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1 2 The Global Cigarette: Origins and Evolution of British American Tobacco, 18801945

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Data from monitoring become the most important evidence for advocates of stronger policies. Source: WHO report on the global tobacco epidemic, 2008The MPOWER package MPOWERMeasures: Monitor Current Use: Frequency of use (daily versus non-daily) Type of product(s) used Intensity of use (units/day) Brand(s) used Indicators of addiction (time to first smoke/use) Monitor Initiation Patterns: Intention to try Initial trialage at first use Discontinuation after initial trial Transition to established use MPOWER Measures: Protect People from Tobacco Smoke: Exposures at home, in cars, at work, elsewhere Policy at home, work Support for prohibiting smoking in public places Health beliefs regarding exposure to tobacco smoke Offer Help With Quitting: Intention/motivation to quit Self-efficacy Quit attempt Dose management (abrupt cessation versus gradual reduction) Methods (assisted/unassisted) (health care provider) Duration of abstinence among former smokers MPOWER Measures: Warn About the Dangers of Tobacco: Exposure to anti-tobacco media campaigns Package warning labelsmultiple indicators School programs (for adolescent students) Health beliefs Enforce Advertising Bans: Exposure to pro-tobacco advertising and promotions Media receptivity Raise Taxes: Size and venue of last purchase Price paid and brand Important Resources International Agency for Research on Cancer

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