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Identifying best practices in adoption, implementation and enforcement of flavoured tobacco product restrictions and bans: lessons from experts.

Authors
  • Peck, Katherine1
  • Rodericks, Rebekah2
  • Irvin, Lola3
  • Johnson, Lila3
  • Tamashiro, Jill3
  • Ching, Lance3
  • Sentell, Tetine1
  • Pirkle, Catherine1
  • 1 Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawai'i, USA.
  • 2 Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawai'i, USA [email protected]
  • 3 Chronic Disease Prevention and Health Promotion Division, Hawai'i State Department of Health, Honolulu, Hawai'i, USA.
Type
Published Article
Journal
Tobacco control
Publication Date
Jan 01, 2022
Volume
31
Issue
1
Pages
32–39
Identifiers
DOI: 10.1136/tobaccocontrol-2020-055884
PMID: 33067409
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To identify recommended components for adopting, implementing and enforcing bans or restrictions targeting flavoured tobacco products. Between April and June 2019, semistructured interviews were conducted with 17 high-level experts across the USA and Canada with expertise in flavoured tobacco product policies. Participants included health department staff, researchers, legal professionals and local government officials. Interviews were recorded, transcribed and analysed for key themes. Major findings were organised into four categories: programme planning and legislative preparations; education and community outreach; implementation and enforcement; and policy impact. Critical pre-implementation elements included using comprehensive policy language, identifying enforcement agents, examining potential economic costs, deploying media campaigns and engaging community partners and retailers. Recommended implementation processes included a 6-month preparation timeline, focus on retailer education and clearly outlined enforcement procedures, particularly for concept flavours. Flavoured tobacco policies have successfully limited sales, withstood legal challenges and become more comprehensive over time, providing useful lessons to inform ongoing and future legislative and programmatic efforts. Identifying and sharing best practices can improve passage, implementation, efficacy and evaluation of flavoured tobacco policies. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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