Evidence map›Paper›PMID 42767721›Full record

ArticleBMJ open2026

Strategies used by tobacco companies to circumvent tobacco-control regulations across regulatory environments - a scoping review protocol.

Swati Allen, Chandrashekar Janakiram, Parvathy Balachandran, Pallakkaparambil P Pravin, Joy Kumar Chakma

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Swati AllenDivision of Non Communicable Diseases, ICMR, New Delhi, Delhi, India.
Chandrashekar JanakiramAmrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, India sekarcandra@gmail.com.ORCID http://orcid.org/0000-0003-1907-8708
Parvathy BalachandranAmrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, India.ORCID http://orcid.org/0000-0003-4815-5223
Pallakkaparambil P PravinAmrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, India.
Joy Kumar ChakmaHead, Central Procurement Cell, ICMR, New Delhi, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTobacco use remains a leading cause of preventable morbidity and mortality worldwide despite the implementation of comprehensive tobacco control measures under the WHO Framework Convention on Tobacco Control. Regulatory interventions such as advertising restrictions, plain or standardised packaging, taxation, smoke-free legislation, flavour restrictions and regulation of electronic nicotine delivery systems have demonstrated effectiveness in reducing tobacco consumption. The tobacco industry has consistently developed adaptive strategies to circumvent, delay, weaken or undermine these regulatory efforts. Although individual studies have documented specific tactics within discrete policy domains, a comprehensive synthesis mapping industry circumvention strategy across regulatory environments is lacking.

objectiveThis scoping review aims to systematically map and categorise strategies employed by tobacco companies to circumvent tobacco control regulations across diverse policy domains and regulatory contexts globally.

methodsThis protocol follows the Joanna Briggs Institute methodology for scoping reviews and will be reported in accordance with PRISMA-ScR guidelines. Eligibility criteria are structured using the Population-Concept-Context framework. The Population includes tobacco industry actors and affiliated entities such as manufacturers, trade associations, front groups, lobbyists and third-party organisations. The Concept focuses on identifiable strategies or tactics used to circumvent, undermine, delay, exploit or weaken tobacco control regulations. The Context encompasses all regulatory environments and policy domains globally, including advertising restrictions, packaging regulations, taxation, smoke-free laws, product standards and trade disputes. A comprehensive three-step search strategy will be conducted across major bibliographic databases, legal sources and grey literature. Two independent reviewers will conduct study selection and data charting. Extracted data will be synthesised descriptively and thematically, including the development of a typology of circumvention strategies and a mapping matrix to examine variation across regulatory domains and jurisdictions. ETHICS AND DISSEMINATION: Ethics approval is not required for this scoping review. The findings will be disseminated through peer-reviewed journal publications and conference presentations.

Indexed as

Tobacco IndustryAdvertisingElectronic Nicotine Delivery SystemsGovernment RegulationHumansResearch DesignScoping Reviews as TopicTaxesTobacco ControlCommunity-Based Participatory ResearchLAW (see Medical Law)Smoking ReductionTobacco Use

Identifiers

PMID42767721
PMCPMC13599964

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.