Journal of public health dentistry
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J Public Health Dent · Jan 1990
ReviewP.L. 99-252--implications for dentists and their clinical practice.
This paper is one of a series attempting to determine the impact of Public Law 99-252, the Comprehensive Smokeless Tobacco Health Education Act of 1986, on decreasing smokeless tobacco use. Potential indicators are discussed that could be used by the dental profession to determine the efficacy of the profession's involvement in existing and future prevention and cessation efforts relative to this law. ⋯ Within each of these six broad categories, more specific indicators for measuring the impact of P. L. 99-252 relative to the dental profession were considered.
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J Public Health Dent · Jan 1990
Evaluating the impact of P.L. 99-252 on decreasing smokeless tobacco use.
Literally, Public Law 99-252 (otherwise known as the Comprehensive Smokeless Tobacco Health Education Act of 1986) includes provisions that are informational in nature. Implicitly, however, this law is considered part of the federal effort in disease prevention and health promotion. ⋯ A basic prevention strategy is suggested by this interdisciplinary approach. In addition, specific lessons could be applied from the history of successes in public health to decreasing smokeless tobacco use.
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J Public Health Dent · Jan 1990
ReviewPsychosocial factors in the use of smokeless tobacco and their implications for P.L. 99-252.
This article briefly reviews the prevalence of smokeless tobacco use by males in the United States, the relationship of smokeless tobacco use to cigarette use, and patterns of use that include dosage, topography, products, and function of use. The primary focus of the article is to describe the concurrent and predictive factors associated with onset, use, and cessation of smokeless tobacco. The implications of P. L. 99-252, the Comprehensive Smokeless Tobacco Act of 1986, are discussed in the context of what is known about the psychosocial variables associated with the use of smokeless tobacco.
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J Public Health Dent · Jan 1990
An epilogue to evaluating the impact of P.L. 99-252 on decreasing smokeless tobacco use.
In a previous paper, "Evaluating the Impact of P. L. 99-252 on Decreasing Smokeless Tobacco Use," the context of this law and the theoretical framework for an evaluation plan for measuring its impact were described. ⋯ This discussion includes the identification of the six indicators considered to be the most relevant, valid, reliable, accessible, and practical for measuring the impact of this law on decreasing smokeless tobacco use, as well as a report on the feasibility analysis of three of these indicators. Pilot data on two indicators--pounds of smokeless tobacco sold and incidence rates of tobacco-induced leukoplakia--are presented and analyzed.