Pricing policies and control of tobacco in Europe (PPACTE) project

Cross-national comparison of smoking prevalence in 18 European countries

Silviano Gallus, Alessandra Lugo, Carlo La Vecchia, Paolo Boffetta, Frank J Chaloupka, Paolo Colombo, Laura Currie, Esteve Fernandez, Colin Fischbacher, Anna Gilmore, Fiona Godfrey, Luk Joossens, Maria E Leon, David T Levy, Lien Nguyen, Gunnar Rosenqvist, Hana Ross, Joy Townsend, Luke Clancy

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Abstract

Limited data on smoking prevalence allowing valid between-country comparison are available in Europe. The aim of this study is to provide data on smoking prevalence and its determinants in 18 European countries. In 2010, within the Pricing Policies And Control of Tobacco in Europe (PPACTE) project, we conducted a face-to-face survey on smoking in 18 European countries (Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden) on a total of 18 056 participants, representative for each country of the population aged 15 years or older. Overall, 27.2% of the participants were current smokers (30.6% of men and 24.1% of women). Smoking prevalence was highest in Bulgaria (40.9%) and Greece (38.9%) and lowest in Italy (22.0%) and Sweden (16.3%). Smoking prevalence ranged between 15.7% (Sweden) and 44.3% (Bulgaria) for men and between 11.6% (Albania) and 38.1% (Ireland) for women. Multivariate analysis showed a significant inverse trend between smoking prevalence and the level of education in both sexes. Male-to-female smoking prevalence ratios ranged from 0.85 in Spain to 3.47 in Albania and current-to-ex prevalence ratios ranged from 0.68 in Sweden to 4.28 in Albania. There are considerable differences across Europe in smoking prevalence, and male-to-female and current-to-ex smoking prevalence ratios. Eastern European countries, lower income countries and those with less advanced tobacco control policies have less favourable smoking patterns and are at an earlier stage of the tobacco epidemic.
Original languageEnglish
Pages (from-to)177-85
Number of pages9
JournalEuropean Journal of Cancer Prevention
Volume23
Issue number3
DOIs
Publication statusPublished - May 2014

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Tobacco
Smoking
Costs and Cost Analysis
Albania
Sweden
Bulgaria
Greece
Ireland
Spain
Italy
Latvia
Romania
Croatia
Portugal
Hungary
Austria
Czech Republic
Poland
Finland
England

Keywords

  • cross-sectional survey
  • Europe
  • smoking prevalence
  • tobacco

Cite this

Pricing policies and control of tobacco in Europe (PPACTE) project : Cross-national comparison of smoking prevalence in 18 European countries. / Gallus, Silviano; Lugo, Alessandra; La Vecchia, Carlo; Boffetta, Paolo; Chaloupka, Frank J; Colombo, Paolo; Currie, Laura; Fernandez, Esteve; Fischbacher, Colin; Gilmore, Anna; Godfrey, Fiona; Joossens, Luk; Leon, Maria E; Levy, David T; Nguyen, Lien; Rosenqvist, Gunnar; Ross, Hana; Townsend, Joy; Clancy, Luke.

In: European Journal of Cancer Prevention, Vol. 23, No. 3, 05.2014, p. 177-85.

Research output: Contribution to journalArticle

Gallus, S, Lugo, A, La Vecchia, C, Boffetta, P, Chaloupka, FJ, Colombo, P, Currie, L, Fernandez, E, Fischbacher, C, Gilmore, A, Godfrey, F, Joossens, L, Leon, ME, Levy, DT, Nguyen, L, Rosenqvist, G, Ross, H, Townsend, J & Clancy, L 2014, 'Pricing policies and control of tobacco in Europe (PPACTE) project: Cross-national comparison of smoking prevalence in 18 European countries', European Journal of Cancer Prevention, vol. 23, no. 3, pp. 177-85. https://doi.org/10.1097/CEJ.0000000000000009
Gallus, Silviano ; Lugo, Alessandra ; La Vecchia, Carlo ; Boffetta, Paolo ; Chaloupka, Frank J ; Colombo, Paolo ; Currie, Laura ; Fernandez, Esteve ; Fischbacher, Colin ; Gilmore, Anna ; Godfrey, Fiona ; Joossens, Luk ; Leon, Maria E ; Levy, David T ; Nguyen, Lien ; Rosenqvist, Gunnar ; Ross, Hana ; Townsend, Joy ; Clancy, Luke. / Pricing policies and control of tobacco in Europe (PPACTE) project : Cross-national comparison of smoking prevalence in 18 European countries. In: European Journal of Cancer Prevention. 2014 ; Vol. 23, No. 3. pp. 177-85.
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