Presentation is loading. Please wait.

Presentation is loading. Please wait.

Obtaining and Using Meaningful Tobacco Control Policy Measures National Conference on Tobacco OR Health Boston, Massachusetts December 11, 2003 Gary Giovino.

Published byTerence Ray Modified over 9 years ago

Similar presentations

Presentation on theme: "Obtaining and Using Meaningful Tobacco Control Policy Measures National Conference on Tobacco OR Health Boston, Massachusetts December 11, 2003 Gary Giovino."— Presentation transcript:

1 Obtaining and Using Meaningful Tobacco Control Policy Measures National Conference on Tobacco OR Health Boston, Massachusetts December 11, 2003 Gary Giovino Roswell Park Cancer Institute

2 Outline of Presentation Conceptual models Smoke-free air –Legislative coding –Environmental measures of RSPs –Observational study Price –Data sources –Tax avoidance behaviors Possession, use, purchase laws & enforcement Summary and lessons learned

3 Price Smoke- free Air Treatment Counter Marketing Components of Smoking Vaccine

4 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

5 Smoke-free Air

6 Restrictiveness Of State Laws Regulating Smoking In Public Places – U.S., 1960-2003* Sources: 1989 Surgeon General’s Report, ALA’s SLATI, CDC’s STATE system, MayaTech Corporation, Roswell Park Cancer Institute. Note: Includes the District of Columbia; * 2003 data are represented for the first three quarters of the year.

7 Smoke-Free Air Legislation in the 50 States and the District of Columbia -- United States, 1991-2003 Sources: ALA’s SLATI, CDC’s STATE system, the MayaTech Corp., and the Roswell Park Cancer Institute. 14 15 18 19 20 21 24 25 26 27 29

8 92/93 (%) 01/02 (%) % Change National47.472.1+ 52.2 High States Utah67.086.9+ 29.7 Mass.48.282.0+ 70.0 Maine56.481.5+ 44.5 Low States Nevada34.351.0+ 48.7 Kentucky30.461.8 +103.4 Hawaii47.262.4+ 32.1 Percent of Employed Persons who Work in Smoke-free Work Places: United States and Selected States, 1992-1993 and 2001/2002 Source: : NCI Tobacco Use Supplement to the Current Population Survey Series. In 2001-02 CDC joined NCI in co-sponsoring the Supplement.

9 Information Sources Legislative Coding: –ImpacTeen: http://www.ImpacTeen.org/tobaccodata.htmhttp://www.ImpacTeen.org/tobaccodata.htm –CDC STATE: http://www2.cdc.gov/nccdphp/osh/state/index.htm http://www2.cdc.gov/nccdphp/osh/state/index.htm –ALA SLATI: http://slati.lungusa.org/http://slati.lungusa.org/ –ANR: http://www.no-smoke.org/advo.htmlhttp://www.no-smoke.org/advo.html Model Laws: –ANR: http://www.no-smoke.org/advo.htmlhttp://www.no-smoke.org/advo.html –TALC: http://talc.phlaw.org/cgi-bin/pubcgi/publications.cgihttp://talc.phlaw.org/cgi-bin/pubcgi/publications.cgi (Technical Assistance Legal Center)

10 Indoor Air Quality Monitoring The air quality in various Western New York venues was measured before and after the implementation of the New York State Clean Indoor Air Law The air in 18 venues allowing smoking, including 7 bars, 7 restaurants, 2 bowling alleys, a pool hall and a bingo hall, was sampled in the month before the law and again within three months after the law went into effect on July 24 th, 2003 Air sampling before and after the law was done on the same day of the week and at approximately the same time of day

11 Measuring Fine Particles in the Air TSI SidePak AM510 Personal Aerosol Monitor The concentration of respirable suspended particles (RSP), or particles small enough to be easily inhaled deep into the lungs, was used as an indicator of air quality This instrument measures and records in memory the real-time concentration of RSP’s

12 Air Quality Over Time in a Western New York Bar

13 Change in Air Quality in Western New York Bars and Restaurants After Implementation of the New York State Clean Indoor Air Law

14 Smoke-free Air Observational Study Observations in a random sample of 259 hospitality venues throughout New York State before and after the implementation of the statewide SFA law in July 2003 Restaurants, Bars, and Bowling Facilities Measured compliance and other tobacco use indicators

15 Compliance Rates One Month After NY State CIAA

16 Price

17 Total Tax for a Pack of Cigarettes (1) and Average Price of a Pack of Cigarettes (2) in the United States, 2001 Note: Tax and price of cigarettes were adjusted for inflation; Price of cigarettes included generic cigarettes. r 2 = 0.942 ß = 0.723 P < 0.001 N = 51 NY KY CA VA HIAK

18

19 Compensatory Model of Price Effects Price Increase Quitting Switch to discount brands Switch to cheaper sources (e.g., Internet, Indian reservations, “Freddy’s van”) More efficient smoking (e.g., smoking more of cig, deeper breaths, less time out of mouth) Possible reduction in consumption Reduction in prevalence ??? No effect Adapted from: International Tobacco Control Policy Survey Overview, Geoff Fong, PhD, 2002.

