Tobacco control law implementation in a middle-income country: transnational tobacco control network overcoming tobacco industry opposition in Colombia
Open accessAbstract
The objective of this paper is to examine the implementation of Colombia's tobacco control law. Methods involved are triangulated government legislation, news sources, and interviews with policy-makers and health advocates in Colombia. Colombia, a middle-income country, passed a tobacco control law in 2009 that included a prohibition on tobacco advertising, promotion, and sponsorship; and required pictorial health warning labels, ingredients disclosure, and a prohibition on individual cigarette sales. Tobacco companies challenged the implementation through litigation, tested government enforcement of advertising provisions and regulations on ingredients disclosure, and lobbied local governments to deprioritise policy responses to single cigarette sales. A transnational network including international health groups and funders helped strengthen domestic capacity to implement the law by; promoting public awareness of Ley [Law] 1335; training local health department staff on enforcement; facilitating health agencies' sharing of educational strategies; and providing legal defence assistance. This network included vigilant efforts by local health groups, which continuously monitored and alerted the media to noncompliance, engaged government officials and policy-makers on implementation, and raised public awareness. Support from international health NGOs and funders and continuous engagement by local health groups enhanced implementation capacities to counter continued tobacco industry interference and ensure effective tobacco control implementation.
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Existing studies on how tobacco control policy is passed at the national level focus more on tactics used by opponents rather than proponents.
“Moreover, existing studies on how tobacco control policy is passed at the national level are focused more on tactics used by opponents (eg, lobbying, litigation, protests and other tactics to delay or subvert policy passage) rather than proponents,25–32 with few exceptions.33–36”
From Seven-year tobacco tax plan in Ukraine: a case study of the actors, tactics and factors motivating policy passage (2022) · cites this paper as [25]
The Introduction describes tobacco-industry lobbying and litigation, and the Discussion documents opposition tactics in Colombia. But this paper studies implementation after a national law was passed and also examines advocates’ responses; it does not establish that studies of national policy passage focus more on opponents than proponents. Our copy provides no page numbers for these passages. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPowerful actors in countries across the globe and across industries threatened by policy change similarly use lobbying to water down policy to their benefit, sometimes behind closed doors.
“Additionally, like the tobacco industry in Ukraine, powerful actors in countries across the globe and across industries threatened by policy change similarly use lobbying to water down policy to their benefit, sometimes behind closed doors.20–22 24–26 28 33 34 63–65”
From Seven-year tobacco tax plan in Ukraine: a case study of the actors, tactics and factors motivating policy passage (2022) · cites this paper as [25]
The Introduction says the tobacco industry fights policies through lobbying, and the Discussion reports lobbying against local enforcement in Colombia and similar opposition in other countries. The paper supports the tobacco-industry example, but does not establish the claim across industries or say that the lobbying occurred behind closed doors. Page numbers were not available in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measuredConstitutional courts upheld strong tobacco control policies in fourteen countries.
“Constitutional courts upheld strong tobacco control policies in fourteen countries.17199399”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [19]
The Results section (The prohibition of TAPS; page unavailable) says the Colombian Constitutional Court upheld a tobacco advertising, promotion, and sponsorship law in 2010. The paper does not report constitutional courts upholding tobacco control policies in fourteen countries; it establishes this outcome for Colombia only. (LLM, conf=0.90)
Experimental — accuracy not yet measuredFew articles focus on countering interference and the role of advocates in this.
“Few articles16–19 focus on countering interference and the role of advocates in this.”
From Needs of LMIC-based tobacco control advocates to counter tobacco industry policy interference: insights from semi-structured interviews (2020) · cites this paper as [18]
The transnational tobacco control network supported the creation of the WHO FCTC and assisted governments in implementing it, which has accelerated the adoption of tobacco control regulations, including pictorial health warning labels on cigarette packages.
“This network supported the creation of the WHO Framework Convention on Tobacco Control (FCTC)15 and assisted governments in implementing it,16–19 which has accelerated the adoption of tobacco control regulations,20–23 including pictorial health warning labels (HWLs) on cigarette packages.24”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [19]
The activities advocates engage in to counter tobacco industry interference are aligned with those outlined in the literature on countering tobacco industry interference in LMICs, HICs and supranational settings, and directly address some of the main tobacco industry interference tactics, most notably producing and disseminating information, seeking direct access to policymakers and using front g
“The activities are aligned with those outlined in the literature on countering TII in LMICs,16–19 27–30 HICs31 32 and supranational settings,33 and directly addressing some of the main TII tactics, most notably, producing and disseminating information, seeking direct access to policymakers and using front groups and third parties.9 13–15 34”
From Needs of LMIC-based tobacco control advocates to counter tobacco industry policy interference: insights from semi-structured interviews (2020) · cites this paper as [18]
The united front between local and international health organisations demonstrates the value of the transnational tobacco control network in combating tobacco industry interference and supporting FCTC implementation, especially in low-income and middle-income countries.
“The united front between local and international health organisations demonstrates the value of the transnational tobacco control network in combating tobacco industry interference and supporting FCTC implementation,139495 especially in low-income and middle-income countries.192057”
From Defending strong tobacco packaging and labelling regulations in Uruguay: transnational tobacco control network versus Philip Morris International (2018) · cites this paper as [19]
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Exposing and addressing tobacco industry conduct in low-income and middle-income countries
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Cited by
Sorted by citations
Crosbie, E., Sosa, P., & Glantz, S. A. (2018) · Tobacco control · doi:10.1136/tobaccocontrol-2017-053690 · Cited by 96 · see citing works
Self-citationCrosbie, E., Thomson, G., Freeman, B., & Bialous, S. (2018) · Global Public Health · doi:10.1080/17441692.2018.1443485 · Cited by 46 · see citing works
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- Authors
- Uang, R., Crosbie, E., & Glantz, S. A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Glantz, Stanton A.
- Venue
- Global Public Health
- Publisher
- Informa UK Limited
- Published
- 2017-08-17
- Volume
- 13
- Issue
- 8
- Pages
- 1050-1064
- ISSN
- 1744-1692 (ISSN-L)
- 1744-1706
- PMC
- PMC5816722
- OpenAlex
- W2745425199
- Cited by
- 51
- References
- 3
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 8 · 2022: 9 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 1
- FWCI
- 7.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Global Public Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- FAMRI William Cahan Endowment Fund
- National Cancer Institute (CA-087472)
- Dr. Glantz’ Truth Initiative Distinguished Professorship
- 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
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Keywords
- tobacco control legislation, tobacco control policy implementation, transnational networks, tobacco industry opposition, tobacco advertising ban, tobacco litigation, legal capacity building, Colombia
- MeSH terms
- Smoking Prevention, Advertising, Colombia, Health Policy, Humans, International Cooperation, Tobacco Industry, Government Regulation
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