ChangeLab Solutions developed the easy-to-use Tobacco Retailer Licensing Playbook to outline the ten strategies necessary for developing, implementing, and enforcing a comprehensive TRL policy. It provides all the steps and considerations involved in building support for TRL, and includes examples and key resources to help communities create a strong local policy that improves public health.
The following is a snapshot of the U.S. landscape of e-cigarette regulation as of May 22, 2015. The information below was based on a 50-state (plus Washington, D.C.) survey of current state statutes pertaining to e-cigarette regulations in the following areas definition of “tobacco product,” taxation, product packaging, youth access/other retail restrictions, and smoke-free air legislation.
In this paper, the researchers conduct a policy review of current clean indoor air act (CIAA) legislation at the state level, as well as identify legislation pertaining specifically to waterpipe tobacco smoking. To complete this review, they examine state-by-state policy with waterpipe use and allowable exposure. This review provides valuable information for current legislative initiatives and has implications for needed future waterpipe tobacco smoking policy.
The National Youth Tobacco Survey (NYTS) datasets are available for public use, so that researchers and public health managers can explore the data in detail. In addition, states can compare their estimates of prevalence of youth tobacco use with national data.
Substance Use & Misuse (August 5, 2016, Epub ahead of print). Overt and frequent discouragement seems to be less effective in stimulating young people to take an active role in the dialogue with their peers about smoking.
This toolkit was developed for a broad continuum of public health care organizations and treatment facilities, particularly those organizations serving persons with mental illnesses and addictions. The materials are intended for administrators, direct providers, and support staff of organizations considering or implementing tobacco-free policies.
Health Education Behavior, August 2015. Objectives. Tobacco product risk perceptions may influence whether individuals use those products instead of or in addition to regular cigarettes. This study aimed to explore risk perceptions of various tobacco products relative to traditional cigarettes with young adults, a group with higher rates of tobacco use. Method. We examined risk perception responses among a nationally representative sample of young adults (age 18-34 years; n = 2,871, including tobacco and non–tobacco users) from the 2011 National Young Adult Health Survey. Results. Most (57.8%) respondents believed that e-cigarettes were less risky than cigarettes. Respondents were more likely to rate combustible products hookah (24.5%) and cigars (13.9%) as being less risky compared to noncombustible snus (10%) and other smokeless tobacco (SLT) products (7.1%) relative to cigarettes. Few (2.5%) rated menthol cigarettes as less risky. For e-cigarettes, hookah, and SLT, less risky beliefs were significantly higher among ever or current versus never product users. Between 22% and 33% of all respondents believed that SLT, snus, menthol cigarettes, and cigars were more risky than cigarettes, but differences in this belief between current and nonusers of these products were small and insignificant. Younger young adults were more likely to rate e-cigarettes and hookah as being “less risky” and rate cigars and SLT as being “more risky” than older young adults. Conclusion. The public’s views of comparative tobacco risk perceptions vary widely by tobacco product type and age-group. While “less risky” perceptions may be associated with product use, perceptions that products are “more risky” than cigarettes may not necessarily dissuade people from their use.
GoalReduce illness, disability, and death related to tobacco use and secondhand smoke exposure.OverviewScientific knowledge about the health effects of tobacco use has increased greatly since the first Surgeon General’s report on tobacco was released in 1964
Exposure to secondhand smoke from burning tobacco products causes stroke, lung cancer, and coronary heart disease in adults. Children who are exposed to secondhand smoke are at increased risk for sudden infant death syndrome, acute respiratory infections, middle ear disease, more severe asthma, respiratory symptoms, and slowed lung growth. Secondhand smoke exposure contributes to approximately 41,000 deaths among nonsmoking adults and 400 deaths in infants each year. This report updates a previous CDC report that evaluated state smoke-free laws in effect from 2000–2010, and estimates the proportion of the population protected by comprehensive smoke-free laws.
Best practices in capacity-building for enhanced tobacco cessation services. Case studies from Colorado, Florida, Nevada, New England, New York and Virginia
Explore strategies for community health organizations to create smoke-free worksites and other venues. A subject-matter expert will provide an overview of the gaps that still exist in smoke-free protections, including which populations are still exposed to secondhand smoke. Awardee presenters will share their successes and challenges in implementing smoke-free protections, including gaining buy-in from community leaders, addressing loopholes in protections, increasing adherence to worksite protections, working with youth, and developing a comprehensive approach to healthy worksites.
