Abstract

Modeling cigarette smoking exposure in subsets of the population Understanding and acknowledging various factors that impact cigarette smoking and exposure is critical when creating public health interventions to curb tobacco use. Here, Theodore R. Holford from Yale University discusses the impact of different approaches to tobacco control. The harmful effects of cigarette smoking have been widely recognized for more than 50 years (1), and the huge toll that it has taken in shortening lives has led to the recognition of an urgent need to reduce associated exposure. Because cigarette smoking is an addictive behavior, it has been a public health challenge to reduce the level of exposure in the population, even though alternative approaches have been used. These approaches include the introduction of taxes that increase cost to users, changing the legal age at which cigarettes can be purchased, introducing clean air laws that limit locations where individuals are allowed to smoke, and establishing resources that will assist those who wish to quit smoking. These efforts can be undertaken on a national level, but more often, such efforts are implemented at different times and in different ways in different regions. In the US, these laws are more commonly introduced by a state, county, or city. (2) This introduces geographic disparities in cigarette smoking exposure, and it is important to understand these differences when planning approaches to protect public health.

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