Table 6

Policy effects by MPOWER policy, individual and total: Tunisia

Smoking prevalenceNumber of smokersSmoking-attributable deaths adjusted*
MaleFemaleTotalTotal
Initial smoking prevalence and deaths53.3%1.5%2 033 300660 800
Effect of policies on the status quo
 Original policyShort-term effect size†Long-term effect size†Total reduction in number of smokersReduction in smoking attributable deaths adjusted*
Protect through smoke-free air laws
 Moderate level−9.7%−12.1%239 40080 150
Offer cessation treatments
 Low level−2.7%−6.6%131 00043 900
Mass media campaigns
 Low level−5.5%−6.6%130 30043 600
Warnings on cigarette packages
 Low level−3%−6%118 55039 650
Enforcement of marketing restrictions
 Low level−2.8%−3.6%71 90024 100
Raise cigarette taxes
 Excise tax=70%−4.7%−9.4%185 50062 100
Combined policies
−25.4%−37.1% (−20.9%, −50.5%)‡732 800245 300 (138 300, 334 000)‡
  • *Smoking-attributable deaths are based on relative risks from high-income nations8 and are adjusted downward by 35% to reflect low-income or middle-income status.9 ,10

  • †Short-term and long-term effect size are measured in terms of the percentage reduction in smoking prevalence from the initial prepolicy level, that is, (postpolicy smoking prevalence—prepolicy smoking prevalence)/prepolicy smoking prevalence.

  • ‡The lower and upper bounds for the long-term effect size and the reduction in smoking-attributable deaths adjusted for combined policies are based on the lower and upper ranges for sensitivity analysis for each policy from table 1. For individual policies, bounds can be calculated using the ranges for that policy in table 1.