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Patterns of tobacco use, quit attempts, readiness to quit and self-efficacy among smokers with anxiety or depression: Findings among six countries of the EUREST-PLUS ITC Europe Surveys.

Identifieur interne : 000848 ( Main/Exploration ); précédent : 000847; suivant : 000849

Patterns of tobacco use, quit attempts, readiness to quit and self-efficacy among smokers with anxiety or depression: Findings among six countries of the EUREST-PLUS ITC Europe Surveys.

Auteurs : Ioanna Petroulia [Grèce] ; Christina N. Kyriakos [Belgique, Grèce] ; Sophia Papadakis [Grèce, Canada] ; Chara Tzavara [Grèce] ; Filippos T. Filippidis [Grèce, Royaume-Uni] ; Charis Girvalaki [Grèce] ; Theodosia Peleki [Grèce] ; Paraskevi Katsaounou [Grèce] ; Ann Mcneill [Royaume-Uni] ; Ute Mons [Allemagne] ; Esteve Fernández [Espagne] ; Tibor Demjén [Hongrie] ; Antigona C. Trofor [Roumanie] ; Aleksandra Herbe [Pologne] ; Witold A. Zato Ski [Pologne] ; Yannis Tountas [Grèce] ; Geoffrey T. Fong [Canada] ; Constantine I. Vardavas [Belgique, Grèce]

Source :

RBID : pubmed:31516463

Abstract

INTRODUCTION

We compared smoking behaviors, past quit attempts, readiness to quit and beliefs about quitting among current cigarette smokers with probable anxiety or depression (PAD) to those without PAD, from six European Union (EU) Member States (MS).

METHODS

A nationally representative cross-sectional sample of 6011 adult cigarette smokers from six EU MS (Germany, Greece, Hungary, Poland, Romania, Spain) was randomly selected through a multistage cluster sampling design in 2016. Respondents were classified as having PAD based on self-reported current diagnosis or treatment for anxiety or depression, or a positive screen for major depression, according to a validated two-item instrument. Sociodemographic characteristics, patterns of tobacco use, past quitting, readiness to quit, self-efficacy and beliefs about quitting were assessed for patients with and without PAD. Logistic regression was used to examine predictors of PAD. All analyses were conducted using the complex samples package of SPSS.

RESULTS

Among smokers sampled, 21.0% (95% CI: 19.3-22.9) were identified as having PAD. Logistic regression analyses controlling for socioeconomic variables and cigarettes smoked per day found smokers with PAD were more likely to have made an attempt to quit smoking in the past (AOR=1.48; 95% CI: 1.25-1.74), made a quit attempt in the last 12 months (AOR=1.75; 95% CI: 1.45-2.11), and report lower self-efficacy with quitting (AOR=1.83; 95% CI: 1.44-2.32) compared to smokers without PAD. Additionally, it was found that individuals with PAD were more likely to report having received advice to quit from a doctor or health professional and having used quitline support as part of their last quit attempt.

CONCLUSIONS

Smokers with PAD report a greater interest in quitting in the future and more frequent failed quit attempts than smokers without PAD; however, the high rates of untreated anxiety or depression, nicotine dependence, low confidence in the ability to quit, infrequent use of cessation methods, as well as socioeconomic factors may make quitting difficult.


DOI: 10.18332/tid/98965
PubMed: 31516463
PubMed Central: PMC6661848


Affiliations:


