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The Role of Novel (Tobacco) Products on Tobacco Control in Italy

Author

Listed:
  • Silvano Gallus

    (Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy)

  • Elisa Borroni

    (Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy)

  • Anna Odone

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
    School of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy)

  • Piet A. van den Brandt

    (Department of Epidemiology, CAPHRI-School for Public Health and Primary Care, Maastricht University Medical Centre, 6211 LK Maastricht, The Netherlands
    Department of Epidemiology, GROW-School for Oncology and Developmental Biology, Maastricht University Medical Centre, 6211 LK Maastricht, The Netherlands)

  • Giuseppe Gorini

    (Oncologic Network, Prevention and Research Institute (ISPRO), 50139 Florence, Italy)

  • Lorenzo Spizzichino

    (Italian Ministry of Health, Center for Disease Prevention and Control, 00144 Rome, Italy)

  • Roberta Pacifici

    (National Centre on Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Alessandra Lugo

    (Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy)

Abstract

In Italy, electronic cigarettes have spread since 2010 and heated tobacco products (HTP) since 2016. We investigated their public health consequences on conventional cigarette smoking, taking advantage of a series of cross-sectional studies annually conducted between 2001 and 2019 in Italy. Every year, the sample, including around 3000 individuals, was representative of the general Italian population aged ≥15 years. In Italy, smoking prevalence steadily declined from 29.1% in 2001 to 20.6% in 2013, then increased to 22.0% in 2019. In 2017–2019, current electronic cigarette users were 2.1% and in 2019 current HTP users were 1.1%. Among 498 ever electronic cigarette users, 23.2% started or re-started smoking and 15.7% quit smoking after electronic cigarette use; of 49 ever HTP users, 19.1% started or re-started smoking combusted cigarettes and 14.6% quit smoking after HTP use. The availability of novel products in Italy resulted in a halt of the decreasing trend in smoking prevalence. For the first time, we observed an increase of Italians inhaling nicotine, concurrently with the spread of novel (tobacco) products. More importantly, the use of novel products appears to increase—rather than decrease—the likelihood of smoking conventional cigarettes. Considering this evidence, we see no argument to justify the huge fiscal and regulatory benefits these products continue to have, at least in Italy.

Suggested Citation

  • Silvano Gallus & Elisa Borroni & Anna Odone & Piet A. van den Brandt & Giuseppe Gorini & Lorenzo Spizzichino & Roberta Pacifici & Alessandra Lugo, 2021. "The Role of Novel (Tobacco) Products on Tobacco Control in Italy," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1895-:d:500299
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    References listed on IDEAS

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    1. Laurie Long Kwan Ho & William Ho Cheung Li & Ankie Tan Cheung & Wei Xia & Tai Hing Lam, 2020. "Awareness and Use of Heated Tobacco Products among Youth Smokers in Hong Kong: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(22), pages 1-10, November.
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    1. Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Brian J. Carter & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation," IJERPH, MDPI, vol. 20(3), pages 1-16, February.
    2. Teodora Tica & Bojan Matkovski & Danilo Đokić & Žana Jurjević, 2023. "Characteristics of the Supply Chain of Tobacco and Tobacco Products: Evidence from Serbia," Agriculture, MDPI, vol. 13(9), pages 1-23, August.
    3. Claudio Terranova & Giovanni Forza & Elena Beccegato & Angelo Ruggeri & Guido Viel & Alessia Viero & Massimo Montisci, 2021. "Cigarette Smoking as a Predictor of Male DUI Recidivism," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    4. Tomas Vaičiūnas & Monika Žemaitaitytė & Shannon Lange & Mindaugas Štelemėkas & Leila Oja & Janina Petkevičienė & Anna Kowalewska & Iveta Pudule & Jaanika Piksööt & Kastytis Šmigelskas, 2022. "Trends in Adolescent Substance Use: Analysis of HBSC Data for Four Eastern European Countries, 1994–2018," IJERPH, MDPI, vol. 19(23), pages 1-12, November.

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