A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions
Background Transnational tobacco companies (TTCs) have a well-established presence in Southeast Asia and are now targeting other low- and middle-income countries (LMICs), especially Africa. While the tobacco industry’s tactics in Southeast Asia are well documented, no study has systematically review...
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Format: | Article |
Language: | English |
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Kerman University of Medical Sciences
2021-06-01
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Series: | International Journal of Health Policy and Management |
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Online Access: | https://www.ijhpm.com/article_3834_cff48f40438283de4933c520832d296b.pdf |
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author | Gianna Gayle Herrera Amul Grace Ping Ping Tan Yvette van der Eijk |
author_facet | Gianna Gayle Herrera Amul Grace Ping Ping Tan Yvette van der Eijk |
author_sort | Gianna Gayle Herrera Amul |
collection | DOAJ |
description | Background Transnational tobacco companies (TTCs) have a well-established presence in Southeast Asia and are now targeting other low- and middle-income countries (LMICs), especially Africa. While the tobacco industry’s tactics in Southeast Asia are well documented, no study has systematically reviewed these tactics to inform tobacco control policies and movements in Africa, where the tobacco epidemic is spreading. Methods We conducted a systematic literature review of articles that describe tobacco industry tactics in Southeast Asia, which includes Singapore, Indonesia, Malaysia, the Philippines, Myanmar, East Timor, Thailand, Cambodia, Vietnam, Laos, and Brunei. After screening 512 articles, we gathered and analysed data from 134 articles which met our final inclusion criteria. Results Tobacco transnationals gained dominance in Southeast Asian markets by positioning themselves as good corporate citizens with corporate social responsibility (CSR) initiatives, promoting the industry as a pillar of, and partner for, economic growth. Tobacco transnationals also formed strategic sectoral alliances and reinforced their political ties to delay the implementation of regulations and lobby for weaker tobacco control. Where governments resisted the transnationals’ attempts to enter a market, they used litigation and deceptive tactics including smuggling to pressure governments to open markets, and tarnished the reputation of public health organizations. The tobacco industry undermined tobacco advertising, promotion and sponsorship (TAPS) regulations through a broad range of direct and indirect marketing tactics. Conclusion The experience of Southeast Asia with tobacco transnationals show that, beyond highlighting the public health benefits, underscoring the economic benefits of tobacco control might be a more compelling argument for governments in LMICs to prioritise tobacco control. Given the tobacco industry’s widespread use of litigation, LMICs need more legal support and resources to counter industry litigations. LMICs should also prioritize measures to protect health policy from the vested interests of the tobacco industry, and to close regulatory loopholes in tobacco marketing restrictions. |
first_indexed | 2024-04-10T05:30:11Z |
format | Article |
id | doaj.art-71c0099e4b6a436aa204e3625324125e |
institution | Directory Open Access Journal |
issn | 2322-5939 |
language | English |
last_indexed | 2024-04-10T05:30:11Z |
publishDate | 2021-06-01 |
publisher | Kerman University of Medical Sciences |
record_format | Article |
series | International Journal of Health Policy and Management |
spelling | doaj.art-71c0099e4b6a436aa204e3625324125e2023-03-07T09:07:23ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392021-06-0110632433710.34172/ijhpm.2020.973834A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome RegionsGianna Gayle Herrera Amul0Grace Ping Ping Tan1Yvette van der Eijk2Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, SingaporeSaw Swee Hock School of Public Health, National University of Singapore, Singapore, SingaporeSaw Swee Hock School of Public Health, National University of Singapore, Singapore, SingaporeBackground Transnational tobacco companies (TTCs) have a well-established presence in Southeast Asia and are now targeting other low- and middle-income countries (LMICs), especially Africa. While the tobacco industry’s tactics in Southeast Asia are well documented, no study has systematically reviewed these tactics to inform tobacco control policies and movements in Africa, where the tobacco epidemic is spreading. Methods We conducted a systematic literature review of articles that describe tobacco industry tactics in Southeast Asia, which includes Singapore, Indonesia, Malaysia, the Philippines, Myanmar, East Timor, Thailand, Cambodia, Vietnam, Laos, and Brunei. After screening 512 articles, we gathered and analysed data from 134 articles which met our final inclusion criteria. Results Tobacco transnationals gained dominance in Southeast Asian markets by positioning themselves as good corporate citizens with corporate social responsibility (CSR) initiatives, promoting the industry as a pillar of, and partner for, economic growth. Tobacco transnationals also formed strategic sectoral alliances and reinforced their political ties to delay the implementation of regulations and lobby for weaker tobacco control. Where governments resisted the transnationals’ attempts to enter a market, they used litigation and deceptive tactics including smuggling to pressure governments to open markets, and tarnished the reputation of public health organizations. The tobacco industry undermined tobacco advertising, promotion and sponsorship (TAPS) regulations through a broad range of direct and indirect marketing tactics. Conclusion The experience of Southeast Asia with tobacco transnationals show that, beyond highlighting the public health benefits, underscoring the economic benefits of tobacco control might be a more compelling argument for governments in LMICs to prioritise tobacco control. Given the tobacco industry’s widespread use of litigation, LMICs need more legal support and resources to counter industry litigations. LMICs should also prioritize measures to protect health policy from the vested interests of the tobacco industry, and to close regulatory loopholes in tobacco marketing restrictions.https://www.ijhpm.com/article_3834_cff48f40438283de4933c520832d296b.pdftobacco industry tacticstransnational tobaccosoutheast asiatobacco controllmics |
spellingShingle | Gianna Gayle Herrera Amul Grace Ping Ping Tan Yvette van der Eijk A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions International Journal of Health Policy and Management tobacco industry tactics transnational tobacco southeast asia tobacco control lmics |
title | A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions |
title_full | A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions |
title_fullStr | A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions |
title_full_unstemmed | A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions |
title_short | A Systematic Review of Tobacco Industry Tactics in Southeast Asia: Lessons for Other Low- And MiddleIncome Regions |
title_sort | systematic review of tobacco industry tactics in southeast asia lessons for other low and middleincome regions |
topic | tobacco industry tactics transnational tobacco southeast asia tobacco control lmics |
url | https://www.ijhpm.com/article_3834_cff48f40438283de4933c520832d296b.pdf |
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