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Guide to Community Preventive Services

MMWR Highlights

November 10, 2000 / Vol. 49 / No. 12

Task Force on Community Preventive Services | Task Force Recommendations | Scientific Evidence and Guidelines


Task Force on Community Preventive Services

The Task Force on Community Preventive Services is a 15-member non-federal group of national and regional experts in public health, health care, and health promotion. The task force was convened by the Department of Health and Human Services to provide leadership in the evaluation of community, population, and health care system strategies to address a variety of public health and health promotion topics including tobacco use. Members include leaders from state and local health departments, managed care organizations, and academia. The task force is supported by staff from the Centers for Disease Control and Prevention, and a variety of public and private partners.

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Task Force Recommendations

Decrease Tobacco Use Initiation.  Postponing or preventing tobacco use in children and adolescents will decrease the number of adult tobacco users.

  •  Increasing the unit price of tobacco products is strongly recommended as effective in reducing both initiation and the consumption of tobacco by adolescents.
  • Mass media education campaigns featuring long-term, high intensity counter-advertising are strongly recommended as effective for reducing tobacco use initiation, particularly when combined with other interventions including tobacco price increases and community- or school-based education programs.

Increase Tobacco Use Cessation.  Tobacco use cessation reduces tobacco-related illnesses and deaths.

  • Increasing the unit price of tobacco products is strongly recommended as effective in increasing cessation.
  • Mass media campaigns featuring long-term, high intensity counter-advertising are strongly recommended as effective in increasing cessation.
  • Tobacco use cessation telephone counseling is strongly recommended in both clinical and community settings. Media campaigns increase the use of "quitlines."
  • Healthcare provider reminder systems implemented alone, or in conjunction with provider education, are strongly recommended as effective in increasing cessation.
  • Reducing patient out-of-pocket costs for effective cessation treatments are recommended to increase the total number of patients who quit.

Reduce Exposure to Environmental Tobacco Smoke.  Reducing ETS exposure will reduce secondhand smoke-related illnesses and deaths among nonsmokers.

  • Smoking bans and restrictions (through policies, regulations, and laws) are strongly recommended to effectively reduce exposure to ETS.

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Scientific Evidence and Guidelines

  • Guide to Community Preventive Services, developed by the Task Force on Community Preventive Services, provides an in-depth review of community and healthcare system interventions shown to be effective in reducing tobacco use initiation, increasing cessation, and reducing exposure to environmental tobacco use.
  • Healthy People 2010: Understanding and Improving Health, developed by the U.S. Department of Health and Human Services, identifies tobacco control as one of the 10 public health priorities for the nation and provides 21 national objectives on tobacco control with 2010 the target year for achieving the goal.
  • Reducing Tobacco Use: A Report of the Surgeon General—2000 provides an analysis of various methods — educational, clinical, regulatory, economic, and comprehensive approaches — proven to be effective in reducing tobacco use.
  • Best Practices for Comprehensive Tobacco Programs provides states with recommended strategies and funding levels for effective programs to prevent and reduce tobacco use, eliminate the public’s exposure to secondhand smoke, and identify and eliminate disparities related to tobacco use and its effects among difference population groups.
  • Treating Tobacco Use and Dependence: Clinical Practice Guideline provides an in-depth review of clinical and health systems interventions proven to be effective in helping smokers quit.

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Strategies For Reducing Exposure to Environmental Tobacco Smoke, Increasing Tobacco-Use Cessation, and Reducing Initiation in Communities and Health-Care Systems


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This page last reviewed February 08, 2002

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