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Tobacco Induced Diseases
Published in: Tobacco Induced Diseases 1/2013

Open Access 01-12-2013 | Review

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

Authors: Steve Sussman, David Levy, Kristen Hassmiller Lich, Crystal W Cené, Mimi M Kim, Louise A Rohrbach, Frank J Chaloupka

Published in: Tobacco Induced Diseases | Issue 1/2013

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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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Metadata
Title
Comparing effects of tobacco use prevention modalities: need for complex system models
Authors
Steve Sussman
David Levy
Kristen Hassmiller Lich
Crystal W Cené
Mimi M Kim
Louise A Rohrbach
Frank J Chaloupka
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Tobacco Induced Diseases / Issue 1/2013
Electronic ISSN: 1617-9625
DOI
https://doi.org/10.1186/1617-9625-11-2

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