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1.
Background: Cigarettes are the leading cause of fatal fires in the USA and are associated with one in four fire deaths. Although the technology needed to make fire-safe cigarettes has been available for many years, progress has been slow on legislative and regulatory fronts to require the tobacco industry to manufacture fire-safe cigarettes. Method and results: We conducted a case study, drawing on data from tobacco industry documents, archives, and key informant interviews to investigate tobacco industry strategies for thwarting fire-safe cigarette legislation in the US Congress. We apply a theoretical framework that posits that policymaking is the product of three sets of forces: interests, institutions, and ideas, to examine tobacco industry behaviour, with a special focus on their and others'' attempts to court fire service organisations, including firefighters'' unions as allies. We discuss the implications of our findings for future policy efforts related to fire-safe cigarettes and other tobacco control issues. Conclusions: Tobacco control advocates ought to: continue efforts to align key interest groups, including the firefighters unions; contest tobacco industry "diversionary" science tactics; and pursue a state based legislative strategy for fire-safe cigarettes, building towards national legislation.  相似文献   

2.

Objective

To analyse the implications of Philip Morris USA''s (PM''s) overtures toward tobacco control and other public health organisations, 1995–2006.

Data sources

Internal PM documents made available through multi‐state US attorneys general lawsuits and other cases, and newspaper sources.

Methods

Documents were retrieved from several industry documents websites and analysed using a case study approach.

Results

PM''s Project Sunrise, initiated in 1995 and proposed to continue through 2006, was a long‐term plan to address tobacco industry delegitimisation and ensure the social acceptability of smoking and of the company itself. Project Sunrise laid out an explicit divide‐and‐conquer strategy against the tobacco control movement, proposing the establishment of relationships with PM‐identified “moderate” tobacco control individuals and organisations and the marginalisation of others. PM planned to use “carefully orchestrated efforts” to exploit existing differences of opinion within tobacco control, weakening its opponents by working with them. PM also planned to thwart tobacco industry delegitimisation by repositioning itself as “responsible”. We present evidence that these plans were implemented.

Conclusion

Sunrise exposes differences within the tobacco control movement that should be further discussed. The goal should not be consensus, but a better understanding of tensions within the movement. As the successes of the last 25 years embolden advocates to think beyond passage of the next clean indoor air policy or funding of the next cessation programme, movement philosophical differences may become more important. If tobacco control advocates are not ready to address them, Project Sunrise suggests that Philip Morris is ready to exploit them.  相似文献   

3.
Objective: To discover how the tobacco industry considers social class and gender in its efforts to market cigarettes in the USA, particularly to socially disadvantaged young women. Methods: A systematic on-line search of tobacco industry documents using selected keywords was conducted, and epidemiological data on smoking rates reviewed. Results: The two largest cigarette manufacturers in the USA consider "working class" young adults to be a critical market segment to promote growth of key brands. Through their own market research, these companies discovered that socially disadvantaged young women do not necessarily desire a "feminine" cigarette brand. Conclusions: Considering the tobacco industry''s efforts, alongside the persistent and growing disparities in cigarette smoking by social class, and the narrowing of differences in smoking by gender, it is concluded that additional tobacco control resources ought to be directed toward working class women.  相似文献   

4.

Objectives

This paper examines the tobacco industry''s efforts to influence litigation by sponsoring judicial seminars.

Methods

Thousands of internal tobacco documents were examined, including memos, reports, presentations, and newsletters. Connections to outside organisations were corroborated by examining tobacco industry financial records, budgets, and letters pledging funds. Facts about outside organisations were triangulated through examining their websites and publicly‐filed financial records, and verifying facts through their representatives'' statements in newspaper and law review articles.

Results

There are direct financial ties between the tobacco industry and groups that organise judicial seminars in an effort to influence jurisprudence, and judges who attend these seminars may be breaching judicial ethics either by not inquiring about the source of funding or by ignoring funding by potential litigants.

