Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29529
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Equity impact of interventions and policies to reduce smoking in youth: systematic review
Author(s): Brown, Tamara
Platt, Stephen
Amos, Amanda
Contact Email: t.j.brown@stir.ac.uk
Issue Date: Nov-2014
Citation: Brown T, Platt S & Amos A (2014) Equity impact of interventions and policies to reduce smoking in youth: systematic review. Tobacco Control, 23 (e2), pp. 98-105. https://doi.org/10.1136/tobaccocontrol-2013-051451
Abstract: Objective: A systematic review to assess the equity impact of interventions/policies on youth smoking. Data sources: Biosis, Cinahl, Cochrane Library, Conference Proceedings Citation Index, Embase, Eric, Medline, Psycinfo, Science Citation Index Expanded, Social Sciences Citation Index and tobacco control experts. Published January 1995 to October 2013. Study selection: Primary studies of interventions/policies reporting smoking-related outcomes in youth (11-25 years) of lower compared to higher socioeconomic status (SES). Data extraction: References were screened and independently checked. Studies were quality assessed; characteristics and outcomes were extracted. Data synthesis:A narrative synthesis by intervention/ policy type. Equity impact was assessed as: positive (reduced inequity), neutral (no difference by SES), negative (increased inequity), mixed (equity impact varied) or unclear. Thirty-eight studies of 40 interventions/policies were included: smokefree (12); price/tax (7); mass media campaigns (1); advertising controls (4); access controls (5); school-based programmes (5); multiple policies (3), individual-level cessation support (2), individual-level support for smokefree homes (1). The distribution of equity effects was: 7 positive, 16 neutral, 12 negative, 4 mixed, 1 unclear. All 7 positive equity studies were US-based: price/tax (4), age-of-sales laws (2) and text-messaging cessation support (1). A British school-based intervention (A Stop Smoking in Schools Trial (ASSIST)) showed mixed equity effects (neutral and positive). Most neutral equity studies benefited all SES groups. Conclusions: Very few studies have assessed the equity impact of tobacco control interventions/policies on young people. Price/tax increases had the most consistent positive equity impact. There is a need to strengthen the evidence base for the equity impact of youth tobacco control interventions.
DOI Link: 10.1136/tobaccocontrol-2013-051451
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.

Files in This Item:
File Description SizeFormat 
Tobacco Control Nov 2014.full.pdfFulltext - Published Version573.08 kBAdobe PDFUnder Permanent Embargo    Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.