The vector of the tobacco epidemic: tobacco industry practices in low and middle-income countries
Open accessAbstract
Purpose To understand transnational tobacco companies' (TTCs) practices in low and middle-income countries which serve to block tobacco-control policies and promote tobacco use. Methods Systematic review of published research on tobacco industry activities to promote tobacco use and oppose tobacco-control policies in low and middle-income countries. Results TTCs' strategies used in low and middle-income countries followed four main themes-economic activity; marketing/promotion; political activity; and deceptive/manipulative activity. Economic activity, including foreign investment and smuggling, was used to enter new markets. Political activities included lobbying, offering voluntary self-regulatory codes, and mounting corporate social responsibility campaigns. Deceptive activities included manipulation of science and use of third-party allies to oppose smoke-free policies, delay other tobacco-control policies, and maintain support of policymakers and the public for a pro-tobacco industry policy environment. TTCs used tactics for marketing, advertising, and promoting their brands that were tailored to specific market environments. These activities included direct and indirect tactis, targeting particular populations, and introducing new tobacco products designed to limit marketing restrictions and taxes, maintain the social acceptability of tobacco use, and counter tobacco-control efforts. Conclusions TTCs have used similar strategies in high-income countries as these being described in low and middle-income countries. As required by FCTC Article 5.3, to counter tobacco industry pressures and to implement effective tobacco-control policies, governments and health professionals in low and middle-income countries should fully understand TTCs practices and counter them.
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The tobacco industry remains a serious threat to public health.
“Notwithstanding the progress in implementing tobacco control regulations globally, the tobacco industry remains a serious threat to public health.11–15”
From Role of stakeholders in Nigeria’s tobacco control journey after the FCTC: lessons for tobacco control advocacy in low-income and middle-income countries (2019) · cites this paper as [11]
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Effective tobacco control is key to rapid progress in reduction of non-communicable diseases
Glantz, S., & Gonzalez, M. (2012) · The Lancet · doi:10.1016/s0140-6736(11)60615-6 · Cited by 99 · cited 2× · see citing works
“NCDs are now the global development agenda to save millions of lives around the world, particularly in low and middle-income countries.”
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Self-citation
- Authors
- Lee, S., Ling, P. M., & Glantz, S. A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Ling, Pamela M.
- Venue
- Cancer Causes & Control
- Published
- 2012-02-28
- Volume
- 23
- Issue
- S1
- Pages
- 117-129
- ISSN
- 0957-5243 (ISSN-L)
- 1573-7225
- PMC
- PMC3332051
- OpenAlex
- W2094352843
- Cited by
- 177
- References
- 1
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 10 · 2022: 15 · 2021: 14 · 2020: 21 · 2019: 14 · 2018: 15 · 2017: 18 · 2016: 22 · 2015: 16 · 2014: 8 · 2013: 5 · 2012: 4
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cancer Causes & Control (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA087472, CA 87472)
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Keywords
- transnational tobacco companies, tobacco control, tobacco marketing, lobbying, corporate social responsibility, smuggling, foreign investment, smoke-free policies, tobacco taxation, low- and middle-income countries
- MeSH terms
- Humans, Politics, Public Health, Public Policy, Smoking, Social Responsibility, Taxes, Developed Countries, Tobacco Industry, Marketing, Epidemics
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