Analysis of Federal Legislation on Protection of Citizens from Exposure to Secondhand Tobacco Smoke and Consequences of Tobacco or Nicotine Product Use

Background: In 2013, the Federal Law No. 15-FZ of February 23, 2013 on Protecting Health of Citizens from Exposure to Secondhand Tobacco Smoke and Consequences of Tobacco Use (hereinafter referred to as the Law) came into force.
Objective: To analyze the Law development in 2013–2023 and to assess the effectiveness of implementing its norms.
Materials and methods: To assess the effectiveness and level of implementation of the Law’s provisions, a survey of experts working in the field of tobacco control in the regions of the Russian Federation was conducted using a specially developed questionnaire entitled “Assessment of Effectiveness of Legislative Tobacco Control Measures”. The expert panel included 402 specialists nominated by state authorities of 76 regions of the Russian Federation.
Results: In 2013–2023, the Law was amended and supplemented by adopting ten federal laws and a decree of the Russian Government. According to the experts, the most effective tobacco control measures included bans on advertising, marketing, and sponsorship by tobacco companies (26.2 %); informing the population about dangers of tobacco/nicotine use (25.6 %); offering stop smoking treatment (20.1 %), and protecting people from secondhand tobacco smoke/ESDN aerosol (19.5 %). Besides, 19.7 % of the experts believed that the level of implementation of measures was insufficient while 7.2 % rated it as low.
Conclusions: Since its adoption in 2013, the Law has been continuously improved, taking into account the assessment of effectiveness of its tobacco control measures, new challenges and trends. According to the experts, the effectiveness of the Law may be further improved by strengthening control over its implementation.

1. Song S, Lei L, Lui H, et al. Impact of changing the prevalence of smoking, alcohol consumption and overweight/obesity on cancer incidence in China from 2021 to 2050: A simulation modelling study. eClinicalMedicine, 2023;63:102163. doi: 10.1016/j.eclinm.2023.102163

2. Allen LN, Wigley S, Holmer H, Barlow P. Non-communicable disease policy implementation from 2014 to 2021: A repeated cross-sectional analysis of global policy data for 194 countries. Lancet Glob Health. 2023;11(4):e525-e533. doi: 10.1016/S2214-109X(23)00042-6

3. U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020. Accessed March 27, 2025. https://www.hhs.gov/sites/default/files/2020-cessation-sgr-full-report.pdf

4. Chan KH, Wright N, Xiao D, et al.; China Kadoorie Biobank collaborative group. Tobacco smoking and risks of more than 470 diseases in China: A prospective cohort study. Lancet Public Health. 2022;7(12):e1014-e1026. doi: 10.1016/S2468-2667(22)00227-4

5. GBD 2015 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1659-1724. doi: 10.1016/S0140-6736(16)31679-8

6. Onishchenko GG, Zaitseva NV, May IV. [Health Risk Analysis in the Strategy of State Socio-Economic Development.] Perm: Perm Nat. Res. Polytech. Univ. Publ.; 2014. (In Russ.)

7. Salagay OO, Antonov NS, Sakharova GM, Stadnik NM. The impact of tobacco consumption on the individual and population risk of non-communicable diseases in the Russian Federation. Obshchestvennoe Zdorov’e. 2024;4(2):18-31. (In Russ.) doi: 10.21045/2782-1676-2024-4-2-18-31

8. Nadezhdin AV, Nadezhdin SA, Tetenova EJu, et al. Development of mobile app for dependent tobacco user. Narkologiya. 2019;18(8):69-85. (In Russ.) doi: 10.25557/1682-8313.2019.08.69-85

9. Gakova EI, Akimov MYu, Kayumova MM, Kuznetsov VA. Gender specifics of the attitudes toward tobacco smoking in various educational levels and family status among economically active men and women in Tyumen city. Kardiovaskulyarnaya Terapiya i Profilaktika. 2017;16(5): 57-62. (In Russ.) doi: 10.15829/1728-8800-2017-5-57-62

10. Dietz PM, England LJ, Shapiro-Mendoza CK, Tong VT, Farr SL, Callaghan WM. Infant morbidity and mortality attributable to prenatal smoking in the U.S. Am J Prev Med. 2010;39(1):45-52. doi: 10.1016/j.amepre.2010.03.009

11. Iusi ES, Sharipova MS, Kasparova AE, Gilyova SL, Chernaya EE. Effect of smoking different cigarettes on the risk of preterm birth. Nauchnyy Meditsinskiy Vestnik Yugry. 2022;32(2):75-77. (In Russ.) doi: 10.25017/2306-1367-2022-32-2-75-77

