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Implications of nicotine vaping products for tobacco control in ASEAN low-income and middle-income countries: in-depth interviews with experts from the region

journal contribution
posted on 2023-10-02, 23:57 authored by Thomas Stubbs, Vicki WhiteVicki White, Hua YongHua Yong, John ToumbourouJohn Toumbourou
ObjectivesThe use of nicotine vaping products (NVPs) has increased in low-income and middle-income countries (LMICs) in the Association of Southeast Asian Nations (ASEAN) region; however, it is uncertain what implications the presence and use of NVPs have for tobacco control.DesignIn-depth interviews were conducted to explore ASEAN tobacco control experts’ (n=11) views on the rise of NVP use in ASEAN LMICs, current NVP policies, the potential harm reduction and smoking cessation utilities of these devices, and what implications they may have for tobacco control. Data were analysed using inductive, reflexive thematic analysis.ResultsFive themes emerged: (1) NVPs threaten tobacco control in ASEAN LMICs; (2) commercial factors influence youth appeal and access: product attributes, marketing, supply chains; (3) opposition to the smoking cessation and harm reduction utilities of NVPs; (4) policies are inconsistent and fragmented in the region; and (5) tobacco industry power and tactics have been used to capture NVP markets.ConclusionsASEAN tobacco control experts believe that NVPs pose a threat to youth and non-smokers in LMICs in the region, largely because of tobacco industry NVP marketing activities. They do not support the use of NVPs for smoking cessation or harm reduction and call for more restrictions and consistent policy enforcement across the region to protect young people, while also cautiously recognising that use of NVPs may have some benefits for smokers.

History

Journal

BMJ Open

Volume

13

Article number

e073106

Pagination

1-9

Location

London, Eng.

ISSN

2044-6055

eISSN

2044-6055

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Issue

9

Publisher

BMJ Publishing Group

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