tobacco health effects and best practices in tobacco control
Post on 17-Dec-2015
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Tobacco Use: Scope of the Problem
Tobacco use is the leading preventable cause of disease and premature death in the U.S. and the world
1,400 deaths in Montana each year 430,000 deaths annually in U.S.
1,200 each day 5 million world wide
Scope of the Problem Cont.
There are approximately 1.25 billion smokers in the world, and 800 million of these live in the developing world.
By 2020 10 million people in the world will die of tobacco related illnesses
Montana Youth Tobacco Use
Ever tried a cigarette
Ever smoked daily *Chew/dip/snuff *Cigars, cigarillos *Any tobacco use
*past 30 days
1999 200570.3 55.4
23.2 15.215.2 8.220.4 17.645.0 31.4
Everyone Has To Die Sometime...But Not Like This
Smoking related illness and death can occur at any age. The young man in thisphoto started smoking at age 13. He died at age 34 from lung cancer brought on by smoking.
Each year, secondhand cigarette smoke is responsible for:• 37,000 deaths from heart disease in adults• 3,000 deaths from lung cancer in adults• 13,000 deaths from other cancers in adults• 300,000 cases of lung infections, such as
pneumonia and bronchitis, in infants and young children
200 death per year in Montana
Secondhand Cigarette Smoke
Goal of comprehensive tobacco control programs is to reduce disease, disability, and death related to tobacco use by:
Preventing the initiation of tobacco use among young people
Promoting quitting among young people and among adults
Eliminating nonsmokers’ exposure to environmental tobacco smoke
Identifying and eliminating the disparities related to tobacco use and its effects among different population groups
Comprehensive,Sustainable and Accountable
CDC recommends a minimum of $9.3 million for prevention programs in MT
Currently, there is about $6.3 million each year allocated specifically for prevention
In order for a program to be successful, it must include essential components
Nine Components of Comprehensive Tobacco Control
Community Programs
Chronic Disease Programs
School Programs Enforcement
Statewide Programs
Counter-Marketing Cessation Programs Surveillance and
Evaluation Administration and
Management
1. Community Programs to Reduce Tobacco Use
To achieve individual behavior change that supports the nonuse of tobacco, communities must change the way tobacco is promoted, sold and used while changing peoples knowledge, attitudes and practices.
Community Components Continued
Programs involve: People in their homes Work sites Schools Places of worship Entertainment Civic organizations etc.
Examples of Programs
Engaging young people to plan and conduct events and campaigns
Educational Programs for medical personnel, schools, daycares, & city officials
Secondhand smoke campaigns
Examples continued
Smoking cessation programs by drug and alcohol prevention agencies in addition to medical facilities
Include Native American Community and educate about tobacco use and media literacy
2. Chronic Disease Programs to Reduce the Burden of Tobacco-Related Diseases
Even if current tobacco use stopped, the residual burden of disease among past users would cause disease for decades to come
Communities can focus attention directly on tobacco related disease to prevent them and detect them early and addressing additional risk factors
Examples of Chronic Disease programs Community interventions that link tobacco
control interventions with cardiovascular disease prevention
Develop counter-marketing to increase awareness of ETS as a trigger for asthma
Train dental providers to counsel their patients on the role of tobacco use in the development of oral cancer
Expand cancer registries to monitor tobacco related cancers
3. School Programs School program activities include
implementing CDC’s Guidelines for School Health Programs
This includes: tobacco-free policies, evidence-based curricula, teacher training, parental involvement, cessation services and linking efforts with local community coalitions and statewide media and educational campaigns
Example of School based programs Best Practices curriculum such as
Implementations of Life Skills Training or Towards No Tobacco Use
Linking school-based efforts with local coalitions and counter advertising programs.
