Evidence map›Paper›PMID 30397030›Full record

ArticleTobacco control2020

Tobacco control within and beyond WHO MPOWER: outcomes from Taiwan SimSmoke.

Mattia Sanna, Wayne Gao, Ya-Wen Chiu, Hung-Yi Chiou, Yi-Hua Chen, Chi-Pang Wen, David Theodore Levy

Abstract read
In one paragraph

Article in Tobacco control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. [Lip and oral cancers in East Asia from 1990 to 2035: trends of disease burden and future projections].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Testing the Usability of Digital Educational Games for Encouraging Smoking Cessation.International journal of environmental research and public health · 2020
    Observational
  8. Article
  9. Electronic Cigarette Use and Smoking Initiation in Taiwan: Evidence from the First Prospective Study in Asia.International journal of environmental research and public health · 2019
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mattia Sanna *Master's Program in Global Health and Development, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0001-7262-0856
Wayne Gao *Master's Program in Global Health and Development, Taipei Medical University, Taipei, Taiwan.
Ya-Wen ChiuMaster's Program in Global Health and Development, Taipei Medical University, Taipei, Taiwan.
Hung-Yi ChiouCollege of Public Health, Taipei Medical University, Taipei, Taiwan.
Yi-Hua ChenCollege of Public Health, Taipei Medical University, Taipei, Taiwan.
Chi-Pang WenInstitute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan.
David Theodore LevyDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdult smoking prevalence in Taiwan rapidly declined from 26.5% in 2005 to 20.0% in 2015. Nevertheless, future projections on smoking-attributable deaths and current per capita consumption do not paint an equally bright picture.

methodsWe used SimSmoke, a tobacco control simulation model to assess the impact of tax increases and other policies by predicting past and projecting over future decades smoking rates and smoking-attributable mortality.

resultsThe model accurately depicts the decline in smoking prevalence observed in Taiwan from 2000 to 2015. Nonetheless, under the 'status quo' scenario, smoking-attributable mortality is projected to continue growing, peaking at 26 602 annual deaths in 2039 and cumulative deaths >1 million by 2044. By comparing projections with current policies with a counterfactual scenario based on the 2000 policy levels, SimSmoke estimates that tobacco control in Taiwan has been able to reduce smoking prevalence by 30% in 2015 with 450 000 fewer smoking-attributable deaths by 2060. Modified scenarios show that doubling the retail price of cigarettes and fully implementing the remaining MPOWER measures would avert approximately 45 000 lives by 2040 and 130 000 by 2060.

conclusionsTobacco will be a leading cause of death in Taiwan for the coming decades, showing yet again the long-term consequences of smoking on public health. The MPOWER package, even if adopted at the highest level with a large tax increase, is unlikely to reduce smoking prevalence to the endgame goal of 5% in the next five decades.

Indexed as

Computer SimulationPolicyAdultFemaleHumansMaleSmokingTaiwanTaxesTobacco ProductsTobacco UseendgamepriceSimSmokeWHO MPOWER

Identifiers

PMID30397030
PMCPMC6952844

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.