Recommendations to advance equity in tobacco control.

Autor:	Mills SD; Department of Health Behavior, University of North Carolina, Chapel Hill, North Carolina, USA sarahmills@unc.edu.; Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Rosario C; Department of Public Health Education, The University of North Carolina at Greensboro, Greensboro, North Carolina, USA., Yerger VB; Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA., Kalb MD; Department of Health Behavior, University of North Carolina, Chapel Hill, North Carolina, USA., Ribisl KM; Department of Health Behavior, University of North Carolina, Chapel Hill, North Carolina, USA.; Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jazyk:	angličtina
Zdroj:	Tobacco control [Tob Control] 2024 Nov 10; Vol. 33 (e2), pp. e246-e253. Date of Electronic Publication: 2024 Nov 10.
DOI:	10.1136/tc-2022-057670
Abstrakt:	Reducing racial and socioeconomic inequities in smoking has been declared a priority for tobacco control in the USA for several decades. Yet despite the rhetoric, these inequities persist and some have actually worsened over time. Although tobacco companies have targeted racially and ethnically diverse and lower-income tobacco users, which substantially contributes to these disparities, less attention has been given to the role of individuals and organisations within the tobacco control movement who have allowed progress in eliminating disparities to stagnate. We examine the failure of tobacco control professionals to ensure the widespread adoption of equity-focused tobacco control strategies. Review of major US tobacco control reports found that the focus on equity often stops after describing inequities in tobacco use. We suggest ways to advance equity in tobacco control in the USA. These recommendations fall across five categories: surveillance, interventions, funding, accountability and addressing root causes. Policy interventions that will have a pro-equity impact on smoking and related disease should be prioritised. Funding should be designated to tobacco control activities focused on eliminating racial and socioeconomic inequities in smoking, and tobacco control programmes should be held accountable for meeting equity-related goals. Competing Interests: Competing interests: KMR has been a paid expert in litigation against tobacco companies. All other authors have no conflicts of interest. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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