12. Fadeeva EV. Comparative assessment of the prevalence of smoking and alcohol consumption among reproductive age women before pregnancy and during the prenatal period. Vestnik Psykhoterapii. 2024;(91):14-29. (In Russ.) doi: 10.25016/2782-652X-2024-0-91-14-29

13. Inglik TN, Chernyavskaya NM, Aybazova LB. Epidemiologic aspects related to tobacco smoking as risk factors for female workers employed in retail trade. Health Risk Analysis. 2019;(1):109-117. doi: 10.21668/health.risk/2019.1.12.eng

14. Akimov AM, Kayumova MM. Twenty-year dynamics of the prevalence of tobacco smoking as a risk factor for cardiovascular diseases among women in an open population of a mid-urbanized Siberian city. Sibirskiy Nauchnyy Meditsinskiy Zhurnal. 2021;41(1):117-123. (In Russ.) doi: 10.18699/SSMJ20210112

15. Zaritskaya EV, Iakubova ISh, Kovshov AA, Shalukho ES, Suvorova AV. Characteristics of active and passive smoking behaviour among Saint-Petersburg population. Profilakticheskaya i Klinicheskaya Meditsina. 2022;(1(82)):11-19. (In Russ.) doi: 10.47843/2074-9120_2022_1_11

16. Andreeva EA, Pokhaznikova MA, Popov VV, Kuznetsova OYu. Prevalence of chronic obstructive pulmonary disease and its risk factors among residents of Saint Petersburg and Arkhangelsk (based on the RESPECT project). Rossiyskiy Semeynyy Vrach. 2022;26(4):17-24. (In Russ.) doi: 10.17816/RFD112584

17. Zaritskaya EV, Fedorov VN, Iakubova IS. Assessing acute inhalation health risk caused by exposure to products created by nicotine-containing stuff consumption in enclosed spaces. Health Risk Analysis. 2021;(2):62-71. doi: 10.21668/health.risk/2021.2.06.eng

18. Bogacheva AS, Zaritskaya EV, Yakubova ISh, Novikova NJu, Laushkin MA. [Smoking electronic cigarettes by medical university students.] In: Preventive Medicine – 2019: Proceedings of the All-Russian Scientific and Practical Conference with International Participation, St. Petersburg, November 14–15, 2019. St. Petersburg: https://doi.org/10.35627/2219-5238/2025-33-3-7-17Original Research Article North-Western State Medical University named after I.I. Mechnikov; 2019:75-79. (In Russ.)

19. Shubochkina EI, Guryanova MP, Kurgansky AM, Khramtsov PI, Gorelova JYu, Anufrieva EV. Health risks for adolescents and young adults posed by electronic cigarettes. Zdorov’e Naseleniya i Sreda Obitaniya. 2024;32(6):54-63. (In Russ.) doi: 10.35627/2219-5238/2024-32-6-54-63

20. Gambaryan MG, Drapkina OM. Impact of implementation of tobacco control legislative measures on smoking prevalence in 10 Russian Federal Subjects from 2013 to 2018. Profilakticheskaya Meditsina. 2021;24(2):44-51. (In Russ.) doi: 10.17116/profmed20212402144

21. Salagay OО, Sakharova GM, Antonov NS, Nikitina SYu, Stadnik NM, Starodubov VI. Assessment of the prevalence of behavioral risk factors and their impact on the health of the adult population in the Russian Federation. Voprosy Statistiki. 2023;30(2):72-86. (In Russ.) doi: 10.34023/2313-6383-2023-30-2-72-86

22. Sakharova G.M., Antonov N.S., Salagay O.O., Donitova V.V. Global survey on tobacco consumption by young subjects 13 to 15 years of age in Russian Federation (2004–2015). Pulmonologiya. 2017;27(2):179-186. (In Russ.) doi: 10.18093/0869-0189-2017-27-2-179-186

23. Levshin VF, Slepchenko NI. Dynamics of characteristics of smoking behavior among the population of the Russian Federation. Narkologiya. 2019;18(11):51-60. (In Russ.) doi: 10.25557/1682-8313.2019.11.51-60

24. Salagay OO, Antonov NS, Sakharova GM. Analysis of the structure and dynamics of consumption of tobacco and nicotine-containing products in the Russian Federation in 2019–2022. Profilakticheskaya Meditsina. 2022;25(9):15-23. (In Russ.) doi: 10.17116/profmed20222509115