Concluding, we found that more awareness of anti-tobacco information was significantly associated with feeling more uncomfortable about smoking in each of the three countries. This finding suggests that anti-tobacco information campaigns about the dangers of second-hand smoke in France and about smoking cessation in the Netherlands and Germany might have reduced the social acceptability of smoking in these countries. With regards to effects on smoking cessation, we found perceived important people disapproval to be a significant predictor of quit attempts. Thus, specific campaigns may be needed that influence the perceived disapproval of smoking by important people to ultimately increase attempts to quit smoking.