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Trends in social norms towards smoking between 2002 and 2015 among daily smokers: findings from the International Tobacco Control Four Country Survey (ITC 4C)

East, Katherine A, Hitchman, Sara C, McNeill, Ann, Ferguson, Stuart G, Yong, Hua-Hie, Cummings, K Michael, Fong, Geoffrey T and Borland, Ron 2021, Trends in social norms towards smoking between 2002 and 2015 among daily smokers: findings from the International Tobacco Control Four Country Survey (ITC 4C), Nicotine and tobacco research, vol. 23, no. 1, pp. 203-211, doi: 10.1093/ntr/ntz179.

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Title Trends in social norms towards smoking between 2002 and 2015 among daily smokers: findings from the International Tobacco Control Four Country Survey (ITC 4C)
Author(s) East, Katherine A
Hitchman, Sara C
McNeill, Ann
Ferguson, Stuart G
Yong, Hua-HieORCID iD for Yong, Hua-Hie orcid.org/0000-0001-8167-6173
Cummings, K Michael
Fong, Geoffrey T
Borland, Ron
Journal name Nicotine and tobacco research
Volume number 23
Issue number 1
Start page 203
End page 211
Total pages 9
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2021-01
ISSN 1462-2203
1469-994X
Keyword(s) smoking
Australia
Canada
smoke
isolated tumor cells
social norms
tobacco control
smokers
Summary Objective To assess trends in daily smokers' social norms and opinions of smoking between 2002 and 2015 in Canada, the United States, the United Kingdom, and Australia. Method Data were from wave 1 (2002) to wave 9 (2013–2015) of the longitudinal International Tobacco Control Four Country Survey (Canada, the United States, the United Kingdom, Australia), involving 23 831 adult daily smokers. Generalized estimating equation logistic regression models, adjusted for demographics and survey design effects, assessed associations of wave and country with outcomes: (A) over half of five closest friends smoke, (B) agreeing that people important to you believe you should not smoke, (C) agreeing that society disapproves of smoking, and (D) negative opinion of smoking. Results Between 2002 and 2015, adjusting for covariates, (A) over half of five closest friends smoke did not change (56% vs. 55%; adjusted odds ratio [AOR] = 0.95 [95% Confidence Interval = 0.85–1.07]), (B) agreeing that people important to you believe you should not smoke generally decreased (89% vs. 82%; AOR = 0.54 [0.46–0.64]) despite an increase around 2006–2007, (C) agreeing that society disapproves of smoking increased between 2002 and 2006–2007 (83% vs. 87%; AOR = 1.38 [1.24–1.54]) then decreased until 2013–2015 (78%; AOR = 0.74 [0.63–0.88]), and (D) negative opinion of smoking decreased between 2002 and 2010–2011 (54% vs. 49%; AOR = 0.83 [0.75–0.91]) despite an increase around 2005–2006 and at the final wave (2013–2015). Except friend smoking, Canada had the greatest, and the United Kingdom the lowest, antismoking social norms and opinions. Conclusions Except friend smoking and opinion of smoking, daily smokers' social norms became less antismoking between 2002 and 2015 despite increases around 2006–2007. Several potential explanations are discussed yet remain undetermined. Implications Increasingly comprehensive tobacco control policies alongside decreasing smoking prevalence in Canada, the United States, the United Kingdom, and Australia have led to the assumption that smoking has become denormalized in these countries. Absent from the literature is any formal assessment of social norms towards smoking over time. Contrary to our hypotheses, this study found that the injunctive social norms of daily smokers became less antismoking between 2002 and 2015, despite increases around 2006–2007. There was no change over time in the proportion of daily smokers who report that over half of their five closest friends smoke.
Language eng
DOI 10.1093/ntr/ntz179
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1505 Marketing
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30142409

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.