A model for managing tobacco and nicotine-containing product consumption in women of reproductive age: towards the question of developing a strategy to counter demographic risks to public health.

Currently, preventable demographic risks caused by the consumption of tobacco and nicotine-containing products by women of reproductive age are one of the most important unsolved problems of public health. Objective of the study: to substantiate the model of intersectoral, interdepartmental and interdisciplinary interaction to prevent the consumption of tobacco and nicotine-containing products in women of reproductive age and the methodological basis for the strategy to counter demographic risks to public health. Materials and methods: regulatory documents, results of own research, literary data. The model and structure of the mechanism for implementing intersectoral, interdepartmental and interdisciplinary interaction in the paradigm of smoking counter-marketing are optimized using the methods of system analysis and organizational modeling. Results. The current state of the issue on the demographic risks of tobacco and nicotine-containing product consumption by women of reproductive age is presented, and a methodology for a strategy to counteract demographic risks (hereinafter referred to as the methodology) is developed. The methodology includes a number of successive stages: identification of demographic risks; assessment of their impact on the health of women of reproductive age; stratification and ranking of risks by priority; development of a model of intersectoral, interdepartmental and interdisciplinary interaction and specific measures to protect the health of women of reproductive age; assessment of the implementation of the effectiveness of measures and adjustment. Conclusion. The digital economy will facilitate effective counteraction to demographic risks to public health caused by of tobacco and nicotine-containing products in women of reproductive age, which requires integration of efforts and coordination of actions of various sectors and levels of government, including government agencies, scientific institutions, public organizations and the business community.