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POLITICS

&

SOCIETYSmokinginItalyCHAPTER

01SmokingbehaviorNumberofindividualswhohaveornoteversmokedinItalyin2023,bysmokingstatusandgender(in1,000s)IndividualswhoeversmokedinItaly2023,bysmokingstatusandgenderMaleFemale18,00017,07116,00014,00012,00011,61510,0007,5028,0006,0004,0002,00005,7915,5625,1514,1804,160SmokersFormer-smokersNeversmokersCigarettessmokers3Description:In2023,malesmokersoutnumberedfemaleonesinItaly.Inparticular,therewerealmost5.8millionmalesmokersandabout4.2millionfemaleones.Almostthetotalityoftheseindividualswerecigarettesmokers.Moreover,7.5millionmalesand5.1millionfemaleswereformersmokers.Conversely,therewere17.1millionfemalesand11.6millionmaleswhoneversmokedintheirlife.

ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatNumberofpeoplewhohaveneversmokedaged14yearsandoverinItalyfrom2010to2023(in1,000s)Italy:numberofnonsmokersaged14yearsandover2010-202335,00030,12429,68629,67829,55629,70829,82129,71429,21429,07130,00025,00020,00015,00010,0005,000028,64328,68628,16227,29827,038201020112012201320142015201620172018201920202021202220234Description:Accordingtothedata,thenumberofeversmokersinItalyincreasedfromaround27millionin2010toover30millionin2019.However,thisfiguredecreasedbetween2020and2023.Thisstatisticshowsthenumberofpeoplewhohaveneversmokedaged14yearsandoverinItalyfrom2010to2023(in1,000s).ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatNumberofformersmokersaged14yearsandoverinItalyfrom2010to2023(in1,000s)Numberofformersmokersaged14yearsandoverinItaly2010-202314,00012,65312,57912,34212,26912,18412,17112,11612,10912,05512,02911,95311,87711,87811,79812,00010,0008,0006,0004,0002,0000201020112012201320142015201620172018201920202021202220235Description:ThenumberofformersmokersinItalyfluctuatedovertheperiodconsidered,peakingin2023atover12.6millionformersmokers.Thisstatisticdepictsthenumberofformersmokersaged14yearsandolderinItalyfrom2010to2023.

ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatNumberofsmokersaged14yearsandoverinItalyfrom2010to2023(in1,000s)Numberofsmokersaged14yearsandoverinItaly2010-202314,00011,88211,52112,00010,0008,0006,0004,0002,000011,36610,91410,43010,36610,34410,25110,14010,0059,9589,9719,7969,708201020112012201320142015201620172018201920202021202220236Description:Thenumberofsmokersaged14yearsandolderinItalydecreasedsignificantlyfrom2010to2019.Indeed,thesmokersaged14andolderfellfromalmost11.7millionin2010toaround9.7millionin2019,thelowestnumberregisteredinthistimeperiod.However,inthethreefollowingyears,thenumberofsmokersincreasedagain,reachingalmosttenthousandin2023.Thisstatisticshowsthenumberofsmokersaged14yearsandoverinItalyfrom2010to2023(in1,000s).

ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatCHAPTER

02SmokersindetailShareofdailysmokersinItalyfrom2010to2023ShareofdailysmokersinItaly2010-202323.5%22.8%22.3%22.5%21.5%20.5%19.5%18.5%17.5%21.9%20.9%19.8%19.7%19.6%19.6%19.5%201419.3%202319%19%18.6%202018.4%201920102011201220132015201620172018202120228Description:Between2010and2019,thepercentageofsmokersinItalydecreasedconsiderably.In2010thisfigurewasequalto22.8percent,whilein2019theshareofsmokersintheItalianpopulationover14yearsofagewasequalto18.4percent.Despitethisdecrease,thisfigureinItalygrewagainandin2023andreached19.3percent.ThisstatisticshowstheshareofdailysmokersinItalyfrom2010to2023.ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatShareofsmokersinItalyin2023,bygenderShareofsmokersinItaly2023,bygender25%23.1%20%15%10%5%15.7%0%MalesmokersFemalesmokers9Description:In2023,smokingwasmuchmorecommonamongmenthanwomeninItaly.Infact,smokersaccountedfor23.1percentofthemalepopulationover14yearsofage,while15.7percentoffemaleindividualsinthesameagegroupwereregularsmokers.Overall,19.3percentoftheItalianpopulationolderthan14yearssmokedin2023.ThisfigureshowstheshareofsmokersinItalyin2023,bygender.ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatPercentageofsmokersinItalyasof2023,byageandlevelofeducationShareofsmokersinItalyasof2023byageandeducationallevel≥14years25-44years45-64years≥6540%35%30%25%20%15%10%5%35.1%27%26.4%25.9%24.5%23.1%21.9%22.1%21.6%21.3%19.3%18.3%16.4%15.4%13.1%12.8%12.1%10.5%10%7.1%0%PrimaryschoolcertificateornoeducationaldegreeLowersecondaryschoolcertificateUpperandpostsecondaryschoolTertiary(University,doctoralandspecializationcourses)Total10Description:In2023,around10.5percentofthoseaged65yearsandoverweresmokers.Amongthosewhowere65yearsandolderwhohadnoeducationaldegreeorjustaprimaryschoolcertificate,only7.1percentweresmokers.ThisgraphshowsthepercentageofsmokersinItalyasof2023,byageandlevelofeducation.ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatShareofsmokersaged14yearsandolderinItalyin2023,byregionShareofsmokersaged14yearsandolderinItaly2023,byregionShareofsmokers0%5%10%15%20%25%UmbriaMolise22.4%21.9%21.6%21.4%21.1%SicilyCampaniaEmilia-RomagnaBasilicataLombardyAbruzzo20.9%20.8%20.7%20.6%LazioLiguriaTuscanySardiniaPiedmont20.1%19.8%19.5%18.9%11Description:TheshareofdailysmokersinItalyhasdiminishedinthelastdecade,shiftingfromanaverageof22.8percentin2010to19.6percentin2022.Asof2023,thehighestpercentageofsmokersamongItaliansaged14yearsandolderwasfoundinUmbria,whereroughly22.4peopleper100residentsweresmokers.Conversely,theregionwiththelowestshareofindividualssmokingwasTrentino-SouthTyrol,witharound14.4percent.

ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatNumberofindividualswhosmokeinItalyin2023,byageandgender(in1,000s)NumberofsmokersinItaly2023,byageandgenderNumberofindividualsinthousandsFemale600Male02004008001,0001,2001,400517014-17years18-19years11010429420-24years43958825-34years1,0651,09067635-44years87845-54years1,29348448155-59years54541439760-64years65-74years60120518675yearsandover12Description:In2023,1.29millionItalianmenand78thousandwomenaged45to54yearsweresmokers.Thiswastheagegroupwiththegreatestnumberofsmokers,followedcloselybytheagegroup35-44years.Overall,smokingwasmorecommonamongmalesthanfemalesregardlessofage.ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatNumberofindividualswhosmokeinItalyfrom2006to2023,bygender(in1,000s)NumberofsmokersinItaly2006-2023,bygenderMaleFemale14,00012,00010,0004,552

4,5594,4704,3324,4584,3534,4374,2834,021

4,1064,125

4,0648,0006,0004,0002,00004,0804,1724,1574,1803,997

4,1425,711

5,6547,368

7,3247,038

6,933

7,0767,063

6,9296,63220136,230

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6,3025,92420185,801

5,968

5,791200620072008200920102011201220142015201620172019202020212022202313Description:Between2006and2023,thenumberofsmokersinItalydecreasedconsiderably.Themagnitudeofthiscontractionwasbiggerformalesthanforfemales.Malesmoker,infact,werealwaysthemajorityinthecountry,buttheirnumberdecreasedfromsevenmillionin2006toroughly5.8millionin2023.Conversely,thenumberoffemaleswhosmokedwentdownfromalmost4.5millionin2006toalmost4.2millionin2023.ThisstatisticshowsthenumberofsmokersinItalyfrom2006to[...]

ReadmoreNote(s):Italy;2006to2023;14yearsandolderSource(s):IstatCHAPTER

03TobaccoconsumptionandexpenditureMostusedtobaccoproductinItalyasofMarch2024MostusedtobaccoproductinItaly2024Shareofrespondents0%10%20%30%40%50%CigarettesE-cigarettes36%22%Vaporizer/vapepenRoll-your-owntobaccoCigars9%8%4%3%PipetobaccoChewingtobacco1%1%1%HookahOralnicotinepouches(snus)Idon’tconsumeanytobaccoproductsOther46%2%15Description:"Cigarettes"and"E-cigarettes"arethetoptwoanswersamongItalianconsumersinoursurveyonthesubjectof"Mostusedtobaccoproduct".ReadmoreNote(s):Italy;April2023toMarch2024;510respondents;18-64years;respondentswhocanlegallybuytobaccoSource(s):ConsumerInsightsNumberofcigarettesmokersaged14yearsandoverinItalyfrom2010to2023(in1,000people)Cigarettesmokersaged14yearsandoverinItaly2010-202314,00011,68212,00010,0008,0006,0004,0002,000011,28011,14510,69010,08910,12110,12210,0039,8799,7879,7229,6519,5439,4482010201120122013201420152016201720182019202020212022202316Description:Thenumberofcigarettesmokersaged14yearsandolderinItalydecreasedsignificantlyfrom2010to2019.Indeed,thesmokersaged14andolderfellfromalmost11.7millionin2010toaround9.4millionin2019,thelowestnumberregisteredinthistimeperiod.However,inthethreefollowingyears,thenumberofsmokersincreasedagain,andin2023thisfigurereached9.7million.Thisstatisticshowsthenumberofcigarettesmokersaged14yearsandoverinItalyfrom2010to2023(in[...]

ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatAveragedailynumberofcigarettessmokedpercapitainItalyfrom2010to2023*AveragedailynumberofcigarettessmokedpercapitainItaly2010-202313.012.812.712.712.512.011.511.010.512.112.111.611.511.511.111.111111110.92010201120122013201420152016201720182019202020212022202317Description:Between2010and2023,theaveragedailynumberofcigarettessmokedpercapitainItalydecreased.In2010,theaveragesmokerinItalysmoked12.7cigaretteseveryday,whileby2023thisfigurewasequaltoapproximately11.In2023,mostsmokersconsumedbetweensixandtencigarettesaday,with36.2percent,while33.2percentofsmokerswereconsumingbetween11and20cigarettes.

ReadmoreNote(s):Italy;2010to2023;14yearsandolder;*Theaveragewascalculatedonsmokersaged14yearsandolder.Releasedaterepresentsthedatefigureswereaccessed.

ReadmoreSource(s):IstatDistributionofcigarettesmokersinItalyin2010-2023,byconsumptionrangeItaly:distributionofcigarettesmokers2010-2023,byconsumptionrangeUpto5cigarettesperday41.7%6-10cigarettesperday11-20cigarettesperdayMorethan20cigarettesperday45%40%35%30%25%20%15%10%5%41.3%40.6%38.5%35.8%38.7%34.6%36.8%36.7%37%36.5%36.4%33%36.4%33.4%36.2%33.2%35.5%24.2%35.7%35.3%35.2%34.9%34.4%34.3%33.4%33.1%32.4%19.9%31%27.3%26.8%27%27%26.2%26.4%24.3%24.5%22.1%21.3%21.4%20.6%6.4%20106%5.8%20124.6%20144.3%20134.3%20153.5%20163.6%20173.7%20183.5%20193.3%20203.3%20213.6%20233.1%20220%201118Description:Accordingtothedata,before2018mostofthesmokersinItalydeclaredtoconsumebetween11and20cigarettesperday.However,sincethen,mostofsmokerswouldconsumebetweensixandtencigarettesperday.ThisstatisticdepictsthedistributionofcigarettesmokersinItalyfrom2010to2023,byconsumptionrange.ReadmoreNote(s):Italy;2010to2023;14yearsandolderSource(s):IstatNumberofcigarettessmokedinItalyin2023,bygender(in1,000individuals)NumberofcigarettessmokedinItalyin2023,bygenderUpto5cigarettes6-10cigarettes11-20cigarettes20cigarettesandover2,5002,0001,5001,0005002,1491,8131,7071,3381,2861,083261850MaleFemale19Description:In2023,malesseemedtobemuchheaviersmokersthanfemalesinItaly.Infact,ifthenumberofmaleandfemalesmokerswhosmokedupto10cigaretteswasrathersimilar,butthegapbetweenthetwogendersincreasedconsiderablyfrom10cigaretteson.Inparticular,thenumberofmalesmokerswhosmokedbetween11and20cigarettesperdaywasalmostdoublethenumberoffemalesmokerswhowoulddoso.Moreover,261thousandmalesmokersdeclaredtosmokemore[...]

