Crosbie Eric, Tran Brian, Albuquerque de Figueiredo Beatriz, Severini Luciana, Severini Gianella, Sebrié Ernesto M
School of Public Health University of Nevada Reno RenoNV United States of America School of Public Health, University of Nevada Reno, Reno, NV, United States of America.
Campaign for Tobacco-Free Kids Washington, D.C. United States of America Campaign for Tobacco-Free Kids, Washington, D.C., United States of America.
Rev Panam Salud Publica. 2024 Jun 7;48:e43. doi: 10.26633/RPSP.2024.43. eCollection 2024.
To document tobacco industry strategies to influence regulation of new and emerging tobacco and nicotine products (NETNPs) in Latin America and the Caribbean.
We analyzed industry websites, advocacy reports, news media and government documents related to NETNPs, focusing on electronic cigarettes and heated tobacco products. We also conducted a survey of leading health advocates. We applied the policy dystopia model to analyze industry action and argument-based strategies on NETNP regulations.
Industry actors engaged in four instrumental strategies to influence NETNP regulation - coalition management, information management, direct involvement in and access to the policy process, and litigation. Their actions included: lobbying key policy-makers, academics and vaping associations; providing grants to media groups to disseminate favorable NETNP information; participating in public consultations; presenting at public hearings; inserting industry-inspired language into draft NETNP legislation; and filing lawsuits to challenge NETNP bans. The industry disseminated its so-called harm reduction argument through large/influential countries (e.g., Argentina, Brazil, and Mexico). Industry discursive strategies claimed NETNPs were less harmful, provided safer alternatives, and should be regulated as so-called harm reduction products or have fewer restrictions on their sale and use than those currently in place.
Our analysis provides a better understanding of industry strategies to undermine tobacco and nicotine control. To help counter industry efforts, health advocates should proactively strengthen government capacities and alert policy-makers to industry attempts to create new regulatory categories (so-called reduced-risk products), provide misleading information of government authorizations of NETNPs, and co-opt so-called harm-reduction messages that serve the industry's agenda.
记录烟草行业在拉丁美洲和加勒比地区影响新型和新兴烟草及尼古丁产品（NETNP）监管的策略。
我们分析了与NETNP相关的行业网站、宣传报告、新闻媒体和政府文件，重点关注电子烟和加热烟草产品。我们还对主要的健康倡导者进行了调查。我们应用政策反乌托邦模型来分析行业在NETNP监管方面的行动和基于论点的策略。
行业参与者采取了四种工具性策略来影响NETNP监管——联盟管理、信息管理、直接参与和进入政策制定过程以及诉讼。他们的行动包括：游说关键政策制定者、学者和电子烟协会；向媒体集团提供资助以传播有利于NETNP的信息；参与公众咨询；在公开听证会上发言；在NETNP立法草案中插入受行业启发的措辞；以及提起诉讼挑战NETNP禁令。该行业通过大型/有影响力的国家（如阿根廷、巴西和墨西哥）传播其所谓的减少危害论点。行业话语策略声称NETNP危害较小，提供了更安全的替代品，应作为所谓的减少危害产品进行监管，或者在销售和使用方面的限制应少于目前的规定。
我们的分析有助于更好地理解行业破坏烟草和尼古丁控制的策略。为帮助应对行业的努力，健康倡导者应积极加强政府能力，并提醒政策制定者注意行业试图创建新的监管类别（所谓的低风险产品）、提供关于政府对NETNP授权的误导性信息以及采用符合行业议程的所谓减少危害信息的企图。
