Abstract
This study aims to determinate the correlation between tobacco control policies (TCP) and the prevalence of tobacco use in the 32 Mexican states during the 2016–2017 period. This is an ecological study that measured TCP by the Tobacco Control Scale (TCS) which assigns a score (0–100) based on the level of these component’s implementation: price, prohibition in public spaces, expenditures of public information campaigns, publicity prohibitions, health warnings, and treatments. We analyzed the associations between the TCS scores and prevalence of tobacco use extracted from the National Survey of Drug, Alcohol and Tobacco Consumption using Spearman correlations. Prevalence of daily smokers is negatively correlated with global TCS scores for adolescents (p = 0.026). Price showed similar negative correlations with daily prevalence in adolescents (p = 0.003), adults (p = 0.040), men (p < 0.006), and women (p = 0.040). Many Mexican states need to improve on tobacco control policies, especially targeting a key population: adolescents.
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Tobacco Control Scale, evaluation in Mexico was published in [15]: All information about evaluation in every Mexican state is available in supplementary material of this article. ENCODAT is available in https://www.gob.mx/salud%7Cconadic/acciones-y-programas/encuesta-nacional-de-consumo-de-drogas-alcohol-y-tabaco-encodat-2016-2017-136758
References
Reitsma MB, Kendrick PJ, Ababneh E, et al. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet. 2021;397(10292):2337–60. https://doi.org/10.1016/S0140-6736(21)01169-7.
Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, et al. Encuesta Nacional de Salud y Nutrición 2018–19. Resultados Nacionales. Primera edición. 2020.
Organización Panamericana de la Salud. Informe sobre el control del tabaco en la Región de las Américas, 2018 [Internet]. Washington, DC: OPS; 2018. Disponible en: https://iris.paho.org/handle/10665.2/49237.
WHO Framework Convention on Tobacco Control, World Health Organization. WHO Framework Convention on Tobacco Control. Convention-cadre de l’ OMS pour la lutte antitabac. Published online 2003:36.
World Health Organization, Research for International Tobacco Control, editors. WHO report on the global tobacco epidemic, 2008: the MPOWER package. Geneva: World Health Organization; 2008. 329 p.
Reynales-Shigematsu LM, Wipfli H, Samet J, Regalado-Pineda J, Hernández-Ávila M. Tobacco control in Mexico: a decade of progress and challenges. Salud Publica Mex. 2019;61(3, may-jun):292. https://doi.org/10.21149/9360.
Secretaria de Salud. Ley General de Salud [Internet]. DOI; 2003. Disponible en: http://www.diputados.gob.mx/LeyesBiblio/ref/lgs/LGS_ref13_30jun03.pdf.
Ley General para el Control del Tabaco. 20.
Joossens L, Raw M. The Tobacco Control Scale: a new scale to measure country activity. Tob Control. 2006;15(3):247–53. https://doi.org/10.1136/tc.2005.015347.
Feliu A, Filippidis FT, Joossens L, et al. Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 to 2014. Tob Control. 2019;28(1):101–9. https://doi.org/10.1136/tobaccocontrol-2017-054119.
Heydari G, Talischi F, Masjedi MR, Alguomani H, Joossens L, Ghafari M. Comparison of tobacco control policies in the Eastern Mediterranean countries based on tobacco control scale scores. East Mediterr Health J. 2012;18(8):803–10. https://doi.org/10.26719/2012.18.8.803.
Barrera-Núñez DA, Rengifo-Reina HA, López-Olmedo N, Barrientos-Gutiérrez T, Reynales-Shigematsu LM. Cambios en los patrones de consumo de alcohol y tabaco antes y durante la pandemia de Covid-19. Ensanut 2018 y 2020. Salud Publica Mex. 2022. https://doi.org/10.21149/12846.
Thrasher JF, Swayampakala K, Arillo-Santillán E, Sebrié E, Walsemann KM, Bottai M. Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers. Salud Publica Mex. 2010;52(Suppl 2):S244-253. https://doi.org/10.1590/s0036-36342010000800020.
Saenz-de-Miera B, Wu DC, Essue BM, Maldonado N, Jha P, Reynales-Shigematsu LM. The distributional effects of tobacco tax increases across regions in Mexico: an extended cost-effectiveness analysis. Int J Equity Health. 2022;21(1):8. https://doi.org/10.1186/s12939-021-01603-2.
