ArticleAddiction (Abingdon, England)2019
Tobacco control policies and smoking among older adults: a longitudinal analysis of 10 European countries.
Article in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour.Nature human behaviour · 2024Pooled it
- Tobacco Use in Later Life: Evidence from Türkiye on Sociodemographic, Health, and Psychological Determinants.Journal of prevention (2022) · 2026Article
- Placing smoking prevalence in the context of tobacco control measures in Europe.Journal of health monitoring · 2025Article
- Variation in Relative Risk Perceptions and Tobacco Use by Race and Socioeconomic Status Among Older Adults Who Smoke: Evidence From the Population Assessment of Tobacco and Health Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Observational
- Impact of tobacco control policies on socioeconomic inequalities in smoking prevalence and quit ratios: an ecological study in the European Union (2009-2020).BMJ public health · 2025Article
- Financial assets and mental health over time.Scientific reports · 2024Article
- Prevalence of current smoking and associated factors in older adults in Brazil.Revista da Associacao Medica Brasileira (1992) · 2024Article
- Changes in the exposure to cardiovascular disease risk factors in an 18 year follow-up study of a cohort of middle age urban residents. The Polish arm of the HAPIEE study.Cardiology journal · 2024Article
- Adherence to a healthy lifestyle and its association with cognitive impairment in community-dwelling older adults in Shanghai.Frontiers in public health · 2023Article
- Tobacco consumption in Spain: Individual risk profiles.Tobacco induced diseases · 2023Article
- Prevalence of Cigarette Smoking among Professionally Active Adult Population in Poland and Its Strong Relationship with Cardiovascular Co-Morbidities-POL-O-CARIA 2021 Study.Journal of clinical medicine · 2022Article
- Gender, Tobacco Control Policies, and Persistent Smoking Among Older Adults: A Longitudinal Analysis of 11 European Countries.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Developing a novel e-cigarette regulatory and policy control scale: results from the European Union.Drugs (Abingdon, England) · 2022Article
- Tobacco Consumption and Mental Health in the Canary Islands: A Quantitative Analysis.Frontiers in public health · 2022Article
- Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China.Frontiers in public health · 2022Article
- Association Between Social Isolation and Smoking in Japan and England.Journal of epidemiology · 2021Article
- Who Smokes in Europe? Data From 12 European Countries in the TackSHS Survey (2017-2018).Journal of epidemiology · 2021Article
- Impact of tobacco control interventions on smoking initiation, cessation, and prevalence: a systematic review.Journal of thoracic disease · 2020Review
- Corrigendum.Addiction (Abingdon, England) · 2020Article
- The Tobacco Control Scale as a research tool to measure country-level tobacco control policy implementation.Tobacco induced diseases · 2020Article
Corrections and comments
- Commented on by
- Commented on by
- Erratum issuedCorrigendum.2020
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsThe impact of tobacco control on European older adults has not been studied, despite evidence that smoking cessation at old age can bring significant life expectancy gains. Our aim was to evaluate the impact of tobacco control policies on smoking among older adults in Europe from 2004 to 2013.
designWe used longitudinal data from the Survey of Health, Ageing and Retirement in Europe (SHARE, aged 50+ years) from four waves from 2004 to 2013. We used logistic regression models with clustered standard errors to determine whether the implementation of tobacco control policies was associated with changes in smoking status. Furthermore, we studied whether these associations varied by socio-demographic characteristics. Regression coefficients were converted to changes the probability of smoking [marginal effects (ME)]. MEASUREMENTS: Smoking status was the dependent variable, and the Tobacco Control Scale (TCS) was the explanatory variable, overall and by its main policy components (pricing and smoke-free policies). Covariates included age, sex, education and country and wave fixed-effects.
findingsA 10-point increase in TCS was associated with a lower probability of smoking by 1.6 percentage points [95% confidence interval (CI) = -3.208, -0.056] for those aged 50-65, but not for older Europeans. Among those with primary school or no education, the associated drop was of 1.5 percentage points (95% CI = -2.751, -0.253). By contrast, no significant relation between TCS and smoking was observed among those with high education. Higher TCS scores for pricing (ME = -0.636, 95% CI = -0.998, -0.275) and smoke-free policies (ME = -0.243, 95% CI = -0.445, -0.041) were associated with a significantly lower probability of smoking (P = 0.001 and P = 0.018, respectively).
conclusionIncreases in tobacco taxes and smoke-free policies are significantly related with a reduction in smoking among European older adults, suggesting potential health gains for this rising share of the population. These policies may be more effective among the lowest educated.
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