Tobacco Free Initiative, World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Office of the Director-General, World Health Organization, Geneva, Switzerland.
East Mediterr Health J. 2020 Jan 30;26(1):102-109. doi: 10.26719/2020.26.1.102.
The World Health Organization (WHO) MPOWER measures are a set of highly effective tobacco control measures drawn from the WHO Framework Convention on Tobacco Control (FCTC), designed to help countries reduce the prevalence of tobacco use. The WHO Report on the Global Tobacco Epidemic is published biennially to monitor global implementation of these measures.
This review aimed to critically assess the status of MPOWER implementation in the Eastern Mediterranean Region.
Data were collected for WHO Reports on the Global Tobacco Epidemic, focusing on the most recent 2019 edition. Regional population coverage figures were calculated using this data and population figures for the countries of the Region.
Between 2007 and 2018, for any MPOWER measure, there were 29 cases of countries progressing to the highest level of achievement; 23 cases of countries progressing to the intermediate levels from the lowest level; 12 cases of countries falling from the highest level; and 18 cases of countries falling to the lowest level. 57.7% of people are covered at the highest level for the monitoring measure; 63.7% for the smoke-free policies measure; 6.7% for the cessation measure; 60.7% for the health warnings measure; 37.4% for the mass media measure; 29.4% for the advertising bans measure; and 16.1% for the taxation measure.
Countries must work comprehensively to improve tobacco control. Regional priorities should include lifting more people out of lowest level coverage for the health warnings and mass media measures, increasing taxation on tobacco products and improving access to cessation services.
世界卫生组织（世卫组织）的“MPOWER”措施是一套从《世界卫生组织烟草控制框架公约》（《世卫组织烟草控制框架公约》）中提取的高度有效的烟草控制措施，旨在帮助各国减少烟草使用的流行率。世卫组织全球烟草流行报告每两年发布一次，以监测这些措施在全球的实施情况。
本审查旨在批判性评估东地中海区域实施“MPOWER”措施的情况。
收集了世卫组织全球烟草流行报告的数据，重点是最近的 2019 年版。使用这些数据和该区域各国的人口数据计算了区域人口覆盖数字。
在 2007 年至 2018 年期间，对于任何“MPOWER”措施，有 29 个国家在实现最高水平方面取得了进展；有 23 个国家从最低水平上升到中间水平；有 12 个国家从最高水平下降；有 18 个国家下降到最低水平。在监测措施方面，有 57.7%的人处于最高水平覆盖；在无烟政策措施方面，有 63.7%；在戒烟措施方面，有 6.7%；在健康警示措施方面，有 60.7%；在大众媒体措施方面，有 37.4%；在广告禁令措施方面，有 29.4%；在税收措施方面，有 16.1%。
各国必须全面努力改善烟草控制。区域优先事项应包括使更多人摆脱健康警示和大众媒体措施的最低水平覆盖，提高对烟草制品的税收，并改善戒烟服务的获取。
