Engineering clinician leadership and success in tobacco control: recommendations for policy and practice in Hungary and Central Europe.
Decades of research and advocacy to control tobacco use and related public-health harm have not counterbalanced the tobacco industry's successful stronghold, which is ever-increasing in countries with weaker anti-tobacco leadership. Current rates of tobacco use and harm in Hungary and other Central European countries mark them as some of the industry's greater successes. Following the Behavioural Ecological Model, a framework for behavioural and cultural change, this paper reviews important ways that dentists, physicians and other healthcare providers can counter the tobacco industry's influence on patients, communities, and the nation. The analysis includes policies and practices shown to be effective in controlling and undermining the tobacco industry, and outlines new policies and practices that show promise based on the behavioural change framework. The components of an all-encompassing tobacco-control programme are described through explicit recommendations for research, practice and policy that are necessary to establish a professional and societal culture that extinguishes the influence and harm of the tobacco industry in Hungary, Central Europe and developing countries worldwide.
Hovell
M
M
Center for Behavioural Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, U.S.A.
Roussos
S
S
Hill
L
L
Johnson
N W
NW
Squier
C
C
Gyenes
M
M
D003906:Developing Countries; D005061:Europe, Eastern; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D006814:Hungary; D007857:Leadership; D016540:Smoking Cessation; D000074606:Smoking Prevention; D019460:Tobacco Industry