Purposes of a Tobacco-Related Surveillance System

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Presentation transcript:

Purposes of a Tobacco-Related Surveillance System To provide timely information from populations on: prevalence of use of various products (tobacco and pharmaceutical) factors that influence their use incidence, prevalence, and mortality from tobacco-attributable diseases impact of tobacco control programs and policies on relevant outcomes

Uses of Tobacco Surveillance Data Learn about nature of the problem Justify policies, programs, and legislation Monitor and evaluate these Set realistic objectives Identify high risk groups Justify research initiatives Conduct research

Tobacco Control Model of Nicotine Addiction Tobacco Products Agent Environment Familial, Social, Cultural, Political, Economic, Historical, Media Host Vector Smoker/Chewer Tobacco Product Manufacturers; Other Users Incidental Host Involuntary Smoker Source: Orleans & Slade, 1993

Conceptual Model of Factors Influencing Trends in Adolescent Smoking – United States, 1975-2001 Data Source: Institute for Social Research, University of Michigan, Monitoring the Future Surveys

Adult Per Capita Cigarette Consumption and Major Smoking and Health Events – United States, 1900-2001 1st World Conference on Smoking and Health Broadcast Ad Ban 1st Surgeon General’s Report 1st Great American Smoke-out End of WW II OTC Nicotine Medications Master Settlement Agreement Fairness Doctrine Messages on TV and Radio 1st Smoking-Cancer Concern Non-Smokers Rights Movement Begins Surgeon General’s Report on ETS Federal Cigarette Tax Doubles Great Depression Source: United States Department of Agriculture

Paradigm for Tobacco Control Cessation activities Prevention activities Clean indoor air Regulation/Liability Price/Economic Minor’s access Advertising Individual

Key Areas for Surveillance Evaluating Tobacco Control Programs in a Multi-variate World Surveillance for Tobacco Harm Reduction Understanding Natural Histories Understanding Trends

National Longitudinal Study of Tobacco Use and Quitting Background Purpose Activities to date Existing systems Realities

Tobacco Surveillance, Epidemiology, and Evaluation Network Background Mission Statement Activities to date Existing systems Realities