Public Support for New Tobacco Control Measures in Poland: A Cross-sectional Survey 2024

Overview

Journal Tob Prev Cessat

Date 2024 Dec 30

PMID 39735216

Authors

Justyna Grudziaz-Sekowska

Kuba Bartlomiej Sekowski

Zuzanna Grzesczyk-Nojszewska

Radoslaw Sierpinski

Janusz Ostrowski

Jaroslaw Pinkas

Mateusz Jankowski

Affiliations

Soon will be listed here.

Abstract

Introduction: This study assessed public support for new tobacco control measures in Poland, including a smoking ban on private balconies, regular tobacco tax increases, and a total ban on tobacco sales.

Methods: A nationwide cross-sectional survey was conducted in 2024 using a computer-assisted web interview (CAWI). The 1080 adults (aged 18-82 years) were interviewed, of which 53% were females. A self-prepared questionnaire included questions on support for various tobacco control measures. The primary outcomes were levels of support for each proposed measure. Attitudes were measured using a 5-point Likert scale, and independent variables included sociodemographic factors and smoking status.

Results: The smoking ban on private balconies was supported by 44.1% of respondents, with higher support among older adults, non-smokers, and those with higher education. Support for annual tobacco tax increases was 47.1%, particularly among younger and middle-aged adults, the educated, and non-smokers. A total of 41.8% of respondents declared support for the total ban on tobacco sales. Higher education, non-smoking status, and voluntary smoke-free home rules were significantly associated (p<0.05) with higher support for all three tobacco control measures. There was no significant impact (p>0.05) of the gender, financial status, household size, and location of the place of residence on public support of analyzed tobacco control measures.

Conclusions: This study revealed that less than half of adults in Poland declare support for extensive tobacco regulations such as a smoking ban on private balconies, taxation increases, and a ban on tobacco sales. Educational level and smoking status are significantly associated with public attitudes toward tobacco control measures.

References

Joo T, Foley K, Brys Z, Rogers T, Szocska M, Bodrogi J . Impact of regulatory tightening of the Hungarian tobacco retail market on availability, access and cigarette smoking prevalence of adolescents. Tob Control. 2024; . DOI: 10.1136/tc-2023-058232. View

Nurhasana R, Ratih S, Dartanto T, Moeis F, Hartono R, Satrya A . Public support for cigarette price increase in Indonesia. Tob Control. 2021; 31(3):483-486. DOI: 10.1136/tobaccocontrol-2019-055554. View

Lykke M, Pisinger C, Glumer C . Ready for a goodbye to tobacco? - Assessment of support for endgame strategies on smoking among adults in a Danish regional health survey. Prev Med. 2015; 83:5-10. DOI: 10.1016/j.ypmed.2015.11.016. View

Treyster Z, Gitterman B . Second hand smoke exposure in children: environmental factors, physiological effects, and interventions within pediatrics. Rev Environ Health. 2011; 26(3):187-95. DOI: 10.1515/reveh.2011.026. View

Feliu A, Filippidis F, Joossens L, Fong G, Vardavas C, Baena A . Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 to 2014. Tob Control. 2018; 28(1):101-109. PMC: 6317447. DOI: 10.1136/tobaccocontrol-2017-054119. View

Levy D, Tam J, Kuo C, Fong G, Chaloupka F . The Impact of Implementing Tobacco Control Policies: The 2017 Tobacco Control Policy Scorecard. J Public Health Manag Pract. 2018; 24(5):448-457. PMC: 6050159. DOI: 10.1097/PHH.0000000000000780. View

Batscheider A, Zakrzewska S, Heinrich J, Teuner C, Menn P, Bauer C . Exposure to second-hand smoke and direct healthcare costs in children - results from two German birth cohorts, GINIplus and LISAplus. BMC Health Serv Res. 2012; 12:344. PMC: 3506539. DOI: 10.1186/1472-6963-12-344. View

Myers V, Rosen L, Zucker D, Shiloh S . Parental Perceptions of Children's Exposure to Tobacco Smoke and Parental Smoking Behaviour. Int J Environ Res Public Health. 2020; 17(10). PMC: 7277295. DOI: 10.3390/ijerph17103397. View

Young D, Borland R, Siahpush M, Hastings G, Fong G, Cummings K . Australian smokers support stronger regulatory controls on tobacco: findings from the ITC Four-Country Survey. Aust N Z J Public Health. 2007; 31(2):164-9. DOI: 10.1111/j.1753-6405.2007.00035.x. View

10.

