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Women’s Health and tobacco         ControlHildrun SundsethBoard MemberEuropean Institute of Women’s Health
About the EIWH• The European Institute of Women’s Health is a health NGO launched in 1996.• The EIWH aims to ensure a gend...
Why Women’s Health?“The health of women has a directbearing on the health of the future  generation, their families, and c...
Smoking in Women
Smoking-Related Diseases           in Women• Major risk factor for many chronic diseases• CVD including heart attack and s...
Reproductive Health• Infertility/Subfertility• Complications in pregnancy• Early Menopause• Cervical and Ovarian Cancer• B...
Smoking Kills Women• Smoking is the single most important  preventable cause of death in women• Killing half of the regula...
Change in smoking rates 15 year old boys and girls1993/94 to 2009/10
Pattern of smoking epidemic
Women Are Vulnerable• Faster addicted to nicotine and flavours• Women more susceptible to stress than men• Influence of ho...
Lung Cancer IncidenceEU-27 women—2008 estimates
Lung Cancer Incident & Mortality
Smoking during Pregnancy• 11%-30% of pregnant women smoke or are  exposed to tobacco smoke• Smoking & second hand smoke ha...
FCTC - Women and Smoking• Recognises that Tobacco control has been  gender-blind and ignored the social and  cultural cont...
Socio-economic aspects of Smoking• Smoking women often disadvantaged  • Poor education, low income, single mothers, lack o...
Tobacco IndustryTargets young girls and women• Women are an increasing new market• Sophistication, style, luxury• Romance ...
Creating a Female Market• Pack design to communicate brand image and glamour• Sophisticated marketing• Sponsorship of spor...
Female-Oriented Brands
Female-Oriented BrandsFemale-Oriented Brands
Female-Oriented Brands
Appealing to Women• Brands come in a variety of flavours that appeal to girls and women • Mint/menthol, Fruit, Vanillia, C...
Recommendations• Make tobacco control gender-sensitive & gender-    specific•   Policy needs to be backed by support measu...
Women's health and tobacco control
Women's health and tobacco control
Women's health and tobacco control
Women's health and tobacco control
Women's health and tobacco control
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Women's health and tobacco control

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Presentation by Hildrun Sundseth (European Institute of Women's Health) on the occasion of the EESC hearing on Manufacture, presentation and sale of tobacco and related products (Brussels, 19 Feb 2013).

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Women's health and tobacco control

  1. 1. Women’s Health and tobacco ControlHildrun SundsethBoard MemberEuropean Institute of Women’s Health
  2. 2. About the EIWH• The European Institute of Women’s Health is a health NGO launched in 1996.• The EIWH aims to ensure a gender-sensitive approach to health policy, prevention, treatment, care and research in order to reduce health inequalities and improve quality.• Organisation: • Extensive multi-national, multi-disciplinary network of patient groups, health NGOs, researchers, gender experts, politicians, and medical professionals • Expert Advisory Board
  3. 3. Why Women’s Health?“The health of women has a directbearing on the health of the future generation, their families, and communities, and ultimately, the health of societies.”NIH Office of Research on Women’s Health, 2010 http://orwh.od.nih.gov/ORWH_Strategic-Plan_Vol_1_508.pdf
  4. 4. Smoking in Women
  5. 5. Smoking-Related Diseases in Women• Major risk factor for many chronic diseases• CVD including heart attack and stroke,• Cancers of the lung, larynx, oral cavity, and esophagus, colon, etc• Breast, cervical and ovarian cancer• Chronic bronchitis, asthma, emyphsema• COPD• Diabetes, Osteoporosis, etc
  6. 6. Reproductive Health• Infertility/Subfertility• Complications in pregnancy• Early Menopause• Cervical and Ovarian Cancer• Breast Cancer
  7. 7. Smoking Kills Women• Smoking is the single most important preventable cause of death in women• Killing half of the regular smokers• 12% of all female death between 35-69 years• Death rates reflect the trend of women taking up smoking 20 to 30 years ago• Full impact on women’s health still to come
  8. 8. Change in smoking rates 15 year old boys and girls1993/94 to 2009/10
  9. 9. Pattern of smoking epidemic
  10. 10. Women Are Vulnerable• Faster addicted to nicotine and flavours• Women more susceptible to stress than men• Influence of hormones during menstrual cycle?• Afraid to gain weight if they stop smoking• Some evidence that women experience more severe withdrawal symptoms• Nicotine replacement less effective in women• Women more vulnerable to passive smoking, higher risk of lung cancer and CVD than in men
  11. 11. Lung Cancer IncidenceEU-27 women—2008 estimates
  12. 12. Lung Cancer Incident & Mortality
  13. 13. Smoking during Pregnancy• 11%-30% of pregnant women smoke or are exposed to tobacco smoke• Smoking & second hand smoke has a devastating effect on their children• Miscarriage, premature birth,• Birth defects• Sudden infant death, respiratory infections, wheezing, asthma, middle ear infection in their children• Smoking parents - role model for future smokers
  14. 14. FCTC - Women and Smoking• Recognises that Tobacco control has been gender-blind and ignored the social and cultural context• Calls for Tobacco Control strategies that are sensitive to gender and include women in policy making• Counteract Tobacco companies marketing that targets young girls and women
  15. 15. Socio-economic aspects of Smoking• Smoking women often disadvantaged • Poor education, low income, single mothers, lack of self- esteem• Anti-smoking initiatives need to take a gender- based approach• Special focus on poorer, socially disadvantaged, vulnerable groups• Effective tobacco control measure to target women are needed– Plain packaging
  16. 16. Tobacco IndustryTargets young girls and women• Women are an increasing new market• Sophistication, style, luxury• Romance and sex• Sociability, enjoyment, success• Emancipation, independence• Freshness and health• Slim and glamorous
  17. 17. Creating a Female Market• Pack design to communicate brand image and glamour• Sophisticated marketing• Sponsorship of sports and arts• Point of sale promotional material• Distribution of free products • Germany at political party conferences• Brand stretching• Paid placement of cigarette brands in films, television• Points of sale near schools, supermarkets• Smoking in films
  18. 18. Female-Oriented Brands
  19. 19. Female-Oriented BrandsFemale-Oriented Brands
  20. 20. Female-Oriented Brands
  21. 21. Appealing to Women• Brands come in a variety of flavours that appeal to girls and women • Mint/menthol, Fruit, Vanillia, Chocolate flavours• Makes starting smoking more palatable to young girls• SNUS traditionally used by older men, but • now new forms of SNUS, attractively packaged, cranberry and rhubarb flavour
  22. 22. Recommendations• Make tobacco control gender-sensitive & gender- specific• Policy needs to be backed by support measures that address the socio-cultural environment• Help young girls to resist pressures to start smoking and women to quit through social media• Create social, economic and political climate that promotes non-smoking as the norm• Reduce countries economic dependence on the production, manufacture and sale of tobacco.• Legislate plain packaging - Australian example

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