Implementing smoke-free policies in low- And middle-income countries: A brief review and research agenda

M. Justin Byron, Joanna E. Cohen, Shannon Frattaroli, Joel Gittelsohn, Jeffrey M. Drope, David H. Jernigan

Research output: Contribution to journalReview article

Abstract

INTRODUCTION Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. METHODS We reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports. We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies. RESULTS The academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps. CONCLUSIONS We find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.

Original languageEnglish (US)
Article number60
JournalTobacco Induced Diseases
Volume17
Issue numberAugust
DOIs
StatePublished - Jan 1 2019

Fingerprint

Smoke-Free Policy
income
gray literature
Research
Smoke
Learning
policy implementation
ban
learning
nicotine
smoking
Compliance
Publications
inclusion
Smoking
narrative
organization
Organizations
Databases

Keywords

  • Developing countries
  • Review
  • Smoke-free policy
  • Tobacco smoke pollution
  • Tobacco use

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Implementing smoke-free policies in low- And middle-income countries : A brief review and research agenda. / Byron, M. Justin; Cohen, Joanna E.; Frattaroli, Shannon; Gittelsohn, Joel; Drope, Jeffrey M.; Jernigan, David H.

In: Tobacco Induced Diseases, Vol. 17, No. August, 60, 01.01.2019.

Research output: Contribution to journalReview article

Byron, M. Justin ; Cohen, Joanna E. ; Frattaroli, Shannon ; Gittelsohn, Joel ; Drope, Jeffrey M. ; Jernigan, David H. / Implementing smoke-free policies in low- And middle-income countries : A brief review and research agenda. In: Tobacco Induced Diseases. 2019 ; Vol. 17, No. August.
@article{bbf2b4d329794fada0bd6fe95c58f259,
title = "Implementing smoke-free policies in low- And middle-income countries: A brief review and research agenda",
abstract = "INTRODUCTION Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. METHODS We reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports. We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies. RESULTS The academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps. CONCLUSIONS We find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.",
keywords = "Developing countries, Review, Smoke-free policy, Tobacco smoke pollution, Tobacco use",
author = "Byron, {M. Justin} and Cohen, {Joanna E.} and Shannon Frattaroli and Joel Gittelsohn and Drope, {Jeffrey M.} and Jernigan, {David H.}",
year = "2019",
month = "1",
day = "1",
doi = "10.18332/tid/110007",
language = "English (US)",
volume = "17",
journal = "Tobacco Induced Diseases",
issn = "1617-9625",
publisher = "BioMed Central",
number = "August",

}

TY - JOUR

T1 - Implementing smoke-free policies in low- And middle-income countries

T2 - A brief review and research agenda

AU - Byron, M. Justin

AU - Cohen, Joanna E.

AU - Frattaroli, Shannon

AU - Gittelsohn, Joel

AU - Drope, Jeffrey M.

AU - Jernigan, David H.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - INTRODUCTION Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. METHODS We reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports. We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies. RESULTS The academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps. CONCLUSIONS We find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.

AB - INTRODUCTION Some low- and middle-income countries (LMICs) struggle to implement smoke-free policies. We sought to review the academic and gray literature, and propose a research agenda to improve implementation of smoke-free policies and make them more effective in LMICs. METHODS We reviewed 10 databases for variations of (‘implementation’ /‘enforcement’ /‘compliance’) and (‘smoke-free’ /‘ban’ /‘restriction’) and (‘tobacco’ /‘smoking’). We also reviewed cited sources and the gray literature including non-governmental organization reports. We included articles that described problems that arose, attempted solutions, lessons learned, and research questions posed regarding smoke-free policy implementation in LMICs. We excluded studies of high-income countries, institution-level implementation, voluntary smoke-free policies, smoke-free homes, and outdoor smoke-free policies. RESULTS The academic literature review led to 4931 unique articles, reduced to 1541 after title screening, 331 after abstract screening, and 101 after full-text review. The citation and gray literature review led to an additional 179 publications of which 67 met the inclusion criteria. In total we retained 168 sources. We conducted a narrative review and synthesis of the literature, extracting key themes and noting research gaps. CONCLUSIONS We find that progress is urgently needed in five categories: identifying the critical lessons learned for effective implementation, evaluating different enforcement approaches, learning how to rejuvenate stalled smoke-free policies, learning how to increase ground-level will to enforce policies, and developing a conceptual framework that explains implementation. Investigation into these topics can improve implementation of smoke-free policies in LMICs.

KW - Developing countries

KW - Review

KW - Smoke-free policy

KW - Tobacco smoke pollution

KW - Tobacco use

UR - http://www.scopus.com/inward/record.url?scp=85076237858&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076237858&partnerID=8YFLogxK

U2 - 10.18332/tid/110007

DO - 10.18332/tid/110007

M3 - Review article

C2 - 31582949

AN - SCOPUS:85076237858

VL - 17

JO - Tobacco Induced Diseases

JF - Tobacco Induced Diseases

SN - 1617-9625

IS - August

M1 - 60

ER -