REVIEW PAPER
The status and future directions of comprehensive tobacco control policies for the 2020 Tokyo Olympic Games: A review
Meng Li 1
,  
Aoki Tada 1
,  
Misaki Kiya 1
,  
 
 
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1
Public Health Nursing Laboratory, Division of Health Sciences, School of Medicine, Osaka University, Suita, Japan
CORRESPONDING AUTHOR
Reiko Okamoto   

Division of Health Sciences, School of Medicine, Osaka University, Suita, Osaka Prefecture, Japan
Publish date: 2019-04-01
 
Tob. Induc. Dis. 2019;17(April):24
KEYWORDS
TOPICS
ABSTRACT
Introduction:
This review aims to clarify the status and future directions of comprehensive tobacco control policies for the 2020 Tokyo Olympic Games based on a comparison with seventeen countries that hosted the Olympic Games.

Methods:
Seventeen countries that hosted the Olympic Games from 1988 to 2018 were identified by searching the website of IOC. A comparison of the contents was carried out by six themes (Monitor, Protect, Offer, Warn, Enforcement and Raise) in accordance with the MPOWER package for implementation of the FCTC. The comparison items and data were obtained from Global Health Observatory (GHO) data, Japanese government websites, and the literature. Based on the MPOWER scale, the 17 countries were ranked by total score, and a correlation between smoking prevalence and MPOWER total scores was established.

Results:
The following three results were clarified: 1) Compared to the 17 countries that hosted the Olympic Games, smoking prevalence in Japan at 22.5% is at a moderate level and male smoking prevalence (33.7%) is still higher than other developed countries such as UK (24.7%) and Australia (16.5%); 2) Japanese tobacco control policies were far behind other countries that hosted the Olympic Games, especially in protecting people from tobacco smoke, warning about the dangers of tobacco, anti-tobacco mass media campaigns and enforcing bans on tobacco advertising, promotion, and sponsorship; and 3) The better practice in MPOWER was able to reduce total and male smoking prevalence in the study countries.

Conclusions:
Japanese tobacco control policies are far behind other countries that hosted the Olympic Games. In order to successfully hold the 2020 Tokyo Olympic Games, it will be necessary to strengthen tobacco control policies, based on the FCTC, in the future.

ACKNOWLEDGEMENTS
The authors would like to thank other members of the Public Health Nursing Laboratory for helpful comments and advice on an earlier version of this paper.
CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
There was no source of funding for this research.
AUTHORS' CONTRIBUTIONS
All authors specified the focus of the review, participated in the discussion on selection of countries and the interpretation of the results. ML made substantial contributions to the complementation of the manuscript, reviewed the submitted manuscript and approved the manuscript for submission.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
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