Departamento de Investigación sobre Tabaco, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico.
Department of Preventative Medicine, Keck School of Medicine, University of Southern California. Los Angeles, CA, USA.
Salud Publica Mex. 2019 May-Jun;61(3):292-302. doi: 10.21149/9360.
Mexico was the first country in the Americas to sign and ratify the World Health Organization's (WHO) Framework Convention on Tobacco Control (FCTC) in 2004. More than a decade later, it is appropriate to evaluate legislative and regulatory progress and the associated challenges; and also, to propose a roadmap to prioritize the problems to be addressed to achieve long-term sustainable solutions. Mexico has made substantial progress in tobacco control. However, regulations have been only weakly enforced. The tobacco industry continues to interfere with full implementation of the WHO-FCTC. As a result, tobacco consumption remains stable at about 17.6%, with a trend upwards among vulnerable groups: adolescents, women and low-income groups. The growing popularity of new tobacco products (electronic cigarettes or e-cigs) among young Mexicans is an increasing challenge. Our review reveals the need to implement all provisions of the WHO-FCTC in its full extent, and that laws and regulations will not be effective in decreasing the tobacco epidemic unless they are strictly enforced.
墨西哥是美洲第一个签署和批准世界卫生组织（WHO）《烟草控制框架公约》（FCTC）的国家，于 2004 年批准。十多年后，评估立法和监管进展以及相关挑战，并提出一个路线图来优先解决问题以实现长期可持续解决方案是合适的。
墨西哥在烟草控制方面取得了重大进展。然而，法规的执行力度很弱。烟草业继续干扰《世界卫生组织烟草控制框架公约》的全面实施。因此，烟草消费仍然稳定在 17.6%左右，青少年、妇女和低收入群体的消费呈上升趋势。新烟草产品（电子烟或 e-cigs）在年轻墨西哥人中越来越受欢迎，这是一个日益严峻的挑战。
我们的审查表明，有必要全面实施《世界卫生组织烟草控制框架公约》的所有规定，而且除非严格执行法律和法规，否则它们不会有效减少烟草流行。
