Russian Tobacco Control Policy Evaluation Research Articles

Assessment of the implementation of legislative restrictions on tobacco retailers and point-of-sale tobacco display bans based on a literature review and results from Russian tobacco control policy evaluation survey EPOHA-RF

<h3></h3> Потребление табака — важный фактор риска развития хронических неинфекционных заболеваний и смерти от них. Законодательное регулирование потребления табачной и иной никотинсодержащей продукции (НСП) на территории Российской Федерации является основой популяционной профилактики этих заболеваний и охватывает все аспекты оборота, продаж и потребления табака, включая регулирование точек продаж табачных изделий (ТИ) и иной НСП, запрет открытой выкладки, демонстрации и рекламы ТИ и НСП в пунктах продаж. <h3>ЦЕЛЬ ИССЛЕДОВАНИЯ</h3> Проанализировать международный и отечественный опыт применения законодательных мер по ограничению физической доступности табака и иной НСП, изучить реализацию этих мер в России на основании результатов опроса под названием ЭПОХА-РФ взрослого населения на тему оценки антитабачной политики. <h3>МАТЕРИАЛ И МЕТОДЫ</h3> Проведен поиск, обзор и анализ публикаций за 20-летний период в международных базах научной литературы, включая отечественные исследования по оценке влияния городской инфраструктуры на здоровье человека. Проанализированы результаты опроса взрослого населения России на тему оценки мер государственной политики противодействия потреблению табака ЭПОХА-РФ, проведенного в 2017—2018 гг. на многоступенчатой территориальной репрезентативной стратифицированной выборке в 10 субъектах Российской Федерации, включающей 11 625 россиян 18 лет и старше: 6569 курящих, 2377 бывших курильщиков и 2679 никогда не куривших. Выполнен анализ реализации запрета продаж табачных изделий в непредусмотренных законом торговых объектах, запрета рекламы и демонстрации ТИ в пунктах продаж. <h3>РЕЗУЛЬТАТЫ</h3> Высокая плотность точек продаж ТИ, демонстрация, открытая выкладка и реклама ТИ и НСП в пунктах продаж способствуют распространенности курения, в частности среди детей и подростков, и препятствуют отказу от курения. В России в рамках пилотного исследования в четырех муниципалитетах одного региона выявлено 299 точек продаж ТИ, из них 13,7% составили самостоятельные киоски. По данным опроса ЭПОХА-РФ, 46,8% (95% ДИ 45,7—48%) курящих приобретали ТИ в киосках, 11,5% (95% ДИ 10,9—12,1%) населения сталкивались с рекламой и продвижением табака на витринах магазинов, торгующих ТИ, 13,5% (95% ДИ 12,9—14,2%) респондентов — непосредственно внутри магазинов, 11,9% (95% ДИ 11,3—12,5%) респондентов отметили наличие открытой выкладки в пунктах продаж. Данные существенно различаются между регионами. Реклама НСП в точках продаж, нацеленная на молодежь, повышает вероятность потребления электронных сигарет почти в 2 раза (скорректированное ОШ 1,82 (95% ДИ 1,24—2,7), <i>p</i>=0,002), систем нагревания табака — почти в 5 раз (скорректированное ОШ 4,69 (95% ДИ 2,70—8,14), <i>p</i>=0,000). <h3>ЗАКЛЮЧЕНИЕ</h3> Необходимы жесткий контроль и надзор за исполнением существующих законодательных норм, а также постоянный мониторинг этих процессов с использованием GIS-технологий, опросов населения и эпидемиологических исследований. Результаты мониторинга и оценки реализации законодательных норм необходимы как основание для совершенствования действующего законодательства по противодействию потреблению табака и иной никотинсодержащей продукции.

Use of electronic cigarettes and heated tobacco products related to marketing, age and smoking status in the Russian population: Results from the Russian Tobacco Control Policy evaluation survey

Use of electronic cigarettes and heated tobacco products related to marketing, age and smoking status in the Russian population: Results from the Russian Tobacco Control Policy evaluation survey

Electronic cigarettes and respiratory diseases in Russian Tobacco Control Policy evaluation survey

