Tobacco endgame: twenty years of international and Russian experience. Part II. policies, strategies, and measures to end the tobacco epidemic: focus on market and institutional structures
https://doi.org/10.15829/1728-8800-2025-4490
EDN: VGVYXF
Abstract
This article is the next part of a study on tobacco endgame strategies and measures. It analyzes market- and supply-side policy initiatives, institutional initiatives, the corresponding strategies and measures within these initiatives, and their effectiveness.
About the Authors
M. G. Gambaryan
http://www.gnicpm.ru
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
References
1. Drapkina OM, Kontsevaya AV, Kalinina AM, et al. Prevention of chronic non-communicable diseases in the Russian Federation. National guidelines. Cardiovascular Therapy and Prevention. 2022;21(4):3235. (In Russ.) doi:10.15829/1728-8800-2022-3235.
2. Dolgalev IV, Ivanova AYu, Karpov RS. Predictive value of cardiovascular risk factors in the formation of cardiovascular and all-cause mortality: results of a 27-year cohort prospective study. Russian Journal of Cardiology. 2023;28(2):5045. (In Russ.) doi:10.15829/1560-4071-2023-5045.
3. Beaglehole R, Bonita R, Horton R, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):1438-47. doi:10.1016/S0140-6736(11)60393-0.
4. Tiessen J, Hunt P, Celia C, et al. Assessing the impacts of revising the Tobacco Products Directive: Study to support a DG SANCO impact assessment. Rand Heal Q. 2011;1(1):13.
5. Gambaryan MG. Monitoring and evaluation of tobacco control policies: International practices. Part 1. Evaluation of tobacco control measures based on the World Health Organization statistics and population studies. Russian Journal of Preventive Medicine. 2023;26(6):22-9. (In Russ.) doi:10.17116/profmed20232606122.
6. Ruokolainen O, Ollila H, Laatikainen T, Koprivnikar H. Tobacco endgame measures and their adaptation in selected European countries: A narrative review synthesis. Tob Prev Cessat. 2024;10:1-16. doi:10.18332/tpc/186402.
7. Robertson L, Hoek J, Silver K. PMI New Zealand conflates IQOS heated tobacco products with electronic nicotine delivery systems. Tob Control. 2023;32(4):534-6. doi:10.1136/tobaccocontrol-2021-056964.
8. van der Deen FS, et al. Impact of five tobacco endgame strategies on future smoking prevalence, population health and health system costs: two modelling studies to inform the tobacco endgame. Tob Control. 2018;27(3):278-86.
9. Wilson N, Thomson GW, Edwards R, Blakely T. Potential advantages and disadvantages of an endgame strategy: a "sinking lid" on tobacco supply. Tob Control. 2013;22(suppl 1):i18-i21. doi:10.1136/tobaccocontrol-2012-050791.
10. Kong AY, Henriksen L. Retail endgame strategies: Reduce tobacco availability and visibility and promote health equity. Tob Control. 2022;31(2):243-9. doi:10.1136/tobaccocontrol-2021-056555.
11. McDaniel PA, Smith EA, Malone RE. The tobacco endgame: a qualitative review and synthesis. Tob Control. 2016;25(5):594-604. doi:10.1136/tobaccocontrol-2015-052356.
12. Wang MP, et al. The tobacco endgame in Hong Kong: public support for a total ban on tobacco sales. Tob Control. 2015; 24(2):162-7. doi:10.1136/tobaccocontrol-2013-051092.
13. Puljević C, Coomber K, de Andrade D, et al. Closing the gaps in tobacco endgame evidence: a scoping review. Tob Control. 2022;31(2):365-75. doi:10.1136/tobaccocontrol-2021-056579.
14. Gambaryan MG. Monitoring and evaluation of tobacco control policies: International practices. Part 2. Evaluation of tobacco control measures based on the World Health Organization statistics and population studies (continued). Russian Journal of Preventive Medicine. 2023;26(7):14-20. (In Russ.) doi:10.17116/profmed20232607114.
15. Kontsevaya AV, Antsiferova AA, Mukaneeva DK, et al. Physical availability and affordability of tobacco and tobacco products in three constituent entities of the Russian Federation. Medical Technologies. Assessment and Choice. 2023;45(4):42-51. (In Russ.) doi:10.17116/medtech20234504142.
16. Chuang YC, Cubbin C, Ahn D, Winkleby MA. Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking. J Epidemiol Community Health. 2005;59(7):568-73. doi:10.1136/jech.2004.029041.
17. Reitzel LR, Cromley EK, Li Y, et al. The effect of tobacco outlet density and proximity on smoking cessation. Am J Public Health. 2011;101(2):315-20. doi:10.2105/AJPH.2010.191676.
18. Lee JGL, Sun DL, Schleicher NM, et al. Inequalities in tobacco outlet density by race, ethnicity and socioeconomic status, 2012, USA: results from the ASPiRE Study. J Epidemiol Community Health. 2017;71(5):487-92. doi:10.1136/jech-2016-208475.
19. Antsiferova AA, Kontsevaya AV, Mukaneeva DK, et. al. Availability and affordability of alcohol and tobacco products for the population: results of a pilot study in the Sverdlovsk Oblast. Cardiovascular Therapy and Prevention. 2022;21(10):3395. (In Russ.) doi:10.15829/1728-8800-2022-3395.
