TY - JOUR
T1 - Progress, challenges and the need to set concrete goals in the global tobacco endgame
AU - Bostic, Chris
AU - Bianco, Eduardo
AU - Hefler, Marita
N1 - Funding Information:
Funding. MH is the recipient of a Gender Equity Fellowship from the Menzies School of Health Research, Darwin, Australia. She also receives salary support from an Australian National Health and Medical Research Council grant (GNT1198301) from the Centre of Research Excellence on Achieving the Tobacco Endgame through the University of Queensland. Funders had no role in designing, analyzing, writing or the decision to submit this manuscript for publication.
Funding Information:
from the Menzies School of Health Research, Darwin, Australia. She also receives salary support from an Australian National Health and Medical Research Council grant (GNT1198301) from the Centre of Research Excellence on Achieving the Tobacco Endgame through the University of Queensland. Funders had no role in designing, analyzing, writing or the decision to submit this manuscript for publication.
Publisher Copyright:
© 2022 Pan American Health Organization. All rights reserved.
PY - 2022/10/5
Y1 - 2022/10/5
N2 - The tobacco endgame is rapidly moving from aspirational and theoretical toward a concrete and achievable goal and, in some cases, enacted policy. Endgame policies differ from traditional tobacco control measures by explicitly aiming to permanently end, rather than simply minimize, tobacco use. The purpose of this paper is to outline recent progress made in the tobacco endgame, its relationship to existing tobacco control policies, the challenges and how endgame planning can be adapted to different tobacco control contexts. Examples of implemented policies in three cities in the United States and national policies in the Netherlands and New Zealand are outlined, as well as recent endgame planning developments in Europe. Justifications for integrating endgame targets into tobacco control policy and the need to set concrete time frames are discussed, including planning for ending the sale of tobacco products. Tobacco endgame planning must consider the jurisdiction-specific tobacco control context, including the current prevalence of tobacco use, existing policies, implementation of the World Health Organization’s Framework Convention on Tobacco Control, and public support. However, the current tobacco control context should not determine whether endgame planning should happen, but rather how and when different endgame approaches can occur. Potential challenges include legal challenges, the contested role of e-cigarettes and the tobacco industry’s attempt to co-opt the rhetoric of smoke-free policies. While acknowledging the different views regarding e-cigarettes and other products, we argue for a contractionary approach to the tobacco product market. The tobacco control community should capitalize on the growing theoretical and empirical evidence, political will and public support for the tobacco endgame, and set concrete goals for finally ending the tobacco epidemic.
AB - The tobacco endgame is rapidly moving from aspirational and theoretical toward a concrete and achievable goal and, in some cases, enacted policy. Endgame policies differ from traditional tobacco control measures by explicitly aiming to permanently end, rather than simply minimize, tobacco use. The purpose of this paper is to outline recent progress made in the tobacco endgame, its relationship to existing tobacco control policies, the challenges and how endgame planning can be adapted to different tobacco control contexts. Examples of implemented policies in three cities in the United States and national policies in the Netherlands and New Zealand are outlined, as well as recent endgame planning developments in Europe. Justifications for integrating endgame targets into tobacco control policy and the need to set concrete time frames are discussed, including planning for ending the sale of tobacco products. Tobacco endgame planning must consider the jurisdiction-specific tobacco control context, including the current prevalence of tobacco use, existing policies, implementation of the World Health Organization’s Framework Convention on Tobacco Control, and public support. However, the current tobacco control context should not determine whether endgame planning should happen, but rather how and when different endgame approaches can occur. Potential challenges include legal challenges, the contested role of e-cigarettes and the tobacco industry’s attempt to co-opt the rhetoric of smoke-free policies. While acknowledging the different views regarding e-cigarettes and other products, we argue for a contractionary approach to the tobacco product market. The tobacco control community should capitalize on the growing theoretical and empirical evidence, political will and public support for the tobacco endgame, and set concrete goals for finally ending the tobacco epidemic.
KW - tobacco use
KW - tobacco industry
KW - public health policy
KW - human rights
KW - public health law
UR - http://www.scopus.com/inward/record.url?scp=85144705325&partnerID=8YFLogxK
U2 - 10.26633/RPSP.2022.118
DO - 10.26633/RPSP.2022.118
M3 - Article
VL - 46
SP - 1
EP - 8
JO - Pan American Journal of Public Health
JF - Pan American Journal of Public Health
SN - 0030-0632
M1 - e118
ER -