Universidad del Desarrollo

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Trends in initiation of regular cigarette smoking in 28 European countries, 1940–2019: retrospective reconstruction from repeated cross-sectional surveys
(Oxford University Press (OUP), 2025-11-14)
Ayaka Teshima
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Olivia Bannon
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Filippos T Filippidis
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Ariadna Feliu
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Silvano Gallus
<jats:title>Abstract</jats:title> <jats:p>In the European Union (EU), one in five youth currently smoke, with over half establishing regular smoking by age 18. Yet, evidence on the historical trends of smoking initiation remains scarce despite its importance for tobacco control. Using four waves of the Special Eurobarometer survey (2012–20; n = 110 753, aged ≥15), we retrospectively estimated trends in initiation rates (IRs) of regular cigarette smoking in the EU from 1940 to 2019 among individuals aged 10–24 by sex, region, and country for each calendar decade. EU-wide smoking IRs have decreased compared to the peak period, with narrowing disparities by sex and region. For males, the IRs have declined from 5.7% (95% CI = 5.6–5.9) in the 1970s to 3.2% (95% CI = 3.0–3.3) in the 2010s, and for females from 3.9% (95% CI = 3.7–4.0) in the 1990s to 2.4% (95% CI = 2.3–2.5) in the 2010s. The decline was more pronounced among young adults aged 18–24 than minors aged 10–17, with minors’ IRs surpassing those of young adults during the 2010s. Marked declines occurred among young adults in all regions, while among minors, a clear decrease was observed only for males in Northern Europe. Concerningly, the IRs among minors have trended upward in Eastern Europe for both sexes. Despite declining youth smoking initiation, an unacceptably high number of European youth still begin smoking regularly before the legal age of 18. Stricter and comprehensive tobacco control policies targeting youth, along with smoke-free generation initiatives, could substantially reduce future tobacco use and smoking-related mortality.</jats:p>
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Tobacco imagery in prime-time television in Spain: A content analysis
(European Publishing, 2025-06-10)
PERUGA URREA, ARMANDO
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Olena Tigova
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Ariadna Feliu
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Dolors Carnicer-Pont
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Laura Anton
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Mapping indicators of tobacco and related product use: Unveiling challenges and variations in the Eurobarometer surveys over three decades
(European Publishing, 2025-04-16)
Ayaka Teshima
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Cristina Martínez
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Filippos Filippidis
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Anthony A. Laverty
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Constantine I. Vardavas
1
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Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study
(2024)
Kenza Laroussy
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Esteve Fernández
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Yolanda Castellano
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Marcela Fu
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Antoni Baena
1Scopus© Citations 1
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The WHO MPOWER Package and the Tobacco Control Scale: Two Tools to Monitor Country-level Tobacco Control Policy Implementation in Latin America
(2023)
Ariadna Feliu
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Cristina Martinez
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PERUGA URREA, ARMANDO
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Esteve Fernandez
8Scopus© Citations 3
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Changes in tobacco imagery and smokers’ depiction in Spanish top-grossing films before and after the implementation of a comprehensive tobacco control policy in Spain
(2023)
Ariadna Feliu
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Alex Quintero
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PERUGA URREA, ARMANDO
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Dolors Carnicer-Pont
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Laura Antón
9Scopus© Citations 1
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Transitions in smoking status in nursing students: A prospective longitudinal study
(2023)
Kenza Laroussy
;
Yolanda Castellano
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Marcela Fu
;
Antoni Baena
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Ariadna Feliu
5 1Scopus© Citations 4
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The Tobacco Control Scale as a research tool to measure
country-level tobacco control policy implementation
(2020)
Ariadna Feliu
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Esteve Fernández
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Antoni Baena
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Luk Joossens
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PERUGA URREA, ARMANDO
Scopus© Citations 11 4 1
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Tool to monitor tobacco control policy implementation: the Tobacco Control Scale in Latin America. Adaptation process and pilot study
(2021)
Ariadna Feliu
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Cristina Martinez
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PERUGA URREA, ARMANDO
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Luk Joossens
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Eduardo Bianco
<jats:sec><jats:title>Background</jats:title><jats:p>Monitoring tobacco control policy implementation is one of the keys for tobacco consumption reduction in Latin America (LA). This study reports on the adaptation of the Tobacco Control Scale (TCS) for use in LA countries and the level of tobacco control policy implementation in this region according to the scale.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Ecological cross-sectional survey. The questionnaire to measure tobacco control policies was a translated (into Spanish and Portuguese) and adapted version of the last TCS as used in Europe. The resulting TCS-LA maintains the same structure as the original TCS, with eight policy domains and 100 points (pts) as maximum score; however, four policy domains were adapted because the exact same rationale could not be applied. At least two non-governmental tobacco control experts were contacted per country to answer the TCS-LA.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Informants from 17 out of 18 countries completed the questionnaire. Using the TCS-LA, Panama (70 pts), Uruguay (68 pts) and Ecuador (61 pts) exhibited the strongest tobacco control policies, while Guatemala (32 pts), Bolivia (30 pts) and Dominican Republic (29 pts) have implemented a lower number of tobacco control policies. Eight countries reached 50% of the TCS-LA total possible score, indicating a relatively good implementation level of tobacco control policies.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Panama, Uruguay and Ecuador are the tobacco control policy leaders in LA; however, tobacco control in the region has room for improvement since nine countries have a total score under 50 pts. The TCS is a feasible and adaptable tool to monitor tobacco control in other WHO regions beyond Europe.</jats:p></jats:sec>
Scopus© Citations 5 1 1

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