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- W2552085323 abstract "A package of the most effective tobacco control policies (MPOWER) was established in 2008 by the World Health Organization to strengthen global anti-smoking commitment. The Ageing Lungs in European Cohorts (ALEC) consortium includes multicentre studies (ECRHS, GA2LEN, RHINE, GEIRD) that collected data on smoking histories of 124,452 subjects surveyed in 1990-2014 across Europe. We studied the impact of tobacco control policies on recent trends in smoking initiation. Smoking initiation rates were estimated using multilevel Poisson regression models with log(person-years) as an offset, centre/survey as a random-intercept, EU region (North, East, South, West) and centre/survey response rate as fixed effects. The number of smokers (person-years at risk) were 18,468 (727,561), 27,611 (365,231) and 12,716 (821,150) among subjects aged 10-15, 16-19 and 20-34 years, respectively. Sex/age-adjusted initiation rates were lower in 2000-09 for countries that banned smoking from all public places (10.8, 95%CI: 9.3, 12.3, per 1000/year) vs the others (22.7, 95%CI: 19.0, 26.5). In the last two decades, trends in initiation rates have declined for both sexes, with the exception for 10-15 years-old subjects. In particular, rates have been steeply increasing among females, especially in countries with less inclusive smoking bans. These findings were confirmed when comparing countries with different levels of implementation of other anti-tobacco policies, such as high taxation, bans on advertising and pack warnings. The overall trend in smoking in Europe in the last decades is downward. However, our data suggest that the behaviour of pre-adolescents has not been addressed effectively by public health policies." @default.
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- W2552085323 date "2016-09-01" @default.
- W2552085323 modified "2023-10-01" @default.
- W2552085323 title "Trends in smoking habits in Europe: Are anti-smoking policies overlooking pre-adolescents?" @default.
- W2552085323 doi "https://doi.org/10.1183/13993003.congress-2016.pa1177" @default.
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