Status and Challenges of Implementing Tobacco Control Policies in Korea: Focus on WHO MPOWER Measures

Jaehyung Kong; Sujin Lim; Saegyeul Choi; Gil-yong Kim

doi:10.25055/JKSRNT.2023.14.2.21

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https://doi.org/10.25055/JKSRNT.2023.14.2.21

Status and Challenges of Implementing Tobacco Control Policies in Korea: Focus on WHO MPOWER Measures

J Korean Soc Res Nicotine Tob 2023; 14(2): 21-32

Published online June 30, 2023

Jaehyung Kong^1,2, Sujin Lim¹, Saegyeul Choi¹, Gil-yong Kim^1*

¹Korea Health Promotion Institute, Seoul, ²Graduate School of Public Health, Seoul National University, Seoul, Korea

Correspondence to: ^*김길용
한국건강증진개발원
E-mail: kimgy@khepi.or.kr
ORCID: https://orcid.org/0009-0001-0042-9689

Received June 13, 2023; Revised June 25, 2023; Accepted June 26, 2023.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: To collectively address the problems caused by tobacco use in South Korea and other countries, the World Health Organization (WHO) has implemented tobacco control policies under the WHO Framework Convention on Tobacco Control. The most crucial and cost-effective tobacco control policy is identified as MPOWER, named after its key components: Monitoring tobacco use and prevention policies (M); Protecting from tobacco smoke (P); Offering help to quit tobacco use (O); Warning about the dangers of tobacco (W); Enforcing ban on tobacco advertising, promotion and sponsorship (E); Raising taxes on tobacco (R). WHO evaluates and publishes the implementation status of MPOWER policies globally and in each country every two years. Since 2013, South Korea has consistently received a “complete” evaluations in terms of M, O, and W (specifically for anti-tobacco campaigns) over approximately 10 years. Additionally, the W-related policy has been rated as “moderate” due to the mandatory implementation of a graphic health warning. However, policies concerning P and E are rated as "weak." Furthermore, the R-related policy has remained unchanged for several years. Currently, tobacco prices in South Korea do not sufficiently discourage purchases, necessitating consideration of price increases. Moreover, the legislative framework for designating additional smoke-free zones and the regulations and criteria for the installation of smoking rooms should be discussed. Additionally, since South Korea has the world's weakest restrictions on tobacco advertising, promotion, and sponsorship, urgent institutional improvements are required to regulate tobacco advertising, promotion, and sponsorship activities comprehensively. This should include prohibiting the display and advertisement of tobacco products in retail stores and forbidding the publication of tobacco advertisements in magazines.; Keywords : Tobacco; Tobacco control policy; Republic of Korea; WHO; MPOWER

