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Gambaryan M.G.

National Medical Research Center for Therapy and Preventive Medicine

Kontsevaya A.V.

National Medical Research Center for Therapy and Preventive Medicine

Popovich M.V.

National Medical Research Center for Therapy and Preventive Medicine

Starovoytov M.L.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Assessment of the implementation of legislative restrictions on tobacco retailers and point-of-sale tobacco display bans based on a literature review and results from Russian tobacco control policy evaluation survey EPOHA-RF

Authors:

Gambaryan M.G., Kontsevaya A.V., Popovich M.V., Starovoytov M.L., Drapkina O.M.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2022;25(12): 21‑31

DOI: 10.17116/profmed20222512121

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To cite this article:

Gambaryan MG, Kontsevaya AV, Popovich MV, Starovoytov ML, Drapkina OM. Assessment of the implementation of legislative restrictions on tobacco retailers and point-of-sale tobacco display bans based on a literature review and results from Russian tobacco control policy evaluation survey EPOHA-RF. Russian Journal of Preventive Medicine. 2022;25(12):21‑31. (In Russ.)
https://doi.org/10.17116/profmed20222512121

 
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Tobacco use is a significant risk factor for chronic non-communicable diseases and related mortality. Legislative regulation of tobacco and other nicotine-containing products (NCPs) in the Russian Federation is the basis of population prevention of these diseases. It covers all aspects of tobacco circulation, sales, and consumption, including regulating points of sale of tobacco products (TPs) and other NCPs, banning open display, demonstration, and advertising of TPs and NCPs at points of sale.

OBJECTIVE

To analyze international and National legislative measures to restrict the physical availability of tobacco and other NCPs, to study the implementation of these measures in Russia based on the results of our research — Russian tobacco control policy evaluation survey EPOCHA-RF.

MATERIAL AND METHODS

A search, review, and analysis of publications over 20 years in international scientific literature databases, including domestic studies on the impact of urban infrastructure on human health, was conducted. We analyzed the results of the 2017-2018 EPOCHA-RF survey of the Russian adult population on the evaluation of state policy measures to counteract tobacco use, conducted on a multistage territory representative stratified sample in 10 constituent entities of the Russian Federation, including 11.625 Russians aged 18 and older: 6.569 smokers, 2.377 ex-smokers and 2.679 never smokers. We analysed the implementation of the ban on sales of tobacco products in non-statutory commercial facilities, ban on advertising, and demonstration of TPs at the points of sale.

RESULTS

The high density of TPs points of sale, demonstration, open display, and advertising of TPs and NCPs at points of sale contribute to increased smoking prevalence, particularly among children and adolescents, and discourage smoking cessation. In Russia, a pilot study in four municipalities of one region identified 299 points of sale for TPs, of which 13.7% were standalone kiosks. According to the EPOCHA-RF data, 46.8% (95% CI 45.7-48%) of smokers purchased tobacco in kiosks, 11.5% (95% CI 10.9-12.1%) encountered tobacco advertising and promotion in shop windows selling TPs, 13.5% (95% CI 12.9-14.2%) in shops, 11.9% (95% CI 11.3-12.5%) respondents indicated open displays in points of sale. The data varied significantly between regions. NCPs point-of-sale advertisements targeting youth increased the likelihood of e-cigarette use by nearly 2-fold (adjusted OR 1.82 (95% CI 1.24-2.7), p=0.002) and tobacco heating systems by nearly 5-fold (adjusted OR 4.69 (95% CI 2.70-8.14), p=0.000).

CONCLUSION

Strict control and oversight over the implementation of existing legislation and continuous monitoring of these processes using GIS technologies, population surveys, and epidemiological studies are needed. The results of monitoring and evaluation of the implementation of legislative norms are necessary to improve the current legislation to counteract the consumption of tobacco and other nicotine-containing products.

Keywords:

retail sale of tobacco products
tobacco points of sale
tobacco product points of sale
open display of cigarettes at points of sale
demonstration of tobacco points of sale
e-cigarette advertising
living environment

Authors:

Gambaryan M.G.

National Medical Research Center for Therapy and Preventive Medicine

Kontsevaya A.V.

National Medical Research Center for Therapy and Preventive Medicine

Popovich M.V.

National Medical Research Center for Therapy and Preventive Medicine

Starovoytov M.L.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Received:

15.08.2022

Accepted:

19.09.2022

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