Common assumptions in tobacco control that may not hold true for South-East Asia.

Common assumptions in tobacco control that may not hold true for South-East Asia.
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DOI:
10.1016/j.lansea.2022.100088
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发表时间:
2023-01
期刊:
LANCET REGIONAL HEALTH - SOUTHEAST ASIA
影响因子:
--
通讯作者:
Gupta, Prakash C.
Gupta, Prakash C.
中科院分区:
其他
文献类型:
--
作者:
Siddiqi, Kamran;Arora, Monika;Gupta, Prakash C.

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烟草对东南亚的公共卫生构成威胁,控制烟草应成为一项优先事项。然而,关于烟草控制的许多常见假设可能并不适用于该区域,并可能误导政策。与无烟烟草有关的重大健康风险在很大程度上被误解和忽视。结核病与烟草之间的关联也被忽视了。同样,对孕妇暴露于室内吸烟(主要由男性引起)的二手烟问题关注较少。另一方面,我们对烟草供应链的多样性认识不足,阻碍了烟草控制的进展。最后,电子烟的日益普及带来了新的挑战;许多政府出于对年轻人的考虑,已经禁止了这类产品。我们主张对东南亚的烟草控制采取细致入微的方法。我们还鼓励在公共卫生领域进行更广泛的辩论,因为其他既定假设可能会阻碍进展。
Tobacco is a threat to public health in South-East Asia and its control should be a priority. However, many common assumptions about tobacco control may not hold true for the region and can misdirect policy. The substantial health risks associated with smokeless tobacco have been largely misunderstood and neglected. The syndemic association between tuberculosis and tobacco has also been overlooked. Similarly, less attention has been paid to address second-hand smoke exposure of pregnant women to indoor smoking (caused predominantly by men). On the other hand, our poor understanding of the diverse tobacco supply chain has been blocking progress in tobacco control. Finally, the rising popularity of electronic cigarettes has thrown new challenges; many governments, concerned for its youth, have banned such products. We argue for a nuanced approach to tobacco control in South-East Asia. We also encourage a wider debate in public health, where other established assumptions may be hampering progress.
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