El perfil ambiental de la salud de una comunidad: Un estudio transversal sobre la publicidad del tabaco en 16 países

Translated title of the contribution: The environmental profile of a community’s health: A cross-sectional study on tobacco marketing in 16 countries

Emily Savell, Anna B. Gilmore, Michelle Sims, Prem K. Mony, Teo Koon, Khalid Yusoff, Scott A. Lear, Pamela Seron, Noor Hassim Ismail, K. Burcu Tumerdem Calik, Annika Rosengren, Ahmad Bahonar, Rajesh Kumar, Krishnapillai Vijayakumar, Annamarie Kruger, Hany Swidan, Rajeev Gupta, Ehimario Igumbor, Asad Afridi, Omar RahmanJephat Chifamba, Katarzyna Zatonska, V. Mohan, Deepa Mohan, Patricio Lopez-Jaramillo, Alvaro Avezum, Paul Poirier, Andres Orlandini, Wei Li, Martin McKee, Sumathy Rangarajan, Salim Yusuf, Clara K. Chow

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95% confidence interval, CI: 4.15–1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95% CI: 1.17–5.67 and IRR: 2.52; CI: 1.23–5.17, respectively). Of the 11 842 interviewees, 1184 (10%) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95% CI: 1.24–76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities.

Original languageSpanish
Pages (from-to)851-861
Number of pages11
JournalBulletin of the World Health Organization
Volume93
Issue number12
DOIs
Publication statusPublished - 1 Dec 2015

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Marketing
Tobacco
Cross-Sectional Studies
Health
Rural Population
Legislation
Odds Ratio
Research Personnel
Confidence Intervals
Incidence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

El perfil ambiental de la salud de una comunidad : Un estudio transversal sobre la publicidad del tabaco en 16 países. / Savell, Emily; Gilmore, Anna B.; Sims, Michelle; Mony, Prem K.; Koon, Teo; Yusoff, Khalid; Lear, Scott A.; Seron, Pamela; Ismail, Noor Hassim; Calik, K. Burcu Tumerdem; Rosengren, Annika; Bahonar, Ahmad; Kumar, Rajesh; Vijayakumar, Krishnapillai; Kruger, Annamarie; Swidan, Hany; Gupta, Rajeev; Igumbor, Ehimario; Afridi, Asad; Rahman, Omar; Chifamba, Jephat; Zatonska, Katarzyna; Mohan, V.; Mohan, Deepa; Lopez-Jaramillo, Patricio; Avezum, Alvaro; Poirier, Paul; Orlandini, Andres; Li, Wei; McKee, Martin; Rangarajan, Sumathy; Yusuf, Salim; Chow, Clara K.

In: Bulletin of the World Health Organization, Vol. 93, No. 12, 01.12.2015, p. 851-861.

