Monitoring the tobacco use epidemic I. Overview: Optimizing measurement to facilitate change.

Monitoring the tobacco use epidemic I. Overview: Optimizing measurement to facilitate change.
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DOI:
10.1016/j.ypmed.2008.08.007
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发表时间:
2009-01-01
影响因子:
5.1
通讯作者:
Vallone, Donna
Vallone, Donna
中科院分区:
医学2区
文献类型:
--
作者:
Giovino, Gary A;Biener, Lois;Vallone, Donna

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目的:这篇综述论文(I of V)总结了迄今为止关于监测烟草使用流行的研究工作,讨论了2002年11月由美国国家癌症研究所(NCI)、疾病控制和预防中心(CDC)、美国传统基金会(American Legacy Foundation)、和罗伯特·伍德约翰逊基金会关于烟草监测和评估的主题,并讨论了目前的事态。一个基于经典传染病框架/范式的概念模型,重点是代理,宿主,载体和环境是用来整合的工作,出现在这个补充问题的预防Medicine.Results:代理文件(II)描述了对烟草产品和生物标志物的监测;主机文件(III)描述了对吸烟者/用户,或潜在的吸烟者/用户的监测;矢量文件(IV)描述了工业活动的监测; 2环境文件(V)描述了监测影响环境因素的几个关键策略。总的来说,近年来国家的监测系统得到了一些改善。然而,需要采取额外的步骤,以优化测量烟草使用和影响因素使用在UnitedStates.Conclusions:烟草监测工作发挥了至关重要的作用,在打击流行的成瘾和各种烟草制品产生的疾病。烟草使用预防和控制界通过致力于将媒介和环境领域以及媒介和宿主领域收集的数据联系起来而获得的知识和经验,也可以为监测广泛的其他公共卫生问题提供信息,包括饮食和营养、体育活动、超重和肥胖以及药物滥用。
OBJECTIVE: This Overview paper (I of V) summarizes research work to date on monitoring the tobacco use epidemic, discusses the recommendations made at the November, 2002 National Tobacco Monitoring, Research and Evaluation Workshop sponsored by the U.S. National Cancer Institute (NCI), Centers for Disease Control and Prevention (CDC), the American Legacy Foundation, and the Robert Wood Johnson Foundation on the topic of tobacco surveillance and evaluation, and discusses the current state of affairs.METHODS: A conceptual model based on the classical infectious diseases framework/paradigm focusing on the Agent, Host, Vector and Environment is used to integrate the work presented in the four other papers that appear in this supplemental issue of Preventive Medicine.RESULTS: The Agent paper (II) describes surveillance on tobacco products and biomarkers; the Host paper (III) describes surveillance on the smoker/user, or potential smoker/user; the Vector paper (IV) describes monitoring of industry activity; and the Environment paper (V) describes several key strategies for monitoring influential environmental factors. Overall, some improvements to the nation's surveillance system have been made in recent years. However, additional steps are needed to optimize measurement of tobacco use and factors influencing use in the United States.CONCLUSIONS: Tobacco monitoring efforts play a vital role in combating the epidemic of addiction and disease produced by various tobacco products. The knowledge and experience gained by the tobacco use prevention and control community through this commitment to linkages of data collected in the domains of Vector and Environment, in addition to Agent and Host, could inform monitoring of a wide range of other public health issues as well, including diet and nutrition, physical activity, overweight and obesity, and substance abuse.