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<nlm:affiliation>Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada.</nlm:affiliation>
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<name sortKey="Tountas, Yannis" sort="Tountas, Yannis" uniqKey="Tountas Y" first="Yannis" last="Tountas">Yannis Tountas</name>
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<name sortKey="Vardavas, Constantine I" sort="Vardavas, Constantine I" uniqKey="Vardavas C" first="Constantine I" last="Vardavas">Constantine I. Vardavas</name>
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<country xml:lang="fr">Belgique</country>
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<settlement type="city">Bruxelles</settlement>
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<nlm:affiliation>University of Crete (UoC), Heraklion, Greece.</nlm:affiliation>
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<nlm:affiliation>Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<settlement type="city">Londres</settlement>
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<region type="région" nuts="1">Grand Londres</region>
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<name sortKey="Girvalaki, Charis" sort="Girvalaki, Charis" uniqKey="Girvalaki C" first="Charis" last="Girvalaki">Charis Girvalaki</name>
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<nlm:affiliation>University of Crete (UoC), Heraklion, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<name sortKey="Peleki, Theodosia" sort="Peleki, Theodosia" uniqKey="Peleki T" first="Theodosia" last="Peleki">Theodosia Peleki</name>
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<nlm:affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>National and Kapodistrian University of Athens (UoA), Athens</wicri:regionArea>
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<settlement type="city">Athènes</settlement>
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<name sortKey="Katsaounou, Paraskevi" sort="Katsaounou, Paraskevi" uniqKey="Katsaounou P" first="Paraskevi" last="Katsaounou">Paraskevi Katsaounou</name>
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<nlm:affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</nlm:affiliation>
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<settlement type="city">Athènes</settlement>
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<name sortKey="Mcneill, Ann" sort="Mcneill, Ann" uniqKey="Mcneill A" first="Ann" last="Mcneill">Ann Mcneill</name>
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<nlm:affiliation>King's College London (KCL), London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>King's College London (KCL), London</wicri:regionArea>
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<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Mons, Ute" sort="Mons, Ute" uniqKey="Mons U" first="Ute" last="Mons">Ute Mons</name>
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<nlm:affiliation>Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
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</placeName>
</affiliation>
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<author>
<name sortKey="Fernandez, Esteve" sort="Fernandez, Esteve" uniqKey="Fernandez E" first="Esteve" last="Fernández">Esteve Fernández</name>
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<nlm:affiliation>Tobacco Control Unit, Catalan Institute of Oncology (ICO), and Cancer Control and Prevention Group, Bellvitge Biomedical Research Institute (IDIBELL), Catalonia, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Tobacco Control Unit, Catalan Institute of Oncology (ICO), and Cancer Control and Prevention Group, Bellvitge Biomedical Research Institute (IDIBELL), Catalonia</wicri:regionArea>
<wicri:noRegion>Catalonia</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>School of Medicine and Health Sciences, Universitat de Barcelona, Catalonia, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>School of Medicine and Health Sciences, Universitat de Barcelona, Catalonia</wicri:regionArea>
<orgName type="university">Université de Barcelone</orgName>
<placeName>
<settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Demjen, Tibor" sort="Demjen, Tibor" uniqKey="Demjen T" first="Tibor" last="Demjén">Tibor Demjén</name>
<affiliation wicri:level="3">
<nlm:affiliation>Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Smoking or Health Hungarian Foundation (SHHF), Budapest</wicri:regionArea>
<placeName>
<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Trofor, Antigona C" sort="Trofor, Antigona C" uniqKey="Trofor A" first="Antigona C" last="Trofor">Antigona C. Trofor</name>
<affiliation wicri:level="1">
<nlm:affiliation>Universitatea de Medicina si Farmacie 'Grigore T. Popa' Iași, Iași, România.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Roumanie</country>
<wicri:regionArea>Universitatea de Medicina si Farmacie 'Grigore T. Popa' Iași, Iași</wicri:regionArea>
<wicri:noRegion>Iași</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Aer Pur Romania, Bucharest, Romania.</nlm:affiliation>
<country xml:lang="fr">Roumanie</country>
<wicri:regionArea>Aer Pur Romania, Bucharest</wicri:regionArea>
<wicri:noRegion>Bucharest</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Herbe, Aleksandra" sort="Herbe, Aleksandra" uniqKey="Herbe A" first="Aleksandra" last="Herbe">Aleksandra Herbe</name>
<affiliation wicri:level="1">
<nlm:affiliation>Health Promotion Foundation, Warsaw, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Health Promotion Foundation, Warsaw</wicri:regionArea>
<wicri:noRegion>Warsaw</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Zato Ski, Witold A" sort="Zato Ski, Witold A" uniqKey="Zato Ski W" first="Witold A" last="Zato Ski">Witold A. Zato Ski</name>
<affiliation wicri:level="1">
<nlm:affiliation>Health Promotion Foundation, Warsaw, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Health Promotion Foundation, Warsaw</wicri:regionArea>
<wicri:noRegion>Warsaw</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz</wicri:regionArea>