Research output: Contribution to journalArticle

Savell, E, Gilmore, AB, Sims, M, Mony, PK, Koon, T, Yusoff, K, Lear, SA, Seron, P, Ismail, NH, Calik, KBT, Rosengren, A, Bahonar, A, Kumar, R, Vijayakumar, K, Kruger, A, Swidan, H, Gupta, R, Igumbor, E, Afridi, A, Rahman, O, Chifamba, J, Zatonska, K, Mohan, V, Mohan, D, Lopez-Jaramillo, P, Avezum, A, Poirier, P, Orlandini, A, Li, W, McKee, M, Rangarajan, S, Yusuf, S & Chow, CK 2015, 'El perfil ambiental de la salud de una comunidad: Un estudio transversal sobre la publicidad del tabaco en 16 países', Bulletin of the World Health Organization, vol. 93, no. 12, pp. 851-861. https://doi.org/10.2471/BLT.15.155846
Savell, Emily ; Gilmore, Anna B. ; Sims, Michelle ; Mony, Prem K. ; Koon, Teo ; Yusoff, Khalid ; Lear, Scott A. ; Seron, Pamela ; Ismail, Noor Hassim ; Calik, K. Burcu Tumerdem ; Rosengren, Annika ; Bahonar, Ahmad ; Kumar, Rajesh ; Vijayakumar, Krishnapillai ; Kruger, Annamarie ; Swidan, Hany ; Gupta, Rajeev ; Igumbor, Ehimario ; Afridi, Asad ; Rahman, Omar ; Chifamba, Jephat ; Zatonska, Katarzyna ; Mohan, V. ; Mohan, Deepa ; Lopez-Jaramillo, Patricio ; Avezum, Alvaro ; Poirier, Paul ; Orlandini, Andres ; Li, Wei ; McKee, Martin ; Rangarajan, Sumathy ; Yusuf, Salim ; Chow, Clara K. / El perfil ambiental de la salud de una comunidad : Un estudio transversal sobre la publicidad del tabaco en 16 países. In: Bulletin of the World Health Organization. 2015 ; Vol. 93, No. 12. pp. 851-861.
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abstract = "Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95{\%} confidence interval, CI: 4.15–1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95{\%} CI: 1.17–5.67 and IRR: 2.52; CI: 1.23–5.17, respectively). Of the 11 842 interviewees, 1184 (10{\%}) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95{\%} CI: 1.24–76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities.",
author = "Emily Savell and Gilmore, {Anna B.} and Michelle Sims and Mony, {Prem K.} and Teo Koon and Khalid Yusoff and Lear, {Scott A.} and Pamela Seron and Ismail, {Noor Hassim} and Calik, {K. Burcu Tumerdem} and Annika Rosengren and Ahmad Bahonar and Rajesh Kumar and Krishnapillai Vijayakumar and Annamarie Kruger and Hany Swidan and Rajeev Gupta and Ehimario Igumbor and Asad Afridi and Omar Rahman and Jephat Chifamba and Katarzyna Zatonska and V. Mohan and Deepa Mohan and Patricio Lopez-Jaramillo and Alvaro Avezum and Paul Poirier and Andres Orlandini and Wei Li and Martin McKee and Sumathy Rangarajan and Salim Yusuf and Chow, {Clara K.}",
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T1 - El perfil ambiental de la salud de una comunidad

T2 - Un estudio transversal sobre la publicidad del tabaco en 16 países

AU - Savell, Emily

AU - Gilmore, Anna B.

AU - Sims, Michelle

AU - Mony, Prem K.

AU - Koon, Teo

AU - Yusoff, Khalid

AU - Lear, Scott A.

AU - Seron, Pamela

AU - Ismail, Noor Hassim

AU - Calik, K. Burcu Tumerdem

AU - Rosengren, Annika

AU - Bahonar, Ahmad

AU - Kumar, Rajesh

AU - Vijayakumar, Krishnapillai

AU - Kruger, Annamarie

AU - Swidan, Hany

AU - Gupta, Rajeev

AU - Igumbor, Ehimario

AU - Afridi, Asad

AU - Rahman, Omar

AU - Chifamba, Jephat

AU - Zatonska, Katarzyna

AU - Mohan, V.

AU - Mohan, Deepa

AU - Lopez-Jaramillo, Patricio

AU - Avezum, Alvaro

AU - Poirier, Paul

AU - Orlandini, Andres

AU - Li, Wei

AU - McKee, Martin

AU - Rangarajan, Sumathy

AU - Yusuf, Salim

AU - Chow, Clara K.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95% confidence interval, CI: 4.15–1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95% CI: 1.17–5.67 and IRR: 2.52; CI: 1.23–5.17, respectively). Of the 11 842 interviewees, 1184 (10%) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95% CI: 1.24–76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities.

AB - Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95% confidence interval, CI: 4.15–1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95% CI: 1.17–5.67 and IRR: 2.52; CI: 1.23–5.17, respectively). Of the 11 842 interviewees, 1184 (10%) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95% CI: 1.24–76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities.

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