(English) Smoking is the leading cause of premature mortality and morbidity globally (WHO, 2018). Within the Czech Republic (CR) tobacco consumption ranks among the highest in the world, and tobacco control measures rank among the poorest globally (Joossens and Raw, 2014; American Cancer Society, 2018). Smoking related chronic diseases and the loss of active part of life are an enormous and growing burden on the Czech system. There is urgency to invest in efforts that will control and decrease the demand for tobacco products (OECD, 2017). Experiences and lessons learned in tobacco control (TC) by other countries, such as Canada, may provide valuable insight to help guide Czech decision makers in identifying policy best buys moving forward. The basic research carried out as part of this PhD project focuses specifically on a comparison of TC in Canada and the CR. It also includes: 1) a national cross-sectional survey of all organizations involved in TC to describe capacity and involvement in TC measures outlined by the WHO Framework Convention on Tobacco Control (FCTC) (Fraser et al. 2019); 2) a prospective cohort study which describes the results of intensive smoking cessation treatment offered by Centers for Tobacco Dependent (CTD) (Králiková et al. 2014); 3) a cross sectional survey of patients...

Abstract Introduction: Tobacco use continues to be the leading preventable cause of morbidity and mortality in the Appalachian Tennessee despite the nationwide decline in tobacco use. The main reason contributing to this nationwide decline in tobacco use is tobacco control applied to prevention, cessation and protection efforts. Evidence indicates that regions with comprehensive tobacco control policies and programs have lower tobacco use prevalence than those with fewer policies and less comprehensive programs, which is characteristic of Tennessee. Therefore, this study examines the current capacity that exists around the tobacco control protection in Appalachian Tennessee. Methods: During 2015-2016, a Population Health Improvement Plan (PHIP) study involving 222 community stakeholders and 91 organizations was conducted in Appalachian Tennessee to assess the capacity of the region in addressing the high burden of tobacco use. First, twenty (20) key informant interviews were conducted with tobacco control professionals within the eight counties in Northeast Tennessee. Afterwards, two community meetings were held in the northern and southern areas of the region with additionally identified stakeholders (n = 36) to gather input on current efforts and methods to increase community capacity for tobacco control in the region. The interviews and discussions were audio-recorded, transcribed, and analyzed using a multifaceted framework approach to tobacco control that focuses on prevention, protection and cessation. This study focuses on important themes identified related to tobacco protection for the Northeast region of Tennessee. Results: The PHIP assessment process found that most current activities around protection for tobacco control were related to national tobacco control policies such as the Non-Smokers Protection Act (NSPA). Also, differences were found between rural and urban areas in the extent of policy efforts, with better enforcement of existing policies found in more metro areas. Rural counties expressed the need for better education and awareness of current policies to help with enforcement efforts. Assessment of findings for barriers to protection/policy for tobacco control resulted in two themes; the existence of state preemption on tobacco control policies, which limits what policies local governments can enact, and the need for higher tobacco taxes. An overall barrier found for tobacco protection was a cultural tolerance of tobacco use including an intergenerational culture of use in Appalachian Tennessee. Conclusion: The Appalachian region of the US suffers disproportionately in health risks and adverse health outcomes, including tobacco-related diseases. For this reason, there is the need for comprehensive culturally-tailored and region-specific protection policies that address existing urban-rural disparities including the removal of the state preemption and increase of tax for tobacco products to effectively address the high burden of tobacco use in Appalachian Tennessee.

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Thesis is dedicated to characteristics of marketing and communication mix, to analysis and evaluation of marketing and communication tools and processes of Czech branch of Philip Morris company and to possible advices. Thesis is divided into three parts. The first part is a theoretical one, dedicated to general marketing definitions. The second one deals with the specific of tobacco market and with extend and impacts of existing regulation. The last one describe the company this thesis is dedicated to, its tools and processes and also include the evaluation and some advices to improvement.

