Attitudinal and behavioural responses to increasing tobacco control regulation among high smoking prevalence groups: A qualitative study

2018 ◽  
Vol 38 (1) ◽  
pp. 92-100 ◽  
Author(s):  
Ashleigh Parnell ◽  
Emily Box ◽  
Nicole Biagioni ◽  
Billie Bonevski ◽  
Juli Coffin ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Tobacco Control ◽  
Smoking Prevalence ◽  
Behavioural Responses ◽  
Control Regulation ◽  
High Smoking Prevalence

Policy incoherence and tobacco control in Indonesia: an analysis of the national tobacco-related policy mix

2021 ◽  
pp. tobaccocontrol-2021-056633
Author(s):  
Elisabeth Kramer ◽  
Abdillah Ahsan ◽  
Vaughan W Rees
Keyword(s):  
Tobacco Control ◽  
Smoking Prevalence ◽  
Tobacco Industry ◽  
Policy Mix ◽  
Political Will ◽  
News Reporting ◽  
Health Finance ◽  
Tobacco Control Policies ◽  
High Smoking Prevalence ◽  
Ministry Of Finance

IntroductionIndonesia has a high smoking prevalence that has not diminished significantly since 1990. Considering this, we aim to summarise the existing national tobacco-related policy mix and explore markers of policy incoherence in tobacco control between 2014 and 2020.MethodsWe conducted (1) a review and synthesis of Indonesian tobacco-related legislation and regulations; (2) a systematic search and synthesis of related literature and news reporting; and (3) interviews with tobacco control activists and academics to understand political will towards tobacco control regulations and the tobacco industry.ResultsIndonesia’s existing tobacco-related policy mix lies across the president’s office, six national ministries and one independent agency. However, current responsibility lies primarily with four government ministries: Ministries of Health, Finance, Communication and Information, and Trade and Industry, with the Ministry of Finance most active. Evidence demonstrates that official interministerial collaboration was lacking from 2014 to 2020 and suggests that institutional will to introduce more effective tobacco control varies considerably between different arms of government.DiscussionPolitical will differs according to ministerial mandates and priorities, fostering a fragmented policy approach and undermining the development of a coherent response. Without political will from the president or national parliament to create an overarching framework for tobacco control, either via ratification of the Framework Convention on Tobacco Control or another mechanism, there remains no formal impetus for intragovernmental cooperation. Nonetheless, this analysis reveals some government progress and ‘pressure points’ that advocates can focus on to promote tobacco control policies within the current policy mix.

scholarly journals Seven years of progress in tobacco control: an evaluation of the effect of nations meeting the highest level MPOWER measures between 2007 and 2014

2016 ◽  
Vol 27 (1) ◽  
pp. 50-57 ◽  
Author(s):  
David T Levy ◽  
Zhe Yuan ◽  
Yuying Luo ◽  
Darren Mays
Keyword(s):  
Tobacco Control ◽  
Smoking Prevalence ◽  
Health Impact ◽  
Effect Sizes ◽  
Health Warnings ◽  
Subsequent Reduction ◽  
Cigarette Taxes ◽  
Policy Effect ◽  
Tobacco Control Policies ◽  
High Smoking Prevalence

ObjectiveSince WHO released the package of six MPOWER measures to assist nations with implementing the WHO Framework Convention for Tobacco Control (FCTC), 88 countries adopted at least one highest level MPOWER measure. We estimated the subsequent reduction in smoking-related deaths from all new highest level measures adopted between 2007 and 2014.MethodsPolicy effect sizes based on previously validated SimSmoke models were applied to the number of smokers in each nation to determine the reduction in the number of smokers from policy adoption. On the basis of research that half of all smokers die from smoking, we derived the smoking-attributable deaths (SADs) averted of those smokers alive today.FindingsIn total, 88 countries adopted at least one highest level MPOWER policy between 2007 and 2014, resulting in almost 22 million fewer projected SADs. The largest number of future SADs averted was due to increased cigarette taxes (7.0 million), followed by comprehensive smoke-free laws (5.4 million), large graphic health warnings (4.1 million), comprehensive marketing bans (3.8 million) and comprehensive cessation interventions (1.5 million).ConclusionsThese findings demonstrate the immense public health impact of tobacco control policies adopted globally since the WHO-FCTC and highlight the importance of more countries adopting highest level MPOWER measures to reduce the global burden of tobacco use. Substantial additional progress could be made, especially if heavily populated nations with high smoking prevalence were to reach highest level MPOWER measures.

scholarly journals Potential sources of cessation support for high smoking prevalence groups: a qualitative study

2019 ◽  
Vol 43 (2) ◽  
pp. 108-113 ◽  
Author(s):  
Ashleigh Parnell ◽  
Emily Box ◽  
Billie Bonevski ◽  
Terry Slevin ◽  
Julia Anwar‐McHenry ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Smoking Prevalence ◽  
Potential Sources ◽  
High Smoking Prevalence

scholarly journals Implementation of key demand-reduction measures of the WHO Framework Convention on Tobacco Control and change in smoking prevalence in 126 countries: an association study

