The fight against smoking in Russia in the 21st century: achievements and new challenges. Analytical review

BACKGROUND: To improve the anti-smoking policy, it is important to analyze long-term public surveys on the prevalence of smoking and consumption of other nicotine-containing products, the attitude of the population to legislative initiatives, and current standards in the field of protecting citizens' health from ambient tobacco smoke, the consequences of tobacco consumption or consumption of other nicotine-containing products. AIM: Analysis of the results of various monitoring of tobacco and other nicotine-containing products in the Russian Federation in the 21st century and the study of Russians' opinions on anti-smoking measures. METHODS: The results of 5 monitoring studies and scientific publications from the RSCI database; the traditional classical method of analyzing and summarizing information, IBM SPSS Statistics program 26. RESULTS: The periodization of the fight against smoking corresponds to the adoption of documents defining policy in this area. The success and achievements of the anti-smoking policy at each stage are considered through the dynamics of the prevalence of smoking and the attitude of the population to the anti-smoking measures taken. Surveys show that 1) the policy of countering the consumption of tobacco and other nicotine-containing products is approved by Russians; 2) on some issues, lawmaking lags behind public inquiries; 3) on some issues, the majority of respondents are more radical than legislators. This applies, in particular, to bans on the sale of tobacco products to persons under the age of 21, and to persons born after 2014, when they reach adulthood (these initiatives have not been translated into laws). CONCLUSION: In strategies to counter tobacco use, it is important to take into account the peculiarities of the response of smoking Russians from various socio-demographic groups to anti-smoking measures, in particular, female smoking remains a serious problem. It is also important to take into account the lack of awareness among Russians about the legislative norms governing the consumption of alternative nicotine-containing products. Methodological support is required for the prevention of the use of new types of nicotine-containing products among the population, especially among young people.