Evidence map›Paper›PMID 42030293›Full record

ArticlePLoS medicine2026

Tobacco control policies on cancer prevention in the Eastern Mediterranean Region, 2025-2050: A modeling study.

Saeed Nemati, Mojtaba Vand Rajabpour, Xiaoshuang Feng, Negar Taheri, Harriet Rumgay, Farrokh Heidari, Ebrahim Karimi, Sepideh Abdi, Mattias Johansson, Mahdi Sheikh

Abstract read
In one paragraph

Article in PLoS medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Saeed NematiEarly Detection, Prevention, and Infectious (EPR) Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID https://orcid.org/0009-0002-2297-6234
Mojtaba Vand RajabpourCancer Research Centre, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
Xiaoshuang FengEarly Detection, Prevention, and Infectious (EPR) Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID https://orcid.org/0000-0002-7933-3996
Negar TaheriCancer Research Centre, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
Harriet RumgayCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID https://orcid.org/0000-0002-1862-9371
Farrokh HeidariOtorhinolaryngology Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Ebrahim KarimiOtorhinolaryngology Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Sepideh AbdiCancer Research Centre, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1907-9471
Mattias JohanssonEarly Detection, Prevention, and Infectious (EPR) Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID https://orcid.org/0000-0002-3116-5081
Mahdi SheikhEarly Detection, Prevention, and Infectious (EPR) Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID https://orcid.org/0000-0003-3972-7824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the implementation of control policies, smoking prevalence remains high in Eastern Mediterranean Region (EMR), and the impact of tobacco control efforts on cancer prevention is unclear. We assessed the potential impact of key policy interventions on tobacco-related cancer incidence in EMR countries from 2025 to 2050. METHODS AND

findingsWe conducted a modeling study using a country-level historical data to project tobacco smoking prevalence in EMR countries under four scenarios: (i) full implementation of the MPOWER (Monitor, Protection, Offer, Warn, Enforce, and Raise) policy package, (ii) a 10-unit increase in the cigarette affordability index (Higher values of the affordability index indicate that cigarettes are less affordable) (iii) maximized literacy rates (100% adult literacy), and (iv) combined implementation of all three policies. For each scenario, we estimated the Population Attributable Fraction (PAF) of tobacco smoking for 13 cancer types causally linked to tobacco use. The number of preventable cancer cases was calculated using the difference in PAFs between the current and alternative scenarios, referred to as the Potential Impact Fraction (PIF). An estimated 14.3 million tobacco-related cancer cases will occur in the EMR between 2025 and 2050, with over 3 million attributable to current smoking prevalence (PAF = 21.3%; [95% CI: 18.4, 24.6]). Combined implementation of all assessed policies could prevent 442,292 cases (95% CI: 226,987, 660,045) (3.1% of all projected cases; [95% CI: 1.6, 4.6]). The greatest impact was observed in low HDI (Human Development Index) countries, where up to 291,425 (95% CI: 198,186, 388,546) cases could be averted. Maximizing literacy showed the highest preventive potential in low (n = 224,463; [95% CI: 149,521, 307,386]) and medium HDI (n = 84,569; [95% CI: [2,801, 177,317]) countries, while full implementation of MPOWER had the greatest effect in high HDI countries (n = 11,890; [95% CI: 8,397, 15,378]). As our main limitation, we assumed a causal relationship between previously implemented policies and concurrent changes, while other potential causes of these changes have not been considered in the current study.

conclusionStrengthening tobacco control policies particularly improving literacy in low HDI countries may potentially contribute to reductions in future cancer burden in EMR.

Indexed as

Health PolicyNeoplasmsSmokingSmoking PreventionHumansIncidenceMediterranean RegionPrevalenceTobacco Control

Identifiers

PMID42030293
PMCPMC13108767

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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.