Smoking in Italy in 2015-2016: Prevalence, trends, Roll-your-own cigarettes, and attitudes towards incoming regulations

Alessandra Lugo, Piergiorgio Zuccaro, Roberta Pacifici, Giuseppe Gorini, Paolo Colombo, Carlo La Vecchia, Silvano Gallus

Research output: Contribution to journalArticlepeer-review


Purpose: In 2016, a series of selective tobacco regulations, which did not affect tobacco price, came into force in Italy. To understand how Italians accepted the new norms, we analyzed data from our 2 most recent surveys among those we annually conduct on tobacco. Methods: In 2015 and 2016, we conducted 2 representative cross-sectional studies focused on the new forthcoming tobacco legislation on a total sample of 6,046 Italians aged.15 years. Results: Overall, 21.4% of Italians (26.0% of men and 17.2% of women) were current smokers, showing a small but significant decrease in smoking prevalence since 2007 (p for trend = 0.004). No change in smoking prevalence was observed over the last decade among the young (i.e., 15-24 years; 20.1% in 2015-2016). Roll-your-own cigarettes were the most frequent tobacco product for 8.3% of adult smokers and 19.7% of young smokers. According to the attitudes of Italians towards the new regulations, 91.3% supported the smoking ban in cars in presence of minors, 90.2% a more stringent enforcement of the tobacco sales-to-minors regulation, 74.3% the introduction of shocking pictorial images on tobacco packs, and 63.2% the removal from the market of small cigarette packs, usually purchased by the young. Conclusions: Smoking prevalence only marginally decreased over the last decade among adults, but did not decrease among the young. Roll-your-own tobacco is increasingly used by adults and young people. Before the entrance of the new norms, Italians largely supported them, particularly those targeting children.

Original languageEnglish
Pages (from-to)353-359
Number of pages7
Issue number4
Publication statusPublished - Jul 1 2017


  • Cross-sectional survey
  • Italy
  • Roll-your-own tobacco
  • Smoke-free policy
  • Tobacco smoking

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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