20 88+% of NYS’s Population is Within 40 Miles of a Lower or Untaxed Cigarette Source.

21 Usual Source of Cigarettes: NYS vs. the Rest of the US -- Fall 2002. ITC Question: “Where do you buy most of your cigarettes? … ” Source: International Tobacco Control Policy Evaluation Survey 25% report buy most of their cigarettes from the Internet, phone, another state or Indian reservation

22 Percent of Smokers who Report Regularly Buying their Cigarettes at Indian Reservations, Erie/Niagara Counties, 2002/3.

23 Sales Taxes and Excise Taxes Not Collected Each Year from Current Smokers who Regularly Purchase Cigarettes on Indian Reservations* *Assuming these smokers buy 50% of the cigarettes that they smoke from Indian Reservations and that they smoke 15 cigarettes per day; NY State estimate reflects revenue lost from Erie/Niagara residents.

24 Sources of Cigarette Price Data Secondary Data –Tobacco Institute/Orechowski & Walker –ACCRA –Scanner Primary Data –Store observation –Telephone Surveys –Mail Surveys

25

26 Possession, Use, & Purchase Laws

27 PUP Laws:  Possession, use, and purchase (PUP) laws are youth access tobacco control policies that penalize minors, themselves, for possessing, using, and/or purchasing tobacco products  Recent trends indicate a sharp increase in the number of state PUP laws: 1988: 17 states had enacted at least one PUP law 1988: 17 states had enacted at least one PUP law 2003: 45 states had enacted at least one PUP law 2003: 45 states had enacted at least one PUP law There is little empirical data on the effectiveness of such laws

28 PUP State Enforcement Index: Max total score – 35 pts. Level of Enforcement: Max: 2 points (0-2 points) State resources provided for local enforcement: Max: 3 points (0-3 points) Predominant pattern of enforcement: Max: 3 points (0-3 points) Typical enforcement action(s) taken when violation observed: Max: 5 points (0-5 points) Number of citations issued in state past 12 months: Max: 6 points (0-5 points) Typical enforcement penalty/penalties when first-time violation observed: Max: 5 points (0-5 points) Typical enforcement penalty/penalties for second/subsequent violations: Max: 5 points (0-5 points) Publicity related to enforcement during past 12 months: Max: 6 points (0-6 points) STATE ENFORCEMENT MEASURE STATE ENFORCEMENT MEASURE

29 PUP Local Enforcement Index: Max total score – 15 pts. Ordinance enforced in community: Max: 1 points (0-1 points) Priority of enforcement in community: Max: 4 points (0-4 points) Resources for effective enforcement in community: Max: 2 points (0-2 points) Predominant pattern of enforcement in community: Max: 2 points (0-2 points) Typical enforcement action(s) in community when youth or minor is caught for tobacco possession: Max: 4 points (0-4 points) Parents routinely notified if youth is cited for tobacco possession: Max: 2 points (0-2 points) LOCAL ENFORCEMENT MEASURE LOCAL ENFORCEMENT MEASURE

30 Summary & Lessons Learned Policy effects depend on implementation and are influence by adaptive behaviors Legislative coding is done best with legal help – can be resource intensive; use existing data sources whenever possible Triangulate data Seek out information at the sub-state level (e.g., Current Population Survey, Americans for Nonsmokers’ Rights Foundation, Group Against Smoking Pollution

31 Acknowledgments SFA Data –MayaTech –ImpacTeen –NCI & CDC –Andrew Hyland - RPCI –Mark Travers - RPCI –Michael Cummings - RPCI –Russ Sciandra -CTFNY –Harlan Juster – NYS DOH Price Data –Frank Chaloupka – UIC –Sherry Emery – UIC –ImpacTeen –Andrew Hyland – RPCI –Mike Cummings – RPCI –RTI – Matthew Farrelly PUP Enforcement –Cindy Tworek – RPCI –ImpacTeen

Download ppt "Obtaining and Using Meaningful Tobacco Control Policy Measures National Conference on Tobacco OR Health Boston, Massachusetts December 11, 2003 Gary Giovino."

Similar presentations

NATIONAL TOBACCO CONTROL 1. PREVENT TOBACCO USE AMONG YOUTH 2. REDUCE NUMBERS OF SMOKERS REDUCE TOBACCO CONSUMPTION 3. LIMIT ENVIRONMENTAL TOBACCO SMOKE.

NATIONAL TOBACCO CONTROL 1. PREVENT TOBACCO USE AMONG YOUTH 2. REDUCE NUMBERS OF SMOKERS REDUCE TOBACCO CONSUMPTION 3. LIMIT ENVIRONMENTAL TOBACCO SMOKE.
Lessons Learned from the Implementation of a State Clean Indoor Air Law -New York- Ursula E. Bauer, Ph.D. Director, Tobacco Control Program NYS Department.

