Table 1. High nicotine dependence by selected socio-demographic characteristics in men aged 26 years and over – univariable logistic regression Variable Sex Female Male Age (years) 26–29 30–39 40–49 50–59 ≥60 Age at smoking onset < 14 14–17 18–20 ≥ 21 Education Primary Vocational Secondary High Occupational classification Economically not active Employed Unemployed Place of residence Rural Urban Asset Index High Middle Low Rules regarding smoking at home Smoking is allowed Smoking is prohibited– with some exceptions Smoking is completely prohibited No rules. Awareness of smoking health consequences Yes No Poland (N=1939) N n % N=1939 785 170 21.7 1154 364 31.5 N=1939 182 33 18.1 453 103 22.7 523 154 29.4 521 174 33.4 260 70 26.9 N=1880 44 20 45.5 583 220 37.7 806 186 23.1 447 89 19.9 N=1934 294 101 34.4 746 229 30.7 696 170 24.4 198 33 16.7 N=1939 587 168 28.6 1187 307 25.9 165 59 35.8 N=1939 911 255 28.0 1028 279 27.1 N=1922 1495 390 26.1 377 116 30.8 50 24 48.0 N=1934 975 313 32.1 488 114 23.4 270 43 15.9 201 62 30.8 N=1782 1566 399 25.5 216 76 35.2 OR (95% CI) 1.0 (Ref.) 1.7 (1.4–2.1)a 1.0 (Ref.) 1.4 (0.9–2.1) 1.9 (1.2–2.9)b 2.3 (1.5–3.4)a 1.7 (1.04–2.7)c 3.4 (1.8–6.3)a 2.4 (1.8–3.3)a 1.2 (0.9–1.6) 1.0 (Ref.) 2.6 (1.7–4.1)a 2.2 (1.5–3.3)a 1.6 (1.1– 2.4)a 1.0 (Ref.) 1.1 (0.92– 1.4) 1.0 (Ref.) 1.6 (1.1–2.2)b 1.04 (0.9–1.3) 1.0 (Ref.) 1.0 (Ref.) 1.3 (0.98–1.6) 2.6 (1.5–4.6)a 2.5 (1.8–3.6) a 1.6 (1.1–2.4)c 1.0 (Ref.) 2.4 (1.5–3.7)a 1.0 (Ref) 1.6 (1.2–2.2)b Romania (N=867) N n % N=867 272 50 18.4 595 170 28.6 N=867 88 14 15.9 207 37 17.9 233 75 32.2 209 67 32.1 130 27 20.8 N=867 52 21 40.4 266 98 36.8 338 69 20.4 211 32 15.2 N=860 58 19 32.8 200 53 26.5 476 127 26.7 126 22 17.5 N=863 181 40 22.1 561 136 24.2 121 43 35.5 N=867 355 99 27.9 512 121 23.6 N=856 447 108 24.2 293 78 26.6 116 36 31.0 N=860 446 138 30.9 162 26 16.0 220 41 18.6 32 15 46.9 N=861 812 202 24.9 49 17 34.7 Russia (N=3558) OR (95% CI) 1.0 (Ref.) 1.8 (1.3-2.5)b 1.0 (Ref.) 1.2 (0.7–2.1) 2.8 (1.7–4.6)a 2.7 (1.6–4.4)a 1.5 (0.8–2.7) 3.6 (1.9–6.7)a 2.8 (1.8–4.4)a 1.5 (0.95–2.3) 1.0 (Ref.) 2.3 (1.2-4.5)a 1.7 (0.98-2.9) 1.6 (0.97-2.5) 1.0 (Ref.) 0.9 (0.7-1.3) 1.0 (Ref.) 1.8 (1.2–2.8)b 1.3 (0.96-1.7) 1.0 (Ref.) 1.0 (Ref.) 1.1 (0.8-1.6) 1.6 (1.03-2.4)c 1.9 (1.3-2.8)a 0.9 (0.6-1.5) 1.0 (Ref.) 4.4 (2.1-9.2)a 1.0 (Ref.) 1.7 (0.9-3.0) N N=3558 600 2958 N=3558 399 945 886 845 483 N=3557 288 1291 1229 749 N=3556 91 1349 1228 888 N=3554 590 2611 353 N=3558 1676 1882 N=3558 1399 1956 203 N=3553 945 1296 1059 253 N=3417 3013 404 Ukraine (N=1865) n % OR (95% CI) 80 969 13.3 32.8 1.0 (Ref.) 3.2 (2.5–4.1)a 96 225 256 304 168 24.1 23.8 28.9 36.0 34.8 1.0 (Ref.) 0.99 (0.8–1.3) 1.3 (0.98–1.7) 1.8 (1.4–2.3)a 1.7 (1.3–2.3)a 151 420 313 164 52.4 32.5 25.5 21.9 3.9 (2.9–5.3)a 1.7 (1.4–2.1)a 1.2 (0.98–1.5) 1.0 (Ref.) 41 406 412 190 45.1 30.1 33.6 21.4 3.0 (1.9–4.7)a 1.6 (1.3–1.93)a 1.9 (1.5– 2.3)a 1.0 (Ref.) 194 720 134 32.9 27.6 38.0 1.3 (1.1– 1.6)c 1.0 (Ref.) 1.6 (1.2–2.1)a 555 494 33.1 26.2 1.4 (1.2–1.6)a 1.0 (Ref.) 360 605 84 25.7 30.9 41.4 1.0 (Ref.) 1.3 (1.1–1.5)b 2.0 (1.5–2.8)a 333 377 254 83 35.2 29.1 24.0 32.8 1.7 (1.4–2.1)a 1.3 (1.1–1.6)b 1.0 (Ref.) 1.6 (1.2–2.1)b 883 117 29.3 29.0 1.0 (Ref.) 0.98 (0.8–1.2) N N=1865 240 1625 N=1865 217 541 433 385 289 N=1840 175 634 678 353 N=1861 122 802 649 288 N=1860 357 1185 318 N=1865 906 959 N=1865 755 884 226 N=1864 344 604 847 69 N=1753 1596 157 n % OR (95% CI) 25 458 10.4 28.2 1.0 (Ref.) 3.4 (2.2–5.2)a 27 136 125 116 79 12.4 25.1 28.9 30.1 27.3 1.0 (Ref.) 2.4 (1.5–3.7)a 2.9 (1.8–4.5)a 3.0 (1.9–4.8)a 2.7 (1.6–4.3)a 78 198 147 57 44.6 31.2 21.7 16.1 3.7 (2.5–5.6)a 2.4 (1.7–3.3)a 1.5 (1.04–2.0)c 1.0 (Ref.) 48 181 215 37 39.3 22.6 33.1 12.8 4.4 (2.7–7.3)a 2.0 (1.4–2.9)a 3.4 (2.3–4.9)a 1.0 (Ref.) 98 265 120 27.5 22.4 37.7 1.3 (1. 1–7)c 1.0 (Ref.) 2.2 (1.6–2.8)a 274 209 30.2 21.8 1.6 (1.3–1.9)a 1.0 (Ref.) 160 243 80 21.2 27.5 35.4 1.0 (Ref.) 1.4 (1.1–1.8)b 2.0 (1.5–2.8)a 119 169 173 22 34.6 28.0 20.4 31.9 2.1 (1.6–2.7)a 1.5 (1.2–1.9)a 1.0 (Ref.) 1.8 (1.1–3.1)c 394 55 24.7 35.0 1.0 (Ref.) 1.5 (1.1–2.0)b Awareness of ETS health consequences Yes No Level of support for tobacco control High Medium Low N=1624 1312 312 N=1476 829 416 231 353 91 26.9 29.2 1.0 (Ref.) 1.1 (0.9–1.5) 202 137 64 24.4 32.9 27.7 1.0 (Ref.) 1.5 (1.2–2.0)a 1.2 (0.9–1.7) N=854 784 70 N=839 353 431 55 188 25 24.0 35.7 1.0 (Ref.) 1.9 (1.2-3.1)b 82 111 19 23.2 25.8 34.5 1.0 (Ref.) 1.1 (0.8-1.5) 1.53 (0.9-2.7) p ≤ 0.001 p ≤ 0.01 c p ≤ 0.05 N- total number of daily smokers n - daily smokers highly dependent on nicotine (Heaviness of Smoking Index: score 4-6) OR- odds ratio for high nicotine dependence by selected characteristics 95% CI-95% confidence interval Ref. – reference group a b N=3218 2544 674 N=3558 1950 1314 294 722 215 28.4 31.9 1.0 (Ref.) 1.2 (0.98–1.4) 532 403 114 27.3 30.7 38.8 1.0 (Ref.) 1.2 (1.01–1.4)c 1.7 (1.3–2.2)a N=1604 1402 202 N=1865 936 881 48 332 74 23.7 36.6 1.0 (Ref.) 1.6 (1.2–2.0)a 220 256 7 23.5 29.1 14.6 1.0 (Ref.) 1.3 (1.1.