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Why Is It So Hard to Quit Smoking

This is strengthened by the observation of higher quit rates among menthol versus non-menthol smokers only during the time period when the menthol ban was implemented.29 Prior to the EU menthol ban, from 2016 to 2018, ITC cohort studies across eight European countries, including the Netherlands, did not find significant differences in quit rates between menthol and non-menthol smokers (14.0% vs 12.0%).29 Findings support growing evidence of the substantial impact of a real-world menthol cigarette ban on encouraging smokers to quit.11 12 26 27 53 The high levels of increased quit attempts and quitting are of notable significance given that quitting behaviours are generally subpar in Europe.36 54 55 If the impact of 12.0% additional quitting found in this study were applied to the entire EU and UK, where 7.7% of adults were menthol smokers in 2017,56 increased quitting rates could mean more than a million additional quitters, which has considerable implications for averting smoking-related morbidity and mortality