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Article
Publication date: 9 February 2021

Heni Trisnowati, Djauhar Ismail and Retna Siwi Padmawati

This paper aimed to review globally the empowerment programs for the prevention and control of smoking behavior among youths, to examine the role of empowerment in health…

Abstract

Purpose

This paper aimed to review globally the empowerment programs for the prevention and control of smoking behavior among youths, to examine the role of empowerment in health promotion, to explore the stages of health promotion through community empowerment strategies including planning, implementation and evaluation. Finally, this paper will develop a model of youth empowerment to prevent and control smoking behavior that reflects theory and experience drawn from the literature.

Design/methodology/approach

This review synthesized articles on community empowerment and health promotion, youth empowerment programs for tobacco prevention and control globally from books and electronic databases from the Universitas Gadjah Mada (UGM) library in the publication period 2000–2020. Relevant literature was selected and critically reviewed which reflected the role empowerment in health promotion, stage of community empowerment strategy as described by Laverack and youth empowerment concept in tobacco control as described by Holden.

Findings

Documents that specifically discuss empowerment programs for smoking prevention and control are still limited. The findings document that youth empowerment in tobacco control do not fully integrate the theory empowerment as described by Laverack and Holden. This paper provides information about the stages of youth empowerment, and a conceptual framework of youth empowerment for the prevention and control of smoking behavior. Youth empowerment is done through the direct involvement of youth in programs starting from program design, planning, implementation and evaluation. Indicators of the success of the empowerment process are reflected in the increase in the empowerment domain. Meanwhile, the output of empowerment can be seen from the individual- or group-level changes.

Originality/value

This paper proposes a model of youth empowerment for the prevention and control of smoking behavior among youths based on theory and experience in the field.

Details

Health Education, vol. 121 no. 3
Type: Research Article
ISSN: 0965-4283

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Book part
Publication date: 20 May 2017

Philip DeCicca, Donald Kenkel, Feng Liu and Hua Wang

The U.S. 2009 Tobacco Control Act opened the door for new antismoking policies by giving the Food and Drug Administration broad regulatory authority over the tobacco

Abstract

The U.S. 2009 Tobacco Control Act opened the door for new antismoking policies by giving the Food and Drug Administration broad regulatory authority over the tobacco industry. We develop a behavioral welfare economics approach to conduct cost-benefit analysis of FDA tobacco regulations. We use a simple two-period model to develop expressions for the impact of tobacco control policies on social welfare. Our model includes: nudge and paternalistic regulations; an excise tax on cigarettes; internalities created by period 1 versus period 2 consumption; and externalities from cigarette consumption. Our analytical expressions show that in the presence of uncorrected internalities and externalities, a nudge or a tax to reduce cigarette consumption improves social welfare. In sharp contrast, a paternalistic regulation might either improve or worsen social welfare. Another important result is that the social welfare gains from new policies do not only depend on the size of the internalities and externalities, but also depend on the extent to which current policies already correct the problems. We link our analytical expressions to the graphical approach used in most previous studies and discuss the information needed to complete cost-benefit analysis of tobacco regulations. We use our model as a framework to reexamine the evidence base for strong conclusions about the size of the internalities, which is the key information needed.

Details

Human Capital and Health Behavior
Type: Book
ISBN: 978-1-78635-466-2

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Book part
Publication date: 6 August 2018

Ana M. Aranda and Tal Simons

We explore the simultaneous influence of activist organizations and corporations on institutional change. Focusing on protests, campaign contributions, and lobbyists as…

Abstract

We explore the simultaneous influence of activist organizations and corporations on institutional change. Focusing on protests, campaign contributions, and lobbyists as the strategies used by activist organizations and corporations to influence institutional change, we study the dynamics between movements and counter-movements and their influence on the probability of institutional change. In the context of the US tobacco industry, the results shed light on the effectiveness of these strategies and uncover potential moderators of this relationship. Overall, we demonstrate the simultaneous and asymmetric effects of activist organizations and corporations that use conspicuous and inconspicuous strategies to change institutions.

