Risk Factors and Social Determinants of Tobacco Use
The Three-Link Chain of Tobacco Dependence
The causes of tobacco dependence are complex, and differ from person to person. The Three-link Chain is a model that provides an understanding of the complex interplay of biological, psychological, and sociocultural factors that contribute to tobacco dependence.
Social Determinants of Tobacco Use
Tobacco use, like other risk factors for poor health and chronic diseases, is impacted by the social determinants of health. Population health outcomes related to tobacco use depend on improving many of the fundamental social determinants of health, including:
- Educational opportunities;
- Low income/poverty;
- Limited access to health services and supports, including insurance;
- Gender and gender identity;
- Sexual orientation;
- Racism and historical targeting;
- Culture and language;
- Physical environments, such as community, housing and work environments; and
- Social stressors and limited social support.
Understanding and addressing the nuances of how social determinants and social factors (as well as stigma) lead to the creation and persistence of tobacco use disparities is an important focus of tobacco prevention and control efforts.
Hawaii Department of Health and Hawaii Community Foundation (2006). Basic Tobacco Intervention Skills Certification Guidebook.
Tobacco Use Prevention & Control in Hawaii. A Strategic Plan for the State 2011-2016. Click Here.
Last Updated: Oct 31, 2012 2:13 pm