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Commercial presentation of waterpipe tobacco poses fundamental impasse for tobacco control: Web-based search results for Istanbul, 2017

机译:水烟烟草的商业展示对烟草控制构成了根本性的僵局:伊斯坦布尔,2017年基于网络的搜索结果

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Background: Tobacco control literature alerts us to increasing prevalence of venues commercially presenting waterpipe tobacco (WPT). In Turkey, they are rapidly growing in numbers and offer a multitude of hospitality and entertainment functions for youth. Methods: Database of restaurant search service www.zomato.com/tr was used to identify 1,272 venues commercially presenting WPT in Istanbul as of 12 June 2017. 350 establishments, ranked as most popular, were further scrutinized with additional information from venue websites and www.trfoursquare.com, for photographic evidence (2015-present) of (a) indoor smoking, (b) health warnings on waterpipe devices, (c) small children's presence as clientele, and (d) illicit products mentioned in WPT menus. Results: Out of 1,272 venues, 56.4% were restaurants, 30.6% cafés, 6.2% bars, 5.9% fast-food places, and 0.9% patisseries. Geographic distribution indicated increased diffusion to suburban settings (55.1%). Out of 350 venues, 90% featured indoor smoking, only 1.1% compulsory health warnings on devices, 31.1% attendance of toddlers and small children, 7.4% kids menus, 5.1% children's events, 1.7% playrooms, and 4.9% playgrounds. WTP menus available on Internet (75.1%) mentioned illicit brand names (63.5%) and flavours/mixtures (90.1%). Conclusions: Three unresolved, pressing problems emanate from commercial presentation of WPT: (a) Practical, easy, and profitable, the commonplace use of illicit WPT, additional ingredients, on-site manufacturing and mixtures make product presentation virtually impossible to regulate, inspect, and standardize effectively. (b) Given its duration, WPT smoking is practiced as an indoor activity particularly in cold weather, resulting in permissive management policies and non-compliant spatial configurations. (c) In a mixed use environment, children and other non-smokers inadvertently get exposed to tobacco smoke and the WPT culture. Innovative regulation is needed to address these problems based on serious questioning legal and social legitimacy of commercial presentation of WPT.
机译:背景:控烟文献警告我们,商业上展示水烟的场所(WPT)越来越普遍。在土耳其,他们的数量正在迅速增长,并为年轻人提供多种款待和娱乐功能。方法:截至2017年6月12日,餐厅搜索服务www.zomato.com/tr的数据库用于识别在伊斯坦布尔举办WPT商业宣传的1,272个场馆。通过场所网站和www的其他信息进一步审查了排名最高的350个场所。 .trfoursquare.com,以获得(a)室内吸烟,(b)水管设备上的健康警告,(c)小孩儿作为顾客和(d)WPT菜单中提到的非法产品的照相证据(2015年至今)。结果:在1,272个场所中,有56.4%是餐厅,30.6%咖啡馆,6.2%酒吧,5.9%快餐场所和0.9%的糕点。地理分布表明向郊区环境的扩散有所增加(55.1%)。在350个场所中,90%的场所室内吸烟,仅1.1%的设备强制性健康警告,31.1%的幼儿和小孩出勤,7.4%的儿童菜单,5.1%的儿童活动,1.7%的游戏室和4.9%的游乐场。互联网上提供的WTP菜单(75.1%)提到了非法品牌名称(63.5%)和调味品/混合物(90.1%)。结论:WPT的商业展示产生了三个未解决的紧迫问题:(a)实用,简单且有利可图,非法使用WPT的普遍使用,其他成分,现场制造和混合物使得产品展示实际上无法进行调节,检查,并有效地标准化。 (b)鉴于其持续时间,WPT吸烟被视为室内活动,尤其是在寒冷的天气中,导致了宽松的管理政策和不合规的空间配置。 (c)在混合使用的环境中,儿童和其他非吸烟者无意间接触了烟草烟雾和WPT文化。需要基于对WPT商业演示的法律和社会合法性的严重质疑来解决这些问题的创新法规。

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