Tobacco Denormalization and Industry Beliefs Among Smokers from Four Countries

Opinions About Electronic Cigarette Use in Smoke-Free Areas Among U.S. Adults, 2012

“…30 Other argue that introducing e-cigarettes to smoke-free environments could undermine smoking restrictions. 31 Smoking restrictions have resulted in protecting nonsmokers from secondhand smoke, reducing overall cigarette consumption, 32 and de-normalizing smoking behavior that in turn led to increased cessation 18 and to reduction in initiation. 33 Potential unintended consequences of allowing e-cigarettes to be used freely in smoke-free areas include: undermining tobacco control efforts, and re-normalizing smoking, encouraging dual use-the use Adjusted OR (95% CI) = adjusted odds ratio (95% confidence interval).…”

“…Compared to young adults (18)(19)(20)(21)(22)(23)(24), older adults aged (45-54), (55-64), and (65+) were significantly less likely to express, an opinion "in favor" (AOR = 0.5, 95% CI = 0.3-0.9), (AOR = 0.5, 95% CI = 0.3-0.9), (AOR = 0.3, 95% CI = 0.1-0.4) than to report, "don't know." Compared to the reference group, individuals who expressed either a supportive or opposing opinion did not significantly differ by gender, race/ethnicity, household income, education level, or U.S. census region ( Table 2).…”

“…17 Smoking denormalization has been effective in increasing smoking cessation and reducing initiation. 18 If e-cigarette use in smoke-free areas reverse the social norms and undermine the benefits of smoking restrictions, then they would be harmful at the population level. 6 Alternatively, permitting e-cigarette use in smoke-free areas could have the potential to motivate current smokers to shift from smoking regular cigarettes to using e-cigarettes, resulting in some possible harm reduction at the individual and the public health levels.…”

Contrasting Smokers' and Snus Users' Perceptions of Personal Tobacco Behavior in Norway

“…Tobacco control strategies such as media campaigns, regulatory actions and persuasive efforts to change the social norms around tobacco use have been labelled as the process of denormalizing tobacco (Hammond, Fong, Zanna, Thrasher, & Borland, 2006;Moore, 2005). In Norway, tobacco control has focused mainly on denormalizing cigarette smoking and has been directed less towards snus use.…”

Population Support Before and After the Implementation of Smoke-Free Laws in the United States: Trends From 1992–2007

“…8 The adoption and implementation of smoke-free laws can also be a potential cause for the support for smoke-free laws to increase at a higher rate. Possible reasons are that smoke-free laws are known to decrease the social acceptability of smoking 10,11 and that they are often accompanied by media attention about second-hand smoke. 12 It is also possible that the public may realize that smoke-free laws are feasible and desirable once they are in place.…”