Tobacco Control Stakeholder Perspectives on the Future of Tobacco Marketing Regulation in Indonesia: A Modified Delphi Study
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Objectives: Tobacco control in Indonesia is very lenient compared to international standards. This study explored the perspectives of tobacco control stakeholders (TCSs) on the likelihood of advancing tobacco marketing regulation in Indonesia.Methods: Data were collected from TCSs who were members of the Indonesia Tobacco Control Network group in a modified Delphi study. We collected the data in 2 waves using a questionnaire that comprised a set of closed and open-ended questions. For this paper, we analysed 2 of the 3 sections of the questionnaire: (1) tobacco advertising, promotions, and sponsorship (TAPS) bans, and (2) marketing and retailing regulations. We conducted a descriptive analysis of the scores using Stata/IC.13 and summarised the comments for each item.Results: The TCSs viewed the measures/strategies across all aspects of TAPS and tobacco marketing regulation as highly desirable, but provided varied responses on their feasibility. They rated political feasibility lower than technical feasibility for most measures. Advancing TAPS measures and prohibition of selling to minors were considered more attainable by sub-national governments, while prohibition of tobacco corporate social responsibility was considered as the least feasible measure in the next 5 years.Conclusions: Despite little optimism for substantial national-level change, there is a positive expectation that sub-national governments will strengthen their tobacco control regulation. It is paramount that the government reduce tobacco industry leverage by implementing Article 5.3 of the World Health Organization Framework Convention on Tobacco Control. Extending advocacy networks beyond tobacco control groups and framing tobacco control more effectively are necessary steps.
Abstract
Objectives: Tobacco control in Indonesia is very lenient compared to international standards. This study explored the perspectives of tobacco control stakeholders (TCSs) on the likelihood of advancing tobacco marketing regulation in Indonesia.Methods: Data were collected from TCSs who were members of the Indonesia Tobacco Control Network group in a modified Delphi study. We collected the data in 2 waves using a questionnaire that comprised a set of closed and open-ended questions. For this paper, we analysed 2 of the 3 sections of the questionnaire: (1) tobacco advertising, promotions, and sponsorship (TAPS) bans, and (2) marketing and retailing regulations. We conducted a descriptive analysis of the scores using Stata/IC.13 and summarised the comments for each item.Results: The TCSs viewed the measures/strategies across all aspects of TAPS and tobacco marketing regulation as highly desirable, but provided varied responses on their feasibility. They rated political feasibility lower than technical feasibility for most measures. Advancing TAPS measures and prohibition of selling to minors were considered more attainable by sub-national governments, while prohibition of tobacco corporate social responsibility was considered as the least feasible measure in the next 5 years.Conclusions: Despite little optimism for substantial national-level change, there is a positive expectation that sub-national governments will strengthen their tobacco control regulation. It is paramount that the government reduce tobacco industry leverage by implementing Article 5.3 of the World Health Organization Framework Convention on Tobacco Control. Extending advocacy networks beyond tobacco control groups and framing tobacco control more effectively are necessary steps.
참고문헌 (35)
- Cairney P, "Global tobacco control: power, policy, governance and transfer", Palgrave Macmillan, pp.45~71 (2012)
- "Tobacco" (2020)[URL]
- "Government regulation No. 81 year 1999 on controlling cigarette for health"[URL]
- "Bill of Republic of Indonesia No. 36 year 2009 regarding health"[URL]
- "Government regulation of Republic of Indonesia No. 109 year 2012 regarding controlling substance containing addictive substance in the form of tobacco product for health"[URL]
- Astuti PA, "Raising generation ‘A’: a case study of millennial tobacco company marketing in Indonesia", Tob Control, 27(e1), pp.e41~e49 (2018)
- Astuti PA, "From glass boxes to social media engagement: an audit of tobacco retail marketing in Indonesia", Tob Control, 28(e2), pp.e133~e140 (2019)
- Astuti PA, "“It is merely a paper tiger.” Battle for increased tobacco advertising regulation in Indonesia: content analysis of news articles", BMJ Open, 7(9), pp.e016975~ (2017)
- Rosser A, "Contesting tobacco-control policy in Indonesia", Crit Asian Stud, 47(1), pp.69~93 (2015)
- Hurt RD, "Roadmap to a tobacco epidemic : transnational tobacco companies invade Indonesia", Tob Control, 21(3), pp.306~312 (2012)
- Achadi A, "The relevance and prospects of advancing tobacco control in Indonesia", Health Policy, 72(3), pp.333~349 (2005)
- Astuti PA, "Why is tobacco control progress in Indonesia stalled?-a qualitative analysis of interviews with tobacco control experts", BMC Public Health, 20(1), pp.527~ (2020)
- "Terminate tobacco industry corporate giving: a review of CSR in ASEAN" (2016)[URL]
- "Basic data Ministry of Home Affairs year 2017"[URL]
- "Stipulation of people Democratic Assembly Republic of Indonesia No. XV/MPR/1998 year 1998 concerning"[URL]
- "Indonesian tobacco atlas 2020"[URL]
- "National report of basic health survey 2018"[URL]
- Astuti PA, "Cigarette retailer density around schools and neighbourhoods in Bali, Indonesia: a GIS mapping", Tob Induc Dis, 17, pp.55~ (2019)
- "Indonesia: Global Youth Tobacco Survey: 2019 factsheet"[URL]
- Septiono W, "Self-reported exposure of Indonesian adolescents to online and offline tobacco advertising, promotion and sponsorship (TAPS)", Tob Control (2021)[DOI]
- Adler M, "Gazing into the oracle: the Delphi method and its application to social policy and public health", pp.9~11 (1996), Jessica Kingsley
- "‘Disneyland for Big Tobacco’: how Indonesia’s lax smoking laws are helping next generation to get hooked" (2018)[URL]
- "Bogor"[URL]
- "Balanga city"[URL]
- "Lampung received Pastika Parama" (2018)[URL]
- "Indonesian mayors’ alliance advances tobacco control" (2017)[URL]
- "Child Friendly Districts-Cities. Indicator KLA"[URL]
- "General guideline for utilization of local cigarette tax for health" (2014)[URL]
- "Who we are-the three power strategy"[URL]
- Chapman S, "The cancer emperor’s new clothes: Australia’s historic legislation for plain tobacco packaging", BMJ, 340, pp.c2436~ (2010)
- "World Trade Organisation gives Australia’s plain tobacco packs the (draft) thumbs up" (2017)[URL]
- "Cigarette businesses reject govt’s massive health warning plan" (2019)[URL]
- "Bill of Republic of Indonesia No. 40 year 2007 regarding limited company"[URL]
- "Guidelines for implementation of Article 5.3"[URL]