Reducing Tobacco Use and Secondhand Smoke Exposure

a blue sign that reads This is a smoke free building

Tobacco use is responsible for more than 430,000 deaths each year and is the largest cause of preventable morbidity and mortality in the United States (CDC) .

In Best Practices for Comprehensive Tobacco Control Programs , the Centers for Disease Control and Prevention (CDC) recommends statewide programs that combine and coordinate community-based interventions that focus on the following areas.

Preventing initiation of tobacco use among youth and young adults
Promoting quitting among adults and youth
Eliminating exposure to secondhand smoke, and
Identifying and eliminating tobacco-related disparities among population groups

Task Force Recommendations and Findings

This table lists interventions reviewed by the Community Guide, with a summary of the Task Force finding (definitions of findings). Click on an underlined intervention title for a summary of the review, and where available, Research-tested Intervention Programs (RTIPs).

Interventions	Outcomes Addressed	Task Force Finding
Community Education to Reduce Secondhand Smoke Exposure in the Home	Secondhand Smoke Exposure	Insufficient Evidence February 2000
Comprehensive Tobacco Control Programs	Secondhand Smoke Exposure Cessation Initiation	Recommended August 2014
Incentives and Competitions to Increase Smoking Cessation Among Workers
When Used Alone	Cessation	Insufficient Evidence June 2005
When Combined with Additional Interventions	Cessation	Recommended June 2005
Internet-Based Cessation Interventions	Cessation	Insufficient Evidence December 2011
Interventions to Increase the Unit Price for Tobacco Products	Cessation Initiation Health Disparities	Recommended November 2012
Mass Media - Cessation Contests	Cessation	Insufficient Evidence May 2000
Mass-Reach Health Communication Interventions	Cessation Initiation	Recommended April 2013
Mobile Phone-Based Cessation Interventions	Cessation	Recommended December 2011
Quitline Interventions	Cessation	Recommended August 2012
Reducing Out-of-Pocket Costs for Evidence-Based Cessation Treatments	Cessation	Recommended April 2012
Smoke-Free Policies	Secondhand Smoke Exposure Cessation Initiation	Recommended November 2012
Provider-Oriented Interventions The Task Force will not update its reviews on provider-oriented interventions and instead defers to systematic reviews being regularly updated and released as Clinical Practice Guidelines: Treating Tobacco Use and Dependence.
Restricting Minors' Access to Tobacco Products
Community Mobilization with Additional Interventions	Initiation	Recommended June 2001
Community Education About Youth Access to Tobacco Products When Used Alone	Initiation	Insufficient Evidence June 2001
Active Enforcement of Sales Laws Directed at Retailers When Used Alone	Initiation	Insufficient Evidence June 2001
Retailer Education with Reinforcement and Information on Health Consequences When Used Alone	Initiation	Insufficient Evidence June 2001
Retailer Education without Reinforcement When Used Alone	Initiation	Insufficient Evidence June 2001
Laws Directed at Minors' Purchase, Possession, or Use of Tobacco Products When Used Alone	Initiation	Insufficient Evidence June 2001
Sales Laws Directed at Retailers When Used Alone	Initiation	Insufficient Evidence June 2001

Related Task Force Recommendations and Findings

The following interventions are related to Reducing Tobacco Use and Secondhand Smoke Exposure and can be found on the associated topic pages.

Intervention	Task Force Finding
Assessment of Health Risks with Feedback (AHRF) to Change Employees' Health
AHRF Used Alone	Insufficient Evidence June 2006
AHRF Plus Health Education with or without Other Interventions	Recommended February 2007

Presentations and Promotional Materials

Promotional Materials

Community Guide News: Comprehensive Tobacco Control Programs Reduce Tobacco Use
Developed by The Community Guide in collaboration with CDC's Office on Smoking and Health

Community Guide News: Quitlines, Lower Treatment Cost, and Mass Communication Help People Stop Tobacco Use
Developed by The Community Guide in collaboration with CDC's Office on Smoking and Health

Community Guide News: Task Force Says Smoke-Free Policies and Higher Tobacco Product Price Each Reduce Tobacco Use
Developed by The Community Guide in collaboration with CDC's Office on Smoking and Health