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Table 2 Policies, description and effect sizes of the SimSmoke model

From: Italy SimSmoke: the effect of tobacco control policies on smoking prevalence and smoking attributable deaths in Italy

Policy

Description

Potential percentage effect*

  

Through price elasticity:

Tax Policy

Cigarette price index

−0.3 ages 15–24

  

−0.2 ages 25–34

  

−0.1 ages 35 and above

Clean Air Policies

Worksite total Ban

Ban in all areas

6% with variations by age and gender

Worksite ban except ventilated areas

Smoking restricted to ventilated areas in all indoor workplaces

4% with variations by age and gender

Worksite ban limited to common area

Smoking limited to non ventilated common area

2% with variations by age and gender

Restaurant total ban

Ban in all indoor restaurants in all areas

1% effect

Restaurant ban except separate areas

Ban in all restaurants except in designated areas

0.5% effect

Other places total ban

Ban in 3 of 4 (malls, retail stores, public transportation and elevators)

1% effect

Enforcement and publicity

Government agency is designated to enforce and publicize the laws

Effects reduced by as much as 50% if 0 enforcement

Mass Media Campaigns

Highly publicized campaign

Campaign publicized heavily on TV (at least two months of the year) and at least some other media

3.25% effect (doubled when accompanied by local programs)

Moderately publicized campaign

Campaign publicized sporadically on TV and in at least some other media, and a local program

1.8% effect (doubled when accompanied by local programs)

Low publicity campaign

Campaign publicized only sporadically in newspaper, billboard or some other media.

0.5% effect (doubled when accompanied by local programs)

Marketing Ban

Comprehensive marketing ban

Ban is applied television, radio, print, billboard, in-store displays, sponsorships and free samples

5% reduction in prevalence,

  

6% reduction in initiation,

  

3% increase in cessation rates

Total Advertising Ban

Ban is applied all media television, radio, print, billboard

3% reduction in prevalence,

  

4% reduction in initiation,

  

2% increase in cessation rates

Weak advertising ban

Ban is applied some of television, radio, print, billboard

1% reduction in prevalence and initiation only

Enforcement and publicity

Government agency is designated to enforce the laws

Effects reduced by as much as 50% if 0 enforcement

Warning Labels

Strong

Labels are large, bold and graphic

2% reduction in prevalence

  

2% reduction in initiation

  

4% increase in cessation rate

Weak

Laws cover less than 1/3 of package, not bold or graphic

1% reduction in prevalence & initiation rates, 2% increase in cessation rates

Publicity

Health information is well publicized

1% additional effect on prevalence and initiation rates

Cessation Treatment Policy

Complete availability and reimbursement of pharmaco- and behavioral treatments, quitlines, and brief interventions

4.75% reduction in prevalence, 39% increase in cessation rate

Youth Access Restrictions

Strongly enforced & publicized

Compliance checks are conducted regularly, penalties are heavy, and with publicity is strong, vending machine and self-service bans

30% reduction for age < 16 in prevalence and initiation only,

  

20 % reduction for ages 16–17 in prevalence and initiation only

Well enforced

Compliance checks are conducted sporadically, penalties are potent, and little publicity

15 % reduction for age < 16 in prevalence and initiation only,

  

10 % reduction for ages 16–17 in prevalence and initiation only

Low enforcement

Compliance checks are not conducted, penalties are weak, and no publicity

3 % reduction for age < 16 in prevalence and initiation only,

  

2 % reduction for ages 16–17 in prevalence and initiation only

  1. * Unless otherwise specified, the same percentage effect is applied as a percentage reduction in the prevalence and initiation rate and a percentage increase in the cessation rate, and is applied to all ages and both genders. The effect sizes are shown relative to the absence of any policy. They are based on literature reviews, advice of an expert panel and model validation.