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Table 1 Policies, specifications and effect sizes used in abridged SimSmoke

From: Complying with the framework convention for tobacco control: an application of the Abridged SimSmoke model to Israel

Policy

Description

Effect size (% Effect)a

Ranges for sensitivity analysisa

Long term multi-pliera

Urban adjustorb

Tax as a percent of retail price of cigarettes

Excise tax, taking into account expanded effect through value added tax

5.9 % (with price elasticity -0.15c and tax as a percent of price increasing from 69 % to 75 %)

(-25 %- + 25 %)

2

no

Smoke-free air laws

 Ban in all indoor workplaces

Ban in all indoor private workplaces

6 %

(-50 %, +50 %)

1.25

yes

 Ban in indoor offices only

Ban except ventilated workplaces

4 %

(-50 %, +50 %)

1.25

yes

 Ban in health facilities, univ, govt. facilities (2 of 3)

Ban in work areas only

2 %

(-50 %, +50 %)

1.25

yes

 Restaurants: Smoke-free in all indoor areas

Ban in restaurants

2 %

(-50 %, +50 %)

1.25

yes

 Pubs and bars: smoke-free

Ban in pubs and bars

1 %

(-50 %, +50 %)

1.25

yes

 Enforcement

MPOWER: 0-10

25 % of effect depends on % enforcement (of 10)

   

 Publicity

Based on level of tobacco control funding

25 % of above effect depends on publicity

   

Mass Media Campaigns (policies are mutually exclusive)

 Highly publicized campaign

Tobacco control spending ≥ $0.50 USD per capita & media campaign

6.5 % reduction

(-50 %, +50 %)

1.2

no

 Moderately publicized campaign

Tobacco control spending ≥ $0.05 and < $0.50 USD per capita

3.5 % reduction

(-50 %, +50 %)

1.2

no

 Low publicized campaign

If tobacco control spending < $0.05 USD per capita

1.0 % reduction

(-50 %, +50 %)

1.2

no

Marketing Bansd

 Ban on direct and indirect marketing

Ban on all direct and indirect advertising

5 %

(-50 %, +50 %)

1.3

no

 Ban on advertising

Ban on all direct advertising

3 %

(-50 %, +50 %)

1.3

no

 Partial ban on advertising

Ban on some direct or indirect advertising

1 %

(-50 %, +50 %)

1.3

no

 Enforcement

MPOWER: 0 – 1.0

50 % of effect depends on enforcement

   

Health Warningsd

 Complete

Bold and graphic, covers 50 % of package

2 %

(-50 %, +50 %)

2

no

 Strong

Warning 30–50 % of package

1 %

(-50 %, +50 %)

2

no

 Weak

Warning <30 % of package

0.50 %

(-50 %, +50 %)

2

no

Cessation Treatment Policiese

 Nicotine Replacement Therapy

If sold by pharmacy or general store and if Rx required

Prev. reduced 0.667 % if available at w/out Rx, 0.334 % if Rx

(-75 %, +75 %)

2.5

yes

 Bupropion and Varenicline

Sold by pharmacy with prescription

Prev. reduced 0.334 %,

(-75 %, +75 %)

2.5

yes

 Provision of treatments

Type facilities: primary care, hospitals, health professionals, community and other

If provided in in most, prevalence reduced 2.25 %, if provided in some, then 1.125 %

(-75 %, +75 %)

2.5

yes

 Quit line type

Operating active quit line

Prev. reduced 0.5 %

(-75 %, +75 %)

2.5

yes

 Overall effect

With all of the above policies and publicity based on tobacco control funding

Prev. reduced 4.75 %, 25 % of effect depends on publicity

(-75 %, +75 %)

2.5

yes

  1. Notes: HIC high-income country, LIC low-income country, MIC middle-income country, NA not applicable, NRT nicotine replacement therapy
  2. aShort-term effect size is defined as the relative percentage change in smoking prevalence in first five years of policy implementation. The long-term effect is short-term-effect multiplied by the long-term multiplier, adjusted by awareness and urban status adjustors. We also provide ranges for the effect sizes, which are measured as percentage variation in the effect sizes compared to the level in the preceding column
  3. bThe urban adjustor reduces the effect to reflect the percentage of the rural population not affected by the policies indicated
  4. cSee Levy et al [32] for a description of the calculations
  5. dCategories are mutually exclusive categories
  6. eEffects are additive over policies