Ponce-Hernandez DJ, Sordo L, Reynales-Shigematsu LM, Regidor-Poyatos E, Henares-Montiel J, Calderón-Villarreal A. Progress and challenges in tobacco control policies in Mexico, 2003–2017: An approach using the Tobacco Control Scale. J Public Health Policy. 2022;43(3):431–44.
INEGI. Censo de Población y Vivienda. Published 2020. https://www.cuentame.inegi.org.mx/poblacion/habitantes.aspx.
Índice de Progreso Social 2015 – 2022. (2023). retrieved December 10, 2023, from: mexicocomovamos.mx/indice-de-progreso-social/.
Joossens L, Feliu A, Fernandez E. A report of the Association of European Cancer Leagues. 36.
Instituto Nacional de Salud Pública, Comisión Nacional contra las Adicciones, Secretaria de Salud. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016–2017: Reporte de Tabaco. INSP. Ciudad de México: SSA; 2017.
Chung-Hall J, Craig L, Gravely S, Sansone N, Fong GT. Impact of the WHO FCTC over the first decade: a global evidence review prepared for the Impact Assessment Expert Group. Tob Control. 2019;28(Suppl 2):s119–28. https://doi.org/10.1136/tobaccocontrol-2018-054389.
Boletín Oficial del Gobierno del Estado de Baja California Sur. Ley de protección a la exposición del humo de tabaco del estado de Baja California Sur. Published online 2014.
Instituto Nacional de Estadistica y Geografía. Indice Nacional de Precios al Consumidor [Internet]. Consulta de Precios Promedio. 2019. Disponible en: www.inegi.org.mx/app/preciospromedio/.
OECD. Purchasing power parities (PPP) [Internet]. PPP; 2019. Disponible en: https://www.oecd-ilibrary.org/finance-and-investment/purchasing-power-parities-ppp/indicator/english_1290ee5a-en.
Díez-Izquierdo A, Balaguer A, Lidón-Moyano C, et al. Correlation between tobacco control policies and preterm births and low birth weight in Europe. Environ Res. 2018;160:547–53. https://doi.org/10.1016/j.envres.2017.10.033.
Urquieta JE, Hernández-Avila M, Hernández B. El consumo de tabaco y alcohol en jóvenes de zonas urbanas marginadas de México: un análisis de decisiones relacionadas. Salud pública Méx. 2006;48:s30–40. https://doi.org/10.1590/S0036-36342006000700005.
Martínez Maldonado R, Pedrão LJ, Alonso Castillo MM, López García KS, Oliva Rodríguez NN. Self-esteem, perceived self-efficacy, consumption of tobacco and alcohol in secondary students from urban and rural areas of Monterrey, Nuevo León, México. Rev Latino-Am Enfermagem. 2008;16(spe):614–20. https://doi.org/10.1590/S0104-11692008000700018.
Pesko MF, Robarts AMT. Adolescent tobacco use in urban versus rural areas of the United States: the influence of tobacco control policy environments. J Adolesc Health. 2017;61(1):70–6. https://doi.org/10.1016/j.jadohealth.2017.01.019.
Huesca L, Llamas L, Sobarzo H. Tobacco industry in Mexico: a general equilibrium analysis. Tob Control. 2022. https://doi.org/10.1136/tobaccocontrol-2021-056864.
Waters HR, Sáenz de Miera B, Ross H, Reynales-Shigematsu. La Economía Del Tabaco y Los Impuestos al Tabaco En México. Unión Internacional contra la Tuberculosis y Enfermedades Respiratorias; 2010.
Jiménez-Ruiz JA, Sáenz de Miera B, Reynales-Shigematsu LM, Waters HR, Hernández-Avila M. The impact of taxation on tobacco consumption in Mexico. Tob Control. 2008;17(2):105–10. https://doi.org/10.1136/tc.2007.021030.
Guerrero-López CM, Muños-Hernández JA, Sáenz de Miera-Juárez B, Reynales-Shigematsu LM. Tobacco consumption, mortality and fiscal policy in Mexico. Salud Publica Mex. 2013;55(Suppl 2):S276-281.
Fleischer NL, Lozano P, Arillo Santillán E, Reynales Shigematsu LM, Thrasher JF. The impact of neighbourhood violence and social cohesion on smoking behaviours among a cohort of smokers in Mexico. J Epidemiol Commun Health. 2015. https://doi.org/10.1136/jech-2014-205115.
