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Tobacco Control 1999;8:237-239; doi:10.1136/tc.8.3.237
Copyright © 1999 by the BMJ Publishing Group Ltd.
Tob Control 1999;8:237-239 ( Autumn )

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 . . . [Full text of this article]


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