The tobacco use management system: analyzing tobacco control from a systems perspective.
We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate tobacco marketing and use and to support services that provide information about tobacco's harms and discourage its use. Our analysis identified 5 systemic problems that constrain progress toward the elimination of tobacco-related harm. We argue that this goal would be more readily achieved if the regulatory subsystem had dynamic power to regulate tobacco products and the tobacco industry as well as a responsive process for resourcing tobacco use control activities.
Borland
Ron
R
VicHealth Centre for Tobacco Control, Cancer Council Victoria, Victoria, Australia. ron.borland@cancervic.org.au
Young
David
D
Coghill
Ken
K
Zhang
Jian Ying
JY
D006801:Humans; D000074606:Smoking Prevention; D011049:Social Control Policies / Q000331:legislation & jurisprudence*; D013597:Systems Analysis; D013598:Systems Theory; D019460:Tobacco Industry / Q000331:legislation & jurisprudence*; D014029:Tobacco Use Disorder / Q000517:prevention & control*
Am J Public Health. 2008 Sep;98(9):1630-42
18633079
Global Health. 2008 Jan 17;4:2
18201375
Drug Alcohol Rev. 2008 Jan;27(1):21-7
18034378
Nicotine Tob Res. 2008 May;10(5):907-15
18569766
J Public Health (Oxf). 2009 Mar;31(1):3-10
19109341
Tob Control. 2003 Dec;12(4):349-59
14660766
Tob Control. 2003 Mar;12(1):60-6
12612364
Aust N Z J Public Health. 2007 Apr;31(2):164-9
17461008
Am J Public Health. 2006 Mar;96(3):538-46
16449581
Am J Public Health. 2006 Mar;96(3):403-5
16449572
J Pediatr Hematol Oncol. 2005 Oct;27(10):543-50
16217258
Tob Control. 2006 Aug;15(4):339-40
16885584
Tob Control. 2003 Dec;12(4):374-82
14660771
Am J Public Health. 2010 Jul;100(7):1208-17
20466949
Lancet. 2008 Feb 2;371(9610):441-5
17920116
Am J Public Health. 2006 Mar;96(3):473-9
16449586
BMJ. 2000 Aug 5;321(7257):371-4
10926602
Tob Control. 2008 Jun;17(3):211-4
18339800