Impact of the WHO FCTC over the first decade: a global evidence review prepared for the Impact Assessment Expert Group.

Impact of the WHO FCTC over the first decade: a global evidence review prepared for the Impact Assessment Expert Group.
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DOI:
10.1136/tobaccocontrol-2018-054389
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发表时间:
2019-06
期刊:
影响因子:
5.2
通讯作者:
Fong GT
Fong GT
中科院分区:
医学2区
文献类型:
--
作者:
Chung-Hall J;Craig L;Gravely S;Sansone N;Fong GT

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提出对《世界卫生组织烟草控制框架公约》(FCTC) 第一个十年期间 17 条条款的实施和有效性的叙述性审查结果。发布关于全球《烟草控制框架公约》实施情况的报告;截至 2016 年 6 月对四个数据库的检索;手动检索出版物/在线资源;控烟专家。世卫组织公约秘书处全球进展报告(2010 年、2012 年、2014 年); 2015年世界卫生组织关于全球烟草流行的报告;研究《烟草控制框架公约》政策的社会、行为、健康、经济和/或环境影响。 17 项《烟草控制框架公约》条款的实施进展按照共识进行分类(高级/中级/低级)。 128 项研究由多位作者在咨询专家后独立选出。无烟法、健康警示和教育活动、青少年准入法以及报告/信息交换的实施率最高,而反行业干扰、监管烟草产品成分、促进替代生计和保护健康/环境的措施实施率最低。价格/税收上涨、全面的吸烟和营销禁令、健康警告和戒烟治疗与烟草消费/健康风险的减少和戒烟的增加有关。大众媒体宣传活动和青少年准入法可防止吸烟、降低流行率并促进戒烟。关于多个领域政策有效性的研究很少,包括防止行业干扰和监管烟草产品成分的措施。 《烟草控制框架公约》加强了多个政策领域措施的实施,这些实施对烟草消费、流行率和其他结果产生了可衡量的影响。然而,《烟草控制框架公约》的实施必须加快,缔约方需要履行所有条约义务并考虑超出最低要求的措施。
To present findings of a narrative review on the implementation and effectiveness of 17 Articles of the WHO Framework Convention on Tobacco Control (FCTC) during the Treaty’s first decade. Published reports on global FCTC implementation; searches of four databases through June 2016; hand-search of publications/online resources; tobacco control experts. WHO Convention Secretariat global progress reports (2010, 2012, 2014); 2015 WHO report on the global tobacco epidemic; studies of social, behavioural, health, economic and/or environmental impacts of FCTC policies. Progress in the implementation of 17 FCTC Articles was categorised (higher/intermediate/lower) by consensus. 128 studies were independently selected by multiple authors in consultation with experts. Implementation was highest for smoke-free laws, health warnings and education campaigns, youth access laws, and reporting/information exchange, and lowest for measures to counter industry interference, regulate tobacco product contents, promote alternative livelihoods and protect health/environment. Price/tax increases, comprehensive smoking and marketing bans, health warnings, and cessation treatment are associated with decreased tobacco consumption/health risks and increased quitting. Mass media campaigns and youth access laws prevent smoking initiation, decrease prevalence and promote cessation. There were few studies on the effectiveness of policies in several domains, including measures to prevent industry interference and regulate tobacco product contents. The FCTC has increased the implementation of measures across several policy domains, and these implementations have resulted in measurable impacts on tobacco consumption, prevalence and other outcomes. However, FCTC implementation must be accelerated, and Parties need to meet all their Treaty obligations and consider measures that exceed minimum requirements.
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发表时间: 2007-12-01
期刊: TOBACCO CONTROL
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