shifting social climate of tobacco control in mississippi, 2000 to 2004 robert mcmillen ssrc social...
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Shifting Social Climate of Tobacco
Control in Mississippi,
2000 to 2004
Robert McMillen SSRC
Social Science Research CenterMississippi State University
PurposeTo monitor changes in the social climate of
tobacco control over the five years that Mississippi has implemented statewide tobacco control programs
Tobacco Control Objectives• Long-term: Reduce consumption and
prevalence of cigarette smoking
• Numerous initial and intermediate objectives: Social Climate Indicators
The Social Climate for
Tobacco Control
Work
Education
Familyand
FriendshipGroups
An Institutional Approach
Health &
Medical Care
Mass Culture &
Communication
Recreation, Sports & Leisure
Government &
Political Order
Social Climate Survey - Tobacco Control
• Previously validated questions drawn from state and national tobacco control surveys– Behavioral Risk Factor Surveillance System– Tobacco Use Supplement – Current
Population Survey– California Adult Tobacco Survey
• As well as other questions developed to measure attitudes, practices, and knowledge
Purpose• Provide timely, comprehensive data about
tobacco control attitudes and practices
• Objectively measure, and ultimately monitor, progress towards intermediate objectives
• Annual cross-sectional assessments of the social climate: 2000, 2001, 2002, 2003, & 2004
Sample Characteristics• Simple Random Sample of Adults
• Computer assisted telephone interviewers
• 2000: N = 803; Cooperation Rate = 85%
• 2004: N = 905; Cooperation Rate = 96%
Changes from 2000-2004
• 57% of social climate indicators improved from 2000 to 2004
• Support is increasing for restrictions on smoking in public places
• Smoking restrictions are becoming more prevalent in some public settings
Improvements in the Social Climate
• 45 indicators were included on both the 2000 and 2004 Mississippi SCS-TC
• Overall, 58% of indicators demonstrated statistically significant improvement over the past 5 years
Improvements• 12 of 16 (75%) of practices improved
• 11 of 24 (46%) of attitudes and social norms improved
• 3 of 5 (60%) of knowledge indicators improved
Family & Friendship Groups
• 57% of indicators improved over past 5 years
• Smoking is not allowed at home, 69% to 75%
• Smoking is not allowed at home when children are present, 78% to 91%
• Parents should not allow under 18 youth to smoke, 88% to 94%
Education• Only 1 indicator was included in both 2000
and 2004 survey
• No change in the belief that students should be punished for smoking at school, 95-97%
Government and Politics
• 20% of indicators improved over past 5 years
• Percent of adults who believe that stores should be penalized for the sale of tobacco to minors, 96% to 98%
Work• 80% of indicators improved over the past 5 years
• Adults who believe that smoking should not be allowed in any area at work, 62% to 74%
• Smoking is not allowed at work, 53% to 74%
• Employer offers a cessation program, 15% to 20%
Health & Medical Care• 60% of indicators improved over past 5 years
• Hospitals should be smokefree, 76% to 90%
• Cigarettes are very dangerous, 83% to 88%
• Cigars are very dangerous, 75% to 80%
Recreation• 77% of indicators improved over the past 5 years
• More adults believe that malls, convenience stores, restaurants, bars, and indoor sporting events should be smoke-free
• With the exception of bars, more adults report that these places are now smoke-free in their community
Mass Communication• 20% of indicators have improved over the
past 5 years
• Tobacco ads are not acceptable at sporting or cultural events, 60% to 65%
Long-Term Objectives
Percent Current Smokers
1999 2003
Public High School Students 32.5 23.4
Public Middle School Students
23.0 11.0
Private High School Students 36.6 26.3
Private Middle School Students
14.22000
6.2
Mississippi per capita consumption
107.0103.9
97.293.9
91.5 91.2
1998 1999 2000 2001 2002 2003
per capita consumption
Adult Smoking Prevalence
• BRFSS estimates were 23.0% in 1999 and 25.6% in 2003
• But other state adults surveys suggest that prevalence may be lower
Social Science Research Center,
Mississippi State Universitywww.ssrc.msstate.edu/socialclimate