Editorial
The news on tobacco control: time to bring the background into the foreground
| The first 150 words of the full text of this article appear below. |
Against
a background of declining tobacco use and generally positive changes in
other heart disease risk factors, a systematic review of 14 multiple
risk factor intervention trials for preventing coronary heart
disease1 concluded that reductions in mortality in the
intervention groups were insignificant and changes in risk factors only
modest, when compared with the reductions also seen in control groups.
The Minnesota Heart Health Program reported similar
outcomes2 3 and the major multi-community smoking cessation trial, COMMIT4 5 had a similar modest effect on smoking. Compared with typical community health promotion initiatives which operate on token budgets, all of these interventions were large
scale, although still were funded with petty cash when compared with
the promotional budgets used by the tobacco industry. Favourable improvements in the secular trend for risk factors such as smoking, and
programme contamination of control groups have generally been cited as
putative explanations of the lack of difference between
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