A framework for developing an evidence-based, comprehensive tobacco control program

Rosen, Laura; Rosenberg, Elliot; McKee, Martin; Gan-Noy, Shosh; Levin, Diane; Mayshar, Elana; Shacham, Galia; Borowski, John; Nun, Gabi Bin; Lev, Boaz

doi:10.1186/1478-4505-8-17

Health Research Policy and Systems

Table 1 Comparison of strategies from international comprehensive tobacco control plans

From: A framework for developing an evidence-based, comprehensive tobacco control program

	MPOWER	CDC Best Practices	Institute of Medicine	Framework Convention for Tobacco Control
MONITORING AND RESEARCH	√	√		√
Monitor prevalence of tobacco use	√	√		Article 20
Monitor attitudes, knowledge, or social norms		√		Article 20
Monitor tobacco industry marketing, promotion and lobbying	√			Article 20
Monitor tobacco production and manufacture				Article 20
Monitor policies, impact of policies	√	√		Article 20
Assess effectiveness and impact of programs	√	√		Article 20
Research on consequences of tobacco use and exposure		√		Article 20
Research on determinants of tobacco use and exposure	√	√		Article 20
Identification of alternative crops				Article 20
PROTECT PEOPLE FROM SECONDHAND SMOKE	√	√ (Details left to States)	√	√
Prohibition of smoking in all indoor non-residential environments	√		√	Article 8
Full enforcement	√
Voluntary home smoking bans in homes with children	√		√
Healthcare provider messages on SHS			√
Car bans with children passengers			√
Smoke-free apartment buildings			√
OFFER HELP TO QUIT (AND ENCOURAGE QUITTING)	√	√	√	√
Medical advice	√	√	√	Article 14
Pharmacotherapy	√	√	√	Article 14
Quit lines	√	√	√
Counselling	√	√	√	Article 14
Provider training/providing trained personnel	√	√	√	Article 12
Subsidize costs	√	√	√	Article 14
WARN ABOUT DANGERS	√	√	√	√
Warn about dangers	√	√	√	Article 12
Advertising campaigns about active smoking	√	√	√
Advertising campaigns about involuntary smoking	√	√
Warnings on packs	√		√	Article 11.
FDA authority to regulate warnings			√
YOUTH PREVENTION	√	√	√	√
Funded school programs		√	√
Media campaigns	√	√	√
Limit youth access		√	√	Article 16
COMMUNITY, STATE, FEDERAL, AND INTERNATIONAL ACTION	√	√	√	√
Establishment of a coordinating body for tobacco control				Article 5
Comprehensive state tobacco control programs		√	√
Link with chronic disease programs		√
Identify tobacco-related disparities between population groups	√	√
Create tobacco-free social norms		√
Funding strategy	√	√	√	Article 26
Training and support for researchers				Article 20
Cooperate with WHO on research, report and exchange of information; Cooperation in scientific, technical, and legal fields				Article 20, 22
REGULATION AND LITIGATION	√	√	√	√
Raise taxes/Prices	√	√	√	Article 6
Enforced bans, bans, or restrictions on tobacco advertising, promotion, sponsorship	√	√	√	Article 13
Regulation of manufacture, distribution, marketing, and use by FDA or other regulatory agency			√	Articles 9, 15
Tobacco product disclosure			√	Article 10
Disclosure of research by industry			√
Reduce nicotine level			√
Support for economically viable alternative activities				Article 17
Litigation/Liability				Article 19

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ISSN: 1478-4505

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