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实施代际终局政策的挑战与前景:马来西亚及全球视角

Challenges and prospects in implementing the Generational Endgame policy: Malaysia and global perspectives.

作者信息

Phoa Picholas Kian Ann, Wee Lei Hum, Wong Yin How, Siau Ching Sin, Chan Caryn Mei Hsien, Dain Chrisminder, Mohamed Mohamad Haniki Nik

机构信息

School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia.

School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia

出版信息

Tob Control. 2025 Jan 8. doi: 10.1136/tc-2024-058874.

DOI:10.1136/tc-2024-058874
PMID:39779329
Abstract

In Malaysia, tobacco smoking continues to be one of the leading public health concerns; hence, the tobacco control community aims to see a generation free of tobacco use by 2040. Drafted and presented to the parliament, the Malaysian Control of Smoking Products for Public Health Bill 2022 highlighted the Generational Endgame (GEG) policy, which forbids the use and sale of tobacco products and smoking substances to individuals born on or after 1 January 2007. Stakeholders, including government and non-governmental organisations, policymakers, healthcare professionals, tobacco industry representatives and retailers, have expressed differing opinions indicating non-support of the policy. The Attorney General Chamber deemed the policy as 'unconstitutional' for discriminating against those within the implementation age range, which prompted its omission from the revised Control of Smoking Products for Public Health 2023 Bill. This paper discusses the obstacles and possible implications of the GEG policy implementation in Malaysia and details its implementation in other countries. This paper also proposes several recommendations for future directions in tackling the obstacles mentioned more effectively.

摘要

在马来西亚,吸烟仍然是主要的公共卫生问题之一;因此,烟草控制界的目标是到2040年实现一代人不使用烟草。2022年《马来西亚公共卫生吸烟产品控制法案》起草并提交给议会,该法案强调了代际终局(GEG)政策,该政策禁止向2007年1月1日及以后出生的个人使用和销售烟草产品及吸烟物质。包括政府和非政府组织、政策制定者、医疗保健专业人员、烟草行业代表和零售商在内的利益相关者表达了不同意见,表明不支持该政策。总检察长办公室认为该政策因歧视实施年龄范围内的人群而“违宪”,这促使其在修订后的2023年《公共卫生吸烟产品控制法案》中被删除。本文讨论了马来西亚实施GEG政策的障碍和可能影响,并详细介绍了该政策在其他国家的实施情况。本文还针对更有效地克服上述障碍的未来方向提出了若干建议。

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