Massachusetts was slightly higher

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Summarize In the early 1990s, the smoking prevalence in Massachusetts was slightly higher than that of the US (173, 174). In response, in 1993 the state established the Massachusetts Tobacco Control Program (MTCP); this was one of the few truly comprehensive tobacco control programs in the United States at that time. Informed by evidence on social determinants of health and the importance of a population approach, the MTCP embraced a population approach with a strong social determinant framework that focused on policy and environmental changes, including establishment of community-based services to promote anti-tobacco policies and services (175, 176). Even when compared with nationwide downward trends, Massachusetts experienced a significant decrease in tobacco use that was directly tied to the MTCP (175, 176, 177).

Reference no: EM133806837

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