Is the Public Ready for a Tobacco-Free Ireland? A National Survey of Public Knowledge and Attitudes to Tobacco Endgame in Ireland

Cosgrave, Ellen; Blake, Martina; Murphy, Edward; Sheridan, Aishling; Doyle, Frank; Kavanagh, Paul

doi:10.1101/2022.12.01.22282993

Cited by 6 publications

(1 citation statement)

References 47 publications

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“…Tobacco or e-cigarette use status and socio-demographic characteristics were also collected. The questions were embedded in a wider survey of public attitudes to tobacco endgame [13].…”

Section: Methodsmentioning

confidence: 99%

Public Attitudes to Implementing Financial Incentives in Stop Smoking Services in Ireland

Cosgrave

Sheridan

Murphy

et al. 2023

Preprint

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INTRODUCTION: Financial incentives improve stop smoking service outcomes. Views on acceptability can influence implementation success. To inform implementation planning in Ireland, public attitudes to financial incentives in stop smoking services were measured. METHODS: A cross-sectional telephone survey was administered to a random digit dialled sample of 1000 people in Ireland aged 15 years and older in 2022. The questionnaire included items on support for financial incentives under different conditions. Prevalence of support was calculated with 95% Confidence Intervals (CIs) and multiple logistic regression identified associated factors using Adjusted Odds Ratios (aORs, with 95% CIs). RESULTS: Almost half (47.0%, 95% CI 43.9%-50.1%) supported at least one type of financial incentive to stop smoking, with support more prevalent for shopping vouchers (43.3%, 95% CI 40.3%-46.5%) than cash payments (32.1%, 95% CI 29.2%-35.0%). Support was similar for universal and income-restricted schemes. Of those who supported financial incentives, the majority (60.6%) believed the maximum amount given on proof of stopping smoking should be under euro250 (median=euro100, range=euro1-euro7000). Versus comparative counterparts, those of lower educational attainment (aOR 1.49 95% CI 1.10-2.03, p=0.010) and tobacco/e-cigarette users (aOR 1.43 95% CI 1.02-2.03, p=0.041) were significantly more likely to support either financial incentive type, as were younger people. CONCLUSIONS: While views on financial incentives to stop smoking in Ireland were mixed, the intervention is more acceptable in groups experiencing the heaviest burden of smoking-related harm and most capacity to benefit. Engagement and communication must be integral to planning for successful implementation to improve stop smoking service outcomes.

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“…Tobacco or e-cigarette use status and socio-demographic characteristics were also collected. The questions were embedded in a wider survey of public attitudes to tobacco endgame [13].…”

Section: Methodsmentioning

confidence: 99%

Public Attitudes to Implementing Financial Incentives in Stop Smoking Services in Ireland

Cosgrave

Sheridan

Murphy

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

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Socioeconomic Variation in Tobacco Smoking Among the Adult Population in Ireland

Valentelyte,

Sheridan,

Kavanagh

et al. 2024

Nicotine and Tobacco Research

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Introduction Differences in smoking prevalence across socioeconomic groups are a major driver of health inequalities. Although smoking prevalence continues to decline across most developed countries, socioeconomic inequalities in smoking still persist. While Ireland is among a small number of countries with a tobacco-endgame goal set to achieve a smoking prevalence of 5% by 2025, the challenge this presents by socioeconomic status is uncharted. Aims and Methods We analyzed how differences in smoking status across various socioeconomic groups have changed over time in the adult population in Ireland. We used cross-sectional smoking data from the national population-based Healthy Ireland Survey for 2015–2022 (n = 52 494). Educational attainment and area-based deprivation were used as socioeconomic indicators. Socioeconomic differences and changes in inequality over time were identified using the relative index of inequality (RII). Multinomial logistic regression was used to analyze the association between socioeconomic status and daily smoking, occasional smoking, former smoking, and never smoking with adjustment for sex, age, and survey year. Results We observed the highest daily smoking rates among the least educated (OR = 11.62; 95% CI = 9.91, 13.63) and individuals living in the most deprived areas (OR = 4.23; 95% CI = 3.55, 5.04). Additionally, we identified significant relative smoking inequalities over the observation period continued to increase, among the least educated (RII = 2.86, 95%CI = 2.63, 3.09) and individuals living in the most deprived areas (RII = 2.64, 95% CI = 2.36, 2.93) Conclusions Despite generally reducing smoking prevalence, socioeconomic inequalities continue to widen among the smoking population in Ireland. Implications As the tobacco endgame deadline of 2025 is fast approaching, this study highlights the urgent need to consider potential effects across the lowest socioeconomic status groups when implementing equity-oriented tobacco control policies.

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‘Stopping the start’: support for proposed tobacco control policies – a population-based survey in Great Britain 2021–2023

Buss,

Shahab,

Bauld

et al. 2024

Tob Control

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ObjectivesThis study assessed public support for four proposed tobacco control policies in Great Britain: (1) Raising the sales age of tobacco by 1 year every year (Smokefree Generation); (2) Raising the sales age of tobacco from 18 years to 21 years; (3) Providing prescription e-cigarettes as smoking cessation aids to adults who smoke; (4) Restricting e-cigarette advertising to prevent youth uptake.DesignRepeat cross-sectional population-based survey weighted to match the population of Great Britain.SettingThe survey was conducted in England, Scotland and Wales in September 2021, October 2022 and October 2023.Participants6541 adults living in Great Britain.Main outcome measuresSupport for each policy and year and prevalence ratios (PRs) comparing support between years and subgroups.ResultsThe most popular policy each year was restricting e-cigarette advertising (74%/79%/85%), followed by raising the sales age to 21 years (50%/58%/64%), providing prescription e-cigarettes (45%/44%/47%) and Smokefree Generation (34%/44%/49%). The largest increases were for policies about the age of sale (Smokefree Generation: 2021/2022 PR=1.28, 95% CI 1.18 to 1.40, 2022/2023 PR=1.12, 95% CI 1.04 to 1.20; raising the age to 21 years: 2021/2022 PR=1.16, 95% CI 1.09 to 1.23, 2022/2023 PR=1.11, 95% CI 1.05 to 1.17). Only 30% opposed Smokefree Generation in 2023 down from 41% in 2021.ConclusionsSupport for each policy increased each year, except for providing prescription e-cigarettes. Restricting e-cigarette advertising was the most popular policy, while support for age of sale policies, in particular for a Smokefree Generation, grew most.Trial registrationThe study protocol was published on the Open Science Framework (https://osf.io/46z2c/) prior to starting the analysis.

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Is the Public Ready for a Tobacco-Free Ireland? A National Survey of Public Knowledge and Attitudes to Tobacco Endgame in Ireland

Cited by 6 publications

References 47 publications

Public Attitudes to Implementing Financial Incentives in Stop Smoking Services in Ireland

Public Attitudes to Implementing Financial Incentives in Stop Smoking Services in Ireland

Socioeconomic Variation in Tobacco Smoking Among the Adult Population in Ireland

‘Stopping the start’: support for proposed tobacco control policies – a population-based survey in Great Britain 2021–2023

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