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California Tobacco Control Program

California Tobacco Control Program. Ron Chapman, MD, MPH Director and State Health Officer California Department of Public Health September 24, 2013. California Tobacco Program Goal change social norms. Outcome = prevention & cessation.

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California Tobacco Control Program

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  1. California Tobacco Control Program Ron Chapman, MD, MPH Director and State Health Officer California Department of Public Health September 24, 2013

  2. California Tobacco Program Goal change social norms Outcome = prevention & cessation

  3. Creates an environment where tobacco use becomes: Less desirable Less acceptable Less accessible

  4. Smoke-free Smoke-free Media + A Powerful Equation Community Engagement = Social Norm Change

  5. Role of Media • To be ahead of the wave (public opinion) • To use the energy at the front of the wave to pull public opinion forward

  6. Role of Community • Amplifies the message • Ties the program to the community • Diversifies expertise, influence, & connections • Results in policy change

  7. California adult per capita cigarette pack consumption and smoking prevalence, 1980 to 2011 Proposition 99 20% 49% 47% Source: Tax Burden on Tobacco, 2011 and US Census (population). Prepared by: California Department of Public Health, California Tobacco Control Program.

  8. Smoking prevalence among California and U.S. minus California adults, 1984-2012 Source: Behavioral Risk Factor Surveillance System (BRFSS) 1984-2012. The data are weighted to the 2000 California population from 1984 to 2011, weighted to 2010 California population in 2012. Note an adjustment was made to address the change of smoking definition in 1996 that included more occasional smokers. The weighting methodology changed in 2011 for the rest of U.S. , changed in 2012 for CA. Prepared by: California Department of Public Health, California Tobacco Control Program, May 2013.

  9. 30-day smoking prevalence for California and United States high school (9th-12th grade) students, 2000-2012 Source: The 2000 California data is from the National Youth Tobacco Survey (NYTS) collected by the American Legacy Foundation, which used passive parental consent. The other year data are from the California Student Tobacco Survey. The United States data are from the NYTS collected by the American Legacy Foundation and the Centers for Disease Control and Prevention. Prepared by: California Department of Public Health, California Tobacco Control Program.

  10. Lung and bronchus cancer incidence in California and U.S. minus California, 1988-2009 APC=-0.5* APC=-1.6* Source: California Cancer Registry. Rates are per 100,000 and age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) standard. Percent changes were calculated using 2 years for each end point; APCs were calculated using non-weighted least squares method. The APC is significantly different from zero (p<0.05). Prepared by: California Department of Public Health, California Tobacco Control Program.

  11. Prop 99: ROI • Reduced cigarette consumption by 72% • Decreased adult smoking prevalence by 46% • Decreased high school smoking prevalence by about 50% • Decreased lung cancer rates 3x faster in California than the rest of the U.S. • Saved 1 million lives saved • Averted $134 billion in health care costs (1989-2008)

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