Problem: Tobacco smoking as well as alcohol risk drinking constitute the most important preventable mortality risk in Germany. Reduction of these behaviors will result in an increase in life expectancy and a decrease of morbidity. However, only part of the smokers and alcohol dependents make use of available substance abuse treatment services, and only part of them is ready to change their health risk behavior. Therefore, the activities and resources of the addiction care should be developed towards a greater population orientation: broad-based prevention packages have to reach all target groups proactively, i. e. by initiative of the helpers. The efforts should be aimed at increasing the part of the population that stays sober or consumes moderately. Aim: A conceptual framework for the prevention of tobacco smoking- as well as alcohol drinking-related health disturbance is presented. Results: Essentials of prevention may be described on grounds of psychological constructs which determine two pathways: the generalized behavior change, for example the development of rules in society in the area of tobacco control measures, and the individual motivational approach. The Transtheoretical Model of behavior change proposed by Prochaska und DiClemente (1983) is described. It is to consider the individual situation as a starting point for behavior change. Comprehensive prevention incorporates both strategies. It is the appropriate approach to be recommended for prevention. Conclusion: Resources of health care should be shifted in part towards this focus of health care.
|Translated title of the contribution
|Prevention of tobacco- and alcohol-related diseases - Its contribution to health care under consideration of the transtheoretical model of behavior change
|Number of pages
|Published - 01.08.2002
Research Areas and Centers
- Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)