Article Open Access September 14, 2025

Lifecycle Management as a Roadmap to the Tobacco Endgame

1
Charles R Drew University of Medicine and Science (CDU), Los Angeles, CA, USA
2
University of South Australia (UniSA), Mawson Lakes, Adelaide, Australia
Page(s): 52-79
Received
May 21, 2025
Revised
July 26, 2025
Accepted
September 12, 2025
Published
September 14, 2025
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2025. Published by Scientific Publications
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APA Style
Assari, S. , Pallera, J. A. , & Efatmaneshnik, M. (2025). Lifecycle Management as a Roadmap to the Tobacco Endgame. Current Research in Public Health, 5(1), 52-79. https://doi.org/10.31586/wjcmr.2025.6181
ACS Style
Assari, S. ; Pallera, J. A. ; Efatmaneshnik, M. Lifecycle Management as a Roadmap to the Tobacco Endgame. Current Research in Public Health 2025 5(1), 52-79. https://doi.org/10.31586/wjcmr.2025.6181
Chicago/Turabian Style
Assari, Shervin, John Ashley Pallera, and Mahmoud Efatmaneshnik. 2025. "Lifecycle Management as a Roadmap to the Tobacco Endgame". Current Research in Public Health 5, no. 1: 52-79. https://doi.org/10.31586/wjcmr.2025.6181
AMA Style
Assari S, Pallera JA, Efatmaneshnik M. Lifecycle Management as a Roadmap to the Tobacco Endgame. Current Research in Public Health. 2025; 5(1):52-79. https://doi.org/10.31586/wjcmr.2025.6181
@Article{crph6181,
AUTHOR = {Assari, Shervin and Pallera, John Ashley and Efatmaneshnik, Mahmoud},
TITLE = {Lifecycle Management as a Roadmap to the Tobacco Endgame},
JOURNAL = {Current Research in Public Health},
VOLUME = {5},
YEAR = {2025},
NUMBER = {1},
PAGES = {52-79},
URL = {https://www.scipublications.com/journal/index.php/WJCMR/article/view/6181},
ISSN = {2831-5162},
DOI = {10.31586/wjcmr.2025.6181},
ABSTRACT = {Background: Tobacco endgame, defined as elimination of commercial tobacco sales The U.S. tobacco control landscape is a complex, adaptive system shaped by diverse stakeholders, evolving products and regulations, shifting social norms, and the strategic countermeasures of a powerful industry. Managing such complexity requires more than isolated interventions—it demands a coordinated, enterprise-wide approach that accounts for dynamic interactions, feedback loops, and emergent risks. Objective: Drawing on complex systems thinking, Zachman enterprise architecture model, and public health best practices, we conceptualize tobacco control as an evolving enterprise progressing through six interconnected phases: (1) Conception & Initiation, (2) Policy & System Design, (3) Implementation & Operation, (4) Evaluation & Adaptation, (5) Consolidation & Endgame Transition, and (6) Sustainment or Sunset. Each phase incorporates governance structures, performance benchmarks, and transition criteria designed to manage interdependence and reduce systemic vulnerabilities. Results: The lifecycle framing emphasizes how tobacco control in the U.S. can evolve as a complex, adaptive enterprise—integrating public health objectives with legal, operational, and cultural change processes. This model supports strategic sequencing, cross-sector alignment, and risk mitigation against emergent industry tactics, enabling a resilient and measurable pathway to the endgame. Conclusions: Seeing tobacco control as a complex enterprise that operates under a lifecycle model may offer a roadmap for achieving and sustaining the tobacco endgame. Using this approach may enhance policy coherence, resource efficiency, and adaptability, ensuring tobacco endgame is achieved.},
}
%0 Journal Article
%A Assari, Shervin
%A Pallera, John Ashley
%A Efatmaneshnik, Mahmoud
%D 2025
%J Current Research in Public Health

%@ 2831-5162
%V 5
%N 1
%P 52-79

%T Lifecycle Management as a Roadmap to the Tobacco Endgame
%M doi:10.31586/wjcmr.2025.6181
%U https://www.scipublications.com/journal/index.php/WJCMR/article/view/6181
TY  - JOUR
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AU  - Pallera, John Ashley
AU  - Efatmaneshnik, Mahmoud
TI  - Lifecycle Management as a Roadmap to the Tobacco Endgame
T2  - Current Research in Public Health
PY  - 2025
VL  - 5
IS  - 1
SN  - 2831-5162
SP  - 52
EP  - 79
UR  - https://www.scipublications.com/journal/index.php/WJCMR/article/view/6181
AB  - Background: Tobacco endgame, defined as elimination of commercial tobacco sales The U.S. tobacco control landscape is a complex, adaptive system shaped by diverse stakeholders, evolving products and regulations, shifting social norms, and the strategic countermeasures of a powerful industry. Managing such complexity requires more than isolated interventions—it demands a coordinated, enterprise-wide approach that accounts for dynamic interactions, feedback loops, and emergent risks. Objective: Drawing on complex systems thinking, Zachman enterprise architecture model, and public health best practices, we conceptualize tobacco control as an evolving enterprise progressing through six interconnected phases: (1) Conception & Initiation, (2) Policy & System Design, (3) Implementation & Operation, (4) Evaluation & Adaptation, (5) Consolidation & Endgame Transition, and (6) Sustainment or Sunset. Each phase incorporates governance structures, performance benchmarks, and transition criteria designed to manage interdependence and reduce systemic vulnerabilities. Results: The lifecycle framing emphasizes how tobacco control in the U.S. can evolve as a complex, adaptive enterprise—integrating public health objectives with legal, operational, and cultural change processes. This model supports strategic sequencing, cross-sector alignment, and risk mitigation against emergent industry tactics, enabling a resilient and measurable pathway to the endgame. Conclusions: Seeing tobacco control as a complex enterprise that operates under a lifecycle model may offer a roadmap for achieving and sustaining the tobacco endgame. Using this approach may enhance policy coherence, resource efficiency, and adaptability, ensuring tobacco endgame is achieved.
DO  - Lifecycle Management as a Roadmap to the Tobacco Endgame
TI  - 10.31586/wjcmr.2025.6181
ER  -