20. Gambaryan MG, Kontsevaya AV, Antsiferova AA, et al. Associations of the density and proximity of the outlets of tobacco and other nicotine-containing products with increased levels of depression, anxiety and stress among the population of 3 Russian regions. Cardiovascular Therapy and Prevention. 2023;22(12):3842. (In Russ.) doi:10.15829/1728-8800-2023-3842.
21. Leatherdale ST, Strath JM. Tobacco retailer density surrounding schools and cigarette access behaviors among underage smoking students. Ann Behav Med. 2007;33(1):105-11. doi:10.1207/s15324796abm3301_12.
22. Golden SD, Kuo TM, Kong AY, et al. County-level associations between tobacco retailer density and smoking prevalence in the USA, 2012. Prev Med Reports. 2020;17:101005. doi:10.1016/j.pmedr.2019.101005.
23. Hall J, et al. Association of Rates of Smoking During Pregnancy With Corporate Tobacco Sales Policies. JAMA Pediatr. 2019;173(3):284-6. doi:10.1001/jamapediatrics.2018.4598.
24. Cantrell J, Pearson JL, Anesetti-Rothermel A, et al. Tobacco Retail Outlet Density and Young Adult Tobacco Initiation. Nicotine Tob Res. 2017;19(11):1344-50. doi:10.1093/ntr/ntx086.
25. Abdel Magid HS, Halpern-Felsher B, Ling PM, et al. Tobacco Retail Density and Initiation of Alternative Tobacco Product Use Among Teens. J Adolesc Health. 2020;66(4):423-30. doi:10.1016/j.jadohealth.2019.09.004.
26. McNeill A, Guignard F, Beck F, Marteau R, Marteau TM. Understanding increases in smoking prevalence: case study from France in comparison with England 2000 — 10. Addiction. 2015;110(3):392-400. doi:10.1111/add.12789.
27. McDaniel PA, Smith EA, Malone RE. Retailer experiences with tobacco sales bans: lessons from two early adopter jurisdictions. Tob Control. 2024;33:739-44. doi:10.1136/tc-2023-057944.
28. Gambaryan MG, Kontsevaya AV, Popovich MV, et al. Assessment of the implementation of legislative restrictions on tobacco retailers and point-of-sale tobacco display bans based on a literature review and results from Russian tobacco control policy evaluation survey EPOHA-RF. Russian Journal of Preventive Medicine. 2022;25(12):21-31. (In Russ.) doi:10.17116/profmed20222512121.
29. McNeill A, Lewis S, Quinn C, et al. Evaluation of the removal of point-of-sale tobacco displays in Ireland. Tob Control. 2011; 20(2):137-43. doi:10.1136/tc.2010.038141.
30. Kuipers MAG, et al. Impact on smoking of England’s 2012 partial tobacco point-of-sale display ban: a repeated cross-sectional national study. Tob Control. 2017;26(2):141-8. doi:10.1136/tobaccocontrol-2015-052724.
31. Scheffels J, Lavik R. Out of sight, out of mind? Removal of point-of-sale tobacco displays in Norway. Tob Control. 2013;22(e1): e37-42. doi:10.1136/tobaccocontrol-2011-050341.
32. Gambarian MG, Kalinina AM, Popovich MV, et al. The whole truth of Electronic cigarettes: the Russian reality. Part II. Use of Electronic cigarettes in Russia: associations with demographic factors, advertisement and promotion, tobacco smoking and quit smoking attempts. Results from adult population representative survey EPOCHA-RF. Russian Journal of Preventive Medicine. 2019;22(6):14-27. (In Russ.) doi:10.17116/profmed20192206214.
33. He Y, Shang C, Huang J, et al. Global evidence on the effect of point-of-sale display bans on smoking prevalence. Tob Control. 2018;27:e98-e104. doi:10.1136/tobaccocontrol-2017-053996.
34. Henriksen L. Comprehensive tobacco marketing restrictions: promotion, packaging, price and place. Tob Control. 2012;21(2):147-53. doi:10.1136/tobaccocontrol-2011-050416.
35. Saad C, Cheng B, Takamizawa R, et al. Effectiveness of tobacco advertising, promotion and sponsorship bans on smoking prevalence, initiation and cessation: a systematic review and meta-analysis. Tob Control. Published Online First: 13 January 2025. doi:10.1136/tc-2024-058903.
36. Ollila H, Ruokolainen O, Laatikainen T, Koprivnikar H. Tobacco endgame goals and measures in Europe: current status and future directions. Tob Control. 2024;tc-2024-058606. doi:10.1136/tc-2024-058606.
Supplementary files
What is already known about the subject?
- As part of the World Health Organization's priority areas for reducing noncommunicable disease mortality by 2% per year globally, the idea and goal of a tobacco endgame have been formulated — a complete end to the tobacco epidemic.
- Tobacco endgame policy initiatives include product-focused, consumer-focused, market/supply-focused, and institutional strategies.
What might this study add?
- Most countries with tobacco endgame goals are implementing market- and supply-focused strategies, although not fully.
- Institutional strategies are aimed at countering tobacco company interventions to achieve tobacco endgame goals, but there are no publications demonstrating their implementation and/or effectiveness.
Review
For citations:
Gambaryan M.G., Drapkina O.M. Tobacco endgame: twenty years of international and Russian experience. Part II. policies, strategies, and measures to end the tobacco epidemic: focus on market and institutional structures. Cardiovascular Therapy and Prevention. 2025;24(10):4490. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4490. EDN: VGVYXF
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