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The role of public policies in reducing smoking prevalence and deaths caused by smoking in Arizona: results from the Arizona tobacco policy simulation model.

机译:公共政策在减少亚利桑那州吸烟率和吸烟致死率中的作用:亚利桑那州烟草政策模拟模型的结果。

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摘要

Arizona was one of the first few states to implement a comprehensive tobacco control program. The effect of that program is examined using a computer-simulation model (SimSmoke) developed for the purposes of evaluation, planning, and justifying policies. This approach assesses the impact to date of tobacco control policies on smoking prevalence and generates predictions about the effects of tobacco control policies on past and future smoking prevalence and associated future premature mortality. SimSmoke estimates indicate that tobacco control policies reduced smoking rates in Arizona by about 20 percent over the period 1993-2002. A previous CDC study obtains similar effects, but does not net out the effects of individual policies. SimSmoke attributes much of the reduction, about 61 percent, to price increases and attributes 38 percent of the overall effect to media policies, leaving only a small percentage of the smoking reductions attributed to quitlines, youth access policies, and the weak clean air laws. Tobacco control policies implemented as comprehensive strategies have significantly affected smoking rates in Arizona, which leads to large reductions in deaths attributable to smoking. It will be important to maintain these efforts over time to reduce or keep smoking prevalence down and to minimize smoking-attributable deaths.
机译:亚利桑那州是最早实施全面烟草控制计划的少数几个州之一。使用该计算机仿真模型(SimSmoke)检查该程序的效果,该模型用于评估,计划和证明政策。这种方法评估了迄今为止烟草控制政策对吸烟流行的影响,并产生了关于烟草控制政策对过去和未来吸烟流行以及相关的未来过早死亡的影响的预测。 SimSmoke的估计表明,烟草控制政策在1993-2002年期间将亚利桑那州的吸烟率降低了约20%。 CDC之前的一项研究获得了类似的效果,但并未消除个别政策的影响。 SimSmoke将减少量的大部分(约61%)归因于价格上涨,而将整体影响的38%归因于媒体政策,而仅将一小部分的吸烟量减少归因于戒烟热线,青年使用政策和薄弱的清洁空气法律。作为综合策略实施的烟草控制政策已极大地影响了亚利桑那州的吸烟率,从而大大减少了可归因于吸烟的死亡人数。随着时间的流逝,保持这些努力以减少或保持吸烟率降低,并使吸烟引起的死亡最小化是很重要的。

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