Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29455
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Association between tobacco control policies and current smoking across different occupational groups in the EU between 2009 and 2017
Author(s): So, Vivian
Best, Catherine
Currie, Dorothy
Haw, Sally
Contact Email: catherine.best2@stir.ac.uk
Issue Date: Aug-2019
Citation: So V, Best C, Currie D & Haw S (2019) Association between tobacco control policies and current smoking across different occupational groups in the EU between 2009 and 2017. Journal of Epidemiology and Community Health, 73 (8), pp. 759-767. https://doi.org/10.1136/jech-2018-211935
Abstract: Background This study investigated the cross-national and longitudinal associations between national tobacco control policies and current smoking in 28 European Union (EU) member states between 2009 and 2017. It also examined the interaction between tobacco control policies and occupational status. Methods We used data from four waves of Eurobarometer (2009, 2012, 2014 and 2017). The total sample size was 105,231 individuals aged ≥15 years. Tobacco Control Scale scores (range 0 to 100) for years 2005, 2007, 2012 and 2014 measured the strength of country-level tobacco control policies. Logistic multilevel regression analyses with three levels (the individual, the country-year and the country) were performed with current smoker as the dependent variable. Results Across the EU, average smoking prevalence fell from 29.4% (95% CI: 28.5% to 30.2%) in 2009 to 26.3% (95% CI: 25.4% to 27.1%) in 2017. We confirmed that cross-nationally, strong national tobacco control policies are significantly associated with low probability of smoking. A one-point increase in TCS score was associated with lower odds of smoking (OR = 0.990; 95% CI = 0.963 to 0.998), but longitudinally (within-country) increases in TCS were not associated with current smoking (OR = 0.999; 95% CI = 0.994 to 1.005). Compared to those in manual occupations, the cross-national association was stronger in the upper occupational group (Conditional OR for the interaction = 0.985; 95% CI = 0.978 to 0.992) and weaker in the economically inactive group (Conditional OR for the interaction 1.009; 95% CI: 1.005 to 1.013). Conclusion Differences in tobacco control policies between countries were associated with probability of smoking but changes in TCS within countries over time were not. Differences between countries in tobacco control policies were found to be most strongly associated with likelihood of smoking in the highest occupational groups and were found to have only a weak association with smoking among the economically inactive in this sample.
DOI Link: 10.1136/jech-2018-211935
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This article has been accepted for publication in Journal of Epidemiology and Community Health following peer review. The definitive copyedited, typeset version So VH, Best C, Currie D, et al Association between tobacco control policies and current smoking across different occupational groups in the EU between 2009 and 2017 J Epidemiol Community Health 2019;73:759-767 is available online at: https://doi.org/10.1136/jech-2018-211935

Files in This Item:
File Description SizeFormat 
manuscript-revised-05cb_clean.pdfFulltext - Accepted Version450.6 kBAdobe PDFView/Open



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.