Tobacco supply and demand strategies used in African countries

Crosbie, Eric; Defrank, Vincent; Egbe, Catherine O.; Ayo‐Yusuf, Olalekan A.; Bialous, Stella Aguinaga

doi:10.2471/blt.20.266932

Cited by 11 publications

(8 citation statements)

References 5 publications

(8 reference statements)

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“…Our findings are consistent with studies conducted elsewhere [ 45 – 47 ]. Our finding may be attributed to the increased market influence of the tobacco industry in many African countries [ 48 ]. Such penetration has been attributed to weak legislation on tobacco promotion, less enforcement of existing law, low taxes on tobacco products, and innovative ways by the tobacco industry to reach young people [ 49 – 51 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of current tobacco use and non-user susceptibility to using tobacco products among school-going adolescents in 22 African countries: a secondary analysis of the 2013-2018 global youth tobacco surveys

et al. 2022

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Background Our study examined the prevalence and associated factors of tobacco product use and non-users’ susceptibility to using tobacco products among school-going adolescents in 22 African countries. Methods We analyzed the cross-sectional 2013-2018 Global Youth Tobacco Survey (GYTS) data from 22 African countries. We conducted complex sampling descriptive and logistic regression analyses. Results The overall prevalence of current use of any tobacco product among adolescents was 19.1%, with more males (23.7%) than females (13.7%) being current users. Zimbabwe and Morocco were the highest (47.1%) and least (12.6%) reported prevalence, respectively. Being male (AOR = 1.93;95%CI:1.61-2.32), being 16 and older(AOR = 1.37;95%CI:1.01-1.86), exposure to secondhand smoke within (AOR = 1.98;95%CI:1.69-2.32) and outside (AOR = 1.37;95%CI:1.13-1.65) the home, not knowledgeable about the harmful effect of secondhand smoke (AOR = 1.44;95%CI:1.20-1.74), exposure to tobacco industry promotion (AOR = 3.05;95%CI:2.68-3.47) and not in favour of banning smoking in enclosed places (AOR = 1.32;95%CI:1.08-1.60) were associated with current use of any tobacco product. The prevalence of the susceptibility to using tobacco products among never users of tobacco products was 12.2%, with no significant gender difference. Mozambique (24.6%) and Algeria (4.5%) had the highest and least prevalence of susceptibility to using tobacco products among never users, respectively. Exposure to tobacco industry promotion (AOR = 1.54;95%CI:1.31-1.82), those not in favour of banning smoking in enclosed places (AOR = 1.29;95%CI:1.14-1.45) and those not exposed to anti-smoking school education (AOR = 1.24;95%CI:1.06-1.46) were associated with susceptibility to using any tobacco product among never users of tobacco products. Conclusion Our study reports that tobacco use and non-user susceptibility to using tobacco products among school-going adolescents in the 22 African countries is high. As part of public health efforts, governments and other stakeholders need to fully implement anti-tobacco use campaigns, enforce a complete ban on tobacco promotion and advertising, institute educational programs for families, and anti-tobacco use education for the general public and in schools in line with WHO Framework Convention on Tobacco Control guidelines.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of current tobacco use and non-user susceptibility to using tobacco products among school-going adolescents in 22 African countries: a secondary analysis of the 2013-2018 global youth tobacco surveys

et al. 2022

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“…News media set the agenda in public health by framing and shaping public opinion, but TC has not benefited adequately from the media 50. There is competition to use the media to push for or against TC: the media in SSA are the future battlefield for TC and this has become quite prominent especially in South Africa where the industry has launched several media campaigns to protest against TC regulations, for example, #handsoffmychoices against South Africa’s tobacco control bill, #Notjustjobs51 and #takebackthetax against tax increases under the guise of fighting illicit trade which they have been found to be part of52 53 and recently during the COVID-19 lockdown tobacco sales ban in South Africa on various social media platforms 54. News media in SSA often tacitly portray the industry positively, allowing subtle advertising while reporting on the industry’s corporate social responsibility activities 15 50.…”

Section: Tc Media Landscape In Ssamentioning

confidence: 99%

Landscape of tobacco control in sub-Saharan Africa

Egbe

Magati

Wanyonyi³

et al. 2022

Tob Control

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Yearly, tobacco use kills about 8 million people globally, 80% of whom live in low/middle-income countries. Given sub-Saharan Africa’s (SSA) rapidly increasing and youthful population, growing incomes and the increased presence of the tobacco industry, the number of tobacco users is growing. The region is predicted to face a heavier burden of tobacco-related diseases and deaths in the future. We examined the policy, advocacy, economic and media landscapes of tobacco control as well as tobacco industry interference in SSA. We also highlighted key challenges and priorities for intervention in the region. Their vast financial power has enabled transnational tobacco companies to interfere in tobacco control and slow down policy implementation efforts in SSA. Despite recent gains, inadequate investment in tobacco control has prevented effective tobacco control implementation in SSA. Other challenges include limited locally generated evidence and limited support from mainstream media to back policy and advocacy efforts. Finally, taxation, which is one of the most effective tools for tobacco control, is not yet adequately used in SSA partly due to non-harmonised taxation rates as well as exaggerated and false claims about the potential impacts of increasing taxes, especially that it will increase smuggling. Key priorities to address these challenges include continued strategic funding, capacity building of government and advocacy personnel to strengthen tobacco control governance, regional and institutional cooperation, harmonisation of subregional tax policies, cooperation among international funders, and increased industry monitoring and research in SSA.

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“…A recent article from the WHO looks into the growth of tobacco globalization on the African continent. 11 On the basis of WHO statistics, the article reports a relatively small proportion of the world's smoking cases in Africa (compared with People's Republic of China that has a third). Nevertheless, cases seem to be on the rise, with an increase from nearly 16% of the population to more than 20% projected for the next decade.…”

Section: Silk Roadmentioning

confidence: 99%

“…Second, tobacco companies promote the sale of single stick cigarettes, recognized as a way of marketing younger and poorer people. The companies support informal traders (with branded equipment), overlook the relatively high levels of single stick sale (up to nearly 40% of all cigarettes in Morocco a few y ago) 11 (para 4), and oversee the sale of single cigarettes close to schools all over the continent. Third, tobacco companies in Africa (like in other parts of the world) give away promotional products-free cigarettes in clubs, hotels, and shopping centers or other branded items (pens, ashtrays, and the like)-including items that target young women, with a focus on "success.beauty and feminine liberation" 11 (para 6).…”

Section: Silk Roadmentioning

confidence: 99%

From the IASLC Tobacco Control Committee

2021

Journal of Thoracic Oncology

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Tobacco supply and demand strategies used in African countries

Cited by 11 publications

References 5 publications

Prevalence and correlates of current tobacco use and non-user susceptibility to using tobacco products among school-going adolescents in 22 African countries: a secondary analysis of the 2013-2018 global youth tobacco surveys

Prevalence and correlates of current tobacco use and non-user susceptibility to using tobacco products among school-going adolescents in 22 African countries: a secondary analysis of the 2013-2018 global youth tobacco surveys

Landscape of tobacco control in sub-Saharan Africa

From the IASLC Tobacco Control Committee

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