SHARE
COPY LINK

SMOKING

Danes could get paid to stop smoking

After the success of similar programmes in the United States, anti-smoking groups want to give Danes a financial incentive to kick the habit.

The safety foundation TrygFonden wants to pay Danes to stop smoking and it has the full support of The Danish Cancer Society (Kræftens Bekæmpelse).
 
The two groups are in favour of replicating a successful American trail that used financial incentives to get smokers to quit. 
 
A May report in the New England Journal of Medicine detailed two incentive programmes offered to employees of the American firm CVS Caremark. In one programme, smokers deposited $150 which they were given back if they stopped smoking along with an extra $650. In the other, employees were offered a $800 (about 5,500 kroner) reward to stop smoking, without first paying the deposit. 
 
Researchers found that 52 percent of those in the ‘deposit’ programme were successfully able to give up cigarettes for at least six months compared to just 17 percent who signed up for the ‘reward’ program. This, the journal wrote in an editorial, is proof that people are ‘loss averse’.
 
“They tend to dislike losses more than they like corresponding gains,” Cass Sunstein wrote
 
Other American companies have also reported success with incentive-based models to get employees to stop smoking. 
 
The Danish groups didn’t specify the model they’d like to see brought to Denmark, but TrygFonden said it is prepared to foot the bill for a trial programme. 
 
“Smoking is by far our largest public health problem, which contributes to taking three years of our collective life expectancy. Many would also like to quite, but it is just very difficult. Therefore we should go in with an open mind and see what we can do to help people,” TrygFonden spokeswoman Merete Konnerup told BT. 
 
“The promise of a monetary reward – and with it, for example, a corresponding boost for the family to take a luxury holiday – might help people take the final step in the right direction. It is a method we would very much like to be involved in investigating further,” she added. 
 
The Danish Cancer Society also said it’s worth seeing if Denmark can replicate the American success. 
 
“Some might find it controversial, but the promise of a financial reward is in many respects a very strong driving force and if Danish trials can confirm the good American results, we have no problem with the method,” spokesman Niels Them Kjær told BT. 
 
Kjær added that the costs of the programme “would be small compared to the costs of treating the illnesses that come with smoking”. 
 
Despite the two groups’ support, it may be a long time until a Danish programme becomes reality. Parliament’s two largest parties, the Social Democrats and the Danish People’s Party, rejected the idea of using public money for such a trial, as did Health Minister Sophie Løhde.
 
“It’s not cheap to smoke so it is already a cash bonus in itself to stop smoking. And I think it is a slippery slope if we start paying residents to live healthier lives,” she told BT. 
 
According to the Danish Cancer Society, Denmark was one of the European countries with the highest rates of smoking but is now closer to the European average. As of 2014, 21 percent of adult Danes smoke, with 17 percent smoking daily. 

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.

HEALTH

How Spain could stamp out smoking

A fifth of Spain's population smokes on a daily basis. With such high numbers, here's how the country's pulmonologists propose to get smokers to quit.

Spain plans to get people to quit smoking
How Spain plans to get people to stop smoking. Photo: Khalil MAZRAAWI / AFP

For many outsiders, Spain is a nation of smokers. 

The stats from Spain’s Ministry of Health show that 23.3 percent of men smoke every day in Spain, compared with 16.4 percent of women.

For both males and females, the highest number of smokers are aged between 25 and 34, meaning that it’s the younger population who are smoking slightly more than the older generations. 

Spain’s pulmonologists are now pushing for the country’s tobacco laws to be tightened, claiming that reform is needed after the last legislation was approved a decade ago.

READ ALSO: Spain warns against smoking and vaping in public to avoid Covid infections

Why is smoking such a problem in Spain and what is being done about it?

The latest stats from the Spanish Ministry of Health show that lung cancer, often caused by smoking, is the third most frequently diagnosed cancer in Spain, with 29,549 cases diagnosed so far in 2021.

Given these high figures Spain’s Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) has proposed five measures to help get people to stop smoking.

SEPAR points out that every time anti-smoking legislation is reformed and things for smokers made more difficult, the prevalence of smoking decreases.  

Smoking on terraces was banned in some regions during the pandemic. Photo: CRISTINA QUICLER / AFP
  • Price of tobacco to rise in 2022

The first point on their list is to raise the price of tobacco, which must cover all forms, from cigarettes to cigars, through to rolling tobacco, and electronic cigarettes.  

This first measure may soon become a reality as the Spanish government has already predicted that the price of tobacco will rise in 2022, after several years of stagnation.  

It is expected that tobacco will be responsible for almost a third of all special taxes received in 2022, equating to €21.8 billion.

According to the World Health Organization (WHO), “cheap tobacco” in Spain guarantees “a percentage of smokers above 30 percent”.

In Spain, the price of a pack of tobacco is around €5, which is much cheaper than in other countries. In Australia for example, a pack of tobacco costs around €22, and in the United Kingdom and France, each pack of tobacco costs around €12.4 and €10.5, respectively.

According to Dr. Carlos A. Jiménez Ruiz, pulmonologist and president of the society, the current anti-smoking law has “some deficiencies” that need to be addressed in order to develop legislation that is more effective and efficient, especially with regard to the prevention of tobacco consumption in young people, but also in helping smokers to stop smoking and in protecting the health of non-smokers. 

READ ALSO – Maps: Which beaches in Spain have banned smoking?

Besides increasing the cost of tobacco SEPAR proposes four other measures to get Spain to quit smoking. These include:

  • Banning the consumption of tobacco in public spaces, even outdoors
    During the pandemic, several regions approved a regulation to prohibit smoking on terraces. SEPAR proposes that smoking be prohibited not only in spaces such as terraces but also in sports stadiums, beaches, parks and bullrings, and that fines should be imposed for those who do not comply.

  • Establish generic packaging
    SEPAR also wants Spain to introduce generic packaging, which means no logos and images of the tobacco companies. This measure has also proven to lower the sales of tobacco in countries where it has been implemented, such as Australia and New Zealand. According to the latest statistics from the Australian National Drug Strategy Household Survey around 11.6 percent of adults in Australia smoke daily. 

  • The regulation of other smoking devices
    Despite the fact that all products that burn tobacco such as cigarettes are already regulated, SEPAR believes that it is also necessary to regulate the sale, consumption and advertising of electronic cigarettes. This is because e-cigarettes have become particularly popular among young people. 

  • Promote help for those seeking to quit smoking
    The last proposal is the creation and development of special units in public health departments to help people to stop smoking and to put more funds towards these programmes. 

How does Spain compare with other European countries when it comes to smoking?

According to the Organisation for Economic Cooperation and Development (OECD), while Spain does have a high number of smokers there are still several European countries that have more. The European countries with the highest number of smokers are Greece, Bulgaria and Hungary.

The latest European survey from 2020 shows that 42 percent of Greeks claim to be smokers, which is only slightly above Spain. 

On the other side, the European countries with the lowest number of smokers are mainly Nordic countries, such as Sweden, Finland, Iceland and Norway.

SHOW COMMENTS