Revisiting the association between worldwide implementation of the MPOWER package and smoking prevalence, 2008-2017
| Autor: | Muhammad Jami Husain, Biplab Kumar Datta, Anne-Marie Perucic, Angela Tripp, Deliana Kostova, Patricia Richter, Roberto Magno Iglesias, Muhammad Mudabbir Husain, Sohani Fatehin, Nigar Nargis, Indu B. Ahluwalia |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Health (social science) Smoking Prevalence Smoking Prevention Negative association Daily smoking Smoking prevalence 01 natural sciences 03 medical and health sciences 0302 clinical medicine Unit increase Environmental health implementation of MPOWER package Prevalence Medicine Humans WHO MPOWER Measures 030212 general & internal medicine 0101 mathematics Original Research High prevalence MPOWER Score business.industry Health Policy 010102 general mathematics Tobacco control Smoking Public Health Environmental and Occupational Health Global tobacco epidemic Tobacco Products business |
| Zdroj: | Tobacco Control |
| ISSN: | 1468-3318 |
| Popis: | BackgroundWe revisited the association between progress in MPOWER implementation from 2008 to 2016 and smoking prevalence from 2009 to 2017 and offered an in-depth understanding of differential outcomes for various country groups.MethodsWe used data from six rounds of the WHO Reports on the Global Tobacco Epidemic and calculated a composite MPOWER Score for each country in each period. We categorised the countries in four initial conditions based on their tobacco control preparedness measured by MPOWER score in 2008 and smoking burden measured by age-adjusted adult daily smoking prevalence in 2006: (1) High MPOWER – high prevalence (HM-HP). (2) High MPOWER – low prevalence (HM-LP). (3) Low MPOWER – high prevalence (LM-HP). (4) Low MPOWER – low prevalence (LM-LP). We estimated the association of age-adjusted adult daily smoking prevalence with MPOWER Score and cigarette tax rates using two-way fixed-effects panel regression models including both year and country fixed effects.ResultsA unit increase of the MPOWER Score was associated with 0.39 and 0.50 percentage points decrease in adult daily smoking prevalence for HM-HP and HM-LP countries, respectively. When tax rate was controlled for separately from MPOWE, an increase in tax rate showed a negative association with daily smoking prevalence for HM-HP and LM-LP countries, while the MPOWE Score showed a negative association for all initial condition country groups except for LM-LP countries.ConclusionA decade after the introduction of the WHO MPOWER package, we observed that the countries with higher initial tobacco control preparedness and higher smoking burden were able to reduce the adult daily smoking prevalence significantly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|