Esta Dissertação analisa os interesses manifestados durante o período de 2002 a 2005 pelos atores sociais interessados na fumicultura no Vale do Rio Pardo/RS, no Rio Grande do Sul, região com a maior produção de tabaco no Brasil. Essa atividade é desenvolvida por agricultores familiares em um sistema integrado de produção que consiste em contratos com indústrias, em sua maioria, transnacionais. O estudo, de carácter qualitativo, utiliza como principal referencial de análise a obra do autor chileno Carlos Matus e sua Teoria da Produção Social. A coleta de dados foi realizada, principalmente, a partir de notícias veiculadas pela imprensa corporativa da região estudada, entre os anos de 2002 a 2005. Esse período compreende as negociações finais do texto da Convenção-Quadro para o Controle do Tabaco (CQCT), Tratado internacional proposto pela Organização Mundial da Saúde (OMS), até sua ratificação pelo Brasil. Foram identificados e caracterizados atores sociais ligados ao Governo Federal; organizações de saúde e antitabagistas; sindicatos das corporações do tabaco; movimentos sociais; e associações e sindicatos representantes dos agricultores. Os atores interessados na fumicultura nesse local atuaram no jogo social produzindo fatos a partir de sua situação, estabelecendo relações de conflito e de cooperação que se alteraram durante o processo analisado. Os interesses em disputa, as relações de conflito e cooperação e as acumulações de recursos de poder dos atores no processo de produção social foram analisados em nove fatos sociais identificados no período. Os resultados indicam a existência de relações de conflito entre atores que representam fumicultores e indústrias quanto à desigual distribuição dos rendimentos da produção e precariedade das condições de trabalho; de cooperação em fatos sociais ligados ao controle ao tabagismo; e de conflito destes com atores que apoiavam medidas de controle do tabaco. Concluiu-se também que a ação de atores sociais ligados ao setor produtivo do tabaco e da imprensa corporativa da região produziu jogadas que conduziram à rejeição da CQCT na região, ao arrefecimento dos embates entre fumicultores e indústrias; e à manutenção do lucro da Indústria do tabaco na região. / This dissertation analyzes the interests manifested during the period from 2002 to 2005 by social actors interested in tobacco farming in the Rio Pardo Valley, Rio Grande do Sul, the region with the highest tobacco production in Brazil. This activity is developed by family farmers in an integrated production system that consists of contracts with industries, most of which are transnational. This qualitative study uses the work of Chilean author Carlos Matus and his Theory of Social Production as the main reference for analysis. The data collection was carried out mainly from news reports by the corporate press of the studied region between 2002 and 2005. This period includes the final negotiations of the text of the Framework Convention on Tobacco Control (FCTC), an international treaty proposed by the World Health Organization (WHO), until its ratification by Brazil. Social actors were identified and characterized: Actors linked to the federal government; to health and anti-smoking organizations; those representatives of tobacco corporations; social movements; and actors linked to farmers' associations and unions. The conflicting interests, the relations of conflict and cooperation, and the actors’ accumulations of power resources in the process of social production were analyzed in nine social facts identified in the period. The actors involved in this social game produce facts from their situations, establishing relations of conflict and cooperation that changed during the analyzed process. The results show the existence of relations of conflict between tobacco growers and industries regarding the unequal distribution of income and precarious conditions of work. In social facts related to smoking control, cooperative relations between tobacco farmers and industry and their conflict with actors that supported measures of tobacco control were verified. It was also concluded that the actions of social actors linked to the tobacco production sector and the local corporate press produced game moves that led to the rejection of the FCTC in the region, to the cooling of the clashes between tobacco farmer and industries, and the maintenance of tobacco industry profits in the region.

