The global impact of tobacco control policies on smokeless tobacco use: A systematic review

  1. Chugh, Aastha
  2. Arora, Monika
  3. Jain, Neha
  4. Vidyasagaran, Aishwarya
  5. Readshaw, Anne
  6. Sheikh, Aziz
  7. Eckhardt, Jappe
  8. Siddiqi, Kamran
  9. Chopra, Mansi
  10. Mishu, Masuma Pervin
  11. Kanaan, Mona
  12. Rahman, Muhammad Aziz
  13. Mehrotra, Ravi
  14. Huque, Rumana
  15. Forberger, Sarah ORCID logo
  16. Dahanayake, Suranji
  17. Khan, Zohaib
  18. Böckmann, Melanie
  19. Dogar, Omara

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WeightNameValue
1000 Titel
  • The global impact of tobacco control policies on smokeless tobacco use: A systematic review
1000 Autor/in
  1. Chugh, Aastha |
  2. Arora, Monika |
  3. Jain, Neha |
  4. Vidyasagaran, Aishwarya |
  5. Readshaw, Anne |
  6. Sheikh, Aziz |
  7. Eckhardt, Jappe |
  8. Siddiqi, Kamran |
  9. Chopra, Mansi |
  10. Mishu, Masuma Pervin |
  11. Kanaan, Mona |
  12. Rahman, Muhammad Aziz |
  13. Mehrotra, Ravi |
  14. Huque, Rumana |
  15. Forberger, Sarah |
  16. Dahanayake, Suranji |
  17. Khan, Zohaib |
  18. Böckmann, Melanie |
  19. Dogar, Omara |
1000 Erscheinungsjahr 2023
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2023-06
1000 Erschienen in
1000 Quellenangabe
  • 11(6):e953-e968
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2023
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1016/S2214-109X(23)00205-X |
1000 Ergänzendes Material
  • https://www.sciencedirect.com/science/article/pii/S2214109X2300205X?via%3Dihub#sec1 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND: Smokeless tobacco, used by more than 300 million people globally, results in substantial morbidity and mortality. For smokeless tobacco control, many countries have adopted policies beyond the WHO Framework Convention on Tobacco Control, which has been instrumental in reducing smoking prevalence. The impact of these policies (within and outside the Framework Convention on Tobacco Control) on smokeless tobacco use remains unclear. We aimed to systematically review policies that are relevant to smokeless tobacco and its context and investigate their impact on smokeless tobacco use. METHODS: In this systematic review, we searched 11 electronic databases and grey literature between Jan 1, 2005, and Sept 20, 2021, in English and key south Asian languages, to summarise smokeless tobacco policies and their impact. Inclusion criteria were all types of studies on smokeless tobacco users that mentioned any smokeless tobacco relevant policies since 2005, except systematic reviews. Policies issued by organisations or private institutions were excluded as well as studies on e-cigarettes and Electronic Nicotine Delivery System except where harm reduction or switching were evaluated as a tobacco cessation strategy. Two reviewers independently screened articles, and data were extracted after standardisation. Quality of studies was appraised using the Effective Public Health Practice Project's Quality Assessment Tool. Outcomes for impact assessment included smokeless tobacco prevalence, uptake, cessation, and health effects. Due to substantial heterogeneity in the descriptions of policies and outcomes, data were descriptively and narratively synthesised. This systematic review was registered in PROSPERO (CRD42020191946). FINDINGS: 14 317 records were identified, of which 252 eligible studies were included as describing smokeless tobacco policies. 57 countries had policies targeting smokeless tobacco, of which 17 had policies outside the Framework Convention on Tobacco Control for smokeless tobacco (eg, spitting bans). 18 studies evaluated the impact, which were of variable quality (six strong, seven moderate, and five weak) and reported mainly on prevalence of smokeless tobacco use. The body of work evaluating policy initiatives based on the Framework Convention on Tobacco Control found that these initiatives were associated with reductions in smokeless tobacco prevalence of between 4·4% and 30·3% for taxation and 22·2% and 70·9% for multifaceted policies. Two studies evaluating the non-Framework policy of sales bans reported significant reductions in smokeless tobacco sale (6·4%) and use (combined sex 17·6%); one study, however, reported an increased trend in smokeless tobacco use in the youth after a total sales ban, likely due to cross-border smuggling. The one study reporting on cessation found a 13·3% increase in quit attempts in individuals exposed (47·5%) to Framework Convention on Tobacco Control policy: education, communication, training, and public awareness, compared with non-exposed (34·2%). INTERPRETATION: Many countries have implemented smokeless tobacco control policies, including those that extend beyond the Framework Convention on Tobacco Control. The available evidence suggests that taxation and multifaceted policy initiatives are associated with meaningful reductions in smokeless tobacco use. FUNDING: UK National Institute for Health Research.
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1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/Q2h1Z2gsIEFhc3RoYQ==|https://frl.publisso.de/adhoc/uri/QXJvcmEsIE1vbmlrYQ==|https://frl.publisso.de/adhoc/uri/SmFpbiwgTmVoYQ==|https://frl.publisso.de/adhoc/uri/VmlkeWFzYWdhcmFuLCBBaXNod2FyeWE=|https://frl.publisso.de/adhoc/uri/UmVhZHNoYXcsIEFubmU=|https://frl.publisso.de/adhoc/uri/U2hlaWtoLCBBeml6|https://frl.publisso.de/adhoc/uri/RWNraGFyZHQsIEphcHBl|https://frl.publisso.de/adhoc/uri/U2lkZGlxaSwgS2FtcmFu|https://frl.publisso.de/adhoc/uri/Q2hvcHJhLCBNYW5zaQ==|https://frl.publisso.de/adhoc/uri/TWlzaHUsIE1hc3VtYSBQZXJ2aW4=|https://frl.publisso.de/adhoc/uri/S2FuYWFuLCBNb25h|https://frl.publisso.de/adhoc/uri/UmFobWFuLCBNdWhhbW1hZCBBeml6|https://frl.publisso.de/adhoc/uri/TWVocm90cmEsIFJhdmk=|https://frl.publisso.de/adhoc/uri/SHVxdWUsIFJ1bWFuYQ==|https://orcid.org/0000-0002-7169-675X|https://frl.publisso.de/adhoc/uri/RGFoYW5heWFrZSwgU3VyYW5qaQ==|https://frl.publisso.de/adhoc/uri/S2hhbiwgWm9oYWli|https://frl.publisso.de/adhoc/uri/QsO2Y2ttYW5uLCBNZWxhbmll|https://frl.publisso.de/adhoc/uri/RG9nYXIsIE9tYXJh
1000 Label
1000 Förderer
  1. National Institute for Health and Care Research |
1000 Fördernummer
  1. 17/63/76
1000 Förderprogramm
  1. -
1000 Dateien
  1. The global impact of tobacco control policies on smokeless tobacco use: A systematic review
    The global impact of tobacco control policies on smokeless tobacco use: A systematic review
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer National Institute for Health and Care Research |
    1000 Förderprogramm -
    1000 Fördernummer 17/63/76
1000 Objektart article
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1000 @id frl:6453280.rdf
1000 Erstellt am 2023-07-26T10:12:12.360+0200
1000 Erstellt von 266
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1000 Zuletzt bearbeitet 2023-07-27T07:33:23.568+0200
1000 Objekt bearb. Thu Jul 27 07:32:44 CEST 2023
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  1. oai:frl.publisso.de:frl:6453280 |
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