Conclusions

The tobacco industry''s attempts to clandestinely influence judges'' decisions in cases to which they are a party endangers the integrity of the judiciary.  相似文献   

5.
6.
When, as a condition of the Master Settlement Agreement (MSA) in 1998, US tobacco companies disbanded the Council for Tobacco Research and the Center for Indoor Air Research, they lost a vital connection to scientists in academia and the private sector. The aim of this paper was to investigate two new research projects funded by US tobacco companies by analysis of internal tobacco industry documents now available at the University of California San Francisco (San Francisco, California, USA) Legacy tobacco documents library, other websites and the open scientific literature. Since the MSA, individual US tobacco companies have replaced their industry-wide collaborative granting organisations with new, individual research programmes. Philip Morris has funded a directed research project through the non-profit Life Sciences Research Office, and British American Tobacco and its US subsidiary Brown and Williamson have funded the non-profit Institute for Science and Health. Both of these organisations have downplayed or concealed their true level of involvement with the tobacco industry. Both organisations have key members with significant and long-standing financial relationships with the tobacco industry. Regulatory officials and policy makers need to be aware that the studies these groups publish may not be as independent as they seem.  相似文献   

7.
Background: In 1990, the AIDS Coalition to Unleash Power (ACT-UP) sparked a year long boycott of Philip Morris's Marlboro cigarettes and Miller beer. The boycott protested the company's support of Senator Jesse Helms (R-North Carolina), a leading opponent of AIDS funding and civil rights for lesbian, gay, bisexual and transgender (LGBT) people. ACT-UP demanded that Philip Morris sever its ties with Helms and acknowledge its responsibility to the LGBT community and to people with AIDS.

Objective: To assess the impact of the boycott on the LGBT community, the tobacco industry, and the tobacco control movement; and to determine what lessons tobacco control advocates can extract from this case.

Data sources: Internal tobacco industry documents and newspaper archives.

Methods: Search of tobacco industry documents websites using "boycott", "ACT-UP", "gay", and other terms.

Results: Philip Morris used the boycott to its own advantage. It exploited differences within the community and settled the boycott by pledging large donations to combat AIDS. Through corporate philanthropy, Philip Morris gained entrée to the LGBT market without appearing gay friendly. Many LGBT organisations, thirsty for recognition and funding from mainstream corporations, welcomed Philip Morris's overtures without considering the health hazards of tobacco.

Conclusions: Unless the goal of a boycott is to convince the tobacco industry to abandon tobacco altogether, such actions invite the industry to expand its marketing under the guise of philanthropy. Tobacco control advocates should be clear about goals and acceptable settlement terms before participating in a boycott of a tobacco company.

  相似文献   

8.
OBJECTIVE: To determine state legislators' perceptions about health and tobacco lobbyists, their frequency of contact with these lobbyists, and the amount of campaign contributions from health professional organisations and the tobacco industry. DESIGN: Cross-sectional study. SUBJECTS: State legislators from North Carolina, Texas, and Vermont (USA), serving in 1994. MAIN OUTCOME MEASURES: Perceptions about lobbyists representing the tobacco industry, non-profit health organisations, and state medical societies with respect to their credibility, importance as sources of information, and persuasiveness; extent of lobbying activities; campaign contributions from health professional organisations and the tobacco industry. RESULTS: Almost all legislators reported that medical society and non-profit health organisation lobbyists are credible on tobacco issues and just over half believed that these lobbyists are important sources of information. More legislators said they could be persuaded by medical and health lobbyists than by tobacco lobbyists. Although health professional Political Action Committees (PACs) gave campaign contributions to more state legislators, and gave higher amounts on average, than tobacco PACs, legislators reported less contact with medical society lobbyists than tobacco lobbyists about tobacco issues. CONCLUSIONS: State legislators have positive attitudes toward lobbyists for non-profit health organisations and state medical societies regarding tobacco issues. These groups may be an underused resource for educating legislators about tobacco control measures.


  相似文献   

9.
OBJECTIVE: To describe the role of the tobacco industry in the development of ventilation standards for indoor air quality by influencing the American Society of Heating, Refrigeration, and Air Conditioning Engineers (ASHRAE). METHODS: Review of tobacco industry documents available on the internet between January 2001 and March 2002. Search terms included "ASHRAE", "ventilation", "minutes", "memo", and the names of key players and organisations as identified in the initial searches. Analysis of ASHRAE and other relevant documents publicly available and the personal files of a Standard 62 committee member; interviews of a selected number of ASHRAE players; observation of an ASHRAE meeting. RESULTS: The tobacco industry has been involved in the development of ventilation standards for over 20 years. It has successfully influenced the standard and continues to attempt to change the standard from a smoke-free framework into an "accommodation" framework. The industry acts directly and through consultants and allies. The major health groups have been largely absent and the health interests have been poorly represented in standard development. While concentrated in the USA, ASHRAE standards are adopted worldwide. CONCLUSION: The tobacco industry determined that allowing smoking in ventilation standards for indoor air quality was a high priority and dedicated significant human and financial resources to ensure that its interests were represented. The health groups, until recently, have largely ignored the policy implications for tobacco control of standard development. This situation is changing, but unless health groups maintain high visibility within ASHRAE, the tobacco industry may succeed in creating a standard that ignores the dangers of secondhand smoke.  相似文献   

