Community Mobilization to Restrict Minors' Access to Tobacco Products
This model includes interventions that promote community-wide support for restricting minors' access to tobacco
products. Interventions can include
promoting community-wide education on tobacco issues, providing education to retailers about restricting the
sale of tobacco to minors, and supporting policy changes that encourage tobacco sale enforcement and
Examples of Community Mobilization Interventions
Communities that Care (CTC) is
an evidence-based program that provides communities with tools and frameworks to identify and address
behavioral health issues among adolescents. CTC involves assessing the readiness of the community to
change, identifying champions and forming a board to lead the process, developing a community profile
to assess community risks and strengths, creating a community action plan, and finally implementing
and evaluating the plan. Extensive research demonstrates that CTC can reduce the incidence of
cigarette use and smokeless tobacco initiation among adolescents. The Communities
that Care Coalition in rural Franklin County and the North Quabbin region in Massachusetts reports
that CTC has decreased
rates of cigarette smoking among teens since the inception of the project in 2012.
CounterBalanceVT is an initiative of
the Vermont Department of Health that seeks to address the influence of point-of-sale tobacco
promotions on youth. The campaign is raising awareness about the negative impacts of point-of-sale
advertising and increasing the capacity of communities to create healthier retail environments
through community design and policy change.
Promoting School-Community-University Partnerships to Enhance
Resilience (PROSPER) is a model for delivering evidence-based interventions (EBIs) that
focuses on community-level collaboration and capacity building. PROSPER communities select and implement
school- and family-based interventions from a list of approved EBIs. Community teams receive support from
their state university's Cooperative Extension System, which provides technical assistance throughout the
process of program selection, implementation, and evaluation. A study showed that the PROSPER intervention
group displayed significantly lower use of
cigarettes in the past month than their peers in the control group.
REACT Montana Campaign is centered
on a “teen-led, adult-guided” approach to prevent tobacco use among Montana youth. Teens are
empowered to spread messages on point-of-sale marketing tactics and corporate tobacco to peers in
their community. Adults support youth by advocating for youth at community events and to local
organizations. A strong focus of the campaign is targeting electronic-cigarette marketing by
spreading awareness of the adverse health effects of this new form of tobacco use. A helpful tool
used by the group is the Montana Tobacco Retailer Mapper, a mobile application developed by the
Montana Department of Health, which illustrates proximity of tobacco retailers to schools and tobacco
retailer's compliance rates on youth tobacco sales. Youth involved in the program also have the
opportunity to discuss tobacco control policies with local legislators in Washington, D.C.
Considerations for Implementation
This model requires the collaboration of several community partners, including local
governments, community- and faith-based organizations, businesses, civic groups, and schools. Program planners
may need to hold regular meetings for key partners and regularly update other stakeholders through email,
newsletters, or presentations. Planners may also need to organize stakeholders into separate workgroups that
focus on meeting certain objectives.
The Centers for Disease Control and Prevention's Best
Practices for Comprehensive Tobacco Control Programs User Guide is an important resource for communities
establishing coalitions for community mobilization. The guide describes four key aspects of an effective
“A formalized structure, including formalized rules, expectations, vision, and mission;
A diverse membership with clearly defined roles;
Organized and strong leadership; and
A plan for sustainability”
Program Clearinghouse Examples
Resources to Learn More
Best Practices for Comprehensive Tobacco
Control Programs User Guide: Coalitions
This guide provides information about building and using coalitions as a part of a comprehensive
tobacco control program.
Organization(s): Centers for Disease Control and Prevention
The Long-Term Effect of Local Policies to
Restrict Retail Sale of Tobacco to Youth
This article reports on the outcomes of a multi-site intervention that mobilized rural communities to
promote local laws that restricted youth's access to retail tobacco access.
Author(s): Chen, V. & Forster, J.L.
Citation: Nicotine and Tobacco Research, 8(3), 371-7
Reducing Underage Cigarette Sales in An Isolated
Community: The Effect on Adolescent Cigarette Supplies
This article describes an intervention that evaluated the impact of enforcing retail sales of
cigarettes to adolescents in a rural community. The authors report that enforcement reduces access to
cigarettes and may reduce adolescent smoking rates.
Author(s): Levinson, A.H. & Mickiewicz, T.
Citation: Preventive Medicine, 45(6), 447-53
Prevention Policy Tool
This tool provides suggestions for advocating for tobacco-related policy changes on a community level.
Organization(s): American Academy of Pediatrics, Julius B. Richmond Center of