2024 Volume 32 Issue Special_issue Pages S94-S101
Tobacco control continues to be an important issue in Health Japan 21 (the third term), which aims to extend healthy life expectancies and requires effective countermeasures. In Health Japan 21 (the third term), four targets and target values for smoking and secondhand smoke (SHS) exposure were set almost as in the second term, namely numerical targets for adults, underage, pregnant women, and SHS exposure. In the first and second term, targets were set, but no roadmap or measures to achieve them were presented.
Therefore, to promote tobacco control in the third plan, a logic model for achieving the four goals was developed, and various measures were categorized and organized according to the ladder of interventions and summarized by the implementing entity. In addition, among these measures, we examined recommended action plans (“best buy plans”) and proposed three plans that can be implemented through cooperation and collaboration among implementing entities based on the current state of tobacco control and that can be expected to be feasible and effective. The three best buy plans are 1) brief interventions for smoking cessation in health services such as routine medical care and health checkups, 2) promotion of tobacco control in the workplace, and 3) enactment of ordinances to prevent SHS exposure and reinforce compliance with laws and regulations.
