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Smoking Behaviour, Involuntary Smoking, Attitudes towards Smoke-Free Legislations, and Tobacco Control Activities in the European Union

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  • Jose M Martínez-Sánchez
  • Esteve Fernández
  • Marcela Fu
  • Silvano Gallus
  • Cristina Martínez
  • Xisca Sureda
  • Carlo La Vecchia
  • Luke Clancy

Abstract

Background: The six most important cost-effective policies on tobacco control can be measured by the Tobacco Control Scale (TCS). The objective of our study was to describe the correlation between the TCS and smoking prevalence, self-reported exposure to secondhand smoke (SHS) and attitudes towards smoking restrictions in the 27 countries of the European Union (EU27). Methods/Principal Findings: Ecologic study in the EU27. We used data from the TCS in 2007 and from the Eurobarometer on Tobacco Survey in 2008. We analysed the relations between the TCS and prevalence of smoking, self-reported exposure to SHS (home and work), and attitudes towards smoking bans by means of scatter plots and Spearman rank-correlation coefficients (rsp). Among the EU27, smoking prevalence varied from 22.6% in Slovenia to 42.1% in Greece. Austria was the country with the lowest TCS score (35) and the UK had the highest one (93). The correlation between smoking prevalence and TCS score was negative (rsp = −0.42, p = 0.03) and the correlation between TCS score and support to smoking bans in all workplaces was positive (rsp = 0.47, p = 0.01 in restaurants; rsp = 0.5, p = 0.008 in bars, pubs, and clubs; and rsp = 0.31, p = 0.12 in other indoor workplaces). The correlation between TCS score and self-reported exposure to SHS was negative, but statistically non-significant. Conclusions/Significance: Countries with a higher score in the TCS have higher support towards smoking bans in all workplaces (including restaurants, bars, pubs and clubs, and other indoor workplaces). TCS scores were strongly, but not statistically, associated with a lower prevalence of smokers and a lower self-reported exposure to SHS.

Suggested Citation

  • Jose M Martínez-Sánchez & Esteve Fernández & Marcela Fu & Silvano Gallus & Cristina Martínez & Xisca Sureda & Carlo La Vecchia & Luke Clancy, 2010. "Smoking Behaviour, Involuntary Smoking, Attitudes towards Smoke-Free Legislations, and Tobacco Control Activities in the European Union," PLOS ONE, Public Library of Science, vol. 5(11), pages 1-7, November.
    • Handle: RePEc:plo:pone00:0013881
    DOI: 10.1371/journal.pone.0013881
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    References listed on IDEAS

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    1. Chapman, S. & Borland, R. & Scollo, M. & Brownson, R.C. & Dominello, A. & Woodward, S., 1999. "The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States," American Journal of Public Health, American Public Health Association, vol. 89(7), pages 1018-1023.
    2. Simon Chapman & Ross MacKenzie, 2010. "The Global Research Neglect of Unassisted Smoking Cessation: Causes and Consequences," PLOS Medicine, Public Library of Science, vol. 7(2), pages 1-6, February.
    3. Patrick Goodman & Sally Haw & Zubair Kabir & Luke Clancy, 2009. "Are there health benefits associated with comprehensive smoke-free laws," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(6), pages 367-378, December.
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