scholarly journals Assessment of Tobacco Consumption and Control in India

2018 ◽  
Vol 9 ◽  
pp. 117991611875928 ◽  
Author(s):  
Priya Mohan ◽  
Harry A Lando ◽  
Sigamani Panneer
Keyword(s):  
Tobacco Control ◽  
Economic Status ◽  
Public Awareness ◽  
Control Policy ◽  
Tobacco Consumption ◽  
Cultural Practice ◽  
Health Issue ◽  
Public Health Issue ◽  
History Of ◽  
And Control

Tobacco consumption is a huge public health issue in India and its impact is especially devastating among the poor. Effective tobacco control should be a top priority, both as a health issue and as a method to reduce poverty. Tobacco use is deeply ingrained as a cultural practice and there are a myriad of tobacco types. We reviewed multiple determinants of tobacco consumption including socio-economic status, marriage, population growth, marketing strategies, and price. We also considered the tobacco burden including economic and social costs and adverse health impacts especially those resulting from oral cancer. We then addressed the history of tobacco control legislation in India and challenges in implementation. Tobacco consumption in India is continuing to increase despite tobacco control policy. Needed are more visible and aggressive anti-tobacco campaigns including increased public awareness of tobacco harms and active engagement of worksites and health professionals in promoting tobacco cessation.

The Politics of Global Tobacco Control

2019 ◽  
pp. 659-683
Author(s):  
Kelley Lee
Keyword(s):  
Public Health ◽  
Tobacco Control ◽  
Tobacco Industry ◽  
Control Policy ◽  
World Health ◽  
Health Issue ◽  
Public Health Issue ◽  
Illicit Trade ◽  
Health Organization ◽  
Transnational Tobacco Companies

This chapter examines the politics that has shifted tobacco control policy over the past three decades, from a long-neglected public health issue to a flagship global health issue supported by collective action by state and non-state actors. These efforts were spurred by the expansion of leading transnational tobacco companies (TTCs) into emerging markets, beginning in the 1960s, amid growing regulation and declining sales in traditional markets. By the 1990s tobacco use was steadily rising in the wake of the global expansion of the tobacco industry. The negotiation of the World Health Organization Framework Convention on Tobacco Control (FCTC) became the focus of intense political contestation between a powerful industry seeking to protect its commercial interests and an alarmed public health community. Since adoption of the FCTC in 2004, this political battle has shifted to its effective implementation in signatory states. This has included the eventual negotiation of the FCTC Protocol to Eliminate the Illicit Trade in Tobacco Products and continued efforts by the tobacco industry to sustain sales through a variety of political strategies.

scholarly journals Association between tax structure and cigarette consumption: findings from the International Tobacco Control Policy Evaluation (ITC) Project

2018 ◽  
Vol 28 (Suppl 1) ◽  
pp. s31-s36 ◽  
Author(s):  
Ce Shang ◽  
Hye Myung Lee ◽  
Frank J Chaloupka ◽  
Geoffrey T Fong ◽  
Mary Thompson ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Policy Evaluation ◽  
Fixed Effects ◽  
Tax Avoidance ◽  
Control Policy ◽  
Tobacco Consumption ◽  
Cigarette Consumption ◽  
Tobacco Control Policy ◽  
Tax Structure ◽  
Tax Structures

BackgroundRecent studies show that greater price variability and more opportunities for tax avoidance are associated with tax structures that depart from a specific uniform one. These findings indicate that tax structures other than a specific uniform one may lead to more cigarette consumption.ObjectiveThis paper aims to examine how cigarette tax structure is associated with cigarette consumption.MethodsWe used survey data taken from the International Tobacco Control Policy Evaluation Project in 17 countries to conduct the analysis. Self-reported cigarette consumption was aggregated to average measures for each surveyed country and wave. The effect of tax structures on cigarette consumption was estimated using generalised estimating equations after adjusting for sociodemographic characteristics, average taxes and year fixed effects.FindingsOur study provides important empirical evidence of a relationship between tax structure and cigarette consumption. We find that a change from a specific to an ad valorem structure is associated with a 6%–11% higher cigarette consumption. In addition, a change from uniform to tiered structure is associated with a 34%–65% higher cigarette consumption. The results are consistent with existing evidence and suggest that a uniform and specific tax structure is the most effective tax structure for reducing tobacco consumption.

