Compliance to tobacco and alcohol zoning regulations around schools in Bangladesh, India, Pakistan and Sri Lanka using environmental mapping data
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
Background
The built environment around schools that are regularly accessed by young people is determined by governments, national and regional policies in each country or region. Zoning regulations for tobacco and alcohol sales are expected to restrict availability and access by young people. This study aimed to examine (non) compliance with tobacco and alcohol zoning regulations around schools in Bangladesh, India, Pakistan and Sri Lanka.
Methods
In a representative sample of geographic locations in Bangladesh, India North (Delhi) and India South (Chennai), Pakistan and Sri Lanka, the built environment was mapped by systematically walking all streets within the site boundary to collect data on different types of tobacco and alcohol retailers and schools. Data was collected on KoboToolBox, and the maps indicating zoning compliance were created using ArcGIS. Descriptive analysis of outlet compliance to the zoning laws was conducted at the national and school levels, with heterogeneity analyses done by school type, income level and outlet type for tobacco and alcohol.
Results
The zoning regulations for tobacco and alcohol differed among the settings ranging from 50 to 100 m for tobacco and absolute bans to 500 m for on-premise alcohol. Among the five different settings within the four countries, 441 areas were studied, including 3615 schools. Non-compliance with the zoning laws is evident in all jurisdictions for both tobacco and alcohol. Within restricted zones around schools (location non-compliant with zoning laws), 12–38% of outlets selling tobacco and 16% to 100% of outlets selling alcohol were identified. For supply non-compliance, 3–70% of shops within the school buffer zones were selling tobacco, while only 0.2–1% of shops were selling alcohol.
Conclusions
Non-compliance with tobacco and alcohol zoning regulations has been observed around schools in Bangladesh, India (North and South), Pakistan and Sri Lanka. Within each country, there was a higher percentage of alcohol outlets that were location non-compliant than for tobacco, except for South India. In India and Sri Lanka, there was a higher percentage of supply non-compliance for tobacco than alcohol. This study calls for governments to strictly enforce existing zoning regulations that are expected to restrict access to tobacco and alcohol for young people.
The built environment around schools that are regularly accessed by young people is determined by governments, national and regional policies in each country or region. Zoning regulations for tobacco and alcohol sales are expected to restrict availability and access by young people. This study aimed to examine (non) compliance with tobacco and alcohol zoning regulations around schools in Bangladesh, India, Pakistan and Sri Lanka.
Methods
In a representative sample of geographic locations in Bangladesh, India North (Delhi) and India South (Chennai), Pakistan and Sri Lanka, the built environment was mapped by systematically walking all streets within the site boundary to collect data on different types of tobacco and alcohol retailers and schools. Data was collected on KoboToolBox, and the maps indicating zoning compliance were created using ArcGIS. Descriptive analysis of outlet compliance to the zoning laws was conducted at the national and school levels, with heterogeneity analyses done by school type, income level and outlet type for tobacco and alcohol.
Results
The zoning regulations for tobacco and alcohol differed among the settings ranging from 50 to 100 m for tobacco and absolute bans to 500 m for on-premise alcohol. Among the five different settings within the four countries, 441 areas were studied, including 3615 schools. Non-compliance with the zoning laws is evident in all jurisdictions for both tobacco and alcohol. Within restricted zones around schools (location non-compliant with zoning laws), 12–38% of outlets selling tobacco and 16% to 100% of outlets selling alcohol were identified. For supply non-compliance, 3–70% of shops within the school buffer zones were selling tobacco, while only 0.2–1% of shops were selling alcohol.
Conclusions
Non-compliance with tobacco and alcohol zoning regulations has been observed around schools in Bangladesh, India (North and South), Pakistan and Sri Lanka. Within each country, there was a higher percentage of alcohol outlets that were location non-compliant than for tobacco, except for South India. In India and Sri Lanka, there was a higher percentage of supply non-compliance for tobacco than alcohol. This study calls for governments to strictly enforce existing zoning regulations that are expected to restrict access to tobacco and alcohol for young people.
Date Issued
2025-05-28
Date Acceptance
2025-05-16
Citation
BMC Medicine, 2025, 23
ISSN
1741-7015
Publisher
BMC
Journal / Book Title
BMC Medicine
Volume
23
Copyright Statement
© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Identifier
10.1186/s12916-025-04148-1
Publication Status
Published
Article Number
307
Date Publish Online
2025-05-28