ArticleTobacco control2017
The importance of continued engagement during the implementation phase of tobacco control policies in a middle-income country: the case of Costa Rica.
Article in Tobacco control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Addressing Legal Risks in Public Health Communication Campaigns.International journal of environmental research and public health · 2026Review
- Health advocacy strategies to influence policy-making on and regulation of new and emerging tobacco and nicotine products in Latin America and the Caribbean.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Trends and projections of smoking-attributable ischemic stroke mortality in China, 1990-2035: a global burden of disease study.Frontiers in neurology · 2025Article
- Global burden of head and neck cancer: Epidemiological transitions, inequities, and projections to 2050.Frontiers in oncology · 2025Article
- Adopting a WHO Framework Convention on Tobacco Control-Based Tobacco Control Law in Ethiopia: Sustained Transnational Health Advocacy and Multi-Sectoral Institutionalized Support.International journal of environmental research and public health · 2024Article
- Implementing front-of-pack nutrition warning labels in Mexico: important lessons for low- and middle-income countries.Public health nutrition · 2023Article
- Advocacy counterstrategies to tobacco industry interference in policymaking: a scoping review of peer-reviewed literature.Globalization and health · 2023Article
- Corporate Political Activity: Taxonomies and Model of Corporate Influence on Public Policy.International journal of health policy and management · 2023Article
- Tobacco industry thwarts ad ban legislation in India in the 1990s: Lessons for meeting FCTC obligations under Articles 13 and 5.3.Addictive behaviors · 2022Article
- Health Taxes on Tobacco, Alcohol, Food and Drinks in Low- and Middle-Income Countries: A Scoping Review of Policy Content, Actors, Process and Context.International journal of health policy and management · 2022Article
- Global Implementation of Tobacco Demand Reduction Measures Specified in Framework Convention on Tobacco Control.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Progress in adopting bans on tobacco advertising, promotion, and sponsorship in the Americas: lessons from Uruguay and Argentina.Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Evidence on article 5.3 of FCTC (tobacco industry interference in tobacco control activities) in India- a qualitative scoping study.BMC public health · 2021Article
- Food and beverage industry interference in science and policy: efforts to block soda tax implementation in Mexico and prevent international diffusion.BMJ global health · 2021Review
- Defending Comprehensive Tobacco Control Policy Implementation in Nepal From Tobacco Industry Interference (2011-2018).Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Exceeding WHO Framework Convention on Tobacco Control (FCTC) Obligations: Nepal Overcoming Tobacco Industry Interference to Enact a Comprehensive Tobacco Control Policy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Tobacco control in Nepal during a time of government turmoil (1960-2006).Tobacco control · 2020Article
- Organizational and Financial Analysis of Polish Tobacco Control Program in 2000-2018.International journal of environmental research and public health · 2020Article
- Memoranda of understanding: a tobacco industry strategy to undermine illicit tobacco trade policies.Tobacco control · 2019Article
- Role of stakeholders in Nigeria's tobacco control journey after the FCTC: lessons for tobacco control advocacy in low-income and middle-income countries.Tobacco control · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo analyse the process of implementing and enforcing smoke-free environments, tobacco advertising, tobacco taxes and health warning labels from Costa Rica's 2012 tobacco control law.
methodReview of tobacco control legislation, newspaper articles and interviewing key informants.
resultsDespite overcoming decades of tobacco industry dominance to win enactment of a strong tobacco control law in March 2012 consistent with WHO's Framework Convention on Tobacco Control, the tobacco industry and their allies lobbied executive branch authorities for exemptions in smoke-free environments to create public confusion, and continued to report in the media that increasing cigarette taxes led to a rise in illicit trade. In response, tobacco control advocates, with technical support from international health groups, helped strengthen tobacco advertising regulations by prohibiting advertising at the point-of-sale (POS) and banning corporate social responsibility campaigns. The Health Ministry used increased tobacco taxes earmarked for tobacco control to help effectively promote and enforce the law, resulting in high compliance for smoke-free environments, advertising restrictions and health warning label (HWL) regulations. Despite this success, government trade concerns allowed, as of December 2015, POS tobacco advertising, and delayed the release of HWL regulations for 15 months.
conclusionsThe implementation phase continues to be a site of intensive tobacco industry political activity in low and middle-income countries. International support and earmarked tobacco taxes provide important technical and financial assistance to implement tobacco control policies, but more legal expertise is needed to overcome government trade concerns and avoid unnecessary delays in implementation.
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