Adolescent Tobacco Exposure in 31 Latin American Cities before and after the Framework Convention for Tobacco Control

Francisco-Javier Prado-Galbarro, Amy H. Auchincloss, Carolina Pérez-Ferrer, Sharon Sanchez-Franco and Tonatiuh Barrientos-Gutierrez
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Francisco-Javier Prado-Galbarro: Center for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico
Amy H. Auchincloss: Dornsife School of Public Health, Urban Health Collaborative, Drexel University, Philadelphia, PA 19129, USA
Carolina Pérez-Ferrer: Center for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico
Sharon Sanchez-Franco: Department of Public Health, School of Medicine, Universidad de Los Andes, 111711 Bogota, Colombia
Tonatiuh Barrientos-Gutierrez: Center for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico

IJERPH, 2020, vol. 17, issue 20, 1-15

Abstract: Our objective was to describe the prevalence and changes in tobacco use and tobacco control policies in Latin American countries and cities before and after ratification of the 2003 Framework Convention on Tobacco Control (FCTC). Country-level tobacco policy data came from reports on the global tobacco epidemic (World Health Organization, 2007–2014). Global Youth Tobacco Survey data, 2000–2011, came from six countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru), 31 cities and 132,065 students. Pre- and post-FCTC prevalence and relative changes were estimated. All countries showed improvements in tobacco control policies but Mexico and Peru showed the smallest improvements. In general, adolescents reduced their tobacco use, reported less exposure to smoking at home, more tobacco education, and more retailer refusals to sell them cigarettes. Adolescents reported smaller reductions in secondhand smoke exposure outside the home and no change in exposure to tobacco media/promotions. Pre-FCTC prevalence and relative changes during the post-FCTC period were more heterogeneous across cities than across countries. Despite overall improvements in tobacco policies and the decline in exposure to tobacco, policies related to media/promotions and secondhand smoke need strengthening. There was wide variation in adolescent exposure to tobacco between cities (within countries), which suggested major heterogeneity of policy implementation at the local level.

Keywords: population surveillance; tobacco; health policy; Latin America; smoking prevention; adolescent behavior; smoke-free policy; tobacco industry (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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