2017 ◽  
Vol 2 (4) ◽  
pp. e166-e174 ◽  
Author(s):  
Shannon Gravely ◽  
Gary A Giovino ◽  
Lorraine Craig ◽  
Alison Commar ◽  
Edouard Tursan D'Espaignet ◽  
...  
Keyword(s):  
Association Study ◽  
Tobacco Control ◽  
Smoking Prevalence ◽  
Demand Reduction

scholarly journals Motivations for Smoking Cessation and the Impact of Regulatory Tax Increases Amongst Fathers within the Pacific Islands Families Study

2015 ◽  
Vol 12 (1) ◽  
pp. 32-37 ◽  
Author(s):  
El-Shadan Tautolo ◽  
Leon Iusitini ◽  
Steve Taylor ◽  
Janis Paterson
Keyword(s):  
New Zealand ◽  
Smoking Prevalence ◽  
Pacific Islands ◽  
Tobacco Consumption ◽  
Excise Tax ◽  
Quit Smoking ◽  
The Pacific ◽  
Quitting Smoking ◽  
High Smoking Prevalence ◽  
The Impact

Aims: To examine the prevalence of smoking, motivations for cessation, and impact of tobacco excise tax increases amongst a cohort of Pacific fathers at 11 years after the birth of their child.Methods: Within the context of broader interviews, 723 Pacific fathers participating in the Pacific Islands Families (PIF) Study were surveyed about their smoking at the 11-year measurement point. Prevalence of smoking was calculated, alongside motivations to quit, and the impact of increases to the excise tax on tobacco.Results: Smoking prevalence amongst Pacific fathers remains high (38%) at 11 years postpartum, although 81% of smokers disclosed interest in quitting smoking. The strongest motivation to quit smoking was their ‘own health’ (n = 185, 82%), followed by ‘the cost’ (n = 148, 66%), and the impact on ‘their child's health’ (n = 113, 50%). Among smokers, 12% (n = 31) had never attempted to quit, whereas 63% (n = 159) had made multiple attempts. Approximately 70% (n = 191) of smokers indicated the New Zealand Government-initiated tobacco excise tax increases caused them to reduce their tobacco consumption.Conclusions: High smoking prevalence amongst this cohort raises serious concerns about the risks Pacific families and communities face from smoking. Maintaining a sustained series of tobacco excise tax increases, alongside the utilisation of information on key motivators for Pacific fathers to quit smoking, may prove more effective in supporting Pacific communities to achieve the New Zealand Government's Smokefree 2025 goal.

Impact of a negative emotional antitobacco mass media campaign on French smokers: a longitudinal study

2018 ◽  
Vol 27 (6) ◽  
pp. 670-676 ◽  
Author(s):  
Romain Guignard ◽  
Karine Gallopel-Morvan ◽  
Ute Mons ◽  
Karin Hummel ◽  
Viêt Nguyen-Thanh
Keyword(s):  
Smoking Cessation ◽  
Mass Media ◽  
Self Efficacy ◽  
Smoking Prevalence ◽  
Media Campaign ◽  
Perceived Susceptibility ◽  
Media Campaigns ◽  
Smoking Cessation Services ◽  
High Smoking Prevalence ◽  
T1 And T2

BackgroundMass media campaigns to encourage smoking cessation have been shown to be effective in a context of comprehensive tobacco control programme. The effectiveness of antismoking ads that evoke negative emotions remains unclear, in particular in countries with high smoking prevalence and among smokers with low perceived susceptibility, low self-efficacy or who are not users of smoking cessation services.ObjectiveTo evaluate short-term and long-term effects of a 1-month French national highly emotional media campaign, with a focus on these specific targets.DesignA 6-month longitudinal survey by Internet. A sample of 3000 smokers were interviewed before the media campaign (T0). They were contacted again just after (T1) and 6 months after the campaign (T2).OutcomesPerceived susceptibility to the risks of smoking, self-efficacy to quit smoking, use of smoking cessation services (quitline and website) and 7-day quitting.MethodsThe analysis was carried out on 2241 individuals who answered at T1 and T2. Multiple logistic regressions were computed to test the association between the change in each outcome at T1 and T2 and the level of exposure based on self-reported recall.ResultsSelf-reported recall was associated with an increase in perceived susceptibility and with use of cessation services. Campaign recall was also associated with higher 7-day quitting immediately after the campaign (OR=1.8 (1.0 to 3.2), P<0.05).ConclusionsFear-appeal mass media campaigns can be effective in encouraging cessation among smokers in a country with high smoking prevalence (France), but should be accompanied by convincing self-efficacy messages.

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