scholarly journals Defending Comprehensive Tobacco Control Policy Implementation in Nepal From Tobacco Industry Interference (2011–2018)

2020 ◽  
Vol 22 (12) ◽  
pp. 2203-2212 ◽  
Author(s):  
Dharma N Bhatta ◽  
Eric Crosbie ◽  
Stella A Bialous ◽  
Stanton Glantz
Keyword(s):  
Tobacco Control ◽  
Tobacco Industry ◽  
Public Awareness ◽  
Control Policy ◽  
Control Law ◽  
Middle Income ◽  
Middle Income Countries ◽  
Awareness Campaigns ◽  
The Law ◽  
Low And Middle Income

Abstract Introduction Nepal passed a comprehensive tobacco control law in 2011. Tobacco control advocates successfully countered tobacco industry (TI) interference to force implementation of law. Aims and Methods Policy documents, news stories, and key informant interviews were triangulated and interpreted using the Policy Dystopia Model (PDM). Results The TI tried to block and weaken the law after Parliament passed it. Tobacco control advocates used litigation to force implementation of the law while the TI used litigation in an effort to block implementation. The TI argued that tobacco was socially and economically important, and used front groups to weaken the law. Tobacco control advocates mobilized the media, launched public awareness campaigns, educated the legislature, utilized lawsuits, and monitored TI activities to successfully counter TI opposition. Conclusions Both tobacco control advocates and the industry used the discursive and instrumental strategies described in the PDM. The model was helpful for understanding TI activities in Nepal and could be applied to other low- and middle-income countries. Civil society, with the help of international health groups, should continue to track TI interference and learn the lessons from other countries to proactively to counter it. Implications The PDM provides an effective framework to understand battles over implementation of a strong tobacco control law in Nepal, a low- and middle-income country. The TI applied discursive and instrumental strategies in Nepal in its efforts to weaken and delay the implementation of the law at every stage of implementation. It is important to continuously monitor TI activities and learn lessons from other countries, as the industry often employ the same strategies globally. Tobacco control advocates utilized domestic litigation, media advocacy, and engaged with legislators, politicians, and other stakeholders to implement a strong tobacco control law. Other low- and middle-income countries can adapt these lessons from Nepal to achieve effective implementation of their laws.

scholarly journals Oral cancer in Brazil: a secular history of Public Health Policies

2014 ◽  
Vol 62 (2) ◽  
pp. 159-164
Author(s):  
Paulo Ricardo Saquete MARTINS FILHO ◽  
Thiago de Santana SANTOS ◽  
Luiz Carlos Ferreira da SILVA ◽  
Marta Rabello PIVA
Keyword(s):  
Public Health ◽  
Oral Cancer ◽  
Low Income ◽  
Cancer Control ◽  
Public Health Issue ◽  
History Of Public Health ◽  
Assistance Programs ◽  
Control Programs ◽  
History Of ◽  
And Control

The oral cancer in Brazil is considered an important public health issue. Despite almost a century of combat disease, with oncological assistance programs and prevention campaigns based public policies, the incidence of oral cancer in several regions is still high. The major goal of cancer prevention and control is a reduction in both the incidence of the disease and the associated morbidity and mortality, as well as improved life for cancer patients and their families. Low-income and disadvantage groups are generally more exposed to avoidable risk factors such as tobacco and alcohol consumption. These groups have less access to the health services and education that would empower them to make decisions to protect and improve their own health. Thus, cancer control programs are the most effective instrument to bridge the gap between knowledge and practice and achieve this goal. The authors report some key historical facts concerning the fight against oral cancer in Brazil, in addition to addressing the epidemiological aspects of disease.

