Tobacco endgame in the WHO European Region: Feasibility in light of current tobacco control status
Year: 2023
Type: article
Abstract: INTRODUCTION: To assess the feasibility of developing World Health Organization (WHO) European Region countries' goals and measures in line with tobacco endgame objectives, information on the current tobacco control context and capacity is needed. The aim of this study was to assess the implementation of the Framework Convention on Tobacco Control (WHO FCTC) and MPOWER measures in the region. METHODS: In this cross-sectional study we used data from the WHO FCTC implementation reports and MPOWER from 2020 in 53 WHO European Region countries. Six domains (i.e. capacity, taxation and price policies, other national key regulations, public awareness raising and communication, tobacco use cessation, and monitoring) were formed. Subsequently, available indicators under these domains were scored and the level of implementation was computed for each country. Mann-Whitney tests were carried out to compare the scores between the group of countries with and without official endgame goals. RESULTS: Overall, implementation of the WHO FCTC with the selected indicators at the country level ranged from 28% to 86%, and of MPOWER from 31% to 96%. Full implementation was achieved by 28% of WHO FCTC Parties in the region in taxation and price policies, 12% in public awareness raising and communication, and 42% in monitoring. In capacity, tobacco use cessation and other national key regulations, none of the Parties in the region reached full implementation. Overall median WHO FCTC scores were significantly higher in countries with official endgame goals than in those without (p<0.001). CONCLUSIONS: There is unequal implementation of both WHO FCTC and MPOWER measures among WHO European Region countries. MPOWER and WHO FCTC provide all the measures for the necessary first steps, followed by innovative measures, to accomplish tobacco endgame goals.
Source: Tobacco Induced Diseases
DOI: 10.18332/tid/174360
Authors: Adrián González-Marrón, Helena Koprivnikar, Judit Tisza, Zsuzsa Cselkó, Angeliki Lambrou, Armando Peruga, Biljana Kilibarda, Cristina Lidón-Moyano, Dolors Carnicer-Pont, Efstathios Papachristou, Emilia Nunes, Giulia Carreras, Giuseppe Gorini, Hipólito Pérez-Martín, Jose M. M. Martínez-Sánchez, Lorenzo Spizzichino, Maria Karekla, Maurice Mulcahy, Milena Vasic, Otto Ruokolainen, Romain Guignard, Sotiria Schoretsaniti, Tiina Laatikainen, Viêt Nguyen-Thanh, Hanna Ollila
Institutions: Universitat Internacional de Catalunya, Instituto de Efectividad Clínica y Sanitaria, National Institute of Public Health, Országos Korányi Tbc és Pulmonológiai Intézet, National Public Health Organization, Universidad del Desarrollo, Clínica Alemana, Institut d'Investigació Biomédica de Bellvitge, Centro de Investigación Biomédica en Red de Enfermedades Respiratorias, Institute of Public Health of Serbia, Institut Català d'Oncologia, Ministry of Health, Ministero della Salute, University of Cyprus, Health Service Executive, Finnish Institute for Health and Welfare, Santé Publique France, University of Eastern Finland
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,372
Funder: European Commission
OpenAlex ID: W4388699495