How Does the Tobacco Industry Attempt to Influence Marketing Regulations? A Systematic Review
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BACKGROUND: The Framework Convention on Tobacco Control makes a number of recommendations aimed at restricting the marketing of tobacco products. Tobacco industry political activity has been identified as an obstacle to Parties' development and implementation of these provisions. This study systematically reviews the existing literature on tobacco industry efforts to influence marketing regulations and develops taxonomies of 1) industry strategies and tactics and 2) industry frames and arguments. METHODS: Searches were conducted between April-July 2011, and updated in March 2013. Articles were included if they made reference to tobacco industry efforts to influence marketing regulations; supported claims with verifiable evidence; were written in English; and concerned the period 1990-2013. 48 articles met the review criteria. Narrative synthesis was used to combine the evidence. RESULTS: 56% of articles focused on activity in North America, Europe or Australasia, the rest focusing on Asia (17%), South America, Africa or transnational activity. Six main political strategies and four main frames were identified. The tobacco industry frequently claims that the proposed policy will have negative unintended consequences, that there are legal barriers to regulation, and that the regulation is unnecessary because, for example, industry does not market to youth or adheres to a voluntary code. The industry primarily conveys these arguments through direct and indirect lobbying, the promotion of voluntary codes and alternative policies, and the formation of alliances with other industrial sectors. The majority of tactics and arguments were used in multiple jurisdictions. CONCLUSIONS: Tobacco industry political activity is far more diverse than suggested by existing taxonomies of corporate political activity. Tactics and arguments are repeated across jurisdictions, suggesting that the taxonomies of industry tactics and arguments developed in this paper are generalisable to multiple jurisdictions and can be used to predict industry activity.
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The majority of the substantial body of literature on TII is based on HICs.
“Furthermore, while there is a substantial body of literature on TII, the majority is based on HICs.13–15”
From Needs of LMIC-based tobacco control advocates to counter tobacco industry policy interference: insights from semi-structured interviews (2020) · cites this paper as [14]
The Background describes an extensive body of literature on tobacco-industry political activity. The Results (Geography) report that 56% of the 48 articles reviewed focused on North America, Europe or Australasia. That supports the general geographic pattern, but the review covers influence on marketing regulation rather than all tobacco-industry interference (TII) literature, and it does not classify those articles by country income level. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe tobacco industry is now turning its focus toward emerging markets in sub-Saharan Africa.
“The tobacco industry is now turning its focus toward emerging markets in sub-Saharan Africa, seeking to exploit the continent's patchwork tobacco control regulations and limited resources to combat industry marketing advances.69, 70”
From Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015 (2017) · cites this paper as [70]
The Results > Geography section reports that only one reviewed article focused on Africa and that a transnational study also mentioned industry arguments against proposed regulations there. It does not address whether the industry is now shifting its focus toward emerging markets in sub-Saharan Africa. Searches for that shift and for exploitation of limited regulatory resources found no supporting passage in our copy. (LLM, conf=0.72)
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Self-citation
- Authors
- Savell, E., Gilmore, A. B., & Fooks, G.
- Affiliations
- UK Centre for Tobacco & Alcohol Studies (GB)
- Corresponding author
- Savell, Emily
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-02-05
- Volume
- 9
- Issue
- 2
- Pages
- e87389
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3914831
- OpenAlex
- W1977588871
- Cited by
- 255
- References
- 0
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 13 · 2023: 32 · 2022: 20 · 2021: 39 · 2020: 22 · 2019: 26 · 2018: 18 · 2017: 16 · 2016: 21 · 2015: 11 · 2014: 3 · 2013: 1
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Aston Publications Explorer (Aston University) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Bristol Research (University of Bristol) (submittedVersion, cc-by)
- Funders
- National Institutes of Health
- Medical Research Council (MR/K023195/1)
- Economic and Social Research Council (ES/G007489/1, ES/I900284/1)
- National Cancer Institute (R01CA160695)
- 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
- Social Sciences › Business, Management and Accounting › Strategy and Management › Political Influence and Corporate Strategies
- Keywords
- tobacco industry, tobacco marketing regulation, Framework Convention on Tobacco Control, corporate political activity, lobbying, voluntary codes, industry partnerships, youth marketing, tobacco control
- MeSH terms
- Humans, Politics, Tobacco Industry, Marketing
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