Spread, Scale, and Sustainability in Population Health Workshop Summary (2015) / Chapter Skim
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5 Learning from the Spread and Scale of Tobacco Control: From Concept to Movement
5 Learning from the Spread and Scale of Tobacco Control: From Concept to Movement
Pages 39-52
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From page 39... ...
, provided a federal perspective on scaling tobacco control. Jeannette Noltenius, the former national director of the National Latino Tobacco Control Network, discussed the spread and scale of programs to reach minority populations.
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From page 40... ...
that it hoped to support national youth public education. Leaders from the youth advertising world and brand man agers for key teen brands offered their expertise as did TRU (a teen brand design leader)
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. A multi-pronged approach was used to evaluate the impact of the campaign, including assessing receptivity and reactions to ads and national youth data for tracking smoking prevalence.
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FEDERAL PERSPECTIVE ON SCALING TOBACCO CONTROL Much of the momentum, innovation, and spread of ideas for tobacco control has started at the local level, which in turn expanded to the state level, and ultimately the federal level, King said. Current tobacco control efforts stem from more than 50 years of experience in trying to determine what works.
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From page 43... ...
If just a small portion of the income from tobacco revenue were applied to tobacco control, it would be possible to make great inroads, particularly among disparate populations, King said. Evidence-Based Population Tobacco Control Interventions King briefly discussed four major interventions that are part of comprehensive tobacco control programs: 100 percent smoke-free policies, tobacco price increases, cessation treatments, and counter marketing (CDC, 2014)
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. King also described the impact of national mass media campaigns, particularly graphic media campaigns such as the CDC Tips from Former Smokers campaign, the truth® campaign discussed by Healton, and the recent Real Cost campaign from FDA.
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Noltenius stressed that ethnic and gender differences in tobacco con sumption make it especially important to disaggregate data and target initiatives into specific populations and genders. For example, among the Hispanic/Latino subgroups, Puerto Ricans living in the mainland have smoking rates of 38 percent, much higher than Mexican Americans (both male and female)
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From page 46... ...
The National Latino Tobacco Control Network The National Latino Tobacco Control Network focuses on reducing tobacco use and promoting health equity.5 A challenge for the organization is collecting and disseminating data on subgroups in order to mobilize the diverse populations within communities. In New York City, for example, Puerto Ricans, especially Puerto Rican women, have the highest smoking rates, but Latinos in general have the lowest smoking rates.
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From page 47... ...
Around the same time, Master Settlement Agreement funding was received, which helped to facilitate the 100 percent tobacco-free schools campaign. When approximately 85 percent of North Carolina schools had adopted a tobacco-free policy, a senator who was also a pediatrician introduced a bill to require all school districts to not only be tobacco free, but to adopt a 100 percent tobacco-free policy.
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In the future, TPCB will continue to work at the local level to help build support for smoke-free government buildings, government grounds, public places, and community colleges. Herndon said that 35 of the 58 community colleges are 100 percent tobacco free.
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Healton added that the federal preemption of state action is also an issue and that significant amounts of corporate dollars are spent to secure federal policies that are favorable to industry. Engaging Partners Panelists discussed further the need to engage nontraditional partners, such as schools and the hotel industry, in spreading tobacco control.
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Paul legislature to eliminate all candy cigarettes. They also mobilized to get the organizers of Cinco de Mayo, the largest Mexican American/Latino fair in Minnesota, to go smoke free and not accept tobacco industry funding.
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At other times, the evidence is there, but people ignore it. Lessons from Tobacco Control George Isham of HealthPartners reiterated the point by King that the tobacco industry outspends prevention efforts by 18 to 1 and agreed with the characterization of the industry as an opponent.
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From page 52... ...
In 2009 the Family Smoking Prevention and Tobacco Control Act effectively banned characterizing flavors in cigarettes. The tobacco industry circumvented this by adding weight to the flavored product so that it is the same size, shape, and filter as a cigarette, but it is heavier, so that it is not classified a cigarette (King et al., 2014)
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