XXIII Smoke-free Week: Knowledge and attitudes of the general Spanish population in relation to tobacco consumption, exposure to secondhand smoke and its regulatory policies
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Grupo Balear abordaje al tabaquismo, Palma de Mallorca, Spain
Grupo Castellano-leonés de abordaje al tabaquismo, Salamanca, Spain
Grupo Valenciano de abordaje al tabaquismo, Valencia, Spain
Grupo canario de abordaje al tabaquismo, Tenerife, Spain
Grupo Castellano-Manchego de abordaje al tabaquismo, Albacete, Spain
Grupo andaluz y nacional de abordaje al tabaquismo, Cádiz, Spain
Grupo Aragonés de abordaje al tabaquismo, Zaragoza, Spain
Grupo madrileño de abordaje al tabaquismo, Madrid, Spain
Grupo Navarro de abordaje al tabaquismo, Pamplona, Spain
Publication date: 2023-04-25
Tob. Prev. Cessation 2023;9(Supplement):A141
Find out about public opinion on exposure to secondhand smoke (SHS) and on the regulatory measures for tobacco consumption and smoke-free spaces in Spain.

Material and Methods:
Opinion survey through voluntary completion.

6,302 surveys were collected. 83.7% were non-smokers (48.7% never smoked, 35% were ex-smokers) and 16.3% were smokers (9.9% daily and 6.4% occasionally). By gender, 15.2% of women and 19% of men were smokers. We detected a high perception of exposure to SHS (84.2%), mainly on the terraces of bars and restaurants (73%) and during recreational activities in outdoor spaces (45.8%). This perception varies according to tobacco consumption: non-smokers and ex-smokers perceive this exposure more (80.6% and 71.8%, respectively) than smokers (52.7%). It also occurs in recreational activities in outdoor spaces: 55% of non-smokers and 40.9% of ex-smokers report exposure to SHS compared to 28.8% of smokers. Regarding the regulations governing tobacco consumption on the bar terraces, 63.4% of non-smokers and 58.8% of ex-smokers consider that it is frequently violated. In this sense, 72% of respondents would support not smoking on bar terraces and up to 28.8% would extend this restriction to at least 8 meters around them. Most of the respondents (85,5%) support the need to expand smoke-free legislation beyond bar terraces: to outdoor public places (56,8% of respondents), to beaches (54%), to private cars (43,6%) and even on the street (24,2%). When we ask about what measures would be recommended to reduce tobacco consumption among the population, 81.5% would intensify educational measures such as school programs and awareness campaigns in the media, 59.2% would eliminate surreptitious advertising in cinema, television, influencers, etc., 56.8% would regulate advertising and smoke-free spaces to new devices such as e-cigs, heated tobacco devices and hookahs, 47.3% would increase the price of tobacco and 41.7% would finance treatments. Only 14.4% would recommend plain packaging as a regulatory measure.

There is still high exposure to secondhand smoke in the Spanish population. Currently, the extension of the smoke-free spaces policies in Spain would be strongly supported by the majority of the general population.

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