减少对其危害较小的错误认知。