Details

Social Movements, Stakeholders and Non-Market Strategy
Type: Book
ISBN: 978-1-78754-349-2

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Article
Publication date: 1 October 2003

W. David Austin, Carol Woodell, Betty Bailey and David G. Altman

As part of a tobacco farmer diversification randomized intervention study in 14 eastern North Carolina counties, a media content analysis of 16 local newspapers was…

Abstract

As part of a tobacco farmer diversification randomized intervention study in 14 eastern North Carolina counties, a media content analysis of 16 local newspapers was conducted. All available issues of each of the newspapers from the period 1 November 1996, through 31 December 1999, were reviewed, and all relevant articles were clipped, coded, and entered into a database. Media coverage intensity was compared, qualitatively, with data from interviews with local civic, health, and religious leaders. There was, on average, only one tobacco diversification article in every 100 newspaper issues. The hypothesis that coverage of tobacco diversification and tobacco control would become more favorable in the intervention counties over time was not supported. Interview data showed that organizational leaders placed a higher priority on tobacco diversification policy issues than evidenced by media coverage.

Details

Health Education, vol. 103 no. 5
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 7 June 2013

Jenny Cisneros Örnberg

This paper aims to analyse Swedish tobacco policy, especially in relation to EU tobacco regulation. The paper also seeks to review the arguments and the scientific support…

Abstract

Purpose

This paper aims to analyse Swedish tobacco policy, especially in relation to EU tobacco regulation. The paper also seeks to review the arguments and the scientific support presented in the debate around Swedish snus, setting it in the context of future EU regulation on tobacco.

Design/methodology/approach

The article draws on previous research, official documents and newspaper articles to examine tobacco policy development on a national and EU level.

Findings

The paper shows that the so‐called Swedish experience has led to a somewhat ambivalent political attitude towards tobacco policy. The Swedish case of snus also demonstrates the EU as a political and regulatory force in national policymaking and how different economic and political interests are using scientifically based arguments to advance goals of their own. The paper argues that political measures are dictated by ideology and political considerations, which are themselves supported by ambiguous scientific results. Harm reduction is used as a political tool in a debate which extends well beyond public health concerns.

Originality/value

This paper contributes to research on tobacco policy in general and on Swedish snus in particular. The paper also puts the snus question in a broader context of national public health policy and EU regulation.

Details

Drugs and Alcohol Today, vol. 13 no. 2
Type: Research Article
ISSN: 1745-9265

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Article
Publication date: 1 October 1997

David Jeffs and Yvonne Le Page

“Healthy public policy” in tobacco control is essential to support other efforts to reduce smoking prevalence, especially among the young. The government of Guernsey in…

Abstract

“Healthy public policy” in tobacco control is essential to support other efforts to reduce smoking prevalence, especially among the young. The government of Guernsey in the Channel Islands has recently agreed to implement a comprehensive and integrated package of measures intended to make tobacco smoking less acceptable, less accessible and less affordable to young people. Such measures include raising the legal age of purchase, a substantial price rise over a period of years, a total ban on local tobacco advertising and specially funded initiatives in health education and promotion. Summarizes the process and barriers to achieving “Healthy public policy” in tobacco control.

Details

Health Education, vol. 97 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

Content available
Article
Publication date: 28 April 2020

Hien Thu Thi Nguyen, Long Thanh Giang and Toan Ngoc Pham

The purpose of this study was to evaluate how higher tax on tobacco would influence output and employment in Vietnam.

Abstract

Purpose

The purpose of this study was to evaluate how higher tax on tobacco would influence output and employment in Vietnam.

Design/methodology/approach

The authors used micro-simulation techniques proposed by Walbeeck (2010). Both national data (from Input–Output Table) and household data (Vietnam Household Living Standard Survey) were utilized.

Findings

The results showed that any increase in the excise tax for tobacco would have positive net impacts on both national output and employment. The tobacco industry would not be significantly affected due to its small contribution to national economy and employment. More importantly, money released from reduced tobacco consumption would be reallocated to other goods and services, and thus outputs and jobs in nontobacco sectors would increase.

Research limitations/implications

The key limitation of this study was due to unavailability of updated data, especially Input–Output Table as well as household living standard survey.

Practical implications

This study concluded that government should increase tax on cigarette along with a well-planned roadmap to avoid unexpected consequences on income and employment of laborers in this sector.

Originality/value

This study replicated a popular approach in order to verify an important government policy (i.e. effect of tax on tobacco on output and employment) under Vietnamese context.

Details

Journal of Economics and Development, vol. 22 no. 1
Type: Research Article
ISSN: 1859-0020

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Article
Publication date: 9 June 2020

Nathalia Christiani Tjandra, Lukman Aroean and Yayi Suryo Prabandari

This article aims to explore the public evaluation of the ethics of marketing tobacco in Indonesia through the theoretical lens of normative ethics.