-1.6)c 0.6 (0.3- 1.3) Table 2. High nicotine dependence by selected socio-demographic characteristics in men aged 26 years and over – Multivariable logistic regressiona Variable Sex Female Male Age (years) 26–29 30–39 40–49 50–59 ≥60 Age at smoking onset < 14 14–17 18–20 ≥ 21 Education Primary Vocational Secondary High Occupational classification Economically not active Employed UnemployedPlace of residence Rural Urban Asset Index High Middle Low Rules regarding smoking at home Smoking is allowed Smoking is prohibited– with some exceptions Smoking is completely prohibited No rules Awareness of smoking health consequences Yes Poland Romania Russia Ukraine OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) 1.0 (Ref.) 1.5 (1.1–2.0) b 1.0 (Ref.) 1.5 (1.01-2.2)d 1.0 (Ref.) 2.7 (2.1–3.5)b 1.0 (Ref.) 2.6 (1.7–4.2)b 1.0 (Ref.) 1.4 (0.8–2.3) 1.8 (1.1–3.1)d 1.9 (1.2–3.3)c 1.5 (0.8–2.9) 1.0 (Ref.) 1.5 (0.9–2.8) 4.1 (2.3–7.1)b 4.8 (2.7–8.4)b 2.0 (1.0–4.1)d 1.0 (Ref.) 1.0 (0.8–1.3) 1.3 (1.0–1.7) 1.7 (1.3–2.3)b 1.4 (0.9–2.0) 1.0 (Ref.) 2.4 (1.5–3.9)b 2.8 (1.8– 4.6)b 2.9 (1.8–4.8)b 2.2 (1.1–4.3)d 3.8 (1.8–8.4) b 2.5 (1.7–3.6) b 1.2 (0.8–1.6) 1.0 (Ref.) 5.0 (2.4–10.2) b 3.5 (2.1–5.8) b 1.7 (1.0–2.7) c 1.0 (Ref.) 3.0 (2.2–4.1)b 1.5 (1.2–1.9)b 1.1 (0.9–1.4) 1.0 (Ref.) 3.1 (2.0–4.9)b 1.9 (1.3–2.7)b 1.2 (0.8–1.7) 1.0 (Ref.) 2.6 (1.4–4.9)c 2.0 (1.2–3.6)c 1.7 (0.95–3.0) 1.0 (Ref.) 1.2 (0.5-2.9) 1.2 (0.6-2.1) 1.2 (0.7-2.0) 1.0 (Ref.) 1.6 (0.9–2.6) 1.2 (1.0–1.5) 1.3 (1.0–1.6)d 1.0 (Ref.) 3.0 (1.7–5.4)b 1.5 (1.0–2.2) 2.3 (1.5– 3.5)b 1.0 (Ref.) 1.1 (0.8–1.6) 1.0 (Ref.) 1.4 (0.9–2.1) 0.9 (0.6-1.4) 1.0 (Ref.) 1.5 (0.9-2.3) 1.0 (0.7–1.4) 1.0 (Ref.) 1.2 (0.9–1.6) 0.9 (0.6–1.5) 1.0 (Ref.) 1.6 (1.1–2.1)c 1.2 (1.0–1.4)d 1.0 (Ref.) 1.3 (1.0–1.6) 1.0 (Ref.) 1.0 (Ref.) 1.1 (0.8–1.5) 0.9 (0.4–1.8) 1.0 (Ref.) 0.8 (0.5-1.1) 0.7 (0.4-1.3) 1.0 (Ref.) 1.3 (0.9–1.8) 1.2 (1.0–1.4) 1.0 (Ref.) 0.8 (0.6–1.2) 0.8 (0.6–1.0) 1.9 (1.2–3.0)c 1.7 (1.1–2.6)d 1.0 (Ref.) 2.0 (1.2–3.5)c 2.0 (1.3-3.0)b 1.0 (0.6-1.7) 1.0 (Ref.) 3.0 (1.4-6.8)b 1.8 (1.4–2.2)b 1.3 (1.1– 1.6)c 1.0 (Ref.) 1.5 (1.1–2.1)d 2.1 (1.5–2.9)b 1.6 (1.2–2.1)b 1.0 (Ref.) 1.4 (0.8–2.5) 1.0 (Ref.) 1.0 (Ref.) No Awareness of ETS health consequences Yes No Level of support for tobacco control High Medium Low a 1.3 (0.9–2.0) 1.0 (0.7–1.5) 1.0 (Ref.) 1.6 (0.9-2.7) 1.0 (Ref.) 1.6 (1.1–2.1)c 0.9 (0.6–1.3) Fully adjusted model including stat. p ≤ 0.001 c p ≤ 0.01 d p ≤ 0.05 OR- odds ratio for high nicotine dependence by selected characteristics 95% CI-95% confidence interval Ref. – reference group b 1.0 (Ref.) 1.4 (0.9–2.0) 1.0 (Ref.) 1.4 (1.1–1.7)c 1.3 (0.7–2.2) 1.0 (Ref.) 1.2 (0.9–1.6) 