全球快速审查应对非法烟草危害的干预措施。

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nathan Davies, Ilze Bogdanovica, Manpreet Bains, Leah Jayes, Tessa Elisabeth Langley
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引用次数: 0

摘要

目的:本综述旨在评估旨在减少非法烟草(IT)危害的干预措施。我们评估了健康结果、成本效益、干预措施的优缺点以及影响实施的背景因素:数据来源:我们检索了 2002 年 1 月至 2024 年 6 月的 MEDLINE 和 EMBASE 数据库、灰色文献,并对纳入的研究进行了无地域限制的前后向引文检索:符合条件的研究类型包括非随机试验、中断时间序列、前后研究、经济模拟和混合方法研究。提供与特定干预措施相关的结果数据的案例研究也包括在内。多位评审员对研究进行了资格筛选:数据提取:提取有关干预措施的地理位置和日期、干预措施的描述、背景以及与评审目标相关的结果数据,并由第二位评审员进行检查。采用适合每项研究设计的乔安娜-布里格斯研究所(JBI)批判性评估工具进行质量评估:纳入了 5 项研究和 16 个案例研究。这些研究报告了一系列干预措施(包括跟踪与追踪系统、防伪措施和宣传活动)和结果(包括税收和人们对信息技术的态度)。有一些证据表明跟踪和追查系统是有效的。以国家级干预措施为主的案例研究报告称,信息技术市场份额下降,税收增加,这表明多成分战略具有潜在效益:关于应对信息技术的干预措施,有希望的证据有限,但很少对其进行系统评估。需要进行全面、独立的评估,以支持政策制定,避免烟草业影响信息技术研究:CRD42023452732。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global rapid review of interventions to tackle the harms of illicit tobacco.

Objective: This review aimed to assess interventions designed to reduce harm from illicit tobacco (IT). We evaluated health outcomes, cost-effectiveness, the advantages and disadvantages of interventions, and contextual factors affecting implementation.

Data sources: We searched MEDLINE and EMBASE databases from January 2002 to June 2024, the grey literature and undertook backward and forward citation searches of included studies without geographical restrictions.

Study selection: Eligible study types included non-randomised trials, interrupted time series, before-after studies, economic simulations and mixed-methods studies. Case studies providing outcome data linked to specific interventions were also included. Studies were screened by multiple reviewers for eligibility.

Data extraction: Data was extracted on geographical location and dates of interventions, descriptions of the interventions, contexts and outcome data relevant to review objectives which were checked by a second reviewer. Quality assessment was conducted using the Joanna Briggs Institute (JBI) critical appraisal tools appropriate for each study design.

Data synthesis: Five studies and 16 case studies were included. These reported on a range of interventions (including track-and-trace systems, anti-counterfeit measures and communications campaigns) and outcomes (including tax revenue and population attitudes toward IT). There was some evidence for the effectiveness of track-and-trace systems. Case studies, predominantly on national-level interventions, reported decreases in IT market share and increases in tax revenue suggesting potential benefits of multicomponent strategies.

Conclusions: There is promising limited evidence for interventions to tackle IT but they are seldom systematically evaluated. Comprehensive, independent evaluations are required to support policymaking and avoid tobacco industry influence in IT research.

Prospero registration number: CRD42023452732.

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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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