Department of Health and Medical Information, Myongji College, Seoul, Republic of Korea.
Institute of Environmental Medicine, SNU Medical Research Center, 103 Daehakro, Seoul, Republic of Korea.
Global Health. 2024 Jan 3;20(1):6. doi: 10.1186/s12992-023-01003-x.
This study aimed to investigate the impact of tobacco industry interference on the implementation and management of tobacco control and the tobacco epidemic using the Tobacco Industry Interference Index (TIII) and MPOWER-a package of measures for tobacco control-and adult daily smoking prevalence in 30 countries.
The TIII was extracted from the Global Tobacco Industry Interference Index 2019 and Global Center for Good Governance in Tobacco Control (GGTC). MPOWER measures and adult daily smoking prevalence rate were extracted from the World Health Organization (WHO) report on the global tobacco epidemic in 2021. We assessed the ecological cross-lagged association between TIII and MPOWER scores and between TIII and age-standardized prevalence rates for adult daily tobacco users.
Tobacco industry interference was inversely correlated with a country's package of tobacco control measures (β = -0.088, P = 0.035). The TIII was correlated with weaker warnings about the dangers of tobacco (β = -0.016, P = 0.078) and lack of enforcement of bans on tobacco advertising promotion and sponsorship (β = -0.023, P = 0.026). In turn, the higher the TIII, the higher the age-standardized prevalence of adult daily tobacco smokers for both sexes (β = 0.170, P = 0.036). Adult daily smoking prevalence in males (β = 0.417, P = 0.004) was higher in countries where the tobacco industry received incentives that benefited its business.
Where the interference of the tobacco industries was high, national compliance with the Framework Convention on Tobacco Control (FCTC) was lower, and the prevalence of adult daily smokers higher. National governments and global society must work together to minimize the tobacco industry's efforts to interfere with tobacco control policies.
本研究旨在利用烟草业干扰指数（TIII）和 MPOWER（一套控烟措施）以及 30 个国家的成年人每日吸烟率，研究烟草业干扰对烟草控制实施和管理以及烟草流行的影响。
TIII 从 2019 年全球烟草业干扰指数和全球烟草控制良好治理中心（GGTC）中提取。MPOWER 措施和成年人每日吸烟率从世界卫生组织（WHO）2021 年全球烟草流行报告中提取。我们评估了 TIII 和 MPOWER 评分之间以及 TIII 和成年人每日吸烟率之间的生态交叉滞后关联。
烟草业干扰与国家烟草控制措施包呈负相关（β=-0.088，P=0.035）。TIII 与烟草危害警告力度减弱（β=-0.016，P=0.078）和烟草广告、促销和赞助禁令执行不力（β=-0.023，P=0.026）相关。反过来，TIII 越高，男女成年每日吸烟者的年龄标准化患病率越高（β=0.170，P=0.036）。在烟草业获得有利于其业务的激励措施的国家，男性成年每日吸烟率（β=0.417，P=0.004）更高。
烟草业干扰程度越高，国家对《烟草控制框架公约》（FCTC）的遵守程度越低，成年每日吸烟者的比例越高。各国政府和全球社会必须共同努力，最大限度地减少烟草业干扰烟草控制政策的努力。
Zotero 插件