The Tobacco Control Vaccine: a population-based framework for preventing tobacco-related disease and death.
The Tobacco Control Vaccine: a population-based framework for preventing tobacco-related disease and death.
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DOI：
10.1136/tobaccocontrol-2018-054276
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发表时间：
2018-03
期刊：
影响因子：
5.2
通讯作者：
Graffunder C
中科院分区：
文献类型：
--
作者：
King BA;Graffunder C
疫苗在预防和控制传染病方面发挥着关键作用。1疫苗在全球范围内预防了无数病例，挽救了数百万人的生命，避免了小儿麻痹症、天花、麻疹、白喉、流感和其他多种疾病。1鉴于以人口为基础的预防干预措施在抗击烟草流行方面的关键重要性和过去的影响，2 3我们描述了一个以人口为基础的模式，以减少烟草使用和二手烟暴露，使用疫苗接种的公共卫生原则。烟草控制疫苗包括行之有效的以人群为基础的预防措施，以减少烟草使用和与烟草有关的发病率和死亡率(图1)。它建立在现有的循证框架3和4的基础上，如mPower，4，其目的是作为这些框架的公共卫生信息的补充，以加强对行之有效的干预措施的理解和实施。除了疫苗的组成部分(内容)外，其对公共卫生的最终影响取决于强有力的人口一级保护(覆盖范围)以及关键利益攸关方(社区)对这些组成部分的支持和推进程度。
Vaccines serve a critical role in the prevention and control of communicable diseases. 1 Vaccines have prevented countless cases and saved millions of lives globally from diseases such as polio, smallpox, measles, diphtheria, influenza and multiple others. 1 Given the critical importance and past impact of population-based prevention interventions in combating the tobacco epidemic, 2 3 we describe a population-based model for reducing tobacco use and secondhand smoke exposure using the public health principles of vaccination. The Tobacco Control Vaccine is comprised of proven population-based preventive measures to reduce tobacco use and tobacco-related morbidity and mortality (figure 1). It is founded on existing evidence-based frameworks, 3 4 such as MPOWER, 4 and is intended to serve as a public health messaging complement to these frameworks to enhance understanding and implementation of proven interventions. In addition to the components of the vaccine (content), its ultimate impact on public health is contingent on robust population-level protection (coverage) and the extent to which these components are supported and advanced by key stakeholders (community).