Abstract

Purpose

This article aims to explore the public evaluation of the ethics of marketing tobacco in Indonesia through the theoretical lens of normative ethics.

Design/methodology/approach

The present study adopted a symbiotic ethical approach which combined normative and positive ethical approaches. The data was collected in Yogyakarta, Indonesia, from six focus groups and thirty photo elicitation interviews with a total of 71 participants.

Findings

The thematic analysis has identified six main themes, economic contribution of the tobacco industry, harmful nature of tobacco products, tobacco marketing targeting vulnerable groups, covering the danger of smoking, intention and integrity of tobacco marketers and infringement of law and social norms. Adopting the theoretical lens of utilitarianism, deontology, contractarianism and virtue ethics, the analysis illustrates that most participants believed that tobacco marketing practices in Indonesia are unethical.

Policy implications

The findings of the study were disseminated in a public engagement event to stakeholders in Yogyakarta. The findings influenced the development of No Smoking Area monitoring instrument and the introduction of “Free from Tobacco Advertisement in No Smoking Area” policy in Sleman Regency, Yogyakarta.

Originality/value

Indonesia, with its lenient regulatory environment, provides a unique setting for investigating public evaluation of the ethics of tobacco marketing. This is one of the first studies that investigates public evaluation of tobacco marketing ethics in Indonesia through the theoretical lens of utilitarianism, deontology, virtue ethics and contractarianism.

Details

Qualitative Market Research: An International Journal, vol. 23 no. 4
Type: Research Article
ISSN: 1352-2752

Keywords

Content available
Article
Publication date: 10 September 2020

Alexandra Solomon

This paper aims to provide a gendered analysis of the WHO Framework Convention on Tobacco Control (FCTC) benchmarked upon the global commitments to women’s health and…

Abstract

Purpose

This paper aims to provide a gendered analysis of the WHO Framework Convention on Tobacco Control (FCTC) benchmarked upon the global commitments to women’s health and well-being in the UN Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and the Beijing Declaration and Platform for Action. It reviews evidence of the global consequences of neglecting women’s tobacco use and health, as well as analyzes persistent issues related to sex and gender that compromise the efficacy of tobacco control and science. Actionable recommendations are made to the Conference of the Parties to the FCTC and other key stakeholders.

Design/methodology/approach

This paper draws upon empirical studies, literature reviews and global health data at the varying intersections of gender, sex, tobacco and global health.

Findings

The global tobacco control framework and its implementation by state governments have been largely gender blind to date with dire health and economic consequences, including inequitable positive outcomes for men compared to women, and an increase in women’s smoking with associated morbidity and mortality. Gender equitable progress in combatting the tobacco epidemic will not be possible without resolving the gender bias, stigmatization, sexism and lack of intersectionality that plague tobacco control policy, research and interventions for cessation and harm reduction.

Originality/value

This paper provides an updated global overview of current trends in women’s tobacco use and comprehensively details the persistent structural barriers in tobacco control and science that limit their capacity to effectively analyze and address tobacco use and its impact on women.

Details

Drugs and Alcohol Today, vol. 20 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

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Article
Publication date: 29 July 2014

Christopher M. Seitz and Robert W. Strack

Although the threat of protest may be a barrier toward implementing a tobacco policy on college campuses in the USA, the prevalence and severity of such opposition has yet…

Abstract

Purpose

Although the threat of protest may be a barrier toward implementing a tobacco policy on college campuses in the USA, the prevalence and severity of such opposition has yet to be investigated. The purpose of this paper was to determine how often campus communities protest against smoke-free policies and rate the disruptiveness of the protests.

Design/methodology/approach

Researchers located and analyzed news reports regarding 21 protests over newly implemented or proposed policies on college campuses in the USA.

Findings

Protests over college campus smoking policies are typically non-disruptive and consist of a small group of students who publicly smoke tobacco products and attempt to gain support of fellow students.

Practical implications

Those advocating for campus tobacco policies should be aware that the campus community may protest, but that a heightened concern of a protest's effect on the campus community may be unfounded.

Originality/value

To authors’ knowledge, research studies regarding opposition to anti-tobacco policies cannot be found in the literature. This paper may be used as a practical resource by advocates to educate campus administrators about the low turnout and lack of severity of any possible protest to a new campus tobacco policy.

Details

Health Education, vol. 114 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

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