0.9 (0.3–2.9) Table 3. Quitting advice and attempts among daily smokers Poland N=1939 Quit attempts during the past 12 months Yes 568 No 1371 Visited healthcare provider in the last year Yes 1171 No 767 Healthcare provider asked if smoking tobacco* Yes 733 No 436 Healthcare provider advised quitting** Yes 578 No 153 Thinking about quiting Within the next month 169 Within the next 12 month 435 Someday but not within the next 12 month 367 Not interested in quitting 757 a Romania Not-heavily dependent smokers n=1405 (72.4%) Heavily dependent smokers n =534 (27.6%) 430 (30.6%) 975 (69.4%) Russia N=867 Not-heavily dependent smokers n=647 (74.6%) Heavily dependent smokers n=220 (25.4%) 138 (25.8%) 396 (74.2%) 301 564 228 (35.3%) 417 (64.7%) 859 (61.2%) 545 (38.8%) 312 (58.4%) 222 (41.6%) 439 428 521 (60.7%) 337 (39.3%) 212 (68.2%)a 99 (31.8%) 400 (77.1%) 119 (22.9%) 138 (11.1%) 347 (27.9%) 251 (20.2%) 509 (40.9%) Ukraine N=3558 Not-heavily dependent smokers n=2509 (70.5%) Heavily dependent smokers n=1049 (29.5%) N=1865 Not-heavily dependent smokers n=1382 (74.1%) Heavily dependent smokers n =483 (25.9%) 73 (33.2%) 147 (66.8%) 949 2605 694 (27.7%) 1812 (72.3%) 255 (24.3%)a 793 (75.7%) 582 1282 439 (31.8%) 942 (68.2%) 143 (29.6%) 340 (70.4%) 341 (52.7%) 306 (47.3%) 98 (44.5%)a 122 (55.5%) 1810 1736 1300 (36.7%) 1201 (63.3%) 510 (48.9%)c 535 (51.1%) 506 1358 396 (27.1%) 985 (72.9%) 110 (22.8%) 372 (7725%) 374 65 296 (86.8%) 45 (13.2%) 78 (79.6%) 20 (20.4%) 864 946 590 (45.4%) 713 (54.6%) 274 (53.7%)c 236 (46.3%) 234 272 179 (45.2%) 217 (54.8%) 55 (50.0%) 55 (50.0%) 178 (84.0%)a 34 (16.0%) 318 56 251 (84.8%) 45 (15.2%) 67 (85.9%) 11 (14.1%) 656 205 442 (75.2%) 146 (24.8%) 214 (78.4%) 59 (21.6%) 183 51 138 (77.1%) 41 (22.9%) 45 (81.8%) 10 (18.2%) 31 (6.4%)b 88 (18.2%)c 116 (24.0%) 248 (51.3%)c 62 137 336 294 49 (8.0%) 114 (18.5%) 252 (41.0%) 200 (32.5%) 13 (6.1%) 23 (10.7%)b 84 (39.3%) 94 (43.9%)b 85 277 1491 1432 66 (2.9%) 219 (9.5%) 1143 (49.6%) 878 (38.1%) 19 (1.9%) 58 (5.9%)c 348 (35.5%)c 554 (56.6%)c 94 306 784 552 70 (5.5%) 250 (19.6%) 603 (47.3%) 351 (27.6%) 24 (5.2%) 56 (12.1%)c 181 (39.2%)c 201 (43.5%)c p ≤ 0.05 heavily addicted smokers vs not-heavily addicted smokers. p ≤ 0.01 heavily addicted smokers vs not-heavily addicted smokers. c p ≤ 0.001 heavily addicted smokers vs not-heavily addicted smokers. * restricted to respondents who visited a healthcare provider within the past year ** restricted to respondents who visited a healthcare provider within the past year and were asked whether they smoked b