Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers

Thrasher, James F.; Swayampakala, Kamala; Arillo-Santillán, Edna; Sebrié, Ernesto M; Walsemann, Katrina M.; Bottai, Matteo

doi:10.1590/s0036-36342010000800020

Cited by 30 publications

(28 citation statements)

References 33 publications

(46 reference statements)

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“…The effect of the smoke-free policies on SHS exposure should be understood in the context of a good tobacco control atmosphere 12 28. A previous study has reported that decreases in self-reported SHS found in Mexico were due to the higher exposure to radio and television smoke-free campaigns, which were aired to support the smoke-free legislation 28.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study has reported that decreases in self-reported SHS found in Mexico were due to the higher exposure to radio and television smoke-free campaigns, which were aired to support the smoke-free legislation 28. To some extent, because of the inadequate enforcement of new tobacco control policies and high exposure to cigarette advertising in Albania, smoking prevalence among males did not decrease, and smoking rates among females and males aged 18–29 years continue to grow, which will lead to more SHS exposure in public places 12.…”

Section: Discussionmentioning

confidence: 99%

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Second-hand smoke exposure in different types of venues: before and after the implementation of smoke-free legislation in Guangzhou, China

Gao

et al. 2014

BMJ Open

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ObjectivesSmoke-free legislation was implemented in Guangzhou on 1 September 2010. However, the smoke-free policy did not cover all indoor areas and smoking rooms can be set in some public places. This study aimed to assess changes in self-reported second-hand smoke (SHS) exposure in different types of venues and in homes, in order to evaluate the effectiveness of smoke-free legislation.Methods/designA repeated cross-sectional survey of representative participants was conducted in Guangzhou before and after the smoke-free legislation. Logistic regression models were used to examine the effectiveness of smoke-free legislation.Main outcome measuresSelf-reported exposure to SHS,antitobacco advertisements and tobacco advertisements.ParticipantsA total of 4900 participants before the ban and 5135 participants after the ban were selected using a multistage stratified design.ResultsIn full smoking ban places, overall self-reported SHS exposure has declined significantly from 58.8% to 50.3% (p<0.05) with greater drops in cultural venues, government offices and commercial venues. The smoke-free policy did not alter SHS exposure in smokers’ homes (39.6% in 2009 vs 40.0% in 2011; p=0.454). Although a slight decrease in SHS exposure was observed in smoking rooms in hotels, workplaces, restaurants, cafes/bars/nightclubs and amusement parks, SHS continued to be high in those areas. The implementation of smoke-free legislation was accompanied by an increase in antitobacco advertisements.ConclusionsSHS exposure declines more significantly in full smoking ban places than in partial smoking ban places. The smoke-free policy in public places does not lead to more SHS exposure in homes. Therefore, it is recommended that Guangzhou should implement a 100% smoke-free policy in all public places and workplaces in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Second-hand smoke exposure in different types of venues: before and after the implementation of smoke-free legislation in Guangzhou, China

Gao

et al. 2014

BMJ Open

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“…Indeed, debates over local and federal tobacco control policy increased markedly toward the end of 2007,24 when data for the present study were collected. Data collected in 2008, after smoke-free legislation came into force, indicate significant increases in perceived unacceptability of smoking, mostly in Mexico City21 25 but also in other regions of the country 26…”

Section: Discussionmentioning

confidence: 99%

Self-reported price of cigarettes, consumption and compensatory behaviours in a cohort of Mexican smokers before and after a cigarette tax increase

et al. 2010

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ObjectiveTo assess the impact of a 2007 cigarette tax increase from 110% to 140% of the price to the retailer on cigarette price and consumption among Mexican smokers, including efforts to offset price increases.MethodsData were analysed from the 2006 and 2007 administrations of the International Tobacco Control (ITC) Policy Evaluation Survey in Mexico, which is a population-based cohort of adult smokers. Self-reported price of last cigarette purchase, place of last purchase, preferred brand, daily consumption and quit behaviour were assessed at baseline and follow-up.ResultsSelf-reported cigarette prices increased by 12.7% after the tax increase, with prices for international brands increasing more than for national brands (13.5% vs 8.7%, respectively). Although the tax increases were not fully passed onto consumers particularly on national brands, no evidence was found for smokers changing behaviour to offset price increases. Consistent declines in consumption across groups defined by sociodemographic and smoking-related psychosocial variables suggest a relatively uniform impact of the tax increase across subpopulations. However, decreased consumption appeared limited to people who smoked relatively more cigarettes a day (>5 cigarettes/day). Average daily consumption among lighter smokers did not significantly decline. A total of 13% (n=98) of the sample reported being quit for a month or more at follow-up. In multivariate models, lighter smokers were more likely than heavier smokers to be quit.ConclusionsResults suggest that the 2007 tax increase was passed on to consumers, whose consumption generally declined. Since no other tobacco control policies or programmes were implemented during the period analysed, the tax increase appears likely to have decreased consumption.

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“…Similar bans were put into place in other states between 2011 and 2013, covering 40% of the population. The enforcement level was set to 5 on a 10-point scale based on compliance data from GATS (Instituto Nacional de Salud Pública, 2009) and ITC (Thrasher, Boado, Sebrie, & Bianco, 2009; Thrasher, Nayeli Abad-Vivero, et al, 2012; Thrasher et al, 2010). In compliance with the FCTC, we consider the implementation of complete smoke-free air laws for worksites, bars and restaurants with strong enforcement.…”

Section: Methodsmentioning

confidence: 99%

MexicoSimSmoke: how changes in tobacco control policies would impact smoking prevalence and smoking attributable deaths in Mexico

Fleischer

Thrasher²,

Reynales-Shigematsu

et al. 2016

Global Public Health

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We examined the effect of tobacco control policies in Mexico on smoking prevalence and smoking-related deaths using the Mexico SimSmoke model. The model is based on the previously developed SimSmoke simulation model of tobacco control policy, and uses population size, smoking rates and tobacco control policy data for Mexico. It assesses, individually, and in combination, the effect of six tobacco control policies on smoking prevalence and smoking-related deaths. Policies included: cigarette excise taxes, smoke-free laws, anti-smoking public education campaigns, marketing restrictions, access to tobacco cessation treatments and enforcement against tobacco sales youth. The model estimates that, if Mexico were to adopt strong tobacco control policies compared to current policy levels, smoking prevalence could be reduced by 30% in the next decade and by 50% by 2053; an additional 470,000 smoking-related premature deaths could be averted over the next 40 years. The greatest impact on smoking and smoking-related deaths would be achieved by raising excise taxes on cigarettes from 55% to at least 70% of the retail price, followed by strong youth access enforcement and access to cessation treatments. Implementing tobacco control policies in Mexico could reduce smoking prevalence by 50%, and prevent 470,000 smoking-related deaths by 2053.

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Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers

Cited by 30 publications

References 33 publications

Second-hand smoke exposure in different types of venues: before and after the implementation of smoke-free legislation in Guangzhou, China

Second-hand smoke exposure in different types of venues: before and after the implementation of smoke-free legislation in Guangzhou, China

Self-reported price of cigarettes, consumption and compensatory behaviours in a cohort of Mexican smokers before and after a cigarette tax increase

MexicoSimSmoke: how changes in tobacco control policies would impact smoking prevalence and smoking attributable deaths in Mexico

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