Progress in Tobacco Control in Singapore: Lessons and Challenges in the Implementation of the Framework Convention on Tobacco Control

Amul, Gianna Gayle Herrera; Pang, Tikki

doi:10.1002/app5.222

Cited by 24 publications

(30 citation statements)

References 18 publications

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“…Our study showed that only 44% of the smokers were aware of the institutional smoking cessation programmes for psychiatric patients and only 4% were enrolled in the programmes at the time of the interview. Singapore has one of the most effective strategies for treatment of tobacco dependence with a range of smoking cessation services embedded in the community, schools, and workplaces [55]. Healthcare institutions have cessation clinics to integrate smoking cessation with clinical management, especially for the vulnerable groups.…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare institutions have cessation clinics to integrate smoking cessation with clinical management, especially for the vulnerable groups. The hospital based smoking cessation programmes in Singapore include pharmacotherapy and behavioural therapy (counselling and tele-support) with an intent to achieve 20% to 36% quit rates [43,55]. The treatment is patient specific, based on their medical history, sociodemographic factors, lifestyle factors and psychiatric conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Those who successfully quit smoking in our study agreed that the cost of cigarettes was one of the crucial factors for their decision to quit. Singapore has a stringent tobacco control programme which includes key elements such as restricting the sale of tobacco products, controlling advertisements, smoking prohibition at public places, customs regulation for importing tobacco products and educational initiatives to curtail tobacco use [55]. Singapore imposes comparatively higher tobacco taxes compared to other ASEAN countries, which was adjusted based on the national prevalence of smoking over the years.…”

Section: Discussionmentioning

confidence: 99%

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Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients

Asharani

Seet

Abdin

et al. 2020

IJERPH

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This study aims to understand (a) the prevalence and correlates of smoking in a psychiatric population, (b) factors that encourage smoking cessation, and (c) awareness towards cessation programmes. This study captured data (n = 380) through a modified version of the Global Adult Tobacco Survey (GATS). A descriptive analysis of the data was performed. The prevalence of smoking was 39.5% (n = 150) and 52.3% of the smokers were dependent on nicotine. More than half of the smokers had made at least one attempt to quit in the past 12 months and 56% reported no immediate plans to quit smoking. The awareness towards institutional smoking cessation programmes was fair (44%), with 49.7% of smokers having indicated that they were willing to use the service upon referral. Smokers endorsed that increasing the cost of cigarettes, restricting availability, and increasing knowledge of health harms could encourage smoking cessation. Past smokers reported that self-determination/willpower followed by substitution of smoking with other types of foods and drinks were factors that helped them achieve successful cessation. Given that the readiness to quit and awareness towards cessation programmes are low among the smokers, concerted efforts through educational programmes and policy changes are crucial to achieve successful cessation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients

Asharani

Seet

Abdin

et al. 2020

IJERPH

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“…Singapore is a city-state located in Southeast Asia with a multi-ethnic population and was among the first 40 countries to ratify the FCTC. It exercises stringent smoking policies and extensive regulations on the demand and supply of tobacco 12. In the nationwide Singapore Mental Health Study conducted in 2010(SMHS 2010), Picco and colleagues13 reported local smoking prevalence rates of 16%.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of smoking and nicotine dependence: results of a nationwide cross-sectional survey among Singapore residents

et al. 2019

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BackgroundSince the Singapore Mental Health Study in 2010 which reported a 16.0% prevalence rate for current smokers and 4.5% for nicotine dependence, new anti-smoking strategies have been implemented. The aim of this study was to compare smoking trends from the 2010 study with the second Singapore Mental Health Study in 2016 (SMHS 2016).MethodsA survey of 6126 individuals aged 18 years and above randomly selected among Singapore residents was conducted using the same methodology as the 2010 study. The measures used in this analysis were sociodemographic questions, the Composite International Diagnostic Interview which assessed for psychiatric disorders, the Fagerstrom Test for Nicotine Dependence and a list of chronic physical conditions that were prevalent in Singapore. Logistic regression analyses were used to test for associations between smoking/nicotine-dependence and other measures.ResultsIn the SMHS 2016, 16.1% were current smokers and 3.3% were nicotine-dependent. As compared with non-smokers, current smokers were more likely to be younger, male gender, of ethnic minority and had lower/vocational education level. Younger age, male gender, lower/vocational education and psychiatric disorders (major depression, bipolar disorder and alcohol use disorders) predicted nicotine dependence. No associations were found between nicotine dependence and any of the chronic conditions.ConclusionThe prevalence of current smokers in the population has plateaued while that of nicotine dependence has decreased from 2010. However, the study did not investigate the use of e-cigarettes. Inequalities in smoking and nicotine dependence continue to pervade the population particularly among those of ethnic minority, lower/vocational education and the mentally ill.

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“…For example, in 2015 Singapore banned emerging tobacco products including e-cigarettes and devices that are smoked or mimic smoking. 67 ’ In Australia, nicotine is a scheduled poison, so products containing nicotine for human consumption are prohibited unless for ‘human therapeutic use’ (cigarettes are grandfathered). 68…”

Section: Regulation Of Htps In Fctc Party Countriesmentioning

confidence: 99%

Heated tobacco product regulation under US law and the FCTC

Lempert

Glantz

2018

Tob Control

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Tobacco companies are marketing new ‘heated tobacco products’ (HTPs) composed of battery-powered holders, chargers and tobacco plugs or sticks. The non-tobacco HTP components have escaped effective regulation under many countries’ tobacco control laws because they are packaged and sold separately from the tobacco-containing components. In the USA, HTPs cannot be marketed unless the Food and Drug Administration determines that allowing their sale would be ‘appropriate for the protection of the public health’. Philip Morris International (PMI) is seeking permission to market its IQOS HTP in the USA with ‘modified risk tobacco product’ (MRTP) claims that it reduces exposure to harmful substances and is less harmful than other tobacco products. However, PMI has not submitted adequate scientific evidence required by US law to demonstrate that the product is significantly less harmful to users than other tobacco products, that its labelling would not mislead consumers, or that its marketing—with or without MRTP claims—would benefit the health of the population as a whole. Parties to the WHO Framework Convention on Tobacco Control (FCTC) must take measures to reduce tobacco use and nicotine addiction, and prevent false or misleading tobacco product labelling, advertising and promotions; the introduction of new HTPs must be assessed according to these goals. All components of HTPs should be regulated at least as stringently as existing tobacco products, including restrictions on labelling, advertising, promotion and sponsorship, sales to minors, price and taxation policies and smokefree measures. There is nothing in US law or the FCTC that prevents authorities from prohibiting HTPs.

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Progress in Tobacco Control in Singapore: Lessons and Challenges in the Implementation of the Framework Convention on Tobacco Control

Cited by 24 publications

References 18 publications

Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients

Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients

Prevalence and correlates of smoking and nicotine dependence: results of a nationwide cross-sectional survey among Singapore residents

Heated tobacco product regulation under US law and the FCTC

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