Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
Attitudes toward tobacco and nicotine control policies in Italy: insights from a 2024 national survey.
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Possenti Irene, Scala Marco, Girvalaki Charis, Mocanu Karina, Radu-Loghin Cornel, Odone Anna, Smits Luc, Vardavas Constantine, Droulias Andreas, Gallus Silvano, Lugo Alessandra
Аннотация
INTRODUCTION: This study assesses the Italian population's support for innovative tobacco control policies, which aims at reducing use of nicotine-containing products and exposure to secondhand smoke and aerosol.
METHODS: A cross-sectional study was conducted in 2024 among a representative sample of 3125 Italian adults. We assessed support on banning tobacco sales to people born after a certain year (Smoke-Free Generation, SFG), raising the minimum age for purchasing tobacco to 21 years (Tobacco 21, T21), substantially increasing tobacco taxation, banning electronic cigarettes (e-cigarette) and heated tobacco products (HTP) in indoor public places and workplaces, and prohibiting tobacco and e-cigs advertising.
RESULTS: Support for tobacco control policies was 67.0% for the SFG policy, 72.9% for the T21 policy, 61.5% for a tax increase, 80.8% for a ban on indoor e-cigarette and HTP use in public places and 81.7% in workplaces, respectively, and 78.2% for an advertising ban for all nicotine products. Support for all policies increased with age (P-values for trend ranging from <0.001 to 0.037) and was significantly lower among current smokers (support ranging from 17.9% to 59.7%). E-cigarette users showed lower support for a SFG (32.4%) and advertising bans (41.4%), while HTP users were less supportive of all policies except the T21 policy (support ranging from 13.2% to 43.9%).
CONCLUSION: In Italy, strong public support exists for new tobacco control laws, especially among never smokers and non-users of novel products. However, also a considerable proportion of current smokers, e-cigarette and HTP users support these policies. Policymakers can confidently advance these strategies, while public campaigns should target less supportive groups.
IMPLICATIONS: This study provides updated evidence on public support for key tobacco control policies on a representative sample of the Italian population, highlighting variations across population groups and identifying opportunities for strengthening tobacco regulations. By identifying strong public support for stricter tobacco control measures, this study reinforces the need for policy action and may guide future research on effective implementation strategies.
LAY SUMMARY: A nationwide survey in Italy shows that the majority of people support stronger tobacco control policies. High levels of support were found for raising the legal age for purchasing tobacco products to 21, introducing a `Smoke-Free Generation' policy, increasing tobacco taxes, banning the use of e-cigarettes and heated tobacco products in indoor public places and workplaces, and extending advertising bans to all nicotine products. Support was higher among older adults and never smokers, but a substantial proportion of current smokers also favoured many of these measures.These findings suggest that there is broad public backing for strengthening tobacco and nicotine regulation in Italy. When planning future actions to protect young people and reduce tobacco-related harm, policymakers can consider this support.
METHODS: A cross-sectional study was conducted in 2024 among a representative sample of 3125 Italian adults. We assessed support on banning tobacco sales to people born after a certain year (Smoke-Free Generation, SFG), raising the minimum age for purchasing tobacco to 21 years (Tobacco 21, T21), substantially increasing tobacco taxation, banning electronic cigarettes (e-cigarette) and heated tobacco products (HTP) in indoor public places and workplaces, and prohibiting tobacco and e-cigs advertising.
RESULTS: Support for tobacco control policies was 67.0% for the SFG policy, 72.9% for the T21 policy, 61.5% for a tax increase, 80.8% for a ban on indoor e-cigarette and HTP use in public places and 81.7% in workplaces, respectively, and 78.2% for an advertising ban for all nicotine products. Support for all policies increased with age (P-values for trend ranging from <0.001 to 0.037) and was significantly lower among current smokers (support ranging from 17.9% to 59.7%). E-cigarette users showed lower support for a SFG (32.4%) and advertising bans (41.4%), while HTP users were less supportive of all policies except the T21 policy (support ranging from 13.2% to 43.9%).
CONCLUSION: In Italy, strong public support exists for new tobacco control laws, especially among never smokers and non-users of novel products. However, also a considerable proportion of current smokers, e-cigarette and HTP users support these policies. Policymakers can confidently advance these strategies, while public campaigns should target less supportive groups.
IMPLICATIONS: This study provides updated evidence on public support for key tobacco control policies on a representative sample of the Italian population, highlighting variations across population groups and identifying opportunities for strengthening tobacco regulations. By identifying strong public support for stricter tobacco control measures, this study reinforces the need for policy action and may guide future research on effective implementation strategies.
LAY SUMMARY: A nationwide survey in Italy shows that the majority of people support stronger tobacco control policies. High levels of support were found for raising the legal age for purchasing tobacco products to 21, introducing a `Smoke-Free Generation' policy, increasing tobacco taxes, banning the use of e-cigarettes and heated tobacco products in indoor public places and workplaces, and extending advertising bans to all nicotine products. Support was higher among older adults and never smokers, but a substantial proportion of current smokers also favoured many of these measures.These findings suggest that there is broad public backing for strengthening tobacco and nicotine regulation in Italy. When planning future actions to protect young people and reduce tobacco-related harm, policymakers can consider this support.