BACKGROUND: More than 1 in 5 deaths in Hungary can be attributed to tobacco smoking. The role of the public health agency in responding to and ameliorating the tobacco epidemic in Hungary has been, until now, unexplored. This paper explores the social will of the public health agency workers to adopt tobacco control measures. METHODS: 269 Hungarian public health workers throughout Hungary completed an electronic survey on the types of programs offered by the public health agency, the perceived level of responsibility to reduce tobacco use, and the social will of the agencies to curb tobacco use. Multivariate analyses were performed to estimate factors which contribute to the social will to curb tobacco use. RESULTS: 48% of public health workers in Hungary report that it is absolutely important for local public health agencies to offer tobacco prevention and cessation programs, but only 3% indicate that they have earmarked funds to support anti-tobacco programs. Most workers favor more programs and policies to curb tobacco use in Hungary, such as taxation (67%) and banning smoking in restaurants (81%) and confined sporting events (93%). Factors positively associated with a stronger social will for tobacco control included being a former or never smoker (versus a current smoker) (p < 0.001) and being middle age (40-49, p = 0.04 and 50-59, p = 0.01) (versus being under the age of 30). CONCLUSION: Based on a SWOT (strengths, weaknesses, opportunities and threats) analyses, we argue that public health workers have the potential to play an important role in disseminating health promotion programs and advocating for broader statewide policies that could reduce tobacco use and exposure to environmental tobacco smoke. However, such an opportunity is missed with neither designated funding nor a nationally-dedicated office to tobacco control in Hungary.

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World Health Organization. Hungary smoking prevalence tobacco economy. Geneva: WHO; 2002.

Global Youth Tabacco Survey Collaborative Group. Tobacco use among youth: a cross country comparison. Tob Control. 2002 Sep;11(3):252–270. PubMed PMC

Nyári TA, Herédi K, Parker L. Addictive behaviour of adolescents in secondary schools in Hungary. Eur Addict Res. 2005;11(1):38–43. PubMed

Johan Béla national programme for the decade of health [Internet] Budapest: Ministry of Health; 2003. [cited 2008 Nov 6]. Available from: http://www.eum.hu/english/public-health-programme/national-public-health.

Price JH, Dake JA, Jordan TR. Development of a social will for tobacco control index. Am J Health Behav. 2006 Jan-Feb;30(1):15–26. PubMed

Stata statistical software: release 7.0 [computer software] College Station (TX): Stata Coorporation; 2001. StataCorp. 2001.

[cited 2008 Nov 6];Elements of the coalition’s menu/press tobacco taxation. Hungarian antismoking coalition sponsored by the Foundation for our Health in the 21th Century [Internet]. Áfonya: Health 21 Hungarian Foundation. Available from: http://health21.hungary.globalink.org/koal_menu_elemei/sajto_dohanyado_200609.doc. (In Hungarian.)

Levi F, Lucchini F, Negri E, Zatonski W, Boyle P, La Vecchia C. Trends in cancer mortality in the European Union and accession countries, 1980–2000. Ann Oncol. 2004 Sep;15(9):1425–1431. PubMed

Piko B. Smoking in adolescence do attitudes matter? Addict Behav. 2001 Mar-Apr;26(2):201–217. PubMed

Piko BF. Does knowledge count? Attitudes toward smoking among medical, nursing, and pharmacy students in Hungary. J Community Health. 2002 Aug;27(4):269–276. PubMed

Support for population level tobacco control policies in Hungary