Combating the tobacco epidemic in North America: challenges and opportunities

King, Brian A.; Ahluwalia, Indu B.; Gomes, Adriana Bacelar Ferreira; Fong, Geoffrey T.

doi:10.1136/tobaccocontrol-2021-056812

Cited by 7 publications

(6 citation statements)

References 15 publications

(13 reference statements)

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“…The study results support the previous findings that the tobacco industry’s interference weakens the national tobacco control policy or MPOWER package [ 17 ]. Our results confirmed an argument that tobacco companies' strategies interfered with tobacco control policies which might contribute to increasing the smoking prevalence.…”

Section: Discussionsupporting

confidence: 90%

Association between Tobacco Industry Interference Index (TIII) and MPOWER measures and adult daily smoking prevalence rate in 30 countries

Lee,

Kim,

Kim

et al. 2024

Global Health

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Background This study aimed to investigate the impact of tobacco industry interference on the implementation and management of tobacco control and the tobacco epidemic using the Tobacco Industry Interference Index (TIII) and MPOWER—a package of measures for tobacco control—and adult daily smoking prevalence in 30 countries. Methods The TIII was extracted from the Global Tobacco Industry Interference Index 2019 and Global Center for Good Governance in Tobacco Control (GGTC). MPOWER measures and adult daily smoking prevalence rate were extracted from the World Health Organization (WHO) report on the global tobacco epidemic in 2021. We assessed the ecological cross-lagged association between TIII and MPOWER scores and between TIII and age-standardized prevalence rates for adult daily tobacco users. Results Tobacco industry interference was inversely correlated with a country’s package of tobacco control measures (β = -0.088, P = 0.035). The TIII was correlated with weaker warnings about the dangers of tobacco (β = -0.016, P = 0.078) and lack of enforcement of bans on tobacco advertising promotion and sponsorship (β = -0.023, P = 0.026). In turn, the higher the TIII, the higher the age-standardized prevalence of adult daily tobacco smokers for both sexes (β = 0.170, P = 0.036). Adult daily smoking prevalence in males (β = 0.417, P = 0.004) was higher in countries where the tobacco industry received incentives that benefited its business. Conclusion Where the interference of the tobacco industries was high, national compliance with the Framework Convention on Tobacco Control (FCTC) was lower, and the prevalence of adult daily smokers higher. National governments and global society must work together to minimize the tobacco industry’s efforts to interfere with tobacco control policies.

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Section: Discussionsupporting

confidence: 90%

Association between Tobacco Industry Interference Index (TIII) and MPOWER measures and adult daily smoking prevalence rate in 30 countries

Lee,

Kim,

Kim

et al. 2024

Global Health

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“…3 The use of e-cigarettes has increased in certain countries among youth and young adults. 18 , 19 A previous study found that among young adults aware of e-cigarettes, over half considered e-cigarettes as less harmful and over a quarter perceived them as less addictive than regular cigarettes. 20 Those who perceived e-cigarettes as less harmful or less addictive were more likely to use e-cigarettes.…”

Section: Discussionmentioning

confidence: 99%

“…To limit the influence from the tobacco industry, including e-cigarette industry, WHO recommends that countries implement strategies outlined in Article 5.3 of the WHO FCTC, which include raising awareness about the addictiveness and harm of tobacco products and industry interference with tobacco control policies; establishing measures to limit interactions with the industry and ensure the transparency; rejecting partnership and non-binding or non-enforceable agreements with the industry; avoiding conflicts of interest for government officials; requiring that information provided by the industry be transparent and accurate; de-normalizing and regulating activities described as ‘socially responsible’ by the tobacco industry; not giving preferential treatment to the industry; and treating state-owned industry in the same way as other tobacco industry. 18 Successful cases in combating the influence of e-cigarette industry have been reported recently. For example, in the U.K., e-cigarettes are governed by the medicinal license through the Medicines and Healthcare products Regulatory Agency and the revised European Union Tobacco Products Directive.…”

Section: Discussionmentioning

confidence: 99%

Electronic cigarette use among adults in 14 countries: A cross-sectional study

et al. 2022

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“…The majority of this tobacco-related mortality is caused by smoking conventional cigarettes, which have over a billion global users and are the most popular type of tobacco product by far [2]. Despite that rates of cigarette smoking have been on the decline in recent decades in the U.S., the success of tobacco control efforts has been impeded by the diversification of tobacco products [3][4][5][6]. Recent research has demonstrated that the concurrent use of multiple types of non-cigarette tobacco products (i.e., cigars, smokeless tobacco, snuff, hookah, e-cigarettes, and pipes) is becoming increasingly common [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation

Siddiqi

Chen

Britton

et al. 2023

IJERPH

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Tobacco use treatment is not prioritized in substance use treatment centers (SUTCs), leading to tobacco-related health inequities for patients with substance use disorders (SUDs) and necessitating efforts to enhance providers’ care provision. Training providers on how to treat tobacco use increases their intervention on patients’ smoking, but limited work addresses its effects on their non-cigarette tobacco use intervention provision. This study redressed this gap using data from 15 unaffiliated SUTCs in Texas (serving 82,927 patients/year) participating in a tobacco-free workplace program (TFWP) that included provider education on treating tobacco use, including non-cigarette tobacco use. SUTC providers completed surveys before (n = 259) and after (n = 194) TFWP implementation. Past-month screening/intervention provision for non-cigarette tobacco use (the 5A’s; ask, advise, assess, assist, arrange) and provider factors theoretically and practically presumed to underlie change [i.e., beliefs about concurrently treating tobacco use disorder (TUD) and other SUDs, self-efficacy for tobacco use assessment (TUA) delivery, barriers to treating tobacco dependence, receipt of tobacco intervention training] were assessed. Generalized linear or linear mixed models assessed changes over time from before to after TFWP implementation; low vs. high SUTC-level changes in provider factors were examined as moderators of changes in 5A’s delivery. Results indicated significant improvement in each provider factor and increases in providers’ asking, assisting, and arranging for non-cigarette tobacco use over time (ps < 0.04). Relative to their counterparts, SUTCs with high changes in providers’ beliefs in favor of treating patients’ tobacco use had greater odds of advising, assessing, assisting, and arranging patients, and SUTCs with greater barrier reductions had greater odds of advising and assisting patients. Results suggest that TFWPs can address training deficits and alter providers’ beliefs about treating non-tobacco TUD during SUD care, improve their TUA delivery self-efficacy, and reduce intervention barriers, ultimately increasing intervention provision for patients’ non-cigarette tobacco use. SUTCs with the greatest room for improvement in provider beliefs and barriers to care provision seem excellent candidates for TFWP implementation aimed at increasing non-cigarette tobacco use care delivery.

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Combating the tobacco epidemic in North America: challenges and opportunities

Cited by 7 publications

References 15 publications

Association between Tobacco Industry Interference Index (TIII) and MPOWER measures and adult daily smoking prevalence rate in 30 countries

Association between Tobacco Industry Interference Index (TIII) and MPOWER measures and adult daily smoking prevalence rate in 30 countries

Electronic cigarette use among adults in 14 countries: A cross-sectional study

Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation

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