<wicri:noRegion>Kalisz</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tountas, Yannis" sort="Tountas, Yannis" uniqKey="Tountas Y" first="Yannis" last="Tountas">Yannis Tountas</name>
<affiliation wicri:level="3">
<nlm:affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>National and Kapodistrian University of Athens (UoA), Athens</wicri:regionArea>
<placeName>
<settlement type="city">Athènes</settlement>
<region nuts="2" type="region">Attique (région)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Fong, Geoffrey T" sort="Fong, Geoffrey T" uniqKey="Fong G" first="Geoffrey T" last="Fong">Geoffrey T. Fong</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Psychology & School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Psychology & School of Public Health and Health Systems, University of Waterloo (UW), Waterloo</wicri:regionArea>
<wicri:noRegion>Waterloo</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3">
<nlm:affiliation>Ontario Institute for Cancer Research, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Ontario Institute for Cancer Research, Toronto</wicri:regionArea>
<placeName>
<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Vardavas, Constantine I" sort="Vardavas, Constantine I" uniqKey="Vardavas C" first="Constantine I" last="Vardavas">Constantine I. Vardavas</name>
<affiliation wicri:level="3">
<nlm:affiliation>European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>European Network for Smoking and Tobacco Prevention (ENSP), Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>University of Crete (UoC), Heraklion, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>University of Crete (UoC), Heraklion</wicri:regionArea>
<wicri:noRegion>Heraklion</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Tobacco induced diseases</title>
<idno type="eISSN">1617-9625</idno>
<imprint>
<date when="2018" type="published">2018</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>INTRODUCTION</b>
</p>
<p>We compared smoking behaviors, past quit attempts, readiness to quit and beliefs about quitting among current cigarette smokers with probable anxiety or depression (PAD) to those without PAD, from six European Union (EU) Member States (MS).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A nationally representative cross-sectional sample of 6011 adult cigarette smokers from six EU MS (Germany, Greece, Hungary, Poland, Romania, Spain) was randomly selected through a multistage cluster sampling design in 2016. Respondents were classified as having PAD based on self-reported current diagnosis or treatment for anxiety or depression, or a positive screen for major depression, according to a validated two-item instrument. Sociodemographic characteristics, patterns of tobacco use, past quitting, readiness to quit, self-efficacy and beliefs about quitting were assessed for patients with and without PAD. Logistic regression was used to examine predictors of PAD. All analyses were conducted using the complex samples package of SPSS.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Among smokers sampled, 21.0% (95% CI: 19.3-22.9) were identified as having PAD. Logistic regression analyses controlling for socioeconomic variables and cigarettes smoked per day found smokers with PAD were more likely to have made an attempt to quit smoking in the past (AOR=1.48; 95% CI: 1.25-1.74), made a quit attempt in the last 12 months (AOR=1.75; 95% CI: 1.45-2.11), and report lower self-efficacy with quitting (AOR=1.83; 95% CI: 1.44-2.32) compared to smokers without PAD. Additionally, it was found that individuals with PAD were more likely to report having received advice to quit from a doctor or health professional and having used quitline support as part of their last quit attempt.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Smokers with PAD report a greater interest in quitting in the future and more frequent failed quit attempts than smokers without PAD; however, the high rates of untreated anxiety or depression, nicotine dependence, low confidence in the ability to quit, infrequent use of cessation methods, as well as socioeconomic factors may make quitting difficult.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM">
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<DateRevised>
<Year>2020</Year>
<Month>10</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection">
<Journal>
<ISSN IssnType="Electronic">1617-9625</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>16</Volume>
<PubDate>
<Year>2018</Year>
</PubDate>
</JournalIssue>
<Title>Tobacco induced diseases</Title>
<ISOAbbreviation>Tob Induc Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Patterns of tobacco use, quit attempts, readiness to quit and self-efficacy among smokers with anxiety or depression: Findings among six countries of the EUREST-PLUS ITC Europe Surveys.</ArticleTitle>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">We compared smoking behaviors, past quit attempts, readiness to quit and beliefs about quitting among current cigarette smokers with probable anxiety or depression (PAD) to those without PAD, from six European Union (EU) Member States (MS).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A nationally representative cross-sectional sample of 6011 adult cigarette smokers from six EU MS (Germany, Greece, Hungary, Poland, Romania, Spain) was randomly selected through a multistage cluster sampling design in 2016. Respondents were classified as having PAD based on self-reported current diagnosis or treatment for anxiety or depression, or a positive screen for major depression, according to a validated two-item instrument. Sociodemographic characteristics, patterns of tobacco use, past quitting, readiness to quit, self-efficacy and beliefs about quitting were assessed for patients with and without PAD. Logistic regression was used to examine predictors of PAD. All analyses were conducted using the complex samples package of SPSS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among smokers sampled, 21.0% (95% CI: 19.3-22.9) were identified as having PAD. Logistic regression analyses controlling for socioeconomic variables and cigarettes smoked per day found smokers with PAD were more likely to have made an attempt to quit smoking in the past (AOR=1.48; 95% CI: 1.25-1.74), made a quit attempt in the last 12 months (AOR=1.75; 95% CI: 1.45-2.11), and report lower self-efficacy with quitting (AOR=1.83; 95% CI: 1.44-2.32) compared to smokers without PAD. Additionally, it was found that individuals with PAD were more likely to report having received advice to quit from a doctor or health professional and having used quitline support as part of their last quit attempt.