Abstract Background Though electronic cigarettes (EC) and heated tobacco products (HTP) are marketed as harm reduction products, the evidence is that like smoking, their use is dangerous for the lung health. Aim To explore the associations between EC and HTP use and major respiratory diseases (RD). Methods Cross-sectional data of adult representative sample from Russian Tobacco Control Policy Evaluation Survey are analysed, based on multistage sampling in 10 Russian regions in 2017-2018, stratified by smoking status: n = 11625: 6569 smokers, 2377 former smokers, 2679 never smokers. Self-reported formerly diagnosed RD as outcome indicators were analysed in relation with ever EC and HTP use, and current EC use, including HTP. Multiple logistic regression is employed; odds ratios (OR) with 95% CI adjusted by smoking status and socio-demographic factors. Results Chronic bronchitis (CB) was reported by 14% respondents, COPD-by 4.3%, asthma-by 3.1%, emphysema-1.5%, lung cancer-1.1%, tuberculosis (TB)-1.3%. Ever EC use was prevalent in 9.3%, HTP use-in 3.3%, and current EC use-in 2.5% of population. The prevalence of ever EC and HTP use and current EC use was higher among current smokers (13%,4.4%,3.5%), compared to former smokers (7.4%,3.4%,3.5%) and never smokers: 2.2%, 0.7% and 0.6% respectively, (p&amp;lt;.001). Ever HTP users had 2.5 times higher chances of CB: OR 2.52(95%CI 1.9-3.3), and 4 times higher chances of COPD: OR3.97(95%CI 2.8-5.7). The risk is even greater in case of dual EC and tobacco use in current smokers: OR 3.0(95%CI 2.2-4.1) and 4.2(95%CI 2.8-6.3) respectively. Current EC use was significantly associated with asthma: OR 2.9(95%CI 1.5-5.8) and OR 5.0(95%CI 2.6-11.3) in current smokers, lung cancer: OR 4.9(95%CI 1.6-14.8) and 7.2(95%CI 1.9-27.4); and TB:OR4.1(95%CI 1.7-11.6) and 5.4(95%CI 1.6-17.9) respectively. Conclusions EC and HTP use independent from smoking may increase the risk for major RD, combined with tobacco smoking the risk of RD is even greater. Key messages The use of Electronic cigarettes and heated tobacco products, independent from smoking, may increase the risk for major respiratory diseases. Prevalence of EC and HTP use is higher among smokers, compared to former and never smokers; combination of EC and HTP use with tobacco smoking makes the risk of respiratory diseases even greater.

Who does use ENDS in Russia? Results from Russian tobacco control policy evaluation survey EPOCHA-RF

Abstract Background Electronic Nicotine Delivery Systems (ENDS) become popular in Russia. Still little is known about use of these products. Aim To assess patterns of active and passive exposure to ENDS in Russian population. Methods Data from Russian tobacco control policy evaluation survey (2017-2018) are analysed, conducted on the basis of multistage territorial random sample of 11625 respondents: 6569 smokers, 2377 former smokers and 2679 never smokers 18years and older in 10 Russian Federal subjects. Results 38.8% of the respondents were familiar with ENDS, with the highest proportion in the youngest age group (18-24): 53.8%(p&amp;lt;.0001). 9.3%had tried ENDS, among 18-24 years old - those were 23.5%(p&amp;lt;.0001). The amount was significantly higher among recent quitters (in last 3years)-17.2%, and current smokers-13% compared with former (quitters for more than 3years) and never smokers. Of those 26.4% used ENDS regularly-with highest proportion among 18-24years old (29.1%), and current smokers (27.1%). This comprises 2.5% of respondents as regular ENDS users, and 6.8%-among the youngest group. Half of the smokers had tried to quit by means of ENDS, of those 69% failed to quit smoking, and 79% could neither give up smoking nor ENDS. However, only 18% ENDS users agreed that e-cigarettes cause addiction, and 37% even denied the fact. Those were mostly the youngest respondents (45%). Vaping was not allowed at homes of 67.4%respondents, at workplaces-of 65.6%. 14% of respondents had witnessed vaping at workplaces, 55.8% in public places, 20.3% cafes, restaurants and bars. 51.4% had been exposed to secondhand aerosols of ENDS and 73.2%-among 18-24years olds. 37%found exposure to the aerosols annoying, with significant differences between never/former smokers (58% and 50.3%) and recent quitters and current smokers (39.3% and 29.2%). Conclusions Young people are mostly exposed to ENDS in Russia. Strong legislation should be considered to regulate ENDS and protect people from their exposure. Key messages Electronic cigarettes are mostly prevalent among the youngest age groups, current smokers and recent quitters in Russia. ENDS do not help smokers to quit: vast majority of smokers who used ENDS for this purpose failed to give up both smoking and electronic cigarettes.

