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@article{Kyriakos:2022:10.1136/tc-2022-057428,
author = {Kyriakos, C and Driezen, P and Fong, GT and Chung-Hall, J and Hyland, A and Geboers, C and Quah, AC and Willemsen, MC and Filippidis, FT},
doi = {10.1136/tc-2022-057428},
journal = {Tobacco Control},
title = {The impact of the European Union’s menthol cigarette ban on smoking cessation outcomes: Longitudinal findings from the 2020-2021 ITC Netherlands Surveys},
url = {http://dx.doi.org/10.1136/tc-2022-057428},
year = {2022}
}

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TY  - JOUR
AB  - Introduction: To reduce the appeal of tobacco, the European Union (EU) banned menthol as a characterising flavour in cigarettes in May 2020. This pre-post study evaluated the impact of the menthol ban on smoking cessation outcomes among a representative cohort of Dutch smokers. Methods: Adult (18+ years) smokers were recruited at Wave 1 (pre-ban) of the International Tobacco Control (ITC) Netherlands Surveys (February-March 2020) and followed post-ban at Wave 2 (September-November 2020) and Wave 3 (June-July 2021) (N=1,326, participated in all three waves). Weighted bivariate, logistic regression, and generalised estimating equation model analyses were conducted.Results: Usual menthol use decreased from pre-ban (7.8%) to post-ban (4.0% at Wave 2 and 4.4% at Wave 3) (p<0.001). Pre-ban menthol smokers had greater odds of making a post-ban quit attempt than non-menthol smokers (66.9% vs 49.6%, aOR=1.89, 95%CI: 1.13-3.16). Compared to pre-ban non-menthol smokers, a higher proportion of menthol smokers quit by Wave 2 (17.8% vs 10.2%, p=0.025) and by Wave 3 (26.1% vs 14.1%, p=0.002), although this was not significant after adjusting for other factors. Female pre-ban menthol smokers had greater odds of quitting by Wave 3 than female non-menthol smokers (aOR=2.23, 95%CI: 1.10-4.51). Most pre-ban menthol smokers (n=99) switched to non-menthol cigarettes (40.0%) or reported that they continued to smoke menthol cigarettes (33.0%) at Wave 3.  Conclusions: The EU menthol ban was effective in reducing menthol use and in increasing quit attempts and quitting among pre-ban menthol smokers. Impact could be maximised by closing gaps that allow post-ban menthol cigarette use.
AU  - Kyriakos,C
AU  - Driezen,P
AU  - Fong,GT
AU  - Chung-Hall,J
AU  - Hyland,A
AU  - Geboers,C
AU  - Quah,AC
AU  - Willemsen,MC
AU  - Filippidis,FT
DO  - 10.1136/tc-2022-057428
PY  - 2022///
SN  - 0964-4563
TI  - The impact of the European Union’s menthol cigarette ban on smoking cessation outcomes: Longitudinal findings from the 2020-2021 ITC Netherlands Surveys
T2  - Tobacco Control
UR  - http://dx.doi.org/10.1136/tc-2022-057428
UR  - https://tobaccocontrol.bmj.com/content/early/2022/09/13/tc-2022-057428
UR  - http://hdl.handle.net/10044/1/99532
ER  -

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