Next Article in Journal
Prevalence, Patterns and Self-Perceived Effects of Pornography Consumption in Polish University Students: A Cross-Sectional Study
Previous Article in Journal
A Metamodeling Framework for Quantifying Health Damages of Power Grid Expansion Plans
Open AccessArticle

Global Health Perspectives on Cigarette Butts and the Environment

School of Health Administration, Texas State University, San Marcos, TX 78666, USA
Framework Convention Alliance (FCA) for Tobacco Control, Ottawa, ON K1N 7B7, Canada
School of Public Health, San Diego State University, San Diego, CA 92106, USA
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(10), 1858;
Received: 4 May 2019 / Revised: 23 May 2019 / Accepted: 25 May 2019 / Published: 26 May 2019
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Cigarette butts, which are also known as tobacco product waste (TPW), are the single most collected item in environmental trash cleanups worldwide. This study used an online survey tool (Qualtrics) to assess knowledge, attitudes, and perceptions regarding this issue among individuals representing the Framework Convention Alliance (FCA). The FCA has about 680 members on its listserv, including non-governmental tobacco control advocacy groups that support the implementation of the World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC). Respondents (n = 65) represented countries from all six WHO regions. The majority (82%) had heard the term TPW, and they all considered TPW as an environmental harm at some level. Additionally, 29% of respondents failed to identify that “cigarette filters make smoking easier”. Most (73%) correctly identified TPW components; however, fewer (60%) correctly identified the composition of cigarette butts. The majority (57%) were unfamiliar with Extended Producer Responsibility (EPR) and Product Stewardship (PS) as possible environmental intervention strategies. Respondents expressing opinions concurred that adding a litter fee to fund TPW programs will aid in reducing tobacco use and reduce the environmental impacts of TPW (100%); that prevention, reduction, and mitigation of TPW could be an important part of international tobacco control programs (98%); and, that banning smoking in outdoor venues could reduce TPW (95%). Only 16% reported effective prevention or clean-up efforts in their countries. Weighted rankings revealed that respondents’ saw the national government, the tobacco industry, and state governments as the most important in addressing TPW. The results of this research will inform continuing international discussions by the FCTC Conference of the Parties (COP) regarding environmental policies that may be addressed within FCTC obligations. View Full-Text
Keywords: tobacco product waste; framework convention; cigarette butts; tobacco control tobacco product waste; framework convention; cigarette butts; tobacco control
Show Figures

Figure 1

MDPI and ACS Style

Stigler Granados, P.; Fulton, L.; Nunez Patlan, E.; Terzyk, M.; Novotny, T.E. Global Health Perspectives on Cigarette Butts and the Environment. Int. J. Environ. Res. Public Health 2019, 16, 1858.

AMA Style

Stigler Granados P, Fulton L, Nunez Patlan E, Terzyk M, Novotny TE. Global Health Perspectives on Cigarette Butts and the Environment. International Journal of Environmental Research and Public Health. 2019; 16(10):1858.

Chicago/Turabian Style

Stigler Granados, Paula; Fulton, Lawrence; Nunez Patlan, Evangelina; Terzyk, Mischa; Novotny, Thomas E. 2019. "Global Health Perspectives on Cigarette Butts and the Environment" Int. J. Environ. Res. Public Health 16, no. 10: 1858.

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

Search more from Scilit
Back to TopTop