Ideas, Institutions and Diffusion: What Explains Tobacco Control Policy in Australia, Canada and New Zealand?

Recent comparative studies find Canada, Australia, and New Zealand to be among world leaders in tobacco control, but the explanations differ. Are cultural or institutional factors, especially federalism, more important in making these three English-speaking countries among the strongest tobacco-control regimes in the world? This study employs data on policy instruments that have been commonly used in tobacco control policy. Paradoxically, the federation that is more fiscally centralised, Australia, has had the most decentralised process of tobacco control, which has allowed it to initiate new policies earlier. Through similar underlying 'secular morality' values of public health promotion and diffusion, both within and across countries, similar outcomes are achieved through different institutional processes. [ABSTRACT FROM AUTHOR]