Summary 410 Summary Ever since the General Surgeons report on the harmful effects of tobacco in 1964, tobacco control has had major successes. Many countries now have set the goal to reach a smoke-free generation. In this thesis I discuss two strategies to further improve tobacco control and to contribute to reaching a smokefree generation. In Part 1 I looked into extending smoke-free policies beyond smoke-free indoor public places and workplaces, and in Part 2 I investigated strategies to improve smoking cessation programmes through personalisation. In Chapter 1 general background information about tobacco, tobacco control and socioeconomic differences is provided. Chapter 2 further dives into these socioeconomic differences. Over 3.4 million deaths between 2000 and 2020 in ten European countries were analysed to estimate loss in partial life expectancy, i.e. life expectancy between age 50 and 80, associated with smoking by gender and educational level. Among men, the contribution of smoking to mortality decreased over time for all countries, but remained largest among lower educated men. For women increases in smoking-attributable mortality were observed over time, but with a less profound educational gradient. Decomposing the life expectancy loss associated with smoking showed that changes in smoking-attributable mortality had a stronger impact on life expectancy for men, especially among lower educated men. For women the impact was less strong, but at the same time more often negative. This study shows the persistence of socioeconomic inequalities in reduced life expectancy due to smoking and underlines the persistent need for strict tobacco control measures to reduce this burden and its associated inequalities. Part 1 Smoke-free environments are effective measures to protect people against second hand smoke exposure, to denormalise smoking and to aid recent quitters in remaining abstinent. More and more countries meet the World Health Organisation (WHO) recommendations to implement and enforce 100% smokefree indoor public places and workplaces and an increasing number are going beyond this recommendation to also introduce smoke-free policies in private and outdoor public places. To successfully implement smoke-free policies that go beyond enclosed public places and workplaces, public support is essential. We undertook a comprehensive systematic review of levels and determinants of public support for indoor (semi-)private and outdoor smoke-free policies
RkJQdWJsaXNoZXIy MTk4NDMw