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Salud Publica Mex. 2019 May-Jun;61(3):292-302. doi: 10.21149/9360.

Tobacco control in Mexico: a decade of progress and challenges.

Author information

Departamento de Investigación sobre Tabaco, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico.
Department of Preventative Medicine, Keck School of Medicine, University of Southern California. Los Angeles, CA, USA.
Colorado School of Public Health. Aurora, CO, USA.
Instituto Nacional de Enfermedades Respiratorias. Mexico City, Mexico.
Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico.


in English, Spanish

Mexico was the first country in the Americas to sign and ratify the World Health Organization's (WHO) Framework Convention on Tobacco Control (FCTC) in 2004. More than a decade later, it is appropriate to evaluate legislative and regulatory progress and the associated challenges; and also, to propose a roadmap to prioritize the problems to be addressed to achieve long-term sustainable solutions. Mexico has made substantial progress in tobacco control. However, regulations have been only weakly enforced. The tobacco industry continues to interfere with full implementation of the WHO-FCTC. As a result, tobacco consumption remains stable at about 17.6%, with a trend upwards among vulnerable groups: adolescents, women and low-income groups. The growing popularity of new tobacco products (electronic cigarettes or e-cigs) among young Mexicans is an increasing challenge. Our review reveals the need to implement all provisions of the WHO-FCTC in its full extent, and that laws and regulations will not be effective in decreasing the tobacco epidemic unless they are strictly enforced.


Mexico; epidemiological monitoring; health surveillance; middle-income countries; Mexico; public policy; tobacco industry


Conflict of interest statement

Declaration of conflict of interests. The authors declare that they have no conflict of interests.

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