Social Determinant of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
BMC Public Health. 2024 Oct 24;24(1):2956. doi: 10.1186/s12889-024-19846-3.
Unhealthy products (food, alcohol, tobacco) are among the main risk factors of non-communicable diseases. To discourage the consumption of these products, Iran has passed a law banning the advertisement of unhealthy products in all media and for all age groups. The purpose of the present study was to identify the challenges of this approach and provide evidence to facilitate the enforcement process and the participation of stakeholders. In this qualitative study participants were selected from the policymakers and experts involved in the banning of advertisements on unhealthy products in Iran. Semi-structured interviews were conducted with 24 specialists and experts. The participants were selected through purposive and snowball sampling. Identified challenges and solutions were divided into three categories and nine themes: external (political, social, and economic); interorganizational (mission and communication); and internal (planning, organization, leadership, and control). Banning the advertisement of unhealthy products involves many challenges due to the existence of key players with different roles and missions. If these challenges are not managed effectively, they will hinder the enforcement and success of this law. Therefore, it is necessary for policymakers and health system managers to take the necessary measures to remove these obstacles.
不健康产品(食品、酒精、烟草)是非传染性疾病的主要危险因素之一。为了劝阻这些产品的消费,伊朗通过了一项法律,禁止在所有媒体上为所有年龄段的人宣传不健康产品。本研究的目的是确定这一方法所面临的挑战,并提供证据,以促进执法过程和利益攸关方的参与。在这项定性研究中,参与者是从参与伊朗禁止不健康产品广告的政策制定者和专家中选择的。对 24 名专家和专家进行了半结构化访谈。参与者是通过有目的和滚雪球抽样选择的。确定的挑战和解决方案分为三类九个主题:外部(政治、社会和经济);组织间(使命和沟通);和内部(规划、组织、领导和控制)。由于存在具有不同角色和使命的关键参与者,禁止宣传不健康产品存在许多挑战。如果这些挑战不能得到有效管理,它们将阻碍这项法律的执行和成功。因此,政策制定者和卫生系统管理者有必要采取必要措施消除这些障碍。