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• W2946854964 endingPage "054937" @default.
• W2946854964 startingPage "tobaccocontrol" @default.
• W2946854964 abstract "Background The hardening hypothesis predicts that as smoking prevalence declines, remaining smokers will be more heavily addicted to nicotine and/or less interested in quitting. We tested this hypothesis in a population exposed to a comprehensive tobacco control programme over a 16-year period. Methods Annual cross-sectional surveys randomly sampled adults (aged 26+) in the state of Victoria, Australia, between 2001 and 2016. Until 2010, participants were recruited through random digit dialling to landline telephones; from 2011, sampling frames also included mobile phones. Logistic regressions assessed changes over time in the prevalence of smoking and each hardening indicator; additional models examined interactions by sex, age, education and socioeconomic status. Results Smoking prevalence declined significantly between 2001 and 2016 (20.1%–13.0%), as did the prevalence of seven hardening indicators: daily smoking, heavy consumption, no quit attempt in the past 5 years or past 12 months, no intention to quit in the next 6 months or next 30 days, and happiness to keep smoking. In addition, the proportion of smokers defined as ‘hardcore’ decreased from 17.2% to 9.1%. On the whole, hardening indicators decreased to a similar extent among demographic subgroups. Conclusions These results are inconsistent with the hardening hypothesis. Rather, they suggest that a comprehensive tobacco control programme that combines provision of cessation support to individual smokers with implementation of population-level interventions to drive all smokers towards quitting, can successfully reduce both smoking prevalence and levels of dependence and desire to keep smoking among the remaining population of smokers." @default.
• W2946854964 created "2019-06-07" @default.
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• W2946854964 date "2019-05-30" @default.
• W2946854964 modified "2023-10-14" @default.
• W2946854964 title "Hardening or softening? An observational study of changes to the prevalence of hardening indicators in Victoria, Australia, 2001–2016" @default.
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• W2946854964 doi "https://doi.org/10.1136/tobaccocontrol-2019-054937" @default.
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