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Global tobacco control diffusion: The case of the framework convention on tobacco control

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  • Wipfli, H.L.
  • Fujimoto, K.
  • Valente, T.W.

Abstract

Objectives. We analyzed demographic and social network variables associated with the timing of ratification of the Framework Convention on Tobacco Control (FCTC). Methods. We compiled a 2-mode data set that recorded country participation in FCTC negotiations, as well as the number of individuals per country per year who joined an online tobacco control network. We used logistic regression analysis of these 2 data sets along with geographic location to determine whether exposure to prior FCTC adoptions was associated with a country's likelihood of adoption. Results. In the logistic regression analysis, higher income and more nongovernmental organizations (NGOs) involved in the Framework Convention Alliance (a network dedicated to the FCTC) were associated with being among the earliest adopters (for income, adjusted odds ratio [AOR]=2.41; 95% confidence interval [Cl] = 1.55; for NGOs, AOR = 1.66; 95% Cl = 1.26, 2.17) or among early adopters (for income, AOR = 1.42; 95% Cl = 1.09, 1.84; for NGOs, AOR = 1.23; 95% Cl = 1.03, 1.45). Network exposure and event history analysis showed that in addition to income, the likelihood of adoption increased with increasing affiliation exposure to FCTC adopters through GLOBALink (an online network facilitating communication between tobacco control advocates). Conclusions. Public health programs should include a plan for creating opportunities for network interaction; otherwise, adoption and diffusion will be delayed and the investments in public health policy greatly diminished.

Suggested Citation

  • Wipfli, H.L. & Fujimoto, K. & Valente, T.W., 2010. "Global tobacco control diffusion: The case of the framework convention on tobacco control," American Journal of Public Health, American Public Health Association, vol. 100(7), pages 1260-1266.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.167833_6
    DOI: 10.2105/AJPH.2009.167833
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    Cited by:

    1. José Ignacio Nazif-Munoz & Amélie Quesnel-Vallée & Axel Berg, 2021. "Global diffusion of three road safety policies, 1964–2015," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-11, December.
    2. Naowarut Charoenca & Jeremiah Mock & Nipapun Kungskulniti & Sunida Preechawong & Nicholas Kojetin & Stephen L. Hamann, 2012. "Success Counteracting Tobacco Company Interference in Thailand: An Example of FCTC Implementation for Low- and Middle-income Countries," IJERPH, MDPI, vol. 9(4), pages 1-24, March.
    3. Hiilamo, Heikki & Glantz, Stanton A., 2015. "Implementation of effective cigarette health warning labels among low and middle income countries: State capacity, path-dependency and tobacco industry activity," Social Science & Medicine, Elsevier, vol. 124(C), pages 241-245.
    4. Valente, Thomas W. & Pitts, Stephanie & Wipfli, Heather & Vega Yon, George G., 2019. "Network influences on policy implementation: Evidence from a global health treaty," Social Science & Medicine, Elsevier, vol. 222(C), pages 188-197.
    5. Valente, Thomas W. & Dyal, Stephanie R. & Chu, Kar-Hai & Wipfli, Heather & Fujimoto, Kayo, 2015. "Diffusion of innovations theory applied to global tobacco control treaty ratification," Social Science & Medicine, Elsevier, vol. 145(C), pages 89-97.

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