A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour.

Autor: Akter S; Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Tokyo, Japan., Rahman MM; Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Tokyo, Japan., Rouyard T; Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Tokyo, Japan.; Graduate School of Public Health & Health Policy, City University of New York, New York, NY, USA., Aktar S; Global Public Health Research Foundation, Dhaka, Bangladesh., Nsashiyi RS; Institute for Nature, Health, and Agricultural Research, Yaounde, Cameroon., Nakamura R; Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Tokyo, Japan. ryota.nakamura@r.hit-u.ac.jp.; Graduate School of Economics, Hitotsubashi University, Tokyo, Japan. ryota.nakamura@r.hit-u.ac.jp.
Jazyk: angličtina
Zdroj: Nature human behaviour [Nat Hum Behav] 2024 Dec; Vol. 8 (12), pp. 2367-2391. Date of Electronic Publication: 2024 Oct 07.
DOI: 10.1038/s41562-024-02002-7
Abstrakt: This preregistered systematic review and meta-analysis (PROSPERO: CRD 42022311392) aimed to synthesize the effectiveness of all available population-level tobacco policies on smoking behaviour. Our search across 5 databases and leading organizational websites resulted in 9,925 records, with 476 studies meeting our inclusion criteria. In our narrative summary and both pairwise and network meta-analyses, we identified anti-smoking campaigns, health warnings and tax increases as the most effective tobacco policies for promoting smoking cessation. Flavour bans and free/discounted nicotine replacement therapy also showed statistically significant positive effects on quit rates. The network meta-analysis results further indicated that smoking bans, anti-tobacco campaigns and tax increases effectively reduced smoking prevalence. In addition, flavour bans significantly reduced e-cigarette consumption. Both the narrative summary and the meta-analyses revealed that smoking bans, tax increases and anti-tobacco campaigns were associated with reductions in tobacco consumption and sales. On the basis of the available evidence, anti-tobacco campaigns, smoking bans, health warnings and tax increases are probably the most effective policies for curbing smoking behaviour.
Competing Interests: Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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