Background: Tobacco use increases the odds of suffering and dying prematurely from a host of chronic disease, including heart disease, stroke, cancer, lung diseases, and mental illness. There is limited published data especially from Canada on the prevalence, etiology, consumption patterns and treatment of tobacco use among persons with mental illness. Objectives: First, understand the social epidemiology and describe the characteristics of a typical smoker with mental illness. Second, understand the likelihood of receiving smoking cessation interventions in mental health institutions of Ontario. Methods: Secondary analysis of the data obtained using the Ontario Mental Health Reporting System (OMHRS). Census level data collected from all the individuals admitted to mental health institutions in Ontario during the period of October 2005 and September 2006. Cross tabs were used to analyze the social epidemiology of smokers. Odds ratios were calculated for the likelihood of the psychiatric diagnosis and receiving smoking cessation intervention. Results: Forty-seven percent of the individuals admitted in mental health beds during the study duration were smokers. The mean age of smokers was lower as compared to non-smokers. Individuals with the diagnosis of substance use disorder were the most likely to be smokers as compared to the reference group. Smokers scoring higher on CAGE score or having a diagnosis of substance use disorder and had more than 5 drinks of alcohol in the last 14 days are more likely to receive the intervention as compared to other smokers. Conclusion: The results of this study suggest that significantly huge populations of individuals in mental health institutions are smokers. The smoking prevalence is higher in males and these males are also more likely to have a diagnosis of substance-related disorder. There is a lack of smoking cessation interventions in mental health facilities.

Background: Tobacco use increases the odds of suffering and dying prematurely from a host of chronic disease, including heart disease, stroke, cancer, lung diseases, and mental illness. There is limited published data especially from Canada on the prevalence, etiology, consumption patterns and treatment of tobacco use among persons with mental illness. Objectives: First, understand the social epidemiology and describe the characteristics of a typical smoker with mental illness. Second, understand the likelihood of receiving smoking cessation interventions in mental health institutions of Ontario. Methods: Secondary analysis of the data obtained using the Ontario Mental Health Reporting System (OMHRS). Census level data collected from all the individuals admitted to mental health institutions in Ontario during the period of October 2005 and September 2006. Cross tabs were used to analyze the social epidemiology of smokers. Odds ratios were calculated for the likelihood of the psychiatric diagnosis and receiving smoking cessation intervention. Results: Forty-seven percent of the individuals admitted in mental health beds during the study duration were smokers. The mean age of smokers was lower as compared to non-smokers. Individuals with the diagnosis of substance use disorder were the most likely to be smokers as compared to the reference group. Smokers scoring higher on CAGE score or having a diagnosis of substance use disorder and had more than 5 drinks of alcohol in the last 14 days are more likely to receive the intervention as compared to other smokers. Conclusion: The results of this study suggest that significantly huge populations of individuals in mental health institutions are smokers. The smoking prevalence is higher in males and these males are also more likely to have a diagnosis of substance-related disorder. There is a lack of smoking cessation interventions in mental health facilities.

Magistro baigiamajame darbe išanalizuota tabako gaminių ženklinimo politika, jos pokyčių svarba ir įtaka tabako vartojimo paplitimo mažinimui. Pirmoje dalyje išskiriama tabako daroma žala sveikatai ir aptariama PSO strategija „Sveikata visiems XXI a.“, Tabako kontrolės pagrindų konvencija bei Tabako gaminių direktyva. Antroje dalyje nagrinėjama tabako gaminių kontrolės ir įgyvendinimo politika Lietuvoje. Šioje dalyje pabrėžiama tabako kontrolės politikos sistema, išskiriant svarbiausias vyriausybės programas ir įstatymus, kontrabandos prevencijos ir akcizų didinimo svarbą šalies ekonomikai bei sveikatos sektoriui. Trečioje dalyje kalbama apie tabako gaminių ženklinimo svarbą, aptariami ženklinimo būdai Lietuvoje ir kitose šalyse, išsakoma gamintojų pozicija. Ketvirtoje dalyje pateikiama kokybinio tyrimo metodika, analizė ir apibendrinimas. Darbas užbaigiamas pateikiant išvadas ir rekomendacijas, kaip būtų galima tobulinti tabako gaminių ženklinimo politiką Lietuvoje. / Master's thesis analyzed tobacco labeling policy, the importance of it’s changes and the impact of reducing the prevalence of tobacco use. The first part identifies the tobaccorelated harm to health and discusses the WHO strategy "Health for all XXIst century ", Framework Convention on Tobacco Control and Tobacco Products Directive. The second part analyzed tobacco control policy implementation in Lithuania. It highlights tobacco control policy framework, highlighting the most important government programs and laws, smuggling prevention and excise increase importance for the national economy and the health sector. The third part presents importance of the labeling of tobacco products, discusses methods of labeling in Lithuania and other countries, conveys producers’ position. The fourth part is based on analysis and generalization. The thesis is completed by the findings and recommendations on how to improve the labeling of tobacco policy in Lithuania.

