If properly implemented and monitored, voluntary agreements can be an effective policy approach, though there is little evidence on whether they are more effective than compulsory approaches. Some of the most effective voluntary agreements include substantial disincentives for non-participation and sanctions for non-compliance. Many countries are moving towards these more formal approaches to voluntary agreements.
There are significant differences in the quality of reporting within and between major daily UK newspapers, with anonymous articles being the poorest quality, and widespread reliance on press releases from the major UK scientific journals.
Aim
To describe levels of knowledge on the harmful effects of tobacco and public support for tobacco control measures in nine countries of the former Soviet Union, and to examine the characteristics associated with this knowledge and support.
Methods
Standardised cross-sectional, nationally representative surveys conducted in 2010/11 with 18000 men and women aged 18 years and above in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia, and Ukraine. Respondents were asked a range of questions on their knowledge of the health effects of tobacco and their support for a variety of tobacco control measures. Descriptive analysis was conducted on levels of knowledge and support, along with multivariate logistic regression analysis of characteristics associated with overall knowledge and support scores.
Results
Large gaps exist in public understanding of the negative health effects of tobacco use, particularly in Azerbaijan, Kazakhstan, Kyrgyzstan, and Moldova. There are also extremely high levels of misunderstanding about the potential effects of ‘light’ cigarettes. However, there is popular support for tobacco control measures. Over three quarters of the respondents felt that their governments could be more effective in pursuing tobacco control. Higher levels of education, social capital (membership of an organisation) and being a former or never smoker were associated with higher knowledge on the health effects of tobacco and/or being more supportive of tobacco control measures.
Conclusions
Increasing public awareness of tobacco’s health effects is essential for informed decision-making by individuals and for further increasing public support for tobacco control measures.
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