scholarly journals Addiction Potential and its Correlates Among Medical Students

2021 ◽  
Vol 14 (1) ◽  
pp. 32-37
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Reza Chaman ◽  
Zakieh Sadeghi ◽  
Elham Sadeghi ◽  
...  
Keyword(s):  
Drug Abuse ◽  
Medical Students ◽  
Drug Use ◽  
Regression Model ◽  
Economic Status ◽  
Pearson Correlation ◽  
Smoking History ◽  
Chi Square ◽  
History Of ◽  
And Control

Background: Drug dependency can be seen in all occupations, educational levels, and socioeconomic classes, and it is one of the most prevalent psychiatric disorders worldwide. The purpose of this study was to determine the addiction potential status and its correlates among medical students. Methods: In 2019, a total of 500 students were selected randomly from Shahroud University of Medical Sciences and asked to complete Addiction Potential Scale and Attitude to Addiction Questionnaires. Data were analyzed using ANOVA, Chi-square, t-test and Pearson correlation coefficient and linear regression model at the significant level of 0.05. Results: The mean score of addiction potential was 32.7±17.2. In the majority of the students (62.8%), the addiction potential status was low. Most of the students (66.8%) had used no tobacco or addictive substance. There was a significant relationship between addiction potentialwithgender, marital status, student's current place of residence, student's economic status, student's economic activity, along with education and semester (P≤0.05). In the regression model, 6 predictor factors of the knowledge and awareness of drugs, tendency to use drugs, field of study, history of drug use, alcohol and smoking history had significant relationships with potential addiction (P≤0.05). Conclusion: Given the relationship between potential addiction score and drug use tendency and noting that more than one-third of students had moderate and high drug addiction, more attention to this issue and interventional measures can be effective in reducing the tendency to drug abuse, and control of drug abuse.

scholarly journals Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani
Keyword(s):  
Blood Pressure ◽  
Health Workers ◽  
Public Awareness ◽  
Public Health Problem ◽  
Iranian Population ◽  
Uncontrolled Hypertension ◽  
National Committee ◽  
Female Sex ◽  
History Of ◽  
And Control

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016. Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under the supervision of physicians. Implement a family physician program is recommended in the health system.

A health policy analysis of the implementation of the National Tobacco Control Act in Nigeria

2021 ◽  
Author(s):  
Echezona Ejike Udokanma ◽  
Ikedinachi Ogamba ◽  
Cajetan Ilo
Keyword(s):  
Health Policy ◽  
Tobacco Control ◽  
Review Literature ◽  
Public Health Issue ◽  
Health Warnings ◽  
Multiple Streams ◽  
Governmental Organization ◽  
Health Policy Analysis ◽  
Tobacco Taxation ◽  
And Control

Abstract Non-communicable diseases (NCDs) have emerged as a public health issue of concern in Nigeria. The massive increase in tobacco use amongst different population groups is a common NCDs risk factor. To this effect, the National Tobacco Control Act (NTCA) was enacted following the WHO Framework Convention on Tobacco Control (FCTC). This article conducts a health policy agenda-setting analysis of the NTCA using the Kingdon’s multiple streams model and analyses its implementation using the Principal-Agent theory. The purposive and snowballing sampling methods were used to select and review relevant peer-review literature. Other data sources included gray literature, government reports, Non-Governmental Organization briefs and media resources. Though NTCA conforms to WHO FCTC, Nigeria only domesticated her obligation to this framework legislatively while the executive and administrative measures were found lacking. The challenges and gaps identified in the NTCA implementation include; revision of textual health warnings and lack of pictorial health warnings on cigarette packs, poor taxation, and the National Tobacco Control Commission’s (NTCC) lack of regulatory autonomy, hence, the poor policy implementation reported in this article. To effectively implement NTCA, a review of textual warnings, enforcement of pictorial warnings, regulatory autonomy of the NTCC and review of the tobacco taxation are suggested to help in the prevention and control of NCDs.

