An action plan for tobacco control at regional level
An action plan for tobacco control at regional level
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DOI：
10.1038/sj.ph.1900571
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发表时间：
1999-07-01
期刊：
影响因子：
5.2
通讯作者：
Wallace, B
中科院分区：
文献类型：
--
作者：
Edwards, R;Brown, JS;Wallace, B
吸烟是英国最大的可预防的死亡原因;每年造成12万多人死亡，导致健康不平等，加剧和造成贫困。自1988年以来，儿童吸烟人数稳步增加，最近，年轻人吸烟人数也在增加。英国目前的情况非常有利于采取全面的烟草控制措施。本文概述了一项区域烟草控制行动计划。概述了在地区和区域两级采取的行动，以建立一个全面的地方烟草控制框架，并补充国家烟草控制措施。措施包括：对当前活动进行“SWOT”分析;系统监测吸烟流行率、对吸烟的态度以及烟草控制干预措施的影响;在整个卫生服务部门提供有效的戒烟支持，达到最低标准;扩大无烟公共场所和工作场所的覆盖面;执行关于向儿童非法销售烟草以及打击走私和销售非法进口烟草的立法;该计划的一个关键组成部分是在地区一级采用以证据为基础的烟草控制战略。这些措施应包括一个具有明确的组织和管理问责制的业绩框架，并采用协调、多机构、伙伴关系的办法。应确定优先群体。这些战略应力求使公众参与建立对烟草控制措施的支持。必须为烟草控制工作分配足够的时间、工作人员、资源和培训，并监测实现目标的进展情况。
Smoking is the single biggest preventable cause of death in the UK; killing over 120 000 people each year, contributing to inequalities in health, exacerbating and causing poverty. Smoking has increased steadily among children since 1988 and more recently, among young adults. The current context in the UK is highly favourable for introducing comprehensive tobacco control measures.This paper summarises a regional action plan for tobacco control. Actions at district and regional levels are outlined to establish a comprehensive local tobacco control framework and complement national tobacco control measures. Measures include: a 'SWOT' analysis of current activity; systematic monitoring of smoking prevalence, attitudes to smoking, and the impact of tobacco control interventions; provision of effective smoking cessation support to a minimum standard throughout the health service; increased coverage of smoke-free public places and workplaces; enforcement of legislation on illegal sales to children and against smuggling and selling illegally imported tobacco; paid and unpaid mass media campaigns; and systematic lobbying for fiscal and legislative measures.One of the key components of the plan is the introduction of evidence-based tobacco control strategies at district levels. These should include a performance framework with clear organisational and managerial accountability and employ a co-ordinated, multiagency, partnership approach. Priority groups should be identified. Strategies should seek to engage the public to build support for tobacco control measures. Sufficient time, staff, resources and training must be allocated to tobacco control work and progress towards objectives monitored.