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Support for smoke-free policies in a pro-smoking culture: findings from the European survey on tobacco control attitudes and knowledge

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

To assess support for tobacco control policies between smokers and non-smokers, and the effects of nicotine dependence on smokers’ policy support in a country with high smoking rates and pro-smoking norms.

Methods

Population-based, cross-sectional telephone survey of a random sample of 700 Greek adults (mean age = 40.2, SD = 10.9) assessing smoking status and attitudes towards tobacco control policies.

Results

Almost half of the respondents were current smokers, and smoking prevalence was significantly higher in males than females. Compared to non-smokers and former smokers, current smokers were less supportive of smoke-free public places and taxation policies. All groups appeared equally supportive for policies against sales of tobacco products to minors. Daily smokers with higher nicotine dependence were less supportive for smoke-free public places and taxation policies compared to smokers with lower dependence scores.

Conclusions

Smoking status and nicotine dependence differentiate the level of support for smoke-free policies. However, both smokers and non-smokers seem to be supportive for policies aiming to prevent youth from smoking, even in a country with pro-smoking social norms and high smoking rates.

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References

  • Barnoya J, Glantz SA (2005) Cardiovascular effects of secondhand smoke nearly as large as smoking. Circulation 1:2684–2698

    Article  Google Scholar 

  • Borland R, Yong HH, Siahpush M et al (2006) Support for and reported compliance with smoke-free restaurants and bars by smokers in four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control 15:34–41

    Article  Google Scholar 

  • Heatherton TF, Kozlowski LT, Frecker RC, Rickert W, Robinson J (1989) Measuring the heaviness of smoking: using self-reported time to first cigarette of the day and number of cigarettes smoked per day. Br J Addict 84:791–799

    Article  CAS  PubMed  Google Scholar 

  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991) The Fagerstrom test for nicotine dependence: a revision of the Fagerstrom tolerance questionnaire. Addiction 86:1119–1127

    Article  CAS  Google Scholar 

  • Kyrlesi A, Soteriadis ES, Warren CW et al (2007) Tobacco use among students aged 13–15 years in Greece: the GYTS project. BMC Public Health 7:3–9

    Article  PubMed  Google Scholar 

  • Lacchetti C, Cohen J, Ashley MJ et al (2001) Is nicotine dependence related to smokers’ support for restrictions on smoking? Nicotine Tob Res 3:257–260

    Article  CAS  PubMed  Google Scholar 

  • Laforge RG, Velicer WF, Levesque DA et al (1998) Measuring support for tobacco control policy in selected areas of six countries. Tob Control 7:241–246

    Article  CAS  PubMed  Google Scholar 

  • Lam TH, Janghorbani M, Hedley AJ, Ho SY, McGhee SM, Chan B (2005) Public opinion on smoke-free policies in restaurants and predicted effect on patronage in Hong Kong. Tob Control 11:195–200

    Article  Google Scholar 

  • Lazuras L, Eiser JR, Rodafinos A (2009) Predicting smokers’ non-compliance with smoking restrictions in public places. Tob Control 18:127–131

    Article  CAS  PubMed  Google Scholar 

  • Louka P, Maguire M, Evans P, Worrell M (2006) ‘I think that is it’s a pain in the ass that I have to stand outside in the cold and have a cigarette’: representations of smoking and experiences of disapproval in UK and Greek smoker. J Health Psychol 11:441–451

    Article  PubMed  Google Scholar 

  • Pascual A, Guegen N (2005) Foot-in-the-door and door-in-the-face: a comparative meta-analytic study. Psychol Rep 96:122–128

    Article  PubMed  Google Scholar 

  • Pitsavos C, Panagiotakos DB, Chrysochoou C, Stefanadis C (2003) Epidemiology of cardiovascular risk factors in Greece: aims, design, and baseline characteristics of the ATTICA study. BMC Public Health 3: 32

    Google Scholar 

  • Poland BD, Cohen JE, Ashley et al (2000) Heterogeneity among smokers and nonsmokers in attitudes and behaviour regarding smoking and smoking restrictions. Tob Control 9:364–371

    Article  CAS  PubMed  Google Scholar 

  • Raupach T, Schäfer K, Konstantinides S, Andreas S (2006) Second hand smoke as an acute threat for the cardiovascular system: a change in paradigm. Eur Heart J 27:386–392

    Article  PubMed  Google Scholar 

  • Rodafinos A, Vucevic A, Sideridis G (2005) A comparison of the effectiveness of compliance techniques: foot-in-the-door versus door-in-the-face. J Soc Psychol 145:237–239

    Article  PubMed  Google Scholar 

  • Schumann A, John U, Thyrian R, Ulbricht S, Hapke U, Meyer C (2006) Attitudes towards smoking policies and tobacco control measures in relation to smoking status and smoking behaviour. Eur J Public Health 16:513–519

    Article  PubMed  Google Scholar 

  • Thyrian JR, Panagiotakos DB, Polychronopoulos E, West R, Zatonski W, John U (2008) The relationship between smokers “motivation to quit and intensity of tobacco control at the population level: a comparison of five European countries. BMC Public Health 8

  • Vardavas CI, Kafatos A (2007) Smoking policy and prevalence in Greece: an overview. Eur J Public Health 17:211–213

    Article  PubMed  Google Scholar 

  • Vardavas CI, Tzatzarakis MN, Tsatsakis AM, Athanasopoulos D, Balomenaki E, Linardakis MK, Kafatos A (2006) Biomarkers of passive smoking among Greek preschool children. Eur J Pediatr 165:891–896

    Article  CAS  PubMed  Google Scholar 

  • West R (2006) Tobacco control: present and future. Br Med Bull 77:123–136

    Article  PubMed  Google Scholar 

  • World Health Organization (2003) European country profiles on tobacco control. WHO Regional Office for Europe, Copenhagen

    Google Scholar 

Download references

Acknowledgments

This study received support from ENSP (European Network for Smoking Prevention) and has been funded by the European Commission in the framework of the EU Public Health Programme 2003–2008 (reference number 2004323). Drs Lazuras and Rodafinos are recipients of a research grant from Cancer Research UK (reference number C3841/A8924).

Conflict of interest statement

All the authors declare that there are no conflicts of interest.

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Correspondence to Lambros Lazuras.

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Lazuras, L., Rodafinos, A., Panagiotakos, D.B. et al. Support for smoke-free policies in a pro-smoking culture: findings from the European survey on tobacco control attitudes and knowledge. Int J Public Health 54, 403–408 (2009). https://doi.org/10.1007/s00038-009-0074-2

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  • DOI: https://doi.org/10.1007/s00038-009-0074-2

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