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Smokers with PAD report a greater interest in quitting in the future and more frequent failed quit attempts than smokers without PAD; however, the high rates of untreated anxiety or depression, nicotine dependence, low confidence in the ability to quit, infrequent use of cessation methods, as well as socioeconomic factors may make quitting difficult.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Petroulia</LastName>
<ForeName>Ioanna</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kyriakos</LastName>
<ForeName>Christina N</ForeName>
<Initials>CN</Initials>
<AffiliationInfo>
<Affiliation>European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>University of Crete (UoC), Heraklion, Greece.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Papadakis</LastName>
<ForeName>Sophia</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>University of Crete (UoC), Heraklion, Greece.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Tzavara</LastName>
<ForeName>Chara</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Filippidis</LastName>
<ForeName>Filippos T</ForeName>
<Initials>FT</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Girvalaki</LastName>
<ForeName>Charis</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>University of Crete (UoC), Heraklion, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Peleki</LastName>
<ForeName>Theodosia</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Katsaounou</LastName>
<ForeName>Paraskevi</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McNeill</LastName>
<ForeName>Ann</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>King's College London (KCL), London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mons</LastName>
<ForeName>Ute</ForeName>
<Initials>U</Initials>
<AffiliationInfo>
<Affiliation>Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fernández</LastName>
<ForeName>Esteve</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Tobacco Control Unit, Catalan Institute of Oncology (ICO), and Cancer Control and Prevention Group, Bellvitge Biomedical Research Institute (IDIBELL), Catalonia, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>School of Medicine and Health Sciences, Universitat de Barcelona, Catalonia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Demjén</LastName>
<ForeName>Tibor</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Trofor</LastName>
<ForeName>Antigona C</ForeName>
<Initials>AC</Initials>
<AffiliationInfo>
<Affiliation>Universitatea de Medicina si Farmacie 'Grigore T. Popa' Iași, Iași, România.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Aer Pur Romania, Bucharest, Romania.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Herbeć</LastName>
<ForeName>Aleksandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Health Promotion Foundation, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zatoński</LastName>
<ForeName>Witold A</ForeName>
<Initials>WA</Initials>
<AffiliationInfo>
<Affiliation>Health Promotion Foundation, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tountas</LastName>
<ForeName>Yannis</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>National and Kapodistrian University of Athens (UoA), Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fong</LastName>
<ForeName>Geoffrey T</ForeName>
<Initials>GT</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychology & School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Ontario Institute for Cancer Research, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Vardavas</LastName>
<ForeName>Constantine I</ForeName>
<Initials>CI</Initials>
<AffiliationInfo>
<Affiliation>European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>University of Crete (UoC), Heraklion, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>EUREST-PLUS consortium</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
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</PublicationTypeList>
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<Year>2019</Year>
<Month>02</Month>
<Day>05</Day>
</ArticleDate>
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<Country>Greece</Country>
<MedlineTA>Tob Induc Dis</MedlineTA>
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<RefSource>Tob Induc Dis. 2019 Nov 22;17:83</RefSource>
<PMID Version="1">31889945</PMID>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Europe</Keyword>
<Keyword MajorTopicYN="N">anxiety</Keyword>
<Keyword MajorTopicYN="N">depression</Keyword>
<Keyword MajorTopicYN="N">mental health</Keyword>
<Keyword MajorTopicYN="N">smoking cessation</Keyword>
</KeywordList>
<CoiStatement>The authors declare that they have no competing interests, financial or otherwise, related to the current work. P. Katsaounou reports grants and personal fees from GSK, Astra Zeneca, BI, Chiesi, Pfizer, Menarini, outside the submitted work. A. Herbeć reports grants from Pfizer, outside the submitted work. C. I. Vardavas reports that he is the Strategic Development Editor of TID and that there are no conflicts of interest with this current work. The rest of the authors have also completed and submitted an ICMJE form for disclosure of potential conflicts of interest.</CoiStatement>
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<Month>09</Month>
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