Comparing effects of tobacco use prevention modalities: need for complex system models

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  • Sussman, Steve
    • Other Affiliation: University of Southern California
  • Levy, David
    • Other Affiliation: Georgetown University
  • Hassmiller Lich, Kristen
    • Affiliation: Gillings School of Global Public Health
  • Cene, Crystal
    • Affiliation: School of Medicine
  • Kim, Mimi M
    • Affiliation: Cecil G. Sheps Center for Health Services Research
    • Other Affiliation: NCTRaCS Institute
  • Rohrbach, Louise A
    • Other Affiliation: University of Southern California
  • Chaloupka, Frank J
    • Other Affiliation: University of Illinois, Chicago
Abstract
  • Many modalities of tobacco use prevention programming have been implemented including various policy regulations (tax increases, warning labels, limits on access, smoke-free policies, and restrictions on marketing), mass media programming, school-based classroom education, family involvement, and involvement of community agents (i.e., medical, social, political). The present manuscript provides a glance at these modalities to compare relative and combined impact of them on youth tobacco use. In a majority of trials, community-wide programming, which includes multiple modalities, has not been found to achieve impacts greater than single modality programming. Possibly, the most effective means of prevention involves a careful selection of program type combinations. Also, it is likely that a mechanism for coordinating maximally across program types (e.g., staging of programming) is needed to encourage a synergistic impact. Studying tobacco use prevention as a complex system is considered as a means to maximize effects from combinations of prevention types. Future studies will need to more systematically consider the role of combined programming.
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Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Steve Sussman et al.; licensee BioMed Central Ltd.
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Journal title
  • Tobacco Induced Diseases
Journal volume
  • 11
Journal issue
  • 1
Page start
  • 2
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1617-9625
Bibliographic citation
  • Tobacco Induced Diseases. 2013 Jan 22;11(1):2
Publisher
  • BioMed Central Ltd
Access right
  • Open Access
Date uploaded
  • February 8, 2013

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