Ngo A, Cheng K, Chaloupka F, Shang C . The effect of MPOWER scores on cigarette smoking prevalence and consumption. Prev Med. 2017; 105S:S10-S14. PMC: 5681881. DOI: 10.1016/j.ypmed.2017.05.006. View

11.

Kaufman P, Kang J, Kennedy R, Beck P, Ferrence R . Impact of smoke-free housing policy lease exemptions on compliance, enforcement and smoking behavior: A qualitative study. Prev Med Rep. 2018; 10:29-36. PMC: 5852412. DOI: 10.1016/j.pmedr.2018.01.011. View

12.

Gallus S, Lugo A, Fernandez E, Gilmore A, Leon M, Clancy L . Support for a tobacco endgame strategy in 18 European countries. Prev Med. 2014; 67:255-8. DOI: 10.1016/j.ypmed.2014.08.001. View

13.

Nogueira S, Driezen P, Fu M, Hitchman S, Tigova O, Castellano Y . Beyond the European Union Tobacco Products Directive: smokers' and recent quitters' support for further tobacco control measures (2016-2018). Tob Control. 2021; 31(6):765-769. DOI: 10.1136/tobaccocontrol-2020-056177. View

14.

Pinkas J, Szymanski J, Poznanski D, Wierzba W . Smoke-free policy in Poland on the example of the implementation into national law of the European Parliament and Council Directive 2014/40 /EU of 3 April 2014 on the approximation of laws, regulations and administrative provisions of the Member.... Ann Agric Environ Med. 2016; 23(3):395-8. View

15.

Jagannathan R, Patel S, Ali M, Narayan K . Global Updates on Cardiovascular Disease Mortality Trends and Attribution of Traditional Risk Factors. Curr Diab Rep. 2019; 19(7):44. DOI: 10.1007/s11892-019-1161-2. View

16.

Jankowski M, Rees V, Zgliczynski W, Kaleta D, Gujski M, Pinkas J . Self-reported secondhand smoke exposure following the adoption of a national smoke-free policy in Poland: analysis of serial, cross-sectional, representative surveys, 2009-2019. BMJ Open. 2020; 10(9):e039918. PMC: 7517577. DOI: 10.1136/bmjopen-2020-039918. View

17.

Opoczynska-Swiezewska D, Raciborski F, Samolinski B . Reduction in the prevalence of tobacco use accompanying legislative changes in tobacco policy in Poland in the years 2010-2019. Int J Occup Med Environ Health. 2022; 35(4):393-405. PMC: 10464804. DOI: 10.13075/ijomeh.1896.01867. View

18.

Jankowski M, Grudziaz-Sekowska J, Kaminska A, Sekowski K, Wrzesniewska-Wal I, Moczeniat G . A 2024 nationwide cross-sectional survey to assess the prevalence of cigarette smoking, e-cigarette use and heated tobacco use in Poland. Int J Occup Med Environ Health. 2024; 37(3):271-286. PMC: 11424150. DOI: 10.13075/ijomeh.1896.02402. View

19.

Oberg M, Jaakkola M, Woodward A, Peruga A, Pruss-Ustun A . Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. 2010; 377(9760):139-46. DOI: 10.1016/S0140-6736(10)61388-8. View

20.

Thomas B, Gostin L . Tobacco endgame strategies: challenges in ethics and law. Tob Control. 2013; 22 Suppl 1:i55-7. PMC: 3632988. DOI: 10.1136/tobaccocontrol-2012-050839. View