Esta Dissertação analisa os interesses manifestados durante o período de 2002 a 2005 pelos atores sociais interessados na fumicultura no Vale do Rio Pardo/RS, no Rio Grande do Sul, região com a maior produção de tabaco no Brasil. Essa atividade é desenvolvida por agricultores familiares em um sistema integrado de produção que consiste em contratos com indústrias, em sua maioria, transnacionais. O estudo, de carácter qualitativo, utiliza como principal referencial de análise a obra do autor chileno Carlos Matus e sua Teoria da Produção Social. A coleta de dados foi realizada, principalmente, a partir de notícias veiculadas pela imprensa corporativa da região estudada, entre os anos de 2002 a 2005. Esse período compreende as negociações finais do texto da Convenção-Quadro para o Controle do Tabaco (CQCT), Tratado internacional proposto pela Organização Mundial da Saúde (OMS), até sua ratificação pelo Brasil. Foram identificados e caracterizados atores sociais ligados ao Governo Federal; organizações de saúde e antitabagistas; sindicatos das corporações do tabaco; movimentos sociais; e associações e sindicatos representantes dos agricultores. Os atores interessados na fumicultura nesse local atuaram no jogo social produzindo fatos a partir de sua situação, estabelecendo relações de conflito e de cooperação que se alteraram durante o processo analisado. Os interesses em disputa, as relações de conflito e cooperação e as acumulações de recursos de poder dos atores no processo de produção social foram analisados em nove fatos sociais identificados no período. Os resultados indicam a existência de relações de conflito entre atores que representam fumicultores e indústrias quanto à desigual distribuição dos rendimentos da produção e precariedade das condições de trabalho; de cooperação em fatos sociais ligados ao controle ao tabagismo; e de conflito destes com atores que apoiavam medidas de controle do tabaco. Concluiu-se também que a ação de atores sociais ligados ao setor produtivo do tabaco e da imprensa corporativa da região produziu jogadas que conduziram à rejeição da CQCT na região, ao arrefecimento dos embates entre fumicultores e indústrias; e à manutenção do lucro da Indústria do tabaco na região. / This dissertation analyzes the interests manifested during the period from 2002 to 2005 by social actors interested in tobacco farming in the Rio Pardo Valley, Rio Grande do Sul, the region with the highest tobacco production in Brazil. This activity is developed by family farmers in an integrated production system that consists of contracts with industries, most of which are transnational. This qualitative study uses the work of Chilean author Carlos Matus and his Theory of Social Production as the main reference for analysis. The data collection was carried out mainly from news reports by the corporate press of the studied region between 2002 and 2005. This period includes the final negotiations of the text of the Framework Convention on Tobacco Control (FCTC), an international treaty proposed by the World Health Organization (WHO), until its ratification by Brazil. Social actors were identified and characterized: Actors linked to the federal government; to health and anti-smoking organizations; those representatives of tobacco corporations; social movements; and actors linked to farmers' associations and unions. The conflicting interests, the relations of conflict and cooperation, and the actors’ accumulations of power resources in the process of social production were analyzed in nine social facts identified in the period. The actors involved in this social game produce facts from their situations, establishing relations of conflict and cooperation that changed during the analyzed process. The results show the existence of relations of conflict between tobacco growers and industries regarding the unequal distribution of income and precarious conditions of work. In social facts related to smoking control, cooperative relations between tobacco farmers and industry and their conflict with actors that supported measures of tobacco control were verified. It was also concluded that the actions of social actors linked to the tobacco production sector and the local corporate press produced game moves that led to the rejection of the FCTC in the region, to the cooling of the clashes between tobacco farmer and industries, and the maintenance of tobacco industry profits in the region.