ReadmoreNote(s):Italy;2023;14yearsandolderSource(s):IstatAveragemonthlyhouseholdconsumptionexpenditureontobaccoinItalyin2021,bymacroarea(ineuros)Italy:monthlyhouseholdconsumptionexpenditureontobacco2021,bymacroarea2521.7620.1419.8719.47201510516.630SouthItalyIslandsCentralItalyNorth-westItalyNorth-eastItaly20Description:Accordingtodata,thetotalmonthlyhouseholdconsumptionexpenditureontobaccoinnorth-westItalyamountedtoaround21.8eurosin2021,thehighestinthecountry.ThelowestmonthlyexpenditureontobaccowasregisteredintheNorth-eastofItalyatapproximately16.6euros.ThisfigureshowstheaveragemonthlyhouseholdconsumptionexpenditureontobaccoinItalyin2021,bymacroarea.ReadmoreNote(s):Italy;2021Source(s):IstatCHAPTER

04E-cigarettesShareofelectroniccigarettes(e-cigarettes)usersinItalyin2021,bygenderandageShareofe-cigarettesusersinItaly2021,bygenderandageMen5.5%Women6%5.5%4.9%5%4%3%2%1%0%3.6%3.1%2.4%2%0.7%0.7%0.6%14-17years18-24years25-44years45-64years65yearsandolder22Description:In2021,about2.8percentoftheItalianpopulationwasusingelectroniccigarettes.Thisstatisticbreaksdownthisfigurebygenderandagegroupofusers.Thedemographicsegmentamongwhichtheuseofe-cigaretteswasmostcommonwastheonecomprisingofmalesbetween18and44yearsofage.Theshareofelectroniccigarettessmokersinthisgroupwas5,5percent.Ingeneral,e-cigaretteuseismorecommonamongmenthanwomen.

ReadmoreNote(s):Italy;2021;14yearsandolderSource(s):CatholicUniversityoftheSacredHeartorCatholicUniversityofMilan;Istat;IstitutoSuperiorediSanitàShareofe-cigarettesusersinItalyin2021,bymacro-regionShareofe-cigarettesusersinItaly2021,bymacro-region3.5%3.2%3.0%2.8%2.6%2.5%2.0%1.5%1.0%0.5%0.0%NorthCenterSouthandIslands23Description:In2021,about2.8percentoftheItalianswereusingelectroniccigarettes.Thisstatisticshowsdifferencesinthisfigurebymacro-region.Theuseofe-cigaretteswasslightlymorecommonintheCenter,where3.2percentofpeopleaged14yearsandolderwasusingthisproduct.ReadmoreNote(s):Italy;2021;14yearsandolderSource(s):CatholicUniversityoftheSacredHeartorCatholicUniversityofMilan;Istat;IstitutoSuperiorediSanitàShareofelectroniccigarettes(e-cigarettes)usersinItalyin2021,byregionShareofe-cigarettesusersinItaly2021,byregionShareofe-cigarettesusers0.0%Emilia-Romagna0.5%1.0%1.5%2.0%2.5%3.0%3.5%4.0%3.5%LazioUmbria3.5%3.5%Campania3.1%AbruzzoTuscanyVenetoItalyLombardyMarchePiedmont3%3%2.9%2.8%2.7%2.6%2.5%Sicily2.5%2.5%AutonomousProvinceofTrento24Description:In2021,about2.8percentoftheItaliansaged14yearsandabovewereusingelectroniccigarettes.Thisstatistichighlightsregionaldifferencesinthisfigure.Theregionswheretheuseofe-cigaretteswasmostcommonwereEmiliaRomagna,Lazio,andUmbria,where3.5percentofpeopleaged14yearsandolderwereusingthisproduct.Conversely,just1.3percentofresidentsinAostaValleysmokedelectroniccigarettes.

ReadmoreNote(s):Italy;2020;14yearsandolderSource(s):CatholicUniversityoftheSacredHeartorCatholicUniversityofMilan;Istat;IstitutoSuperiorediSanitàShareofe-cigaretteusersinItalyfrom2013to2023*Shareofe-cigaretteusersinItaly2013-20234.5%4.2%3.9%4.0%3.5%3.0%2.5%2.0%1.5%1.0%0.5%0.0%2.5%2.5%2.4%2.1%1.7%20191.6%20141.1%201520132016201720182022202325Description:Overthepastfewyearstheshareofe-cigaretteusersfluctuatedinItaly.Thelowestshareofuserswasrecordedin2015,whenroughlyonepercentofItalianshadsuchahabit.In2023,theshareofe-cigaretteusersamountedto2.5percent.Thisstatisticdisplaystheshareofe-cigaretteusersinItaly2013-2023.ReadmoreNote(s):Italy;2013to2023;*Thefigurestakeintoaccountbothregularandoccasionalusers.Years2020and2021arenotincludedbythesource.ReadmoreSource(s):Doxa;IstitutoSuperiorediSanitàDistributionofe-cigaretteusersinItalyin2023,bytypeofproductDistributionofe-cigaretteusersinItaly2023,byproducttype60%54.4%50%40%36%30%20%10%0%6%3.5%Nicotinee-cigaretteNicotine-freeproductsBothnicotineandnicotine-freeproductsDon'tknow26Description:Nicotine-freevapingproductsaremuchlesscommonthane-cigarettescontainingnicotineinItaly.Asamatteroffact,asurveyconductedin2023amonge-cigaretteusers,revealedthat54.4percentofthemsmokedonlynicotinee-cigarettes.Conversely,theintervieweesusingexclusivelynicotine-freevapingproductsaccountedfor36percentofthetotalsample.ReadmoreNote(s):Italy;2023Source(s):Doxa;IstitutoSuperiorediSanitàCHAPTER

