Global policy progress in Article 20 of World Health Organization's Framework Convention on Tobacco Control (WHO FCTC) on Smokeless Tobacco (SLT)

摘要

BackgroundArticle20 deals with research, surveillance and exchange of information on tobaccoproducts. This paper mandates to update comprehensive information onappropriate scientific national research and established surveillancemechanisms as well as programs that address the magnitude, patterns,determinants, related social, economic and health indicators and consequencesof Smokeless Tobacco (SLT) consumption.MethodsThepresent study is a review of global SLT use prevalence among ratifiedcountries. Nationally representative data per country has been collected andvalidated from respective Global Adult Tobacco Surveys (GATS); Global YouthTobacco Surveys (GYTS); WHO report on Global Tobacco Epidemic - 2013 &2015; WHO STEPwsie approach to chronic disease surveillance (STEPS surveys);and Global Progress Report on implementation of the WHO FCTC - 2016.ResultsComprehensiveinformation on Global SLT use is limited. Data on SLT use among adults isavailable at national level in 140 Parties only. Periodic and recent data isavailable in 15 Parties only. Information of SLT use among adolescents atnational level is available for 110 countries only. Periodic and recent dataamong adolescents is available in 20 Parties. In SEAR, SLT use amongadolescents is higher than smoking, unlike other regions. Research on economicsand health consequences is available for 25 and 10 Parties respectively.ConclusionsPartiesshould periodically monitor and share the magnitude, patterns, determinants andrelated social, economic and health consequences of all tobacco productsincluding SLT especially in SEAR.