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Review
. 2015 Aug;17(8):892-7.
doi: 10.1093/ntr/ntu266. Epub 2014 Dec 16.

Addressing the Social Determinants of Health to Reduce Tobacco-Related Disparities

Bridgette E Garrett  1 , Shanta R Dube  2 , Stephen Babb  3 , Tim McAfee  3
Affiliations
Review

Addressing the Social Determinants of Health to Reduce Tobacco-Related Disparities

Bridgette E Garrett et al. Nicotine Tob Res. 2015 Aug.

Abstract

Introduction: Comprehensive tobacco prevention and control efforts that include implementing smoke-free air laws, increasing tobacco prices, conducting hard-hitting mass media campaigns, and making evidence-based cessation treatments available are effective in reducing tobacco use in the general population. However, if these interventions are not implemented in an equitable manner, certain population groups may be left out causing or exacerbating disparities in tobacco use. Disparities in tobacco use have, in part, stemmed from inequities in the way tobacco control policies and programs have been adopted and implemented to reach and impact the most vulnerable segments of the population that have the highest rates of smokings (e.g., those with lower education and incomes).

Methods: Education and income are the 2 main social determinants of health that negatively impact health. However, there are other social determinants of health that must be considered for tobacco control policies to be effective in reducing tobacco-related disparities. This article will provide an overview of how tobacco control policies and programs can address key social determinants of health in order to achieve equity and eliminate disparities in tobacco prevention and control.

Results: Tobacco control policy interventions can be effective in addressing the social determinants of health in tobacco prevention and control to achieve equity and eliminate tobacco-related disparities when they are implemented consistently and equitably across all population groups.

Conclusions: Taking a social determinants of health approach in tobacco prevention and control will be necessary to achieve equity and eliminate tobacco-related disparities.

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Figures

Figure 1
Figure 1
Current cigarette smoking among adults aged ≥18 years, by poverty status—United States, 1983–2012, National Health Interview Survey.
Figure 2
Figure 2
Current cigarette smoking among adults aged ≥18 years, by educational status—United States, 1983–2010, National Health Interview Survey.
Figure 3
Figure 3
The health impact pyramid. Adapted from: Frieden.
See this image and copyright information in PMC

References

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MeSH terms