1. Plan For Community Change Reducing Use of Tobacco In Montcalm County Presented by: Karen Bowers, Nanette Brown, Cindy Magirl, Laura Parker, Tennille Sassano, and Kathy Vietti

2. Tobacco Facts  Nicotine: Most addictive chemical in tobacco  1950’s Researchers linked cigarette smoking to health issues  1960’s Cigarette smoking peaked in the United States  91.5 million current and former smokers in the United States

3. Benchmarks Tobacco Use  Montcalm County 26.7%  Michigan 19.8%  United States 19.0

4. Contributing Factors  Younger population  Lower educational level  Males  Lack of health insurance  No primary care provider

5. Transtheoretical Model

6. Community Health Nursing Diagnosis  Risk of developing lung diseases (emphysema, bronchitis and chronic airway obstruction)  Among adults age 18 and older in Montcalm County  Related to the high cigarette smoking rates  As demonstrated by the smoking rate of 26.7% compared to 19.6% for the State of Michigan

7. Causative Factors  Tobacco advertising  Selling tobacco to youths  Peer pressure/Social image

8. Reducing Causative Factors  Advertise health damage caused by tobacco use.  Encourage smoking cessation; provide free help  Reduce tobacco advertising to youth.  Decrease illegal sales to under age population.

9. President Obama’s Great American Smoke Out Message http://www.youtube.com/watch?v=yd-gboZJYZ0

10. Improved Health Indicators  Statistical data should show a decline of tobacco use in Montcalm County  Reduction of chronic lung disease  Decreased tobacco sales  Decrease healthcare costs  Local hospital tobacco programs

11. WHO??????? Family Friends Tobacco Industry Peers Society Youth

13. Prevention Is The Key

14. Community Intervention United Lifestyles Hospitals Primary Care Physicians Dentists Schools Youth Clinics

15. How To Target Our Youth Population 

16. Barriers  Cost of brochures  Parental consent for graphic nature of content  Limited resources  Availability

17. Smoking Is Hazardous To Health

18. Evaluation of Intervention  Statistical data for the percentage of smokers in Montcalm County would decrease  Compare the data of the upcoming Montcalm County Profile Health Assessment with the next 5-10 years  The goal would be to see the statistics from the local community tobacco cessation programs have an increased enrollment

19. References  AddictionInfo.org, (2013). Retrieved from: http://www.addictioninfo.org/articles/276//transtheoretical-model-of-Behavior- Change/Page1.html http://www.addictioninfo.org/articles/276//transtheoretical-model-of-Behavior- Change/Page1.html  American Lung Association, (2013). An Epidemic of Tobacco Use in Rural Communities Retrieved from: http://www.lung.org/lung-disease/disparities- reports/cutting-tobaccos-rural-roots/2013/an-epidemic-of-tabacco-use-in.htmlhttp://www.lung.org/lung-disease/disparities- reports/cutting-tobaccos-rural-roots/2013/an-epidemic-of-tabacco-use-in.html  Center of Disease Control and Prevention, (2013) Tips From Former Smokers Retrieved from: http://www.cdc.gov/tobacco/campaign/tips/abouthttp://www.cdc.gov/tobacco/campaign/tips/about  Center of Disease Control and Prevention, (2013) Data and Statistics Retrieved from: www.cdc.gov/tobacco/data_statisitics/sgr2 www.cdc.gov/tobacco/data_statisitics/sgr2  Davidson, T., Willingham E., (2008). Nicotine and related disorders. Retrieved from Health and Wellness Resource Center Database  Felberbaum, M., (2013) U.S. to Revise Cigarette Warning Labels Retrieved from: www.usatoday.com/story/news/nation/2013/03/19/cigarette-warning-labels/20005491

20. References  Health Resource Center Student Health Services Tobacco Abuse (2013) Retrieved from: http://www.csulb.edu/divisions/students/hrc http://www.csulb.edu/divisions/students/hrc  Healthy People 2020, (2013) Tobacco Retrieved from: http://healthypeople.gov/2020/LHI/tobacco.aspx?tab=data http://healthypeople.gov/2020/LHI/tobacco.aspx?tab=data  Health Resource Center Student Health Services Tobacco Abuse (2013) http://www.csulb.edu/divisions/students/hrc http://www.csulb.edu/divisions/students/hrc  Hopkins, D.Briss, P. Ricard, C., Husten, C., Carande-Kulis, V., Fielding, J., Alao, M., McKenna, J., Sharp, D., Harris, J., Woollery, T., Harris, K., The Task Force on Community Preventive Services. (2001). Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. American Journal of Preventive Medicine, 20(2S). Retrieved from:http://www.thecommunityguide.org/tobacco/tobac-AJPM-evrev.pdfhttp://www.thecommunityguide.org/tobacco/tobac-AJPM-evrev.pdf

21. References  Michigan Department of Community Health. (n.d.) Tobacco Control Program. Retrievedfrom: http://www.michigan.gov/mdch/0,4612,7-132-2940_2955_2973---,00.htmlhttp://www.michigan.gov/mdch/0,4612,7-132-2940_2955_2973---,00.html  Mid-Michigan District Health Department, (2011) Community Health Assessment Montcalm County Profile 2011. Retrieved from: http://mmdhd.org/cha/Montcalm/CHA_Montcalm_Co_Profile.pdf http://mmdhd.org/cha/Montcalm/CHA_Montcalm_Co_Profile.pdf  Michigan Department of Treasury (2012). Michigan's cigarette and tobacco taxes. Retrieved from http://www.michigan.gov/documents/treasury/CigaretteAndTobaccoTaxes2011StatisticalUpd ate_397083_7.pdf http://www.michigan.gov/documents/treasury/CigaretteAndTobaccoTaxes2011StatisticalUpd ate_397083_7.pdf  U.S. Department of Health and Human Services, (2012) Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Retrieved from: http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html