Esta Dissertação analisa os interesses manifestados durante o período de 2002 a 2005 pelos atores sociais interessados na fumicultura no Vale do Rio Pardo/RS, no Rio Grande do Sul, região com a maior produção de tabaco no Brasil. Essa atividade é desenvolvida por agricultores familiares em um sistema integrado de produção que consiste em contratos com indústrias, em sua maioria, transnacionais. O estudo, de carácter qualitativo, utiliza como principal referencial de análise a obra do autor chileno Carlos Matus e sua Teoria da Produção Social. A coleta de dados foi realizada, principalmente, a partir de notícias veiculadas pela imprensa corporativa da região estudada, entre os anos de 2002 a 2005. Esse período compreende as negociações finais do texto da Convenção-Quadro para o Controle do Tabaco (CQCT), Tratado internacional proposto pela Organização Mundial da Saúde (OMS), até sua ratificação pelo Brasil. Foram identificados e caracterizados atores sociais ligados ao Governo Federal; organizações de saúde e antitabagistas; sindicatos das corporações do tabaco; movimentos sociais; e associações e sindicatos representantes dos agricultores. Os atores interessados na fumicultura nesse local atuaram no jogo social produzindo fatos a partir de sua situação, estabelecendo relações de conflito e de cooperação que se alteraram durante o processo analisado. Os interesses em disputa, as relações de conflito e cooperação e as acumulações de recursos de poder dos atores no processo de produção social foram analisados em nove fatos sociais identificados no período. Os resultados indicam a existência de relações de conflito entre atores que representam fumicultores e indústrias quanto à desigual distribuição dos rendimentos da produção e precariedade das condições de trabalho; de cooperação em fatos sociais ligados ao controle ao tabagismo; e de conflito destes com atores que apoiavam medidas de controle do tabaco. Concluiu-se também que a ação de atores sociais ligados ao setor produtivo do tabaco e da imprensa corporativa da região produziu jogadas que conduziram à rejeição da CQCT na região, ao arrefecimento dos embates entre fumicultores e indústrias; e à manutenção do lucro da Indústria do tabaco na região. / This dissertation analyzes the interests manifested during the period from 2002 to 2005 by social actors interested in tobacco farming in the Rio Pardo Valley, Rio Grande do Sul, the region with the highest tobacco production in Brazil. This activity is developed by family farmers in an integrated production system that consists of contracts with industries, most of which are transnational. This qualitative study uses the work of Chilean author Carlos Matus and his Theory of Social Production as the main reference for analysis. The data collection was carried out mainly from news reports by the corporate press of the studied region between 2002 and 2005. This period includes the final negotiations of the text of the Framework Convention on Tobacco Control (FCTC), an international treaty proposed by the World Health Organization (WHO), until its ratification by Brazil. Social actors were identified and characterized: Actors linked to the federal government; to health and anti-smoking organizations; those representatives of tobacco corporations; social movements; and actors linked to farmers' associations and unions. The conflicting interests, the relations of conflict and cooperation, and the actors’ accumulations of power resources in the process of social production were analyzed in nine social facts identified in the period. The actors involved in this social game produce facts from their situations, establishing relations of conflict and cooperation that changed during the analyzed process. The results show the existence of relations of conflict between tobacco growers and industries regarding the unequal distribution of income and precarious conditions of work. In social facts related to smoking control, cooperative relations between tobacco farmers and industry and their conflict with actors that supported measures of tobacco control were verified. It was also concluded that the actions of social actors linked to the tobacco production sector and the local corporate press produced game moves that led to the rejection of the FCTC in the region, to the cooling of the clashes between tobacco farmer and industries, and the maintenance of tobacco industry profits in the region.