Revisiting the association between worldwide implementation of the MPOWER package and smoking prevalence, 2008–2017

Husain, Muhammad Jami; Datta, Biplab Kumar; Nargis, Nigar; Iglesias, Roberto; Perucic, Anne-Marie; Ahluwalia, Indu B.; Tripp, Angela; Fatehin, Sohani; Husain, Muhammad; Kostova, Deliana; Richter, Patricia

doi:10.1136/tobaccocontrol-2020-055758

Cited by 35 publications

(47 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accordingly, we attempted to add the non-tax elements of the WHO's MPOWER package (i.e., MPOWE) into the analysis [26]. MPOWER comprises of best policy level practices aimed at lowering tobacco demand [27]. We believe that the lack of variation in the MPOWE scores was the main reason that we could not generate significant findings for these additional policy-level control variables.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Shuval

Stokłosa

Nargis

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Tobacco taxation and price policies are considered the most effective for lowering demand for tobacco products. While this statement is based on research from numerous countries, scant evidence exists on this topic for Israel. Accordingly, we assessed the association between cigarette prices and smoking prevalence and intensity from a national sample of adults in Israel (2002–2017). Data on smoking behavior were derived from the Israeli Knowledge Attitudes and Practices (KAP) survey, a repeated cross-sectional survey. Price information is from the Economist Intelligence Unit (EIU) since it was not collected in the KAP survey. We used the price of a pack of 20 cigarettes for Marlboro and the local brand. These two price variables were the primary independent variables, and we adjusted for inflation. The dependent variables were current smoking (yes/no) and smoking intensity, defined as the number of cigarettes smoked per week. Multivariable analysis was employed using a two-part model while adjusting for covariates. The first step of the model utilized logistic regression with current smoking as the dependent variable. The second step examining smoking intensity as the dependent variable, used OLS regression. Price elasticity was estimated as well. Analysis revealed that a one-unit increase (Israeli currency) in the price of local brand of cigarettes was related to 2.0% (OR = 0.98; 95%CI 0.98, 0.99) lower odds of being a current smoker, adjusting for covariates including household income. Moreover, a one unit increase in the price of the local brand of cigarettes was related to consuming 1.49 (95% CI −1.97, −1.00) fewer weekly cigarettes, controlling for household income and covariates. Similar results were found with the Marlboro cigarette prices. The total price elasticity of cigarette demand, given by the sum of price elasticities of smoking prevalence and intensity, showed that a 10.0% increase in the price is associated with a 4.6–9.2% lower cigarette consumption among Israeli adults. Thus, increasing cigarette prices will likely lead to a reduction in cigarette smoking thereby improving public health in Israel.

show abstract

Section: Discussionmentioning

confidence: 99%

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Shuval

Stokłosa

Nargis

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…A recent study [11] estimated that in countries with higher initial tobacco control preparedness, as measured by an early MPOWER implementation, the prevalence of daily smoking decreased by between 0.39 and 0.50 percentage points for each increase in the MPOWER score, which indicates the strength of the adopted policies. By contrast, countries with initially low tobacco control preparedness and high daily smoking prevalence seem to be struggling to reduce prevalence despite progress in MPOWER implementation.…”

Section: Achievements Of Tobacco Control Efforts During the First 20 mentioning

confidence: 99%

Tobacco control policies in the 21st century: achievements and open challenges

et al. 2021

View full text Add to dashboard Cite

Noncommunicable diseases (NCDs), including cancer, are responsible for almost 70% of all deaths worldwide. Tobacco use is a risk factor common to most NCDs. This article discusses tobacco control policies and highlights major achievements and open challenges to reduce smoking prevalence and attributable morbidity and mortality in the 21st century. The introduction of the WHO Framework Convention on Tobacco Control in 2005 has been a key achievement in the field and has already facilitated a drop in both smoking prevalence and exposure to secondhand smoke. Indicatively, the size of the worldwide population benefiting from at least one cost‐effective tobacco control policy has quadrupled since 2007. In addition, plain cigarette packaging has been successfully introduced as a tobacco control policy, surmounting efforts of the tobacco industry to challenge this based on trade and investment law. Nevertheless, tobacco control still faces major challenges. Smoking prevalence needs to be further reduced in a rather expedited manner. Smoke‐free environments should be extended, and the use of plain tobacco packaging with large pictorial health warnings for all tobacco products should be further promoted in some parts of the world. Some of these measures will require prompt determination and diligence. For example, bold political decisions are needed to significantly increase real prices of tobacco products through excise taxes, ban added ingredients that are currently used to increase the attractiveness of tobacco products and ban the tobacco industry's corporate social responsibility initiatives. Finally, the debate on harm reduction strategies for tobacco control still needs to be resolved.

show abstract

“…4 Several longitudinal studies have found that countries with higher composite scores of MPOWER implementation tend to have lower smoking rates. 5 - 11 …”

Section: Introductionmentioning

confidence: 99%

“…4 Several longitudinal studies have found that countries with higher composite scores of MPOWER implementation tend to have lower smoking rates. [5][6][7][8][9][10][11] One policy recommendation of the FCTC and MPOWER is the use of pictorials on tobacco packaging that warn about the dangers of tobacco use. Specifically, in Article 11 of the FCTC, 12 and the corresponding "W" of MPOWER, 3 the WHO recommends that countries should place graphic pictorials on tobacco packages that depict certain diseases and other negative outcomes caused by tobacco use.…”

Section: Introductionmentioning

confidence: 99%

Country Participation in the WHO Framework Convention on Tobacco Control Health Warnings Database

2021

View full text Add to dashboard Cite

Background The World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC) Health Warnings Database is an online, publicly available resource created for countries to upload and share pictorial health warnings for tobacco packaging. The purpose of this study was to evaluate the extent to which the database is used by countries for the sharing of pictorial warnings. Methods The study’s sample included parties to the FCTC who required graphic health warning labels on cigarette packaging from. Those countries were categorized as having a low, middle, and high Socio-Demographic Index (SDI). The Health Warnings Database was then analyzed for those countries’ unique pictorial images, as well as the number of pictorials that were shared between countries. Results Of the 110 countries that required pictorial warnings on cigarette packaging, only 53 (48%) voluntarily contributed pictorials to the database, with most of those (53%) being high SDI-level countries. There were 342 unique pictorials on the database, with 62 images posted by seven countries that were used by 13 other countries. Conclusion While sharing was evident from the database, there remains a need for more countries to upload the pictorials to the database. There is also a need to expand the database to include alternative tobacco products, such as waterpipe tobacco and e-cigarettes.

show abstract

Revisiting the association between worldwide implementation of the MPOWER package and smoking prevalence, 2008–2017

Cited by 35 publications

References 13 publications

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Tobacco control policies in the 21st century: achievements and open challenges

Country Participation in the WHO Framework Convention on Tobacco Control Health Warnings Database

Contact Info

Product

Resources

About