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Comparing effects of tobacco use prevention modalities: need for complex system models
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 in...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567972/ https://www.ncbi.nlm.nih.gov/pubmed/23339410 http://dx.doi.org/10.1186/1617-9625-11-2 |
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author | Sussman, Steve Levy, David Lich, Kristen Hassmiller Cené, Crystal W Kim, Mimi M Rohrbach, Louise A Chaloupka, Frank J |
author_facet | Sussman, Steve Levy, David Lich, Kristen Hassmiller Cené, Crystal W Kim, Mimi M Rohrbach, Louise A Chaloupka, Frank J |
author_sort | Sussman, Steve |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3567972 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35679722013-02-12 Comparing effects of tobacco use prevention modalities: need for complex system models Sussman, Steve Levy, David Lich, Kristen Hassmiller Cené, Crystal W Kim, Mimi M Rohrbach, Louise A Chaloupka, Frank J Tob Induc Dis Review 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. BioMed Central 2013-01-22 /pmc/articles/PMC3567972/ /pubmed/23339410 http://dx.doi.org/10.1186/1617-9625-11-2 Text en Copyright ©2013 Sussman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Sussman, Steve Levy, David Lich, Kristen Hassmiller Cené, Crystal W Kim, Mimi M Rohrbach, Louise A Chaloupka, Frank J Comparing effects of tobacco use prevention modalities: need for complex system models |
title | Comparing effects of tobacco use prevention modalities: need for complex system models |
title_full | Comparing effects of tobacco use prevention modalities: need for complex system models |
title_fullStr | Comparing effects of tobacco use prevention modalities: need for complex system models |
title_full_unstemmed | Comparing effects of tobacco use prevention modalities: need for complex system models |
title_short | Comparing effects of tobacco use prevention modalities: need for complex system models |
title_sort | comparing effects of tobacco use prevention modalities: need for complex system models |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567972/ https://www.ncbi.nlm.nih.gov/pubmed/23339410 http://dx.doi.org/10.1186/1617-9625-11-2 |
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