Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries

Introduction Exposure to tobacco product advertising, promotion, and sponsorship remains a challenge to tobacco control in many areas across the globe. The objective of this study was to explore the prevalence, sources and factors associated with exposure to advertising of heated tobacco products (H...

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Main Authors: Hani Al-Ghoumani, Constantine I. Vardavas, Katerina Aslanoglou, Anthony Laverty, Filippos T. Filippidis
Format: Article
Language:English
Published: European Publishing 2024-09-01
Series:Population Medicine
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Online Access:https://www.populationmedicine.eu/Exposure-to-smoking-tobacco-roll-your-own-tobacco-nheated-tobacco-product-and-e-cigarette,193944,0,2.html
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author Hani Al-Ghoumani
Constantine I. Vardavas
Katerina Aslanoglou
Anthony Laverty
Filippos T. Filippidis
author_facet Hani Al-Ghoumani
Constantine I. Vardavas
Katerina Aslanoglou
Anthony Laverty
Filippos T. Filippidis
author_sort Hani Al-Ghoumani
collection DOAJ
description Introduction Exposure to tobacco product advertising, promotion, and sponsorship remains a challenge to tobacco control in many areas across the globe. The objective of this study was to explore the prevalence, sources and factors associated with exposure to advertising of heated tobacco products (HTPs), e-cigarettes and smoking tobacco across 28 European countries. Methods We performed a secondary analysis of wave 93.2 of the Eurobarometer survey, which was conducted in 28 European countries during August–September 2020. Respondents were requested to provide detailed information on their exposure to tobacco advertising through multiple sources, its frequency and their demographical characteristics. Weighting was performed within all descriptive analyses to account for the sampling design. Results The reported exposure to advertising of smoking tobacco, e-cigarettes and HTPs was 34.6% (95% CI: 33.7–35.6), 39.3% (95% CI: 38.4–40.4) and 28.2% (95% CI: 27.4–29.2), respectively. The overall prevalence of frequent exposure to smoking tobacco advertising was 4.3% (95% CI: 3.9–4.7); however, exposure to advertising of smoking tobacco products differed significantly across the 28 European countries surveyed. Frequent exposure to e-cigarette advertising was reported by 6.8% (95% CI: 6.3–7.4) of all respondents, with the United Kingdom (21.6%) and Ireland (14.1%) having the highest prevalence of frequent exposure. Higher exposure to advertising of tobacco and nicotine products was reported by those aged 15–24 years for smoking tobacco products (AOR=1.35; 95% CI: 1.22–1.49), e-cigarettes (AOR=1.88; 95% CI: 1.70–2.07), and HTPs (AOR=1.92; 95% CI: 1.73–2.13) compared to older participants. Conclusions Our analyses indicate cross-country differences in exposure to advertising of smoking tobacco, e-cigarettes and HTPs and highlight sociodemographic characteristics associated with specific exposure routes of advertising in Europe. The current findings provide an evidence base that may fuel discussions related to potential revisions of the European Tobacco Advertising Directive.
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spelling doaj-art-2fcad2e2bdb148b3b9650401c9cd72a82025-08-20T02:11:08ZengEuropean PublishingPopulation Medicine2654-14592024-09-016September11010.18332/popmed/193944193944Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countriesHani Al-Ghoumani0Constantine I. Vardavas1https://orcid.org/0000-0003-0171-9570Katerina Aslanoglou2Anthony Laverty3Filippos T. Filippidis4European Network for Smoking and Tobacco Prevention (ENSP), Brussels, BelgiumSchool of Medicine, University of Crete, Crete, GreeceSchool of Medicine, University of Crete, Crete, GreecePublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, United KingdomPublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, United KingdomIntroduction Exposure to tobacco product advertising, promotion, and sponsorship remains a challenge to tobacco control in many areas across the globe. The objective of this study was to explore the prevalence, sources and factors associated with exposure to advertising of heated tobacco products (HTPs), e-cigarettes and smoking tobacco across 28 European countries. Methods We performed a secondary analysis of wave 93.2 of the Eurobarometer survey, which was conducted in 28 European countries during August–September 2020. Respondents were requested to provide detailed information on their exposure to tobacco advertising through multiple sources, its frequency and their demographical characteristics. Weighting was performed within all descriptive analyses to account for the sampling design. Results The reported exposure to advertising of smoking tobacco, e-cigarettes and HTPs was 34.6% (95% CI: 33.7–35.6), 39.3% (95% CI: 38.4–40.4) and 28.2% (95% CI: 27.4–29.2), respectively. The overall prevalence of frequent exposure to smoking tobacco advertising was 4.3% (95% CI: 3.9–4.7); however, exposure to advertising of smoking tobacco products differed significantly across the 28 European countries surveyed. Frequent exposure to e-cigarette advertising was reported by 6.8% (95% CI: 6.3–7.4) of all respondents, with the United Kingdom (21.6%) and Ireland (14.1%) having the highest prevalence of frequent exposure. Higher exposure to advertising of tobacco and nicotine products was reported by those aged 15–24 years for smoking tobacco products (AOR=1.35; 95% CI: 1.22–1.49), e-cigarettes (AOR=1.88; 95% CI: 1.70–2.07), and HTPs (AOR=1.92; 95% CI: 1.73–2.13) compared to older participants. Conclusions Our analyses indicate cross-country differences in exposure to advertising of smoking tobacco, e-cigarettes and HTPs and highlight sociodemographic characteristics associated with specific exposure routes of advertising in Europe. The current findings provide an evidence base that may fuel discussions related to potential revisions of the European Tobacco Advertising Directive.https://www.populationmedicine.eu/Exposure-to-smoking-tobacco-roll-your-own-tobacco-nheated-tobacco-product-and-e-cigarette,193944,0,2.htmltobaccoe-cigarettehealth advertisingpromotional activities
spellingShingle Hani Al-Ghoumani
Constantine I. Vardavas
Katerina Aslanoglou
Anthony Laverty
Filippos T. Filippidis
Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
Population Medicine
tobacco
e-cigarette
health advertising
promotional activities
title Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
title_full Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
title_fullStr Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
title_full_unstemmed Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
title_short Exposure to smoking tobacco, roll-your-own tobacco, heated tobacco product, and e-cigarette advertising in 28 European countries
title_sort exposure to smoking tobacco roll your own tobacco heated tobacco product and e cigarette advertising in 28 european countries
topic tobacco
e-cigarette
health advertising
promotional activities
url https://www.populationmedicine.eu/Exposure-to-smoking-tobacco-roll-your-own-tobacco-nheated-tobacco-product-and-e-cigarette,193944,0,2.html
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