10.
OBJECTIVE: To describe the extent of the tobacco industry involvement in establishing international standards for tobacco and tobacco products and the industry influence on the International Organization for Standardization (ISO). METHODS: Analysis of tobacco industry documents made public as part of the settlement of the Minnesota Tobacco Trial and the Master Settlement Agreement. Search words included "ISO", "CORESTA", "Barclay", "compensation and machine smoking", "tar and nicotine deliveries", and the name of key players, in different combinations. RESULTS: It is clear that the tobacco industry, through the Cooperation Centre for Scientific Research Relative to Tobacco (CORESTA), play a major role in determining the scientific evidence and suggesting the standards that are eventually adopted as international standards for tobacco and tobacco products in several areas, including the measurement of cigarette tar and nicotine yield. CONCLUSIONS: ISO's tobacco and tobacco products standards are not adequate to guide tobacco products regulatory policies, and no health claims can be made based on ISO's tobacco products standards. There is an urgent need for tobacco control advocates and groups worldwide to be more involved with the work of the ISO, both directly and through their national standardisation organisations.  相似文献   

11.
Zhong F  Yano E 《Tobacco control》2007,16(2):133-137

Background

China entered the World Trade Organization (WTO) in 2001 after years of negotiations. As a WTO member, China had to reduce tariffs on imported cigarettes and remove non‐tariff barriers to allow foreign cigarettes to be more competitive in the Chinese market. Among foreign tobacco companies, British American Tobacco (BAT) was the most active lobbyist during China''s WTO negotiations.

Objective

To review and analyse BAT''s tactics and activities relating to China''s entry into the WTO.

Methods

Internal tobacco industry documents were reviewed and are featured here. Industry documents were searched mainly on the website of BAT''s Guildford Depository and other documents'' websites. 528 documents were evaluated and 142 were determined to be relevant to China''s entry into the WTO.

Results

BAT was extremely active during the progress of China''s entry into the WTO. The company focused its lobbying efforts on two main players in the negotiations: the European Union (EU) and the US. Because of the negative moral and health issues related to tobacco, BAT did not seek public support from officials associated with the WTO negotiations. Instead, BAT lobbyists suggested that officials protect the interests of BAT by presenting the company''s needs as similar to those of all European companies. During the negotiation process, BAT officials repeatedly spoke favourably of China''s accession into the WTO, with the aim of presenting BAT as a facilitator in this process and of gaining preferential treatment from their Chinese competitor.

Conclusions

BAT''s activities clearly suggest that tobacco companies place their own interests above public health interests. Today, China struggles with issues of tobacco control that are aggravated by the aggressive practices of transnational tobacco companies, tobacco‐tariff reductions and the huge number of smokers. For the tobacco‐control movement to progress in China, health advocates must understand how foreign tobacco companies have undermined anti‐tobacco activities by taking advantage of trade liberalisation policies. China should attach importance to public health and comprehensive tobacco‐control policies and guarantee strong protection measures from national and international tobacco interests supported by international trade agreements.China is the largest tobacco producing and consuming country in the world, with over 350 million smokers in a population of 1.2 billion.1,2 China''s cigarette market is dominated by a state‐owned monopoly, the State Tobacco Monopoly Administration, which strongly protects the domestic tobacco industry.3 This largest cigarette market in the world is nearly 3½ times the size of the US cigarette market and over 12 times the size of the German cigarette market, which is the largest in Western Europe.4 However, as smoking rates have fallen in North America and Western Europe,5 transnational tobacco companies (TTCs) from the US and Great Britain have turned to international cigarette markets to seek greater profits.China entered the World Trade Organization (WTO) in 2001 after years of negotiations.6 As a condition of WTO membership, China had to reduce tariffs on imported cigarettes and remove non‐tariff barriers to allow greater competitiveness for foreign cigarettes in the Chinese market.7 O''Sullivan and Chapman8 and Lee et al9 studied TTC industry documents and described TTC aims and conduct in China. Those studies mainly focused on the heavy reliance on contraband and the undermining of national advertising bans. However, no previous papers have examined China''s entry into the WTO on the basis of tobacco‐industry documents. British American Tobacco (BAT) was engaged in the most active lobbying during China''s accession to the WTO. This paper reviews and analyses BAT documents related to China''s WTO negotiations to clarify BAT''s tactics and use of international trade policies to support their corporate interests.  相似文献   

