Millions of women in developing countries risk disease and early death in the coming decades as the tobacco industry exploits their rising economic and political status, according to a new study, published today in the Bulletin of the World Health Organization which analyses women’s empowerment and smoking rates in 74 countries.

Women’s empowerment is measured by the United Nations Development Programme using data such as female representation in parliament, voting rights and comparisons of male-to-female income in each country.

The study shows that men are currently five times more likely to smoke than women in countries with lower measures of female empowerment, such as China, Indonesia, Pakistan, Saudi Arabia and Uganda. In countries with relatively high female empowerment, such as Australia, Canada, Norway, Sweden and the United States of America, this gap has been closed: women smoke almost as much as men do.

“This study highlights the need to act quickly to curb smoking among women, particularly in developing countries.” says Dr Douglas Bettcher, Director of the Tobacco Free Initiative at WHO.  “The tobacco epidemic is still in its early stages in many countries but is expected to worsen. Strong tobacco control measures such as bans on tobacco advertising are needed to prevent the tobacco industry from targeting women.”

“We must pay more attention to the ways in which the tobacco industry is capitalizing on societal changes to target women, such as marketing cigarettes to women as a symbol of emancipation,” says study co-author, Sara C Hitchman who conducted the study with Dr Geoffrey T Fong from the International Tobacco Control Policy Evaluation Project at the University of Waterloo in Ontario, Canada.  “Women’s empowerment must continue, but does the bad necessarily have to follow the good?”.

The Tobacco Free Initiative at WHO encourages countries to prevent the spread of the tobacco epidemic by implementing policies outlined in the WHO Framework Convention on Tobacco Control. These include public awareness campaigns, packaging and promotion regulations and tax measures to reduce demand for tobacco products.

Read the paper here: http://www.who.int/bulletin/volumes/89/3/10-079905.pdf

Access Gender, women and the tobacco epidemic published by WHO:
http://www.who.int/tobacco/publications/gender/women_tob_epidemic/en/index.html

The Bulletin of the World Health Organization is one of the world’s leading public health journals. It is the flagship periodical of WHO, with a special focus on developing countries. Articles are peer-reviewed and are independent of WHO guidelines. Abstracts are now available in the six official languages of the United Nations.

Further items in this month's issue include:

  • Looming dementia epidemic in Asia
  • Antimicrobial resistance: what governments can do
  • Health challenges after floods in Pakistan
  • Coordinating HIV/AIDS programmes in China
  • Shortage of mental health workers worldwide

The March issue table of contents can be found at: http://www.who.int/bulletin/volumes/89/3/en/index.html

The complete contents of the Bulletin, since 1948, is available free to all readers worldwide through PubMed Central, available at: http://www.pubmedcentral.nih.gov/tocrender.fcgi?journal=522&action=archive


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