Factors influencing the tobacco control policy process in Egypt and Iran: a scoping review

被引：13
作者：
Banks C. [1 ]
Rawaf S. [1 ]
Hassounah S. [1 ]
机构：
[1] WHO Collaborating Centre for Public Health Education & Training, Department of Primary Care & Public Health, School of Public Health, Imperial College London, Charing Cross Campus, 3rd Floor, The Reynolds Building, St Dunstan’s Road, London
来源：
Global Health Research and Policy | / 2卷 / 1期
关键词：
Health policy; Implementation science; Prevention strategies; Public health; Tobacco control;
D O I：
10.1186/s41256-017-0039-6
中图分类号：
学科分类号：
摘要：
Introduction: Tobacco control policy is essential for addressing the growing tobacco consumption seen in the Eastern Mediterranean Region, the single greatest preventable contributor to the non-communicable disease epidemic. Egypt and Iran have had varied success in using policy to combat this issue. The study aims to identify and compare the factors which have influenced different stages of the policy process – evidence generation, development and implementation. Methods: A scoping review was conducted with a systematic search of 7 databases which was conducted along with searches of Google Scholar, and the World Health Organisation and Eastern Mediterranean Regional Office websites to identify influencing factors at each stage of the policy process. Results: Twenty-seven relevant articles were identified from the literature search. Factors identified as influencing tobacco control policy in these countries were lobbying by the tobacco industry, the rise of water-pipe smoking, lack of political commitment and the lack of resources to for policy implementation. Iran was found to be leading Egypt on all three areas of the policy process. Implementation was found to be the most pivotal part of the policy process and the area in which Egypt was weakest compared to Iran. Conclusion: This study addresses a gap in knowledge concerning tobacco control in the Middle East and has identified multiple factors which are potentially slowing the process of enforcing policy to address tobacco consumption. Iran is the regional leader for tobacco control and it is important for Egypt to assess the transferability of its tactics and immediately start implementing measures to control tobacco use. © 2017, The Author(s).
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  • [1] WHO Report on the Global Tobacco Epidemic - The MPOWER Package, Geneva, (2008)
  • [2] Banks E., Joshy G., Weber M.F., Liu B., Grenfell R., Egger S., Et al., Tobacco smoking and all-cause mortality in a large Australian cohort study: findings from a mature epidemic with current low smoking prevalence, BMC Med, 13, 1, (2015)
  • [3] Jha P., Avoidable global cancer deaths and total deaths from smoking, Nat Rev Cancer, 9, 9, pp. 655-664, (2009)
  • [4] Mendis S., Armstrong T., Bettcher D., Branca F., Lauer J., Mace C., Et al., Global Status Report on Noncommunicable Diseases 2014, (2015)
  • [5] Ng M., Freeman M.K., Fleming T.D., Robinson M., Dwyer-Lindgren L., Thomson B., Et al., Smoking prevalence and cigarette consumption in 187 countries, 1980-2012, JAMA, 311, 2, pp. 183-192, (2014)
  • [6] Ezzati M., Riboli E., Behavioral and dietary risk factors for noncommunicable diseases, N Engl J Med, 369, 10, pp. 954-964, (2013)
  • [7] Beaglehole R., Bonita R., Horton R., Adams C., Alleyne G., Asaria P., Et al., Priority actions for the non-communicable disease crisis, Lancet, 377, 9775, pp. 1438-1447, (2011)
  • [8] Blanke D.D., e Silva V.C., Tools for Advancing Tobacco Control in the 21st Century: Tobacco Control Legislation: an Introductory Guide, (2004)
  • [9] World Bank Open Data, (2016)
  • [10] GDP per Capita (Current US$), (2014)
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