Multiunit housing residents are at risk of secondhandsmoke exposure from adjoining units and commonareas. We developed this case study to documentstate-level strategies undertaken to address this risk.We explored program documents to identify facilitators,barriers, and outcomes. Three states (Montana,Michigan, and Nebraska) provided detailed informationon multiunit housing efforts in the study timeframe. We conducted a qualitative analysis usinginductive coding to develop themes. Several facilitatorsrelating to existing infrastructure included traditionaland nontraditional partnerships, leadershipand champions, collecting and using data, efficientuse of resources, and strategic plans. We also reportexternal catalysts, barriers, and outcomes. Significantstate leadership and effort were required to providelocal-level technical assistance to engage traditionaland nontraditional partners. Information needs wereidentified and varied by stakeholder type (i.e., healthvs. housing). States recommend starting with publichousing authorities, so they can become resources foraffordable and subsidized housing. These lessons andresources can be used to inform smoke-free multiunithousing initiatives in other states and localities.
This webinar will explore strategies for community health organizations to create smoke-free worksites and other venues. A subject-matter expert will provide an overview of the gaps that still exist in smoke-free protections, including which populations are still exposed to secondhand smoke. Awardee presenters will share their successes and challenges in implementing smoke-free protections, including gaining buy-in from community leaders, addressing loopholes in protections, increasing adherence to worksite protections, working with youth, and developing a comprehensive approach to healthy worksites.
Free, online interactive presentation on electronic nicotine delivery systems and their potential health effects during and after pregnancy, and discusses effective tobacco cessation treatments. This presentation is a new module for Smoking Cessation for Pregnancy and Beyond A Virtual Clinic, an online training designed for health professionals to effectively assist women in quitting smoking. The training is eligible for free continuing education and Maintenance of Certification Part IV credit. Learn about Tobacco Use and Pregnancy from CDCs Division of Reproductive Health.
The National Youth Tobacco Survey (NYTS) datasets are available for public use, so that researchers and public health managers can explore the data in detail. In addition, states can compare their estimates of prevalence of youth tobacco use with national data.
The Master Settlement Agreement An Overview provides answers to several common questions about the largest civil litigation settlement in U.S. history, the tobacco Master Settlement Agreement (MSA).
Online resource with detailed information about evidence-based policies and programs to reduce tobacco use and increase physical activity in communities. Created by the HealthPartners Institute for Education and Research and Partnership for Prevention, with input from the National Commission on Prevention Priorities, and utilizing interventions recommended by Community Preventive Services Task Force, Community Health Advisor was designed with public health leaders and policymakers in mind, and provides customizable, detailed information for improving population health.
CDC’s Best Practices for ComprehensiveTobacco Control Programs—2014 is an evidence basedguide to help states plan and establishcomprehensive tobacco control programs. Thisedition updates Best Practices for ComprehensiveTobacco Control Programs—2007. The 2014edition describes an integrated programmaticstructure for implementing interventions provento be effective and provides the recommendedlevel of state investment to reach these goalsand to reduce tobacco use in each state.
This pilot study was conducted to explore the associations between stressors related to homelessness and modifiable health risk factors (poor diet, insufficient physical activity, and overweight/obesity) and to provide direction for future research. Participants (N = 57) were homeless adults enrolled in a smoking cessation program. Analyses were conducted to characterize the sample as well as the relations between relevant stressors (discrimination, chronic stress, and fear and mistrust) and health risk factors. Inadequate daily consumption of fruits, vegetables, and fiber was common. High-fat diet and insufficient physical activity were also prevalent, and the majority of participants were overweight/obese. Participants commonly endorsed discrimination, fear of victimization, mistrust of others, and several other stressors. Greater endorsement of stressors was associated with a high-fat diet. Results suggest that lifestyle interventions and policy changes may be warranted in homeless shelters to attenuate the potential effects of stressors on high-fat dietary consumption among smokers.
Health Education & Behavior, August 2015. Objective. Evaluate the second flight of the U.S. Tips From Former Smokers (Tips) campaign. Method. Data were analyzed from an online consumer panel of U.S. adult smokers before (n = 1,404) and after (n = 1,401) the 2013 Tips campaign launch. Generalized estimating equation models assessed whether the Tips advertisement recall was associated with knowledge about smoking-related risks in the Tips advertisements, awareness and use of a toll-free quitline and cessation websites, and quit attempts. Results. Seventy-one percent of participants at Wave 2 reported that they recalled seeing at least one Tips advertisement. Smokers who recalled seeing a Tips advertisement were more likely to (a) show increases over baseline in knowledge of health risks such as amputation 65% versus 34%, p < .001; blindness 27% versus 12%, p < .001; and (b) to be aware of a quitline (41% vs. 30%, p < .001) and cessation website (28% vs. 20%, p < .001). Recall of Tips advertisements was also associated with greater likelihood of reporting having visited cessation websites (odds ratio [OR] = 1.62, 95% confidence interval [CI] = 1.27-2.06), having called a quitline (OR = 2.28, 95% CI = 1.61-3.24), and having made a quit attempt (OR = 1.18, 95% CI = 1.00-1.39), although these results were only statistically significant in the unadjusted models. Conclusions. The 2013 Tips campaign was successful in increasing knowledge of health risks and awareness of tobacco cessation resources.