White Paper: Impediments to Tobacco Harm Reduction in LMICs

by Cambridge Design Partnership

80% of the world's tobacco users live in low and middle-income countries (LMICs), where tobacco use contributes to increased morbidity and mortality. Electronic nicotine delivery systems (ENDS) have helped reduce combustible tobacco use in developed markets, but adoption in LMICs has been comparably low.

Drawing on qualitative and quantitative research in four LMICs, this white by Cambridge Design Partnership defines an ENDS Adoption Journey - seven steps a smoker takes to substitute combustible tobacco products with ENDS, providing a model that can be reframed in the context of other tobacco harm reduction approaches.

Quantitative research undertaken in the UK, as a development market 'control' highlights the relative height of barriers between LMICs and developed markets - and the absolute obstacles all smokers face, no matter where they live.

Download the white paper now to discover how the smoker's journey is defined by each market's social, cultural, healthcare, regulatory, and taxation landscapes, reducing or increasing barriers at each step.

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This white paper download is in partnership with Cambridge Design Partnership. By downloading this white paper, you agree and authorise us to share the information you provide with Cambridge Design Partnership.

More Information

Ben Kingsley, Research and Insights Consultant at Cambridge Design Partnership, will present more on this topic as part of the Tobacco Harm Reduction session at ENDS this May. He will cover the steps and milestones in the ENDS adoption journey, as well as the associated challenges in each market.

Other presentations and panels in this session include:

  • ENDS and combustible cigarette use among a nationally representative sample of youth aged 13-17 in the United States - Dr Andrea Patton, Centre for Substance Abuse Research
  • From ENDS to heated tobacco products: Considerations for aerosal analysis - Peter Gibbons, Hall Analytical
  • Panel session: Getting the harm reduction message across - what's right and what works? - Panellists include Taxpayers Protection Alliance, ACVODA, UKVIA and NNA Ireland.