12.
世界烟草企业重组动态观察与思考   总被引:3,自引:1,他引:2  
本文通过对世界上主要烟草国家和地区企业重组并购的背景、历程、内容、经验和教训等动态的观察与分析,对我国烟草行业继续推动重组、走向联合、共同发展和深化改革、完善体制、处理“五大关系”、在专卖专营下建立充满生机和活力的市场竞争主体进行了深刻论述。   相似文献   

13.

Background and objective

British American Tobacco (BAT) has historically enjoyed a monopoly position in Kenya. Analysis of recent tobacco control debates and a case study of BAT''s response to the emergence of competition in Kenya are used to explore the company''s ability to shape public policy and its treatment of tobacco farmers.

Design

Analysis of internal industry documents from BAT''s Guildford depository, other relevant data and interviews with key informants.

Results

BAT enjoys extensive high‐level political connections in Kenya, including close relationships with successive Kenyan presidents. Such links seems to have been used to influence public policy. Health legislation has been diluted and delayed, and when a competitor emerged in the market, BAT used its contacts to have the government pass legislation drafted by BAT that compelled farmers to sell tobacco to BAT rather than to its competitor. BAT was already paying farmers less than any other African leaf‐growing company, and the legislation entrenched poor pay and a quasi‐feudal relationship. BAT''s public relation''s response to the threat of competition and the ministers'' public statements extolling the economic importance of tobacco growing suggest that BAT has manipulated tobacco farming as a political issue.

Conclusions

The extent of BAT''s influence over public policy is consistent with the observations that, despite ratifying the Framework Convention on Tobacco Control, progress in implementing tobacco control measures in Kenya has been limited. The benefits of tobacco farming seem to be deliberately exaggerated, and an analysis of its true cost benefits is urgently needed. Tobacco farmers must be protected against BAT''s predatory practices and fully informed about its activities to help them have an informed role in policy debates. As image, particularly around the importance of tobacco farming, seems key to BAT''s ability to influence policy, the truth about its treatment of farmers must be publicised.Driven by the recent expansion of transnational tobacco corporations (TTCs) across many low‐ and middle‐income countries, the burden of tobacco''s health effect is shifting. It is predicted that, by 2030, 70% of the estimated 10 million global deaths from tobacco will occur in developing countries.1 In this context, sub‐Saharan Africa (SSA) offers an opportunity for global health, being the only region in the world where primary prevention of the tobacco epidemic remains possible.2 However, with TTCs investing heavily in the region during the last decade and with evidence of rapidly rising consumption, particularly among youth,3 this window of opportunity is closing rapidly.Implementation of comprehensive regulatory measures is required to prevent further escalation of the epidemic in SSA, and the World Health Organisation''s Framework Convention on Tobacco Control (FCTC) provides excellent opportunities in this regard. The African nations recognised this in pressing unanimously for a comprehensive treaty while simultaneously acknowledging the need to find an alternative income for countries dependent on tobacco farming, notably Zimbabwe and Malawi.2,3 Tobacco farming represents a unique dimension to the tobacco control debate in SSA, and previous analyses of tobacco industry documents suggest that the tobacco industry has attempted to hijack such debates by presenting tobacco control as a “first world” concern that would lead to economic destabilisation and exacerbate poverty and malnutrition among tobacco‐growing countries.4 By contrast, a growing body of evidence suggests that tobacco farmers face considerable financial and health risks from growing tobacco.5,6,7,8,9,10,11,12As African nations seek to implement the provisions of the FCTC, tobacco control legislation will have to be developed and enacted, providing opportunities for the tobacco industry to influence policy. The fact that Kenya has signed and ratified the FCTC13 while (as detailed below) efforts to implement legislation consistent with the treaty have been unsuccessful amid persistent reports of BAT influence14 highlights the possible barriers. Hence, there is an urgent need to understand the tobacco control policy environment in Africa, including the relationships between tobacco farmers and TTCs, which are clearly integral to this. However, there remains a dearth of research in this area. This paper seeks to address this gap by examining British American Tobacco''s (BAT) policy influence in Kenya.BAT merits particular attention as it is the dominant player in SSA, with a market share of over 90% in 11 countries.3 The selection of Kenya reflects its significance to BAT''s operations in Africa, the role it seems to have in BAT''s efforts to influence policy regionally15 and the nature of Kenyan tobacco politics.After an introduction to the origins and character of BAT''s political influence in Kenya and an overview of recent tobacco control debates in the country, this paper uses a case study of the company''s response to an emergent competitor, Mastermind Tobacco Kenya (referred to in the documents as MTK or MTCo), to examine BAT''s influence on policymaking. The paper therefore aims to shed important light on issues critical to the development of tobacco control across SSA.  相似文献   

