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Waterpipe tobacco smoking legislation and policy enactment: a global analysis

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Title: Waterpipe tobacco smoking legislation and policy enactment: a global analysis
Authors: Jawad, M
El Kadi, L
Mugharbil, S
Nakkash, R
Item Type: Journal Article
Abstract: Objective (1) To review how current global tobacco control policies address regulation of waterpipe tobacco smoking (WTS). (2) To identify features associated with enactment and enforcement of WTS legislation. Data Sources (1) Legislations compiled by Tobacco Control Laws (www.tobaccocontrollaws.org). (2) Weekly news articles by ‘Google Alerts’ (www.google.com/alerts) from July 2013 to August 2014. Study Selection (1) Countries containing legislative reviews, written by legal experts, were included. Countries prohibiting tobacco sales were excluded. (2) News articles discussing aspects of the WHO FCTC were included. News articles related to electronic-waterpipe, crime, smuggling, opinion pieces or brief mentions of WTS were excluded. Data Abstraction (1) Two reviewers independently abstracted the definition of “tobacco product” and/or “smoking”. Four tobacco control domains (smokefree law, misleading descriptors, health warning labels and advertising/promotion/sponsorship) were assigned one of four categories based on the degree to which WTS had specific legislation. (2) Two investigators independently assigned at least one theme and associated subtheme to each news article. Data Synthesis (1) Reviewed legislations of 62 countries showed that most do not address WTS regulation but instead rely on generic tobacco/smoking definitions to cover all tobacco products. Where WTS was specifically addressed, no additional legislative guidance accounted for the unique way it is smoked, except for in one country specifying health warnings on waterpipe apparatuses (2) News articles mainly reported on noncompliance with public smoking bans, especially in India, Pakistan and the UK. Conclusions A regulatory framework evaluated for effectiveness and tailored for the specificities of WTS needs to be developed.
Issue Date: 30-Dec-2014
Date of Acceptance: 8-Dec-2014
URI: http://hdl.handle.net/10044/1/41358
DOI: http://dx.doi.org/10.1136/tobaccocontrol-2014-051911
ISSN: 0964-4563
Publisher: BMJ Publishing Group
Start Page: 60
End Page: 65
Journal / Book Title: Tobacco Control
Volume: 24
Copyright Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Global health
Non-cigarette tobacco products
Public policy
Global Health
Government Regulation
Public Policy
Smoking Cessation
Tobacco Industry
Public Health
MD Multidisciplinary
Publication Status: Published
Appears in Collections:School of Public Health