Abstract
The German federal parliament is discussing the implementation of acomprehensive tobacco advertising ban and whether that ban should include alternative nicotine delivery systems (ANDSs), such as e‑cigarettes and tobacco heaters. It would be important to know which outcome the general population, and in particular the users of tobacco/ANDSs, would prefer. Assessing public support for acomprehensive advertising ban on ANDSs in the German population, and particularly in tobacco and ANDSs users. The German Study on Tobacco Use ("Deutsche Befragung zum Rauchverhalten", DEBRA) is an ongoing, representative household survey of persons aged 14years and older. Data from the June/July 2019 survey wave (n = 2019) were analysed. Participants were interviewed regarding their tobacco smoking status and ANDS use, sociodemographic factors, and their support of an advertising ban on ANDSs. Prevalence rates and associations (odds ratio, OR) between support and sociodemographic factors or use of tobacco/ANDSs are reported. Of the population, 57.0% (95% confidence interval (95%CI) = 54.7-59.1%) support aban on ANDS advertising; 11.1% (95%CI = 9.8-12.6%) reject it. There is support for the ban from 46.0% (95%CI = 42.2-49.9%) of current tobacco smokers and 42.7% (95%CI = 35.9-49.6%) of ANDS users. Ex-smokers show the highest rates of support (64.8%, 95%CI = 58.9-70.3%). Acceptance among never- and ex-smokers is higher than among current smokers (adjusted OR 2.06, 95%CI = 1.64-2.59 and OR 1.65, 95%CI = 1.23-2.21). The majority of the German population supports acomprehensive advertising ban on ANDSs. Tobacco smokers and ANDS users are also more in favour of than against such aban. Thus, only little resistance will be expected within the population if acomprehensive tobacco advertising ban, as currently discussed in parliament, includes e‑cigarettes and heated tobacco products.
Published Version
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