Siddiqui, Faraz orcid.org/0000-0002-2253-3911, Khan, Talib orcid.org/0000-0002-0941-1346, Readshaw, Anne et al. (9 more authors) (2021) Smokeless tobacco products, supply chain and retailers' practices in England:a multimethods study to inform policy. Tobacco Control. e45-e49. ISSN 0964-4563
Abstract
Background: In England, many people of South Asian origin consume smokeless tobacco (ST). ST use can lead to oral cancer, which is disproportionately high in South Asians. Our aims were to assess the compliance of ST product retailers with statutory regulations and to explore the supply chain of ST. Methods: We undertook a multimethods study between August 2017 and July 2019 in five English boroughs with a high proportion of ethnic South Asians. We purchased ST products and conducted field surveys with ST retailers at point of sale. Qualitative interviews were conducted with ST retailers and suppliers. ST packs were assessed for regulatory compliance, while quantitative and qualitative data triangulated information on retailers' practices and the ST supply chain. Results: We collected 41 unique ST products, which included dry snuff, naswar, gutka, chewing tobacco and zarda. ST products were not registered, and demonstrated low compliance with health warning (14.6%) and packaging (56.1%) requirements. ST availability in surveyed boroughs was high (38.2%-69.7%); dry snuff, naswar and zarda were most commonly available. ST retailers demonstrated limited knowledge of regulations, and one-third were found to advertise ST at point of sale. Qualitative insights revealed illicit supply and distribution networks, as well as ST production in discreet locations. Conclusion: ST products are widely available in England, yet non-compliant with statutory regulations. In order to safeguard consumers, in particular ethnic South Asians, stronger efforts are needed to regulate the supply chain of ST at both national and international levels.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Author(s) (or their employer(s)). This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. |
Keywords: | advertising and promotion,disparities,non-cigarette tobacco products,surveillance and monitoring |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Biology (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Funding Information: | Funder Grant number CANCER RESEARCH UK C40275/A23873 |
Depositing User: | Pure (York) |
Date Deposited: | 02 Feb 2022 11:10 |
Last Modified: | 26 Nov 2024 00:52 |
Published Version: | https://doi.org/10.1136/tobaccocontrol-2020-055830 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1136/tobaccocontrol-2020-055830 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:183182 |