Implementing smoke-free policies in low- and middle-income countries: A brief review and research agenda
Introduction Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. Methods We reviewed 10 da...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2019-08-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Implementing-smoke-free-policies-in-low-and-middle-income-countries-A-brief-review,110007,0,2.html |
| _version_ | 1811275897796296704 |
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| author | M. Justin Byron Joanna E. Cohen Shannon Frattaroli Joel Gittelsohn Jeffrey M. Drope David H. Jernigan |
| author_facet | M. Justin Byron Joanna E. Cohen Shannon Frattaroli Joel Gittelsohn Jeffrey M. Drope David H. Jernigan |
| author_sort | M. Justin Byron |
| collection | DOAJ |
| description | Introduction
Some low- and middle-income countries (LMICs)
struggle to implement smoke-free policies. We sought to review
the academic and gray literature, and propose a research agenda to
improve implementation of smoke-free policies and make them more
effective in LMICs.
Methods
We reviewed 10 databases for variations of (‘implementation’
/‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’)
and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the
gray literature including non-governmental organization reports.
We included articles that described problems that arose, attempted
solutions, lessons learned, and research questions posed regarding
smoke-free policy implementation in LMICs. We excluded studies of
high-income countries, institution-level implementation, voluntary
smoke-free policies, smoke-free homes, and outdoor smoke-free
policies.
Results
The academic literature review led to 4931 unique articles,
reduced to 1541 after title screening, 331 after abstract screening,
and 101 after full-text review. The citation and gray literature review
led to an additional 179 publications of which 67 met the inclusion
criteria. In total we retained 168 sources. We conducted a narrative
review and synthesis of the literature, extracting key themes and
noting research gaps.
Conclusions
We find that progress is urgently needed in five categories:
identifying the critical lessons learned for effective implementation,
evaluating different enforcement approaches, learning how to
rejuvenate stalled smoke-free policies, learning how to increase
ground-level will to enforce policies, and developing a conceptual
framework that explains implementation. Investigation into these
topics can improve implementation of smoke-free policies in LMICs. |
| first_indexed | 2024-04-12T23:47:07Z |
| format | Article |
| id | doaj.art-70b0d627dc2e4e548fe602386779d7ea |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-04-12T23:47:07Z |
| publishDate | 2019-08-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-70b0d627dc2e4e548fe602386779d7ea2022-12-22T03:11:50ZengEuropean PublishingTobacco Induced Diseases1617-96252019-08-0117August10.18332/tid/110007110007Implementing smoke-free policies in low- and middle-income countries: A brief review and research agendaM. Justin Byron0Joanna E. Cohen1Shannon Frattaroli2Joel Gittelsohn3Jeffrey M. Drope4David H. Jernigan5Department of Family Medicine, School of Medicine, University of North Carolina, Chapel Hill, United StatesDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesAmerican Cancer Society, Atlanta, United StatesDepartment of Health Law, Policy & Management, Boston University School of Public Health, Boston, United StatesIntroduction Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. Methods We reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports. We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies. Results The academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps. Conclusions We find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.http://www.journalssystem.com/tid/Implementing-smoke-free-policies-in-low-and-middle-income-countries-A-brief-review,110007,0,2.htmlsmoke-free policydeveloping countriesreviewtobacco smoke pollutiontobacco use |
| spellingShingle | M. Justin Byron Joanna E. Cohen Shannon Frattaroli Joel Gittelsohn Jeffrey M. Drope David H. Jernigan Implementing smoke-free policies in low- and middle-income countries: A brief review and research agenda Tobacco Induced Diseases smoke-free policy developing countries review tobacco smoke pollution tobacco use |
| title | Implementing smoke-free policies in low- and middle-income
countries: A brief review and research agenda |
| title_full | Implementing smoke-free policies in low- and middle-income
countries: A brief review and research agenda |
| title_fullStr | Implementing smoke-free policies in low- and middle-income
countries: A brief review and research agenda |
| title_full_unstemmed | Implementing smoke-free policies in low- and middle-income
countries: A brief review and research agenda |
| title_short | Implementing smoke-free policies in low- and middle-income
countries: A brief review and research agenda |
| title_sort | implementing smoke free policies in low and middle income countries a brief review and research agenda |
| topic | smoke-free policy developing countries review tobacco smoke pollution tobacco use |
| url | http://www.journalssystem.com/tid/Implementing-smoke-free-policies-in-low-and-middle-income-countries-A-brief-review,110007,0,2.html |
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