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What we know: Reported effects of smokeless tobacco control policies vary greatly as impacts are highly context-specific, with some measures seeing positive effects in some context and no or negative impacts in others (Forberger et al., 2022). Bans on certain smokeless tobacco products (i.e., guthka and pan masala) within the Indian context was associated with mixed effects of efficacy (Forberger et al., 2022). While awareness of bans is high, the availability of products locally as well as presence on the black market at high prices has impacted the efficacy of bans in Indian (Forberger et al., 2022). Bans on snuss in the Finnish context appeared to have null effects (Forberger et al., 2022).
What we know: In their reviews, Reimold et al., (2022) and Golden et al., (2016) discussed that this type of policy could require the reporting of industry price discounting and promotional payments between manufacturers and retailers in a similar way to the US Sunshine (Act) Law (2010), which regulate the financial disclosure of payments between healthcare providers and pharmaceutical companies to prevent undue influence and protect public interest (Alkhaled et al., 2014). No evaluations of this type of policy or examples of implementation in the tobacco context were reported.
Example of implementation: The Pan American Health Organization (PAHO) launched its Smoke-Free Americas Initiative in 2001, which not only provided training workshops for tobacco control advocates and decision-makers, but also established funding opportunies such as seed grants to support smoke-free campaigns (Teed et al., 2024). Grant money from universities, non-government organisations and government agencies was also recognised as sources for funding the training of researchers and implementation of the WHO's Framework Convention on Tobacco Control in Latin America (Teed et al., 2024).
What we know: Reported effects of smokeless tobacco control policies vary greatly as impacts are highly context-specific, with some measures seeing positive effects in some context and no or negative impacts in others (Forberger et al., 2022). There is limited but suggestive evidence for bans and/or restrictions of sale on smokeless tobacco products. Within the Indian context, no effects were found for the ban of smokeless tobacco on sales near educational institutions, which Forberger et al., (2022) explained was due to a lack of implementation and enforcement measures.
What we know: The WHO Framework Convention on Tobacco Control requires the banning of internet-based tobacco sales and some countries and local governments have gone further to expand this ban to all forms of digital sales and tobacco home delivery (Alebshehy et al., 2023).
Examples of implementation: In their review, Alebshehy et al., (2023) reported that there are five states within the US that ban direct-to-consumer shipment of tobacco cigarettes.
What we know: Well-established evidence indicates that exposure to tobacco industry advertising can negatively impact health through increasing appeal, purchasing and/or consumption of tobacco (Brown et al., 2014a; Brown et al., 2014b; Wilson et al., 2012). Evidence supports the use of comprehensive, mandatory bans on tobacco advertising and sponsorship (Brown et al., 2014a; Brown et al., 2014b; Wilson et al., 2012). There is limited but suggestive evidence of the specific effects of banning tobacco sponsorship, with one cited study based in Australia reporting null effects of increased coverage of local tobacco sponsorship bans on smoking prevalence but the impact may have been affected by tobacco industry actions (i.e., shifting of advertising resources to point-of-sale outlets) (Wilson et al., 2012).
What we know: Privatisation of the alcohol sector is associated with negative effects including increases to alcohol-related harm and likelihood of increased health inequalities (Naik et al., 2019).
What we know: There is limited and inconclusive evidence available on the effectiveness of public health interventions specifically targeting alcohol consumption and knowledge in pregnant women (Siegfried and Parry, 2019).
What we know: There is limited and inconclusive evidence available on the effectiveness of administrative licence revocation on the ability to reduce drink driving-related harms. Siegfried and Parry, (2019) identified two studies that considered the use of administrative licence revocation to reduce motorcycle crashes but there were inconsistent results and lack of certainty of the intervention's effect on crash and injury rates.
What we know: There is limited and inconclusive evidence available on the effectiveness of alcohol control interventions in sport settings (e.g., alcohol free events). Siegfried and Parry, (2019) identified two reviews evaluating these types of policy interventions but the reported effects were inconsistent and authors recommended the need for more research.