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《世界卫生组织烟草控制框架公约》第9条和第10条的实施以实现可持续烟草控制——一项范围界定审查方案

WHO Framework Convention on Tobacco Control Articles 9 and 10 implementation for sustainable tobacco control-a scoping review protocol.

作者信息

Goel Sonu, Walia Diksha, Rajkhowa Priyobrat, Goel Chirag

机构信息

School of Medicine, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.

Department of Community Medicine and School for Public Health, Postgraduate Institute of Medical Education and Research, PGIMER Chandigarh, Chandigarh, India.

出版信息

Syst Rev. 2025 Mar 28;14(1):73. doi: 10.1186/s13643-025-02822-2.

DOI:10.1186/s13643-025-02822-2
PMID:40156060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951582/
Abstract

INTRODUCTION

Tobacco consumption continues to pose a substantial global public health threat, resulting in more than 8 million preventable deaths annually. The WHO Framework Convention on Tobacco Control (FCTC) negotiated as the first global public health treaty under the auspices of the WHO, which serves as a critical instrument in combating the global tobacco epidemic. The WHO FCTC prioritizes a comprehensive approach that addresses both the demand for and supply side interventions for curbing tobacco epidemic globally. Strong evidence demonstrates the efficacy of these measures in safeguarding individuals, regardless of age, from tobacco initiation, and the associated harms. WHO FCTC Article 9 and 10 emphasizes upon testing and disclosure of tobacco product contents. This scoping review aims to explore the Implementation Landscape of WHO FCTC Articles 9 and 10 globally by adopting Consolidated Framework for Implementation Research (CFIR) framework.

METHODS

The planned scoping review will adhere to the methodology outlined by "Arksey and O'Malley and Levac et al." Through an exhaustive search strategy, relevant literature published from 2013 onwards will be sourced from databases including PubMed, CINAHL, EMBASE, Web of Science, Scopus, government websites, and reports. A predetermined set of criteria for study inclusion and exclusion will be applied independently by four reviewers to assess study eligibility. The findings will be synthesized narratively and qualitatively analyzed, incorporating the Consolidated Framework for Implementation Research (CFIR) framework for discussion and outlining. The review will adhere to the reporting standards outlined in the "Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review (PRISMA-ScR)" guidelines.

CONCLUSIONS/DISCUSSION: Analyzing the implementation of FCTC Articles 9 and 10 across global contexts is expected to offer valuable insights into the need for context-specific adjustments and customized interventions. Understanding regional variations in efforts to regulate tobacco products is crucial for formulating specific strategies that effectively address cultural, economic, and regulatory challenges. This comparative examination has the potential to guide policymakers, public health professionals, and researchers in optimizing tobacco control initiatives to expedite progress toward effective implementation of Articles 9 and 10 in both the WHO-SEAR region and globally.

ETHICS APPROVAL

This review will identify the landscape of the implementation of WHO FCTC Article 9 and 10. This review will also identify the best practices, policies, and strategies across the globe. An ethics committee approval was not sought for this since this involve secondary data.

摘要

引言

烟草消费继续对全球公共卫生构成重大威胁,每年导致800多万人死亡,这些死亡本可预防。世界卫生组织《烟草控制框架公约》(FCTC)是在世卫组织主持下谈判达成的首个全球公共卫生条约,是抗击全球烟草流行的关键工具。世卫组织《烟草控制框架公约》优先采用全面方法,应对全球遏制烟草流行的需求侧和供应侧干预措施。有力证据表明,这些措施在保护各年龄段人群不开始吸烟及免受相关危害方面行之有效。世卫组织《烟草控制框架公约》第9条和第10条强调烟草制品成分的检测和披露。本范围综述旨在采用实施研究综合框架(CFIR),探讨世卫组织《烟草控制框架公约》第9条和第10条在全球的实施情况。

方法

计划开展的范围综述将遵循“阿克西和奥马利以及莱瓦克等人”概述的方法。通过详尽的检索策略,从包括PubMed、CINAHL、EMBASE、科学网、Scopus、政府网站和报告在内的数据库中获取2013年以来发表的相关文献。由四名评审员独立应用一套预先确定的研究纳入和排除标准,以评估研究的合格性。研究结果将进行叙述性综合和定性分析,并纳入实施研究综合框架(CFIR)进行讨论和概述。该综述将遵循《系统评价和Meta分析扩展的范围综述优先报告项目》(PRISMA-ScR)指南中概述的报告标准。

结论/讨论:分析《烟草控制框架公约》第9条和第10条在全球范围内的实施情况,有望为根据具体情况进行调整和定制干预措施的必要性提供宝贵见解。了解烟草制品监管工作的区域差异,对于制定有效应对文化、经济和监管挑战的具体战略至关重要。这种比较研究有可能指导政策制定者、公共卫生专业人员和研究人员优化烟草控制举措,以加快在世卫组织东南亚区域和全球有效实施第9条和第10条的进展。

伦理批准

本综述将确定世卫组织《烟草控制框架公约》第9条和第10条的实施情况。本综述还将确定全球的最佳实践、政策和战略。由于本研究涉及二手数据,因此未寻求伦理委员会批准。