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Open Access Stakeholder Appraisal of Selected Tobacco Endgame Policy Options in New Zealand

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Objectives: We explored the perceived strengths and weaknesses of selected endgame policy options in the context of New Zealand, a country with a smoke-free goal, and identified generalizable insights about progressing the next generation of tobacco control measures. Methods: We identified key 5 potential 'endgame' policies – dramatic tax increases, substantial reduction of availability through comprehensive retail restrictions, annual increase in the legal age of purchase, denicotinization, and restriction of additives. We interviewed 19 Māori, Pacific, and European key informants including politicians, senior public servants, and tobacco control advocates, and sought their views on each policy's likely effectiveness, impact on ethnic inequalities, unintended effects, political feasibility, technical feasibility, and acceptability. Results: Key informants viewed dramatic tax increases as the most promising of the 5 options. Opinions on the other policies were mixed. Perceived barriers to moving the policies forward included lack of political will, limited evidence of effectiveness, and that New Zealand's smoke-free goal focuses on reducing prevalence rather than eliminating the availability of tobacco products. Conclusions: The findings provide insights about barriers to progressing novel tobacco control interventions and how these might be overcome, for example by building and communicating the evidence base, and building public support for endgame options.

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Document Type: Research Article

Publication date: January 1, 2017

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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