05Anti-smokingfacilitiesTotalnumberoffacilitiesprovidingsupportservicesforpeoplewillingtoquitsmokinginItalyfrom2000to2023Totalnumberofanti-smokingfacilitiesinItaly2000-202345039640035030025020015010050380375372368365362361363359356346330

33433433432729227426824122317102000

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202328Description:In2010,thenumberofsupportcentersforsmokersinItalyreachedapeakof396facilities.In2023,however,only241facilitiesremained.ThisstatisticdepictsthetotalnumberoffacilitiesprovidingsupportservicesforpeoplewillingtoquitsmokinginItalyfrom2000to2023.ReadmoreNote(s):Italy;2000to2023Source(s):IstitutodiRicercheFarmacologicheMarioNegri;IstitutoSuperiorediSanità;MinisterodellaSaluteNumberoffacilitiesprovidingsupportservicesforpeoplewillingtoquitsmokingmanagedbytheNationalHealthServiceinItalyfrom2001to2023SupportfacilitiesforsmokerswhowanttoquitmanagedbytheNHSinItaly2001-20233503133113053033012952942943002502001501005028428727626626725425525124823422420319518902001

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202329Description:Overall,thenumberofNHSfacilitiesprovidingsupporttopeoplewillingtoquitsmokingincreasedgoingfrom195to301,between2001and2018.In2019,however,thisfigurestartedtodropreaching189anti-smokingfacilitiesin2022.In2023,thenumberofanti-smokingfacilitiesacrossItalywere203.ThisstatisticdepictsthenumberoffacilitiesprovidingsupportservicesforpeoplewillingtoquitsmokingmanagedbytheNationalHealthServiceinItalyfrom2001to2023.ReadmoreNote(s):Italy;2001to2023Source(s):IstitutoSuperiorediSanitàNumberoffacilitiesprovidingsupportforquittingsmokinginItalyasof2023,byregionSupportfacilitiesforquittingsmokinginItaly2023,byregionNumberoffacilities15

20051025303540PiedmontLombardyVeneto363428Emilia-RomagnaTuscany251818LazioSicily14Campania12Trentino-SouthTyrolApulia109Friuli-VeneziaGiuliaCalabria777Umbria30Description:Accordingtothedata,PiedmontwastheItalianregionwiththehighestnumberofanti-smokingcenters(36facilities),followedbyLombardy(34facilities)andEmilia-Romagna(28facilities)asof2023.ThisstatisticshowsthenumberoffacilitiesprovidingsupportservicesforquittingsmokinginItalyasof2023,byregion.ReadmoreNote(s):Italy;2023Source(s):IstitutoSuperiorediSanitàServicesprovidedbyanti-smokingfacilitiesinItalyasofMay2023,bytypeServicesprovidedbyanti-smokingfacilitiesinItaly2023,bytype120%97%100%80%60%40%20%0%91%39%35%32%18%IndividualcounselingDrugmedicationIndividualpsychotherapy

Grouppsychotherapy

PsychoeducationalgroupOther31Description:Accordingtothedata,individualcounselingwasthemostcommonserviceofferedbyanti-smokingcentersinItalyasof2022,withashareof97percent.Drugtreatmentsfollowedwithanincidenceof91percent.ThisstatisticdepictstheshareofservicesprovidedbyfacilitiessupportingindividualswillingtoquitsmokinginItalyasofMay2023,bytype.ReadmoreNote(s):Italy;May2023Source(s):IstitutoSuperiorediSanitàCHAPTER

06OutlookPrevalenceofsmokinginItalyfrom2001to2029PrevalenceofsmokinginItaly2001-20293025.7225.3825.0424.7524.4524.1625201510523.8823.623.3523.1422.9522.7422.5122.2722.0302001

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202933Description:ThesmokingprevalenceinItalywasforecasttocontinuouslydecreasebetween2024and2029byintotal0.6percentagepoints.Aftertheeighthconsecutivedecreasingyear,thesmokingprevalenc

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