Figure 1. Logic Model for Tobacco Use Prevention and Control

This graphic shows the sequence of steps and eventual outcomes that comprehensive tobacco control programs can expect to achieve over time. The graphic begins by showing the many groups that work together to implement comprehensive tobacco control programs: 1) federal programs; 2) state programs; and 3) community and national partners. These groups often work through state programs to conduct the following activities, all of which are targeted to populations hardest hit by tobacco-related illness: 1) countermarketing; 2) community mobilization; and 3) policy and regulatory action. These state activities lead to 1) exposure to pro-health messages; 2) development of school-based prevention and education curricula; and 3) creation of smoking bans, regulations, and policies. The graphic includes the outcomes that a program can expect to achieve over time. Short-term outcomes include 1) changes in people's knowledge and attitudes about tobacco use; and 2) adherence to and enforcement of smoking bans, regulations, and policies. Intermediate outcomes include 1) declines in the percentage of young people who start smoking; 2) increases in the percentage of young people and adults who stop smoking; and 3) more environments with no smoking. Long-term outcomes include 1) decreased smoking; 2) less exposure to environmental tobacco smoke; 3) declines in tobacco-related illness and death; and 4) decreased tobacco-related health disparities.

Note, however, that this graphic is based on current knowledge and state experiences. It does not depict cause-and-effect relationships because many diverse variables (e.g., social, political, cultural, economic) can influence a state's achievements. For example, an achievement that might be considered a long-term outcome in a tobacco-growing state might be considered a short-term outcome in a state with a mature tobacco control program and strong legislative and policy support for tobacco control.