Media Literacy Training Tobacco Free Schools Policy
4. Enforcement
There are two primary policy areas: restrictions on minors’ access to tobacco and on smoking in public place
Example of Enforcement Policy No one under 18 allowed to purchase
tobacco No one under 18 allowed in any bar or
casino where smoking is allowed No smoking allowed in any restaurants
(some bars and casinos are exempt) No tobacco products allowed on any
public school ground or at public school event
5. Statewide Programs
Statewide programs increase the capacity of local programs by providing assistance on evaluating programs, promoting media advocacy, implementing smoke-free policies, and reducing minors access to tobacco
MTUPP’s role Statewide meetings for Contractors Regional quarterly meetings Advocacy calls on a bi-monthly basis Daily e-mails that provide up to date
information on tobacco issues from around the world
Contracts with Strategicom, M&R Strategic Services, Quitline,etc
6. Counter-Marketing
Marketing strategies to counter pro-tobacco influences and increase pro-health messages and influences throughout a state, region, or local community. Counter marketing consists of a wide range of efforts, including: paid television, radio, billboard, and print
7. Cessation Programs
Strategies to help people quit smoking can yield significant health and economic benefits. Effective strategies include: brief advice by medical providers, counseling, and pharmacotherapy.
Local Cessation Efforts
Quitline 1-866-485-6868 Information and materials to
medical professionals Hospital-based programs at
Deaconess Billings Clinic and the VA
8. Surveillance and Evaluation A surveillance and evaluation
system monitors programs for accountability for state policymakers and other responsibilities for fiscal oversight. State evaluation efforts should be coordinated with federal tobacco surveillance programs such as SAMHSA’s National Household Survey on Drug Abuse.
Montana Evaluation
Statewide Monitoring and Evaluation Group
TFY Action Plan State Deliverables TFY Quarterly Report Standardized Data Sources
9. Administration and Management
An effective tobacco control program requires a strong management structure to facilitate coordination of all of these program components.
In Montana, it is the Montana Tobacco Use Prevention Program that provides the fiscal and program management.
The ability to “read” or “decode” messages in a
variety of print and electronic media.
Media Literacy:Media Literacy:
Why Teach Media Literacy?Media has a powerful influence on our lives,
and especially in the development of our children. It can shape young people’s beliefs and their sense of self and understanding of the world around them…By empowering our young people with a better understanding of the media, we can help them control their relationship with the vast array of media messages they receive in their everyday environment. Hillary Clinton, 1996 Conference on Media in
Education
Kids watch between 3 and 4 hours of television each day.
QuickTime™ and aCinepak decompressor
are needed to see this picture.
I want to take kids’ natural tendency to rebel, and have them apply it - do some critical thinking - so they’ll make choices to rebel against the people that are selling them addictive lifestyles.
Peter DeBenedittis, Ph.D.
ResearchFour studies in New Mexico indicate:
Statistical analysis of survey results showed that media literacy presentations helped students question the reality of what they saw in the media.
Students were less likely to believe the hyperbole presented in alcohol and tobacco advertising, and they were less likely to identify favorably with the people they saw on TV
Image available at:http://
www.trinketsandtrash.org
Who paid for the media?
Who is being targeted?
What messages and values are expressed?
What kind of lifestyle is presented? Is it glamorized? How?
Deconstruction
Who paid for the media? Why?Who is being targeted?What text, images or sounds lead you to this conclusion?What is the text (literal meaning) of the message?What is the subtext?What kind of lifestyle is presented? Is it glamorized? How?What values are expressed?What tools or techniques of persuasion are used?What story is not being told? In what ways is this a healthy and/or unhealthy media message?
Websites
Coordinated School Health Program: www.cdc.gov/healthyyouth/CSHP/
Preventing Drug Abuse for Parents and Teachers: http://www.nida.nih.gov/parent-teacher.html
California Based Guide to Healthy Schools and Children http://www.gettingresults.org/
New Mexico Media Literacy Project: http://www.nmmlp.org/
Center for Media Literacy: http://www.medialit.org/Teen Health and the Media:http://depts.washington.edu/thmedia/http://www.optimalhealthconcepts.com/FergusHS.pdfhttp://www.optimalhealthconcepts.com/LewistownDrugs.pdfhttp://www.optimalhealthconcepts.com/Lewistown.htm
Websites
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