CDPHE Winnable Battles: Tobacco

August, 2012CDPHE Tobacco Program Team

Top Row: Dee Thomas – Enforcement Program CoordinatorEmma Goforth – Adult Cessation CoordinatorCeleste Schoenthaler – Unit ManagerGracie Cash – Tobacco Program Generalist

Bottom Row: Jennie Munthali – Stephanie Walton – Youth Policy CoordinatorJill Bednarek – Secondhand Smoke CoordinatorNot pictured: Sharon Tracey – Youth and Young Adult Initiatives CoordinatorJennifer Schwartz – Tobacco Initiatives Work Lead

Tobacco Program Mission

In partnership with communities, youth and stakeholders, our team provides leadership for tobacco prevention by promoting and implementing evidence-based, data-driven strategies across Colorado.

Tobacco use is costly for everyone

Cost to United States economy each year in healthcare costs and lost productivity: $193 billion

Cost to Colorado each year in healthcare costs and lost productivity: $2.4 billion*

Annual U.S. Medicaid costs due to smoking: $30.9 billion

Annual Colorado Medicaid costs due to smoking: $319 million

Adult current smoking by demographic group

Cover this blue placeholder with your program logo

Note: * Estimates for education are based on adults aged 20 years and older. Estimates for racial/ethnic groups are based on combined 2009 and 2010 data. Source: CDC Behavioral Risk Factor Surveillance System

Colorado Young Adults aged 18 – 24

2001 2005 20080

5

10

15

20

25

30

35

40

1 8 - 24

student

non student

Source: 2001, 2005, 2008 Colorado Tobacco Attitudes and Behavior Survey

Tobacco Use in Medicaid Population ~500,000 individuals receive Medicaid each year in CO

Medicaid Colorado Adults0%

5%

10%

15%

20%

25%

30%

35%

40%

38%

18%

Tobacco Use TABS 2008

Middle School & High School Students Ever Smoking-Colorado

Middle School High School0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

25.7%

54.2%

16.7%

43.2%

14.4%

36.8%

Source: Colorado Healthy Kids Colorado Survey on Tobacco and Health, 2001, 2006, and 2008

200120062008

~90% of adult smokers first try tobacco before the age of 18†

Each Year in the Unites States…Approximately 400,000 kids become regular smokers*

6 Million kids will die prematurely from their addiction*

Each Year in Colorado…4,900 youth become regular smokers*

92,000 kids will die prematurely from smoking*

That is more than twice the entire population of Grand Junction!

† Surgeon General’s Report: Preventing Tobacco Use Among Young People, 1994.* CDC: Best Practices for Tobacco Control Programs, 2007.

6 out of 10 Colorado high school students attempting to purchase cigarettes are successful

Youth vs. Adult Smokeless Tobacco Use

High School 18-24 years old

25-44 years old

45-64 years old

65+ years old

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

12.9%9.5%

7.3%4.1%

1.8%

Male Smokeless Tobacco Use

2008

Colorado Healthy Kids Colorado Survey on Tobacco and Health, 2008 & Tobacco Attitudes and Behavior Survey, 2008

Strategic Plan Goals2020 Goals 1. The cessation success gap affecting low SES youth and adult smokers

decreases by 50 percent 2. A majority of people and health care systems in Colorado recognize

and treat tobacco dependence as a chronic condition 3. A majority of Coloradans live, learn, work and play in communities

that have effective policies and regulations that reduce youth and adult use and access to tobacco

4. Tobacco prevalence and initiation among young adults, especially straight-to-work, decreases by 50 percent

5. Initiation among youth, especially high burden and low SES populations, decreases by 50 percent

6. Exposure to secondhand smoke with an emphasis on low SES populations decreases by 50 percent

7. Colorado is among the 10 states with the highest price for tobacco products

Tobacco Program Initiatives

• Amendment 35• State Policy

– Youth Access/Point-of-sale– Monitor and Sustain CCIAA– Health Systems

• Federal Partnerships– CDC– FDA/Synar– Healthy Housing– Medicaid

• Data/Surveillance• Partnerships/Communication

Priority Populations

• Low SES• Disparately Affected Populations

• Young Adult non-Students• Youth

PSD Work Plan• Prevent initiation among youth and young

adults• Promote quitting among adults and youth• Eliminate exposure to secondhand smoke• Identify and reduce tobacco-related disparities

among population groups• Create strategic alignment among A35 review

committees

Progress… Department leadership talking about licensing and tax BOH resolution around dissolvables 4 communities with licensing/youth access policies Over 7,000 inspections for compliance with FDA laws (since 2010) Over 600 youth participating in NOT (FY) Enhancement of interagency tobacco team Over 17,000 calls to the Colorado QuitLine (FY) Facebook and Twitter pages for QuitLine 2 new local policies to enhance CCIAA 3 new local policies to reduce SHS exposure in multi unit housing Healthy Housing Coalition formed New strategic plan for tobacco Full funding return to A35 RFA released, new funding framework

…. and much much more on the horizon