14.

Objective

To document the tobacco industry''s litigation strategy to impede tobacco control media campaigns.

Methods

Data were collected from news and reports, tobacco industry documents, and interviews with health advocates and media campaign staff.

Results

RJ Reynolds and Lorillard attempted to halt California''s Media Campaign alleging that the campaign polluted jury pools and violated First Amendment rights because they were compelled to pay for anti‐industry ads. The American Legacy Foundation was accused of violating the Master Settlement Agreement''s vilification clause because its ads attacked the tobacco industry. The tobacco companies lost these legal challenges.

Conclusion

The tobacco industry has expanded its efforts to oppose tobacco control media campaigns through litigation strategies. While litigation is a part of tobacco industry business, it imposes a financial burden and impediment to media campaigns'' productivity. Tobacco control professionals need to anticipate these challenges and be prepared to defend against them.  相似文献   

15.
Objective: To investigate the genesis and development of tobacco company Philip Morris''s recent image enhancement strategies and analyse their significance. Data sources: Internal Philip Morris documents, made available by the terms of the Master Settlement Agreement between the tobacco companies and the attorneys general of 46 states, and secondary newspaper sources. Study selection: Searches of the Philip Morris documents website (www.pmdocs.com) beginning with terms such as "image management" and "identity" and expanding as relevant new terms (consultant names, project names, and dates), were identified, using a "snowball" sampling strategy. Findings and conclusions: In the early 1990s, Philip Morris, faced with increasing pressures generated both externally, from the non-smokers'' rights and public health communities, and internally, from the conflicts among its varied operating companies, seriously considered leaving the tobacco business. Discussions of this option, which occurred at the highest levels of management, focused on the changing social climate regarding tobacco and smoking that the tobacco control movement had effected. However, this option was rejected in favour of the image enhancement strategy that culminated with the recent "Altria" name change. This analysis suggests that advocacy efforts have the potential to significantly denormalise tobacco as a corporate enterprise.  相似文献   

16.
OBJECTIVE: To describe how the tobacco industry attempted to trivialise the health risks of second hand smoke (SHS) by both questioning the science of risk assessment of low dose exposure to other environmental toxins, and by comparing SHS to such substances about which debate might still exist. METHODS: Analysis of tobacco industry documents made public as part of the settlement of litigation in the USA (Minnesota trial and the Master Settlement Agreement) and available on the internet. Search terms included: risk assessment, low dose exposure, and the names of key players and organisations. RESULTS/CONCLUSION: The tobacco industry developed a well coordinated, multi-pronged strategy to create doubt about research on exposure to SHS by trying to link it to the broader discussion of risk assessment of low doses of a number of toxins whose disease burden may still be a matter of scientific debate, thus trying to make SHS their equivalent; and by attempting, through third party organisations and persons, to impugn the agencies using risk assessment to establish SHS as a hazard.  相似文献   

17.
OBJECTIVE: To describe the nature and extent of tobacco company sponsorship in the USA during the period 1995-99 and analyse this sponsorship in a marketing context. DESIGN: A cross-sectional study of tobacco company sponsorships identified through a customised research report from IEG Inc, and from internet web site searches. METHODS: First, a customised report was received from IEG Inc, which identified sponsorship activities for Philip Morris, RJ Reynolds, Brown & Williamson, Lorillard, and US Tobacco for the years 1997 and 1998. Second, the internet was systematically searched for tobacco industry sponsorships during the period 1995-99 by the same parent companies and their respective brands. RESULTS: During the period 1995-99, tobacco companies sponsored at least 2733 events, programmes, and organisations in the USA. Sponsorships involved all 50 states and the District of Columbia, and the minimum total funding amount of these sponsorships was $365.4 million. Tobacco corporate sponsorships involved numerous small, community based organisations, both through direct funding and through grants to larger umbrella organisations, and many of these organisations were part of the public health infrastructure. CONCLUSIONS: Tobacco corporate sponsorship serves as an important marketing tool for tobacco companies, serving both a sales promotion and public relations function. Public health practitioners need to develop better surveillance systems for monitoring tobacco sponsorship, to seek out alternative funding sources for tobacco company sponsored events and organisations, and to consider promoting a ban on tobacco sponsorship, possibly linking such regulation to the creation of alternative funding sources.  相似文献   