Lessons Learned from the Implementation of a State Clean Indoor Air Law -New York- Ursula E. Bauer, Ph.D. Director, Tobacco Control Program NYS Department.
Income Inequality and Cigarette Smoking Behaviors in the United States Jun Yang 1, Frank J. Chaloupka 2, Cindy Tworek 1, Joseph Bauer 1, Mike Smith 3,

Income Inequality and Cigarette Smoking Behaviors in the United States Jun Yang 1, Frank J. Chaloupka 2, Cindy Tworek 1, Joseph Bauer 1, Mike Smith 3,
Results Introduction Tobacco use is the leading preventable cause of death in Wisconsin and the United States. Given the risk of smoking initiation during.

Results Introduction Tobacco use is the leading preventable cause of death in Wisconsin and the United States. Given the risk of smoking initiation during.
U.S. Department of Health and Human Services Tobacco Control: A Winnable Battle U.S. Department of Health and Human Services Centers for Disease Control.

U.S. Department of Health and Human Services Tobacco Control: A Winnable Battle U.S. Department of Health and Human Services Centers for Disease Control.
Sources of Cigarette Price and Sales Data in the United States Presented by Brett R. Loomis RTI International Presented at National Conference on Tobacco.

Sources of Cigarette Price and Sales Data in the United States Presented by Brett R. Loomis RTI International Presented at National Conference on Tobacco.
Public Health Prevails Over Preemption in South Carolina

Public Health Prevails Over Preemption in South Carolina
Smoke-free Air Policies to Reduce Smoking

Smoke-free Air Policies to Reduce Smoking
Public Health Nursing Practice: Finding Evidence to Apply to Environmental Health Issues Searching for Smoke-Free Air.

Public Health Nursing Practice: Finding Evidence to Apply to Environmental Health Issues Searching for Smoke-Free Air.
HIGHLIGHTS FROM THE CALIFORNIA TOBACCO SURVEYS Elizabeth A. Gilpin, MS Principal Investigator 1999 California Tobacco Surveys Cancer Prevention and Control.

HIGHLIGHTS FROM THE CALIFORNIA TOBACCO SURVEYS Elizabeth A. Gilpin, MS Principal Investigator 1999 California Tobacco Surveys Cancer Prevention and Control.
TRENDS IN SECONDHAND SMOKE EXPOSURE AMONG SOUTH AFRICAN ADOLESCENTS DURING 1999-2011 Joyce L. Jakavula and Olalekan A. Ayo-Yusuf School of Health Systems.

TRENDS IN SECONDHAND SMOKE EXPOSURE AMONG SOUTH AFRICAN ADOLESCENTS DURING Joyce L. Jakavula and Olalekan A. Ayo-Yusuf School of Health Systems.
Tobacco Tax/Price Policies and Smoking Behavior Andrew Hyland, PhD Roswell Park Cancer Institute February 2, 2011

Tobacco Tax/Price Policies and Smoking Behavior Andrew Hyland, PhD Roswell Park Cancer Institute February 2, 2011
The Demand for and Supply of Cessation Products & Services Frank J. Chaloupka University of Illinois at Chicago.

The Demand for and Supply of Cessation Products & Services Frank J. Chaloupka University of Illinois at Chicago.
Policy Options to Restrict Tobacco Marketing in Stores Ellen Feighery RN MS Public Health Institute Oakland, CA.

Policy Options to Restrict Tobacco Marketing in Stores Ellen Feighery RN MS Public Health Institute Oakland, CA.
A Significant Cigarette Tax Rate Increase in Kansas Would Produce a Large, Sustained Increase in State Tobacco Tax Revenues Frank J. Chaloupka, Distinguished.

A Significant Cigarette Tax Rate Increase in Kansas Would Produce a Large, Sustained Increase in State Tobacco Tax Revenues Frank J. Chaloupka, Distinguished.
Smoke-free Air Policies to Reduce Smoking. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation.

Smoke-free Air Policies to Reduce Smoking. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation.
1 Smoke-Free Air Policies: Progress, Challenges, and Resources Mark J. Travers, PhD, MS Roswell Park Cancer Institute Buffalo, NY, USA

1 Smoke-Free Air Policies: Progress, Challenges, and Resources Mark J. Travers, PhD, MS Roswell Park Cancer Institute Buffalo, NY, USA
ImpacTeen: A Policy Research Partnership to Reduce Youth Substance Use University of Illinois at Chicago Health Research and Policy Centers www.uic.edu/orgs/impacteen.

ImpacTeen: A Policy Research Partnership to Reduce Youth Substance Use University of Illinois at Chicago Health Research and Policy Centers
Ban Forms of Tobacco Advertising. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation – asthma.

Ban Forms of Tobacco Advertising. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation – asthma.
Ban Forms of Tobacco Advertising. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation – asthma.

Ban Forms of Tobacco Advertising. Background Misuse and Abuse of Tobacco Increase rates of cancer – Lung cancer Heart disease Poor circulation – asthma.

Similar presentations

Ads by Google