Brownson R C, Koffman D M, Novotny T E, Hughes R G, Eriksen M P
Department of Community Health, School of Public Health, Saint Louis University, Missouri, USA.
Health Educ Q. 1995 Nov;22(4):478-98. doi: 10.1177/109019819502200406.
Despite its declining prevalence during the past few decades, tobacco use remains one of the most significant public health issues of the 1990s. Environmental and policy interventions are among the most cost-effective approaches to control tobacco use and prevent cardiovascular diseases. In this article, the authors review and offer to state and local health departments and other public health partners a summary of recommended policy and environmental interventions that have either reduced or show potential to reduce tobacco use. Priority recommendations include clean indoor air policies, restrictions on tobacco advertising and promotion, policies limiting youth access to tobacco, comprehensive school health programs, and excise taxes and other economic incentives. Many of these recommendations should be integrated with other health promotion interventions to also improve nutrition and physical activity. The authors also highlight several successful interventions and strategies used to establish policies at the state and local levels.
尽管在过去几十年里烟草使用率呈下降趋势，但烟草使用仍是20世纪90年代最重要的公共卫生问题之一。环境和政策干预措施是控制烟草使用和预防心血管疾病最具成本效益的方法之一。在本文中，作者回顾并向州和地方卫生部门以及其他公共卫生合作伙伴提供了一份推荐的政策和环境干预措施总结，这些措施已经减少或显示出减少烟草使用的潜力。优先建议包括清洁室内空气政策、限制烟草广告和促销、限制年轻人获取烟草的政策、全面的学校健康计划以及消费税和其他经济激励措施。其中许多建议应与其他健康促进干预措施相结合，以改善营养和身体活动。作者还强调了在州和地方层面用于制定政策的几个成功干预措施和策略。