ENDS - a growing threat: results from Russian tobacco control policy evaluation survey EPOCHA-RF

Abstract Background Electronic nicotine delivery systems (ENDS) including heated tobacco products not yet legally regulated are more and more imposed over the Russian population. Still very little is known about these products. Aim To assess the exposure of Russian population to advertisement, promotion, of ENDS, and its attitudes and beliefs regarding these products. Methods Data from Russian tobacco control policy evaluation survey (2017-2018) are analysed which used a systematic stratified multistage random sampling based on territorial household principle, representing the adult population (18+) of Russia in 10 Federal subjects. 20380 randomly selected respondents were interviewed and a stratified sample (n = 11625) of smokers (n = 6569), former smokers (n = 2377) and never smokers (n = 2679) participated in the survey. Results In past 6 months 15.7% of the respondents were exposed to promotion of ENDS via internet, 14%-via social networks and 13.4% at the points of sale. Remarkably the youngest age group (18-24) was significantly more exposed to advertisement and promotion of ENDS from all sources than the rest of age groups: 32.6%, 32.3% and 24.3% respectively (p&amp;lt;.0001). 48% of respondents believe that secondhand vape of e-cigarettes is harmful for health of people, with significant differences among current smokers (40%), recent quitters (53%), former smokers (60%) and never smokers (66%). Majority agreed that it is necessary to regulate allowed amounts of nicotine in e-liquids (54%), to ban vaping in public places where tobacco smoking is banned (59.2%), ban the sales of these products to minors (68%), and the use of e-cigarettes by those (71.2%). 61.5% support the need for ban of all forms of advertisement, marketing and promotion of ENDS. Conclusions ENDS present a real threat for Russian tobacco control policy achievements. The findings will be used to support new strong legislation to regulate ENDS in Russia. Key messages Young people much more than the others are targeted with advertisement and promotion of ENDS. ENDS present a real threat for Russian tobacco control policy and should be legally regulated like any tobacco products.

What can motivate smokers to quit? Results from Russian Tobacco Control Policy Evaluation Survey

What can motivate smokers to quit? Results from Russian Tobacco Control Policy Evaluation Survey

Quitting smoking and use of Smoking Cessation services: Results from Russian Tobacco Control Policy Evaluation Survey

1. Algorithms for smoking-cessation support in health care. 'Let me ask You: do You smoke?' M. Gambaryan, O. Drapkina Profilakticheskaya meditsina CrossRef

Demand for medical smoking cessation support and its implementation: Results from Russian Tobacco control policy evaluation adult population based survey EPOCHA-RF

Demand for medical smoking cessation support and its implementation: Results from Russian Tobacco control policy evaluation adult population based survey EPOCHA-RF

Tobacco control in healthcare: results from Russian Tobacco Control Policy Evaluation Survey

Tobacco control in healthcare: results from Russian Tobacco Control Policy Evaluation Survey

Tobacco control in healthcare: results from Russian Tobacco Control Policy Evaluation Survey

Tobacco control in healthcare: results from Russian Tobacco Control Policy Evaluation Survey

Exposure to e-cigarettes in Russia: Results from Russian Tobacco control policy Evaluation study

Exposure to e-cigarettes in Russia: Results from Russian Tobacco control policy Evaluation study

E-cigarettes marketing and promotion in Russia, attitudes and beliefs. Results from Russian Tobacco control policy Evaluation study

1. The Prevalence of Cigarette and E-cigarette Smoking Among Students in Central and Eastern Europe—Results of the YUPESS Study Grzegorz Brożek, Mateusz Jankowski, Joshua Lawson, Andrei Shpakou, Michał Poznański, Tadeusz Zielonka, Ludmila Klimatckaia, Yelena Loginovich, Marta Rachel, Justína Gereová, Justyna Golonko, Ihar Naumau, Kamil Kornicki, Paulina Pepłowska, Valeriy Kovalevskiy, Asta Raskiliene, Krzysztof Bielewicz, Zuzana Krištúfková, Robert Mróz, Paulina Majek, Jakub Lubanski, Dorota Kaleta, Jarosław Pinkas, Jan Zejda International Journal of Environmental Research and Public Health CrossRef