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首页> 外文期刊>Journal of public health management and practice: JPHMP >The Tobacco Control Network's Policy Readiness and Stage of Change Assessment: What the Results Suggest for Moving Tobacco Control Efforts Forward at the State and Territorial Levels
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The Tobacco Control Network's Policy Readiness and Stage of Change Assessment: What the Results Suggest for Moving Tobacco Control Efforts Forward at the State and Territorial Levels

机译：烟草控制网络的政策准备情况和变更评估阶段：结果表明在州和地区一级推进烟草控制工作的意义

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Context: The Tobacco Control Network (TCN) is comprised of the tobacco control programs in the health departments of states, territories, and the District of Columbia. During the assessment period, the TCN was managed by the Tobacco Technical Assistance Consortium at Emory University. Objective: To assess the readiness of state and territory tobacco control programs to work on evidence-based, promising policy and system change strategies aimed at preventing and reducing tobacco use and secondhand smoke exposure. Design: The Policy Readiness and Stage of Change Assessment was a Web-based survey fielded in September 2013, which was based on the Community Readiness Model. Setting: Fifty-nine comprehensive tobacco control programs. Participants: State and territory tobacco control program managers and their internal and external partners. Intervention: The TCN's 2012 Policy Platform recommendations were used as the basis to assess state/territory readiness to adopt and implement evidence-based and promising tobacco control policy/system change strategies. Main Outcome Measures: Sixteen tobacco control strategies were rated on: (1) implementation status, (2) readiness, (3) stage of change, and (4) the appropriate level of action for work on the strategy. Results: The 3 strategies with the highest readiness scores were as follows: (1) 100% smoke-free air in workplaces (64%), (2) tobacco-free schools (61%), and (3) $ 1.50 or more cigarette tax with funds to tobacco control (53%). The 3 strategies with lowest readiness scores were: 1) coupon redemption (17%), 2) tobacco mitigation fee (14%), and 3) disclosure or sunshine laws (8%). Conclusion: Readiness to work on tobacco control strategies varied by region and strategy. Many states/territories are ready to work on strategies for which there is less evidence of a population-level impact for reducing tobacco use, but which contribute to denormalizing tobacco use. Working toward less impactful policies may build support, capacity, and policy success, laying an important foundation to achieve more impactful strategies.
机译：背景：烟草控制网络（TCN）由州，领地和哥伦比亚特区卫生部门的烟草控制计划组成。在评估期间，TCN由埃默里大学的烟草技术援助联合会管理。目的：评估州和地区烟草控制计划是否准备开展基于证据的，有前途的政策和系统变更策略，以防止和减少烟草使用和二手烟暴露。设计：政策准备和变更评估阶段是基于社区准备模型的基于Web的调查，于2013年9月进行。地点：五十九个全面烟草控制计划。参与者：州和地区的烟草控制计划经理及其内部和外部合作伙伴。干预：TCN的2012年政策平台建议被用作评估州/地区准备采用和实施基于证据的有前途的烟草控制政策/系统变更策略的基础。主要成果措施：在以下方面对16种烟草控制策略进行了评级：（1）实施状态，（2）准备情况，（3）变更阶段以及（4）为实施该策略而采取的适当行动水平。结果：三种准备就绪评分最高的策略如下：（1）工作场所无烟空气100％（64％），（2）无烟学校（61％），以及（3）$ 1.50或更高用香烟税来控制烟草（53％）。准备就绪评分最低的3种策略是：1）赎回优惠券（17％），2）减少烟草使用费（14％）和3）披露或日照法（8％）。结论：制定烟草控制策略的意愿因地区和策略而异。许多州/地区已准备好采取一些策略，在这些策略中，没有多少证据表明在人口层面上减少了烟草使用，但这些因素却导致烟草使用不规范。朝着影响较小的政策迈进可能会建立支持，能力和政策成功，为实现更具影响力的战略奠定重要基础。

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