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Article

Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys

1
Medical School, University of Crete, Heraklion, 71003 Crete, Greece
2
European Network for Smoking and Tobacco Prevention, 1050 Brussels, Belgium
3
Department of Primary Care and Public Health, Imperial College, London W6 8RP, UK
4
Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, 10561 Athens, Greece
5
Department of Psychology and School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
6
Health Promotion Foundation, 00 764 Warsaw, Poland
7
Centre for Behaviour Change, Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK
8
Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
9
Heart Center, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50923 Cologne, Germany
10
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, and Faculty of Medicine, University of Ottawa, Ottawa, ON K1Y 4W7, Canada
11
Department of Health Care, Faculty of Public Health, University of Vlora, 9401 Vlora, Albania
12
First ICU Evaggelismos Hospital Athens, National and Kapodistrian University of Athens, 10676 Athens, Greece
13
Maria Skłodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland
14
Collegium Civitas, 00-901 Warsaw, Poland
15
Tobacco Control Unit, Catalan Institute of Oncology (ICO), 08908 L’Hospitalet de Llobregat, Barcelona, Catalonia, Spain
16
Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08908 L’Hospitalet de Llobregat, Catalonia, Spain
17
School of Medicine and Health Sciences, Bellvitge Campus, Universitat de Barcelona, 08908 L’Hospitalet de Llobregat, Catalonia, Spain
18
Consortium for Biomedical Research in Respiratory Diseases (CIBER of Respiratory Diseases, CIBERES), 28029 Madrid, Spain
19
University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, 700115 Iasi, Romania
20
Aer Pur Romania, 052034 Bucharest, Romania
21
Smoking or Health Hungarian Foundation, 1044 Budapest, Hungary
22
Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada
*
Author to whom correspondence should be addressed.
The members of the EUREST-PLUS consortium are listed in the Acknowledgements.
Int. J. Environ. Res. Public Health 2020, 17(17), 6263; https://doi.org/10.3390/ijerph17176263
Received: 31 July 2020 / Revised: 19 August 2020 / Accepted: 20 August 2020 / Published: 28 August 2020
(This article belongs to the Special Issue Smoking Prevention and Tobacco Control)
The European Tobacco Products Directive (TPD) was introduced in 2016 in an effort to decrease prevalence of smoking and increase cessation in the European Union (EU). This study aimed to explore quitting behaviours, motivation, reasons and perceptions about quitting, as well as predictors (reported before the TPD implementation) associated with post-TPD quit status. A cohort study was conducted involving adult smokers from six EU countries (n = 3195). Data collection occurred pre-(Wave 1; 2016) and post-(Wave 2; 2018) TPD implementation. Bivariate and logistic regression analyses of weighted data were conducted. Within this cohort sample, 415 (13.0%) respondents reported quitting at Wave 2. Predictors of quitting were moderate or high education, fewer cigarettes smoked per day at baseline, a past quit attempt, lower level of perceived addiction, plans for quitting and the presence of a smoking-related comorbidity. Health concerns, price of cigarettes and being a good example for children were among the most important reasons that predicted being a quitter at Wave 2. Our findings show that the factors influencing decisions about quitting may be shared among European countries. European policy and the revised version of TPD could emphasise these factors through health warnings and/or campaigns and other policies. View Full-Text
Keywords: quit smoking; predictors; reasons; perceptions; European policies; TPD; World Health Organization Framework Convention on Tobacco Control (WHO FCTC) quit smoking; predictors; reasons; perceptions; European policies; TPD; World Health Organization Framework Convention on Tobacco Control (WHO FCTC)
MDPI and ACS Style

Girvalaki, C.; Filippidis, F.T.; Kyriakos, C.N.; Driezen, P.; Herbeć, A.; Mons, U.; Papadakis, S.; Mechili, E.A.; Katsaounou, P.A.; Przewoźniak, K.; Fernández, E.; Trofor, A.C.; Demjén, T.; Fong, G.T.; Vardavas, C.I.; on behalf of the EUREST-PLUS Consortium. Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys. Int. J. Environ. Res. Public Health 2020, 17, 6263. https://doi.org/10.3390/ijerph17176263

AMA Style

Girvalaki C, Filippidis FT, Kyriakos CN, Driezen P, Herbeć A, Mons U, Papadakis S, Mechili EA, Katsaounou PA, Przewoźniak K, Fernández E, Trofor AC, Demjén T, Fong GT, Vardavas CI, on behalf of the EUREST-PLUS Consortium. Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys. International Journal of Environmental Research and Public Health. 2020; 17(17):6263. https://doi.org/10.3390/ijerph17176263

Chicago/Turabian Style

Girvalaki, Charis, Filippos T. Filippidis, Christina N. Kyriakos, Pete Driezen, Aleksandra Herbeć, Ute Mons, Sophia Papadakis, Enkeleint A. Mechili, Paraskevi A. Katsaounou, Krzysztof Przewoźniak, Esteve Fernández, Antigona C. Trofor, Tibor Demjén, Geoffrey T. Fong, Constantine I. Vardavas, and on behalf of the EUREST-PLUS Consortium. 2020. "Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys" International Journal of Environmental Research and Public Health 17, no. 17: 6263. https://doi.org/10.3390/ijerph17176263

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