scholarly journals Retrospective Policy Analysis of Tobacco Prevention and Control in Ethiopia

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Teshome Tesfaye Habebo ◽  
Amirhossein Takian
Keyword(s):  
Policy Analysis ◽  
Tobacco Control ◽  
Policy Process ◽  
Tobacco Consumption ◽  
Policy Formulation ◽  
Tobacco Prevention ◽  
Prevention Policy ◽  
Hand Search ◽  
Leading Role ◽  
And Control

BACKGROUND: The trend of non-communicable diseases is alarmingly increasing and tobacco consumption and exposure to its smoke have been playing the leading role. Thirty-seven Ethiopians deaths per day are attributable to tobacco. Unless appropriately mitigated, this has social, economic and political impacts. Implementation of the appropriate policy is a good remedy; however, the policy process has never been straight forward and always successful. The involvement of different actors makes policy process complex hence agenda setting, policy formulation, implementation, and evaluations have been full of chaos and even may fail at any of these levels. Thus the aim of this review was retrospectively analyzing tobacco-related policies in Ethiopia that are relevant to control tobacco use and mitigate its impacts.METHODS: Systematically, we searched in pub-med, Scopus, Web of Science and Embase. Additionally, we did hand search on Google scholar and national websites. The terms "tobacco","cigar", "cigarette", "control", "prevention", "policy" and"Ethiopia" were used. Eleven of 128 records met the inclusion criteria and then included. For data analysis, we applied the health policy analysis framework developed by Walt and Gilson.RESULT: Lately, Ethiopia enacted and started to implement tobacco control policies and programs, but its implementation is problematic and consumption rate is increasing.CONCLUSION: Despite the early involvement in tobacco control initiatives and enactment of legal frameworks, Ethiopia's journey and current stand to prevent and control the devastating consequences of tobacco is very limited and unsatisfactory. Therefore, we strongly call for further action, strong involvement of private sector and non-governmental organizations.

scholarly journals Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani
Keyword(s):  
Blood Pressure ◽  
Health Workers ◽  
Public Awareness ◽  
Public Health Problem ◽  
Iranian Population ◽  
Uncontrolled Hypertension ◽  
National Committee ◽  
Female Sex ◽  
History Of ◽  
And Control

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016.Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under supervision of physicians. Implement a family physician program is recommended in the health system.

‘We report the world as it is, not as we want it to be’: Journalists’ negotiation of professional practices and responsibilities when reporting on suicide

Journalism ◽  
2017 ◽  
Vol 21 (9) ◽  
pp. 1283-1299 ◽  
Author(s):  
Michael Mead Yaqub ◽  
Randal A Beam ◽  
Sue Lockett John
Keyword(s):  
Public Health ◽  
Media Coverage ◽  
Public Awareness ◽  
Health Issue ◽  
Public Health Issue ◽  
Truth Telling ◽  
Full Disclosure ◽  
News Reporting ◽  
The Public ◽  
Attitudes Toward Suicide

Media coverage of suicide can play a pivotal role in raising public awareness of an important public health issue. But research suggests that reporting on suicide can potentially trigger suicidal behavior in vulnerable individuals. To encourage the responsible reporting of suicide as a public health issue, media recommendations have been developed. Based on interviews with 50 US journalists, this study explores journalists’ awareness of and attitudes toward suicide reporting risks and US media recommendations. Through the lens of suicide news reporting, this is a study examining how journalists view their professional roles and sense of social responsibility when reporting on issues, like suicide, with potential public health consequences. We find that while the journalists interviewed want to cover suicide responsibly, and as a public health issue, they often deviate from recommendations. In many cases, professional conventions and routines conflict with or hinder guideline compliance. Moreover, many journalists deliberately disregard suicide reporting guidelines because they clash with their professional values and perceived responsibility of serving the public via truth-telling and full disclosure of information.

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