Evidence map›Paper›PMID 31516469›Full record

ArticleTobacco induced diseases2018

Social norms towards smoking and electronic cigarettes among adult smokers in seven European Countries: Findings from the EUREST-PLUS ITC Europe Surveys.

Katherine A East, Sara C Hitchman, Mairtin McDermott, Ann McNeill, Aleksandra Herbeć, Yannis Tountas, Nicolas Bécuwe, Tibor Demjén, Marcela Fu, Esteve Fernández and 6 more

Abstract read
In one paragraph

Article in Tobacco induced diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Social Norms Change and Tobacco Use: A Protocol for a Systematic Review and Meta-Analysis of Interventions.International journal of environmental research and public health · 2021
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  7. Trends in Social Norms Towards Smoking Between 2002 and 2015 Among Daily Smokers: Findings From the International Tobacco Control Four Country Survey (ITC 4C).Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Katherine A EastNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Sara C HitchmanNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Mairtin McDermottNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Ann McNeillNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Aleksandra HerbećUK Centre for Tobacco and Alcohol Studies, King's College London (KCL), London, United Kingdom.
Yannis TountasNational and Kapodistrian University of Athens (UoA), Athens, Greece.
Nicolas BécuweKantar Public (TNS), Brussels, Belgium.
Tibor DemjénSmoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.
Marcela FuCatalan Institute of Oncology (ICO), Barcelona, Spain.
Esteve FernándezCatalan Institute of Oncology (ICO), Barcelona, Spain.
Ute MonsCancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Antigona C TroforUniversity of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
Witold A ZatońskiHealth Promotion Foundation (HPF), Warsaw, Poland.
Geoffrey T FongDepartment of Psychology and School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada.
Constantine I VardavasEuropean Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.
EUREST-PLUS consortium

Funding

Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

introductionThis study explores whether current smokers' social norms towards smoking and electronic cigarettes (e-cigarettes) vary across seven European countries alongside smoking and e-cigarette prevalence rates. At the time of surveying, England had the lowest current smoking prevalence and Greece the highest. Hungary, Romania and Spain had the lowest prevalence of any e-cigarette use and England the highest.

methodsRespondents were adult (≥18 years) current smokers from the 2016 EUREST-PLUS ITC (Romania, Spain, Hungary, Poland, Greece, Germany) and ITC 4CV England Surveys (N=7779). Using logistic regression, associations between country and (a) smoking norms and (b) e-cigarette norms were assessed, adjusting for age, sex, income, education, smoking status, heaviness of smoking, and e-cigarette status.

resultsCompared with England, smoking norms were higher in all countries: reporting that at least three of five closest friends smoke (19% vs 65-84% [AOR=6.9-24.0; Hungary-Greece]), perceiving that people important to them approve of smoking (8% vs 14-57% [1.9-51.1; Spain-Hungary]), perceiving that the public approves of smoking (5% vs 6-37% [1.7-15.8; Spain-Hungary]), disagreeing that smokers are marginalised (9% vs 16-50% [2.3-12.3; Poland-Greece]) except in Hungary. Compared with England: reporting that at least one of five closest friends uses e-cigarettes was higher in Poland (28% vs 36% [2.7]) but lower in Spain and Romania (28% vs 6-14% [0.3-0.6]), perceiving that the public approves of e-cigarettes was higher in Poland, Hungary and Greece (32% vs 36-40% [1.5-1.6]) but lower in Spain and Romania in unadjusted analyses only (32% vs 24-26%), reporting seeing e-cigarette use in public at least some days was lower in all countries (81% vs 12-55% [0.1-0.4]; Spain-Greece).

conclusionsSmokers from England had the least pro-smoking norms. Smokers from Spain had the least pro-e-cigarette norms. Friend smoking and disagreeing that smokers are marginalised broadly aligned with country-level current smoking rates. Seeing e-cigarette use in public broadly aligned with country-level any e-cigarette use. Generally, no other norms aligned with product prevalence.

Indexed as

electronic cigarettesEuropesmokingsocial normssurvey

Identifiers

PMID31516469
PMCPMC6661854

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.