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Progress and challenges in tobacco control policies in Mexico, 2003–2017: an approach using the Tobacco Control Scale

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Abstract

The study aims to assess the implementation of tobacco control policies in Mexico from 2003 through 2017 using the Tobacco Control Scale (TCS). The TCS is a research tool widely used in the European region. It facilitates assessment of tobacco control policy implementation based on six cost-effective interventions: tobacco taxes, smoke-free policies, advertising bans, public spending on the information campaign, health warnings, and smoking cessation treatment, reflecting results in a total score between 0 and 100. From 2003 through 2017, Mexico's total score improved from 24/100 to 55/100, with substantial progress in raising tobacco taxes, 11 subnational smoke-free laws, and with placement on cigarette packs of large health warnings with pictograms. Progress in tobacco control policies implemented in this period corresponds with a decrease in smoking prevalence across Mexico. This tool is useful for monitoring tobacco policy implementation in low- and middle-income countries and be used for advocacy purposes to enforce and improve tobacco control legislation.

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Acknowledgements

This work is an interinstitutional collaboration between the National Institute of Public Health of Mexico and the Complutense University of Madrid.

Funding

Funding was provided by Universidad Complutense de Madrid.

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Authors and Affiliations

  1. Department of Public Maternal and Child Health, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain

    Delta Jeazul Ponce-Hernandez, Luis Sordo & Enrique Regidor-Poyatos

  2. CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain

    Luis Sordo & Enrique Regidor-Poyatos

  3. Department of Smoking Prevention and Control, Center for Population Research, National Institute of Public Health of Mexico, Col. Santa María Ahuacatitlán, Av. Universidad 655, CP 62100, Cuernavaca, Mor, Mexico

    Luz Myriam Reynales-Shigematsu

  4. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain

    Enrique Regidor-Poyatos

  5. Andalusian School of Public Health, Granada, Spain

    Jesús Henares-Montiel

  6. Instituto de Investigación Biosanitaria de Granada (Ibs. GRANADA), Granada, Spain

    Jesús Henares-Montiel

  7. University of California, San Diego (UCSD), La Jolla, CA, USA

    Alhelí Calderón-Villarreal

  8. San Diego State University (SDSU), San Diego, CA, USA

    Alhelí Calderón-Villarreal

Authors
  1. Delta Jeazul Ponce-Hernandez
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  2. Luis Sordo
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  5. Jesús Henares-Montiel
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Correspondence to Luz Myriam Reynales-Shigematsu.

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Ponce-Hernandez, D.J., Sordo, L., Reynales-Shigematsu, L.M. et al. Progress and challenges in tobacco control policies in Mexico, 2003–2017: an approach using the Tobacco Control Scale. J Public Health Pol 43, 431–444 (2022). https://doi.org/10.1057/s41271-022-00359-5

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