18.
BACKGROUND: Among all racial and ethnic groups in the USA, African Americans bear the greatest burden from tobacco related disease. The tobacco industry has been highly influential in the African American community for decades, providing funding and other resources to community leaders and emphasising publicly its support for civil rights causes and groups, while ignoring the negative health effects of its products on those it claims to support. However, the industry's private business reasons for providing such support were unknown. OBJECTIVE: To understand how and for what purposes the tobacco industry sought to establish and maintain relationships with African American leaders. METHODS: Review and analysis of over 700 previously secret internal tobacco industry documents available on the internet. RESULTS: The tobacco industry established relationships with virtually every African American leadership organisation and built longstanding social connections with the community, for three specific business reasons: to increase African American tobacco use, to use African Americans as a frontline force to defend industry policy positions, and to defuse tobacco control efforts. CONCLUSION: As the tobacco industry expands its global reach, public health advocates should anticipate similar industry efforts to exploit the vulnerabilities of marginalised groups. The apparent generosity, inclusion, and friendship proffered by the industry extract a price from groups in the health of their members. Helping groups anticipate such efforts, confront industry co-optation, and understand the hidden costs of accepting tobacco industry largesse should be part of worldwide tobacco control efforts.  相似文献   

19.
烟草行业落实科学发展观的理论与现实思考   总被引:1,自引:0,他引:1  
坚持以人为本是科学发展观的本质和核心。烟草行业能否做到以人为本,关键在于能否正确理解专卖制度的本意要求,并始终把国家利益和消费者权益放在突出的位置。要坚持平稳发展,进行反周期调节,确保烟草行业可持续发展--杜绝急于求成,急功近利的思想;加快企业联合重组,深化内部管理体制改革;下大力气夯实烟叶基础,避免烟叶出现问题;完善宏观调控,为企业创造良好的宏观环境。要大力推进科技进步和管理创新,切实转变烟草经济增长方式--不单纯追求税利增长,大力推进科技进步,推进产品结构的优化调整,加快资源整合,推动企业走集聚式发展道路。顺应入世要求,积极实施走出去战略,拓展参与国际市场竞争的新途径,着力打造"中国烟草"品牌,建设跨国经营人才队伍。按照科学发展观的要求,处理好专卖专营与市场竞争、集中统一与地方利益、总量控制与满足消费、宏观调控与搞活企业、生产经营与资本经营等行业改革与发展的五个关系。   相似文献   

20.
Hafez N  Ling PM 《Tobacco control》2005,14(4):262-271
Objective: To describe Philip Morris'' global market research and international promotional strategies targeting young adults. Methods: : Analysis of previously secret tobacco industry documents. Results: Philip Morris pursued standardised market research and strategic marketing plans in different regions throughout the world using research on young adults with three principle foci: lifestyle/psychographic research, brand studies, and advertising/communication effectiveness. Philip Morris identified core similarities in the lifestyles and needs of young consumers worldwide, such as independence, hedonism, freedom, and comfort. In the early 1990s Philip Morris adopted standardised global marketing efforts, creating a central advertising production bank and guidelines for brand images and promotions, but allowing regional managers to create regionally appropriate individual advertisements. Conclusions: Values and lifestyles play a central role in the global marketing of tobacco to young adults. Worldwide counter marketing initiatives, coupled with strong, coherent global marketing policies such as the Framework Convention on Tobacco Control, are needed to break associations between young adult values and tobacco brands. As globalisation promotes the homogenisation of values and lifestyles, tobacco control messages that resonate with young adults in one part of the world may appeal to young adults in other countries. Successful tobacco control messages that appeal to young people, such as industry denormalisation, may be expanded globally with appropriate tailoring to appeal to regional values.  相似文献   

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