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. 2019 Jun 26;19(1):825.
doi: 10.1186/s12889-019-7073-x.

Policies that limit youth access and exposure to tobacco: a scientific neglect of the first stages of the policy process

Thomas G Kuijpers  1   2 , Anton E Kunst  3 , Marc C Willemsen  4   5
Affiliations

Policies that limit youth access and exposure to tobacco: a scientific neglect of the first stages of the policy process

Thomas G Kuijpers et al. BMC Public Health. .

Abstract

Background: Policymakers can adopt and implement various supply-side policies to limit youth access and exposure to tobacco, such as increasing the minimum age of sale, limiting the number or type of tobacco outlets, or banning the display of tobacco products. Many studies have assessed the impact of these policies, while less is known about the preceding policy process. The aim of our review was to assess the available evidence on the preceding process of agenda setting, policy formulation, and policy legitimation.

Methods: A systematic literature search was conducted using the PubMed and the Social Sciences Citation Index databases. After selection, 200 international peer-reviewed articles were identified and analyzed. Through a process of close reading, evidence based on scientific enquiry and anecdotal evidence on agenda setting, policy formulation and policy legitimation was abstracted from each article.

Results: Scientific evidence on the policy process is scarce for these policies, as most of the evidence found was anecdotal. Only one study provided evidence based on a scientific analysis of data on the agenda setting and legitimation phases of policy processes that led to the adoption of display bans in two Australian jurisdictions.

Conclusion: The processes influencing the adoption of youth access and exposure policies have been grossly understudied. A better understanding of the policy process is essential to understand country variations in tobacco control policy.

Keywords: Advocacy; Policy making; Policy process; Prevention; Public policy; Tobacco control; Youth access.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISM flowchart diagram of included articles
Fig. 2
Fig. 2
Dispersion of published evidence across time
See this image and copyright information in PMC

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References

    1. U.S. National Cancer Institute and World Health Organization. The Economics of Tobacco and Tobacco Control. National Cancer Institute Tobacco Control Monograph 21. NIH Publication No. 16-CA-8029A. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute; Geneva, CH: World Health Organization; 2016.
    1. World Health Organization. The European tobacco control report. Copenhagen: WHO regional office for Europe, 2007. http://www.euro.who.int/__data/assets/pdf_file/0005/68117/E89842.pdf (Accessed 6 July 2017).
    1. WILLEMSEN MARC C, DE ZWART WIL M. The effectiveness of policy and health education strategies for reducing adolescent smoking: a review of the evidence. Journal of Adolescence. 1999;22(5):587–599. doi: 10.1006/jado.1999.0254. - DOI - PubMed
    1. Richardson Lindsay, Hemsing Natalie, Greaves Lorraine, Assanand Sunaina, Allen Patrice, McCullough Lucy, Bauld Linda, Humphries Karin, Amos Amanda. Preventing Smoking in Young People: A Systematic Review of the Impact of Access Interventions. International Journal of Environmental Research and Public Health. 2009;6(4):1485–1514. doi: 10.3390/ijerph6041485. - DOI - PMC - PubMed
    1. Liang Lan, Chaloupka Frank, Nichter Mark, Clayton Richard. Prices, policies and youth smoking, May 2001. Addiction. 2003;98:105–122. doi: 10.1046/j.1360-0443.98.s1.7.x. - DOI - PubMed

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