2021-12-15-世界卫生组织-Tobacco_France_2021_country_profile_10页_344kb

WHO 2021 Global Tobacco Epidemic - France Profile Summary

• Framework Convention on Tobacco Control: Signed 2003, ratified 2004. High-income country.
• National Tobacco Control Programme: Exist with specific government objectives and national agency; government expenditure on tobacco control in 2020 was EUR 100 million.
• Tobacco Use Prevalence: Adult current daily smoking prevalence at 30.4%, youth at 22%. Estimated smoking prevalence age-standardized 2019 (both sexes): 33.8%.
• Treatment of Tobacco Dependence:
  • Comprehensive cessation support available in public facilities, including health clinics, offices, and cessation support services.
  • NRT (Nicotine Replacement Therapy) availability is partial (66% reimbursement by mutual health with optional complementary insurance).
  • Refusal or partial support for oral tobacco and designated smoking areas restricted under law, with strict technical requirements allowed only for some.
• Health Warnings on Tobacco Packages:
  • Yes, covering 65% of principal display area on both sides. Requirements include clear warnings, no misleading descriptors, and non-obscured warnings in the required language.
  • No plain packaging implemented per country law; exposure to harmful chemicals is mandated in packaging labelling.
• Mass Media Campaigns:
  • National anti-tobacco campaign ran in 2018-2020, aired on TV/radio, tested, evaluated, and strategically positioned. Part of a comprehensive government program.
• Bans on Direct Tobacco Advertising:
  • Complete bans on TV/radio, magazines, newspapers, billboards, POS, and internet advertising. Achieved 10 points on a 10-point scale for compliance.
• Bans on Tobacco Promotion and Sponsorship:
  • Comprehensive bans on free distribution, discounts, brand association, and appearance in media. Extends to product placement and sponsorship with varying degrees of compliance (ranging from ban on sponsorship contributions to CSR activities, achieving 8 or 10 points).
• Tobacco Taxation Policy:
  • High tax burden: 83.23% of the retail price for standard cigarettes. Taxes include high specific, ad valorem, VAT, and specific tobacco product taxation.
  • Cigarettes have become less affordable over time (since 2010) in terms of GDP per capita required to purchase 100 packs. Minimal price dispersion noted (89.5% cheapest to premium).
  • No earmarking of tobacco taxes for health explicitly reported.

MPOWER Assessment: France achieved very high levels of compliance in Monitoring, Smoke-Free Environments, Health Warnings, Advertising Bans, Taxation. Mixed results in Cessation Programmes and moderate compliance requirement agreement for affordability results. There was a lack of recent representative data for Monitoring. Earmarking of taxes for health was reported absent.