Evaluating the Effects of Denmark’s New Tobacco Control Act on Young People’s Use of Nicotine Products: A Study Protocol of the §SMOKE Study

Marie Borring Klitgaard, Nanna Schneekloth Jarlstrup, Lisbeth Lund, Anne Line Brink, Astrid Knudsen, Anne Illemann Christensen, Lotus Sofie Bast*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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(1) Background: In December 2020, a broad majority of political parties in Denmark agreed on a new tobacco control act. In addition, price increases on tobacco in 2020 and 2022 became part of the Danish Finance Act. This study protocol describes the study “§SMOKE–A Study of Tobacco, Behavior, and Regulations” designed to monitor and evaluate the implementation and effect of the new strengthened tobacco control acts. The overall aim is to monitor tobacco use among young people before, during, and after implementation of the new tobacco control legislation, including an increased price on tobacco, a ban on point-of-sale tobacco displays, and plain packaging. Subgoals are to monitor overall use of nicotine products, attitudes, and norms. (2) Methods: This study is designed as a five-year impact evaluation with repeated cross-sectional survey data collections. The baseline survey was conducted before implementing an increased price on tobacco, the first step in the new legislation, initiated 1 April 2020. Study participants (n = 37,500) were a random sample of individuals living in Denmark aged 15 to 29 years. (3) Conclusions: This study examines the impact of the new strengthened tobacco control legislation in Denmark from 2020 to 2025. The findings of this study are relevant to other countries facing implementation of similar measures to explore intended and unintended consequences of the legislation and help to identify how the legislation could be further improved.

Original languageEnglish
Article number12782
JournalInternational Journal of Environmental Research and Public Health
Issue number19
Number of pages12
Publication statusPublished - 6. Oct 2022

Bibliographical note

Funding Information:
Data collection and preparation of the publication were funded by the Danish Health Authority and the TrygFonden foundation. This study is anchored at the National Institute of Public Health, University of Southern Denmark, in collaboration with the Danish Cancer Society, the Heart Association, and the Lung Association.


  • plain packaging
  • POS display ban
  • study protocol
  • tobacco and nicotine products
  • tobacco control legislation
  • tobacco price
  • youth smoking
  • youth tobacco use
  • Cross-Sectional Studies
  • Humans
  • Commerce
  • Tobacco
  • Tobacco Products
  • Adolescent
  • Tobacco Use
  • Denmark
  • Surveys and Questionnaires
  • Nicotine


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