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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Main Authors: Gianna Gayle Herrera Amul, Grace Ping Ping Tan, Yvette van der Eijk
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2021-06-01
Series:International Journal of Health Policy and Management
Subjects:
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.
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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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