References

Institute of Health Metrics. Global Burden of Disease 2019.
Available from: https://www.healthdata.org/results/gbd_summaries/2019/tobaccolevel-2-risk
GBD 2019 Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet 2021; 397: 2337-60.
World Health Organization. Tobacco.
Available from: https://www.who.int/news-room/ fact-sheets/detail/tobacco
Goodchild M, Nargis N, d’Espaignet E. Global economic cost of smoking-attributable diseases. Tob. Control 2018; 27: 58-64.
International Monetary Fund. World Economic Outlook Database. 2023.
Available from: https://www.imf.org/en/Publications/WEO/weo-database/2023/April
Korea Disease Control and Prevention Agency. 2021 Korea National Health and Nutrition Examination Sruvey. 2022.
OECD. Daily smokers (indicator). 2023. doi: 10.1787/1ff488c2-en.
Available from: https://data.oecd.org/healthrisk/daily-smokers.htm
Seoul National University. Korea Disease Control and Prevention Agency. Study on attributable mortality and socioeconomic burden of smoking and second-hand smoking in South Korea. 2021.
Korea Disease Control and Prevention Agency. KDCA Report on Harmful Effects of Tobacco: An Overview of Tobacco Use and its Effects on Health. 2022.
Available from: https://www.kdca.go.kr/contents. es?mid=a20205010900
Korea Health Promotion Institute. WHO FCTC 15th Anniversary Resource Book: 04 Global Implementation Status of WHO FCTC. 2020; 9.
World Health Organization. WHO report on the global tobacco epidemic, 2021: addressing new and emerging products. World Health Organization. 2021.
World Health Organization. WHO report on the global tobacco epidemic, 2008: MPOWER package. World Health Organization. 2008.
Ünal E, Metintaş S. Effectiveness of anti-smoking interventions towards community: a meta-analysis study. Central European Journal of Public Health. 2021; 29(2): 134-42.
Flor LS, Reitsma MB, Gupta V, Ng M, Gakidou E. The effects of tobacco control policies on global smoking prevalence. Nature Medicine. 2021; 27: 239-43.
Ngo A, Cheng KW, Chaloupka FJ, Shang C. The effect of MPOWER scores on cigarette smoking prevalence and consumption. Preventive medicine. 2017; 105: S10-4.
De Looze ME, Henking C, Torsheim T, Currie DB, Weber MW, Alemán-Díaz AY. The association between MPOWER tobacco control policies and adolescent smoking across 36 countries: An ecological study over time (2006-2014). International Journal of Drug Policy. 2022; 109: 103871.
Yang SL, Togawa K, Gilmour S, Leon ME, Soerjomataram I, Katanoda K. Projecting the impact of implementation of WHO MPOWER measures on smoking prevalence and mortality in Japan. Tobacco Control Published Online First: 13 September 2022. doi: 10.1136/tc-2022-057262.
Centers for Disease Control and Prevention. Smoking & Tobacco Use [Internet].
Available from: https://www.cdc.gov/tobacco/data_statistics/surveys/index.htm
National Institutes of Health. Population assessment of tobacco and health (PATH) study [Internet].
Available from: https://nida.nih.gov/research/nida-research-programs-activities/population-assessment-to bacco-health-path-study
Oregon Health Authority. Tobacco Cessation Electronic Referrals Frequently Asked Questions. 2018.
Available from: https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/TOBACCOPREVENTION/GETHELPQUITTING/Documents/ql_electronic_referral_FAQs.pdf
Public Health Institute at Denver Health. Local Public Health e-Referral Toolkit. 2016.
Available from: phidenverhealth.org/-/media/dph-filesand-docs/health-info-and-reports/ereferrals/dph-data-and-informatics-tools-tobacco-ereferral-toolkit-090816.pdf
Ministry of Economy and Finance. 2022 Tobacco Market Trend. 2023.
Korea Health Promotion Institute. Integrated Information Systems for Smoking Cessation service. 2023.
Ministry of Government legislation. National health promotion act. 2023.
Lovato C, Watts A, Stead LF. Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database of Systematic Reviews 2011;2011(10):CD003439.
Blecher E. The impact of tobacco advertising bans on consumption in developing countries. Journal of health economics. 2008; 27(4): 930-42.
Saffer H, Chaloupka F. The effect of tobacco advertising bans on tobacco consumption. Journal of health economics. 2000; 19(6): 1117-37.
Hagen L, Heydari G, Hammal F. A longitudinal analysis of MPOWER implementation, 2008-2018. Journal of Global Health Reports. 2022; 6: e2022046.
Levy DT, Li Y, Yuan Z. Impact of nations meeting the MPOWER targets between 2014 and 2016: an update. Tobacco Control. 2020; 29(2): 231-3.
Anderson CL, Becher H, Winkler V. Tobacco control progress in low and middle income countries in comparison to high income countries. International journal of environmental research and public health. 2016; 13(10): 1039.
Salloum RG, Parascandola M, LeLaurin JH, Shelley D. The Role of Dissemination and Implementation Research in Global Tobacco Control: A Report from the American Society of Preventive Oncology. Cancer Epidemiology, Biomarkers & Prevention. 2020; 29(12): 2740-3.