Are smokers "hardening" or rather "softening"? An ecological and multilevel analysis across 28 European Union countries
Are smokers "hardening" or rather "softening"? An ecological and multilevel analysis across 28 European Union countries
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DOI:
10.1183/13993003.00596-2019
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发表时间:
2019-09-01
影响因子:
24.3
通讯作者:
Filippidis, Filippos T.
中科院分区:
文献类型:
--
作者:
Feliu, Ariadna;Fernandez, Esteve;Filippidis, Filippos T.
Background: Tobacco control policies can reduce smoking prevalence. These measures may be less effective where smoking prevalence has significantly declined, as the remaining smokers have "hardened". Our aim was to empirically evaluate the "hardening hypothesis" at the population level in the European Union (EU) and explore factors associated with hardcore smoking.Methods: We conducted two separate analyses in the EU using data on smoking from the Eurobarometer surveys (2009-2017, n=112745). 1) A panel-data fixed-effects linear regression to investigate changes over time in the percentage of hardcore smokers in relation to standardised smoking prevalence at the country level. 2) A multilevel logistic regression analysis with hardcore (daily smokers, >= 15 cigarettes per day who have not attempted to quit in the last 12 months) or light (