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CONFERENCE PROCEEDING
Product transitions among smokers before and after implementation of the European Tobacco Products Directive: Cohort study findings from the EUREST-PLUS ITC Europe Surveys
1
Laboratory of Toxicology, School of Medicine, University of Crete, Heraklion, Greece
2
European Network for Smoking and Tobacco Prevention, Brussels, Belgium
3
European Respiratory Society, Lausanne, Switzerland
4
Department of Psychology and School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada
5
Department of Primary Care and Public Health, Imperial College, London, United Kingdom
6
Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
7
Tobacco Control Unit, Catalan Institute of Oncology, L’Hospitalet de Llobregat, Barcelona, Spain
8
Tobacco Control Research Group, Bellvitge Biomedical Research Institute, L’Hospitalet de Llobregat, Barcelona, Spain
9
School of Medicine and Health Sciences, Bellvitge Campus, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, Spain
10
Consortium for Biomedical Research in Respiratory Diseases (CIBERES), Madrid, Spain
11
Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center, Heidelberg, Germany
12
Health Promotion Foundation, Warsaw, Poland
13
Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland
14
Collegium Civitas, Warsaw, Poland
15
University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Iasi, Romania
16
Aer Pur Romania, Bucharest, Romania
17
Smoking or Health Hungarian Foundation, Budapest, Hungary
18
First ICU Evaggelismos Hospital Athens, National and Kapodistrian University of Athens, Athens, Greece
19
European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland
20
Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, The Netherlands
21
Ontario Institute for Cancer Research, Toronto, Canada
Publication date: 2020-10-22
Tob. Prev. Cessation 2020;6(Supplement):A99
ABSTRACT
Background:
Product transitions among smokers may be due to many factors, including shifts in the tobacco control regulatory environment. In the European Union (EU), the implementation of the European Tobacco Products Directive (TPD) in May 2016 precipitated the possibility for consumer transitions between products.
Objectives:
The aim of this study was to examine trends and transitions in types and combinations of products used from 2016 to 2018, before and after TPD implementation, in six EU Member States.
Methods:
Longitudinal data come from Wave 1 (pre-TPD) and Wave 2 (post-TPD) of the EUREST-PLUS ITC Six European Country Surveys, a cohort study of adults who at the time of recruitment were smokers, from Germany, Greece, Hungary, Poland, Romania, and Spain (n=3195). Bivariate and logistic regression analyses of weighted data were conducted using SAS-callable SUDAAN.
Results:
At Wave 2, the majority of respondents smoked factory-made (FM) cigarettes only (61.5%), followed by roll-your-own tobacco (RYO) only (15.2%), both FM and RYO (7.5%), and any cigarette plus electronic cigarettes (e-cigarettes) (3.3%), while 0.8% quit and used e-cigarettes and 11.8% quit. Overall, among those who smoked FM only at Wave 1, 4.3% switched to 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. In Hungary, however, nearly one-fifth of exclusive FM smokers transitioned to RYO tobacco, significantly higher than the other 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.
Product transitions among smokers may be due to many factors, including shifts in the tobacco control regulatory environment. In the European Union (EU), the implementation of the European Tobacco Products Directive (TPD) in May 2016 precipitated the possibility for consumer transitions between products.
Objectives:
The aim of this study was to examine trends and transitions in types and combinations of products used from 2016 to 2018, before and after TPD implementation, in six EU Member States.
Methods:
Longitudinal data come from Wave 1 (pre-TPD) and Wave 2 (post-TPD) of the EUREST-PLUS ITC Six European Country Surveys, a cohort study of adults who at the time of recruitment were smokers, from Germany, Greece, Hungary, Poland, Romania, and Spain (n=3195). Bivariate and logistic regression analyses of weighted data were conducted using SAS-callable SUDAAN.
Results:
At Wave 2, the majority of respondents smoked factory-made (FM) cigarettes only (61.5%), followed by roll-your-own tobacco (RYO) only (15.2%), both FM and RYO (7.5%), and any cigarette plus electronic cigarettes (e-cigarettes) (3.3%), while 0.8% quit and used e-cigarettes and 11.8% quit. Overall, among those who smoked FM only at Wave 1, 4.3% switched to 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. In Hungary, however, nearly one-fifth of exclusive FM smokers transitioned to RYO tobacco, significantly higher than the other 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.
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