Huesca L, Araar A, Llamas L, Lacroix G. The impact of tobacco tax reforms on poverty in Mexico. SN Bus Econ. 2021;1(10):142. https://doi.org/10.1007/s43546-021-00141-x.
Curti D, Shang C, Chaloupka FJ, Fong GT. Tobacco taxation, illegal cigarette supply and geography: findings from the ITC Uruguay Surveys. Tob Control. 2019;28(Suppl 1):s53–60. https://doi.org/10.1136/tobaccocontrol-2017-054218.
Organización Mundial de la Salud, Convenio Marco de la OMS para el Control del Tabaco. Protocolo para la eliminación del comercio ilícito de productos de tabaco. Organización Mundial de la Salud; 2013. https://apps.who.int/iris/handle/10665/80881. Accessed 9 Nov 2021.
Hawkins SS, Bach N, Baum CF. Impact of tobacco control policies on adolescent smokeless tobacco and cigar use: a difference-in-differences approach. BMC Public Health. 2018;18(1):154. https://doi.org/10.1186/s12889-018-5063-z.
Oksuz E, Mutlu ET, Malhan S. Characteristics of daily and occasional smoking among youths. Public Health. 2007;121(5):349–56. https://doi.org/10.1016/j.puhe.2006.12.007.
Shang C, Huang J, Li Q. J Chaloupka F, 1 Health Policy Center I for HR and P. The Association between Point-of-Sale Advertising Bans and Youth Experimental Smoking: Findings from the Global Youth Tobacco Survey (GYTS). AIMS Public Health. 2015;2(4):832–44. https://doi.org/10.3934/publichealth.2015.4.832.
Paz-Ballesteros WC, Zavala-Arciniega L, Gutiérrez-Torres DS, Ponciano-Rodríguez G, Reynales-Shigematsu LM. Evaluación de la dependencia física y psicológica al tabaco en fumadores mexicanos adultos, Encodat 2016. Salud Publica Mex. 2019;61(2, Mar-Abr):136. https://doi.org/10.21149/9858.
Cabriales JA, Cooper TV, Hernandez N, Law J. Psychographic characteristics, tobacco, and alcohol use in a sample of young adults on the U.S./México border. Addict Behav. 2016;63:12–8. https://doi.org/10.1016/j.addbeh.2016.06.028.
Basto-Abreu AC, Christine PJ, Zepeda-Tello R, et al. Behaviours and opinions towards outdoor smoking bans and cigarette littering in Baja California, Mexico. Health Policy Plan. 2016;31(3):309–13. https://doi.org/10.1093/heapol/czv059.
Bardach A, Alcaraz A, Roberti J, Ciapponi A, Augustovski F, Pichon-Riviere A. Optimizing tobacco advertising bans in seven Latin American countries: microsimulation modeling of health and financial impact to inform evidence-based policy. IJERPH. 2021;18(10):5078. https://doi.org/10.3390/ijerph18105078.
Madrazo-Lajous A, Guerrero-Alcántara Á. Estrategias de la industria tabacalera en México para interferir en las políticas de control del tabaco. Salud pública Méx. 2012;54(3):315–22. https://doi.org/10.1590/S0036-36342012000300014.
Feliu A, Fernández E, Baena A, Joossens L, Peruga A, Fu M, et al. The Tobacco Control Scale as a research tool to measure country-level tobacco control policy implementation. Tob Induc Dis. 2020. https://doi.org/10.18332/TID/128318.
Martínez-Sánchez JM, Blanch C, Fu M, Gallus S, La Vecchia C, Fernández E. Do smoke-free policies in work and public places increase smoking in private venues?: Table 1. Tob Control. 2014;23(3):204–7. https://doi.org/10.1136/tobaccocontrol-2012-050877.
Schaap MM, Kunst AE, Leinsalu M, et al. Effect of nationwide tobacco control policies on smoking cessation in high and low educated groups in 18 European countries. Tob Control. 2008;17(4):248–55. https://doi.org/10.1136/tc.2007.024265.
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This work reflects the collaboration of the Instituto Nacional de Salud Publica de Mexico and the Universidad Complutense de Madrid.
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Ponce-Hernández, D.J., Martínez-Regalado, J.A., Reynales-Shigematsu, L.M. et al. Correlation between tobacco control policies and tobacco prevention in Mexico: a sub-national analysis. J Public Health Pol (2024). https://doi.org/10.1057/s41271-024-00473-6
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DOI: https://doi.org/10.1057/s41271-024-00473-6