AK Tobacco Facts - Alaska Department of Health and Social ...

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ecommendations for action to be undertaken by the Alaska TPC Program and its statewide partners to reduce and eventually eliminate disparities in tobacco use due to race, region of residence, or socio economic status in the state of Alaska. The TPC Program created a position to oversee the disparities component of the program and hired a coordinator in the summer of 2008. Ongoing collection and analysis of data is also an important part of work to address tobacco-related disparities. The TPC Program uses routine surveillance to identify population groups with disproportionately high tobacco use rates. In addition, the TPC Program has conducted several in-depth data analysis projects to gather more information about tobacco knowledge and behavior among identified disparate groups. Two examples include the report “What State Surveys Tell Us About Tobacco Use Among Alaska Natives: Implications for Program Planning”, published in 2007, and a report on tobacco use among adults of low socioeconomic status. Youth Because most people who start smoking are younger than age 18, programs that prevent the onset of smoking among young people are an important part of a comprehensive tobacco control program. In 2007 the TPC Program initiated a school-based tobacco prevention program. The TPC Program currently funds 6 school districts to develop comprehensive school tobacco prevention programs. Funded districts address the following five key priority areas: 1) institute and enforce comprehensive tobacco prevention policies, 2) implement effective K-12 tobacco prevention classroom instruction, 3) provide assistance to students, families, and staff who want to quit using tobacco products, 4) involve parents and families in support of school-based tobacco prevention programs, and 5) create and maintain linkages to community-based tobacco prevention coalitions. To promote synergy between school-based and community efforts, all funded school programs are located in regions with community grantee programs School and community programs to reduce youth tobacco use are supported and reinforced by statewide efforts to reduce youth access to tobacco. Through the Division of Behavioral Health, Alaska conducts a statewide enforcement program to comply with the Federal SYNAR Amendment to (1) have and enforce State-level minors’ access laws to decrease the rate of sales to persons under the age of 18 to less than 20 percent, (2) conduct annual statewide inspection surveys that accurately measure the effectiveness of their enforcement efforts, and (3) report annually to the Secretary of Health and Human Services. Since 2003, Alaska has successfully met federal requirements that illegal vendor sales not exceed 20 percent. Chronic Disease Programs The TPC Program is located in the Section of Chronic Disease Prevention and Health Promotion (CDPHP) within the Alaska Division of Public Health. TPC staff currently collaborate with other CDPHP Programs on a worksite health promotion initiative. The initiative aims to help organizations develop or enhance employee health by creating a healthy workplace environment. Features of a healthy environment include policies and practices that support employees in being informed about their health, having healthy habits, following good preventive practices, and being informed health consumers. Alaska Tobacco Facts, 2009 Update 41
TPC Staff are also working to link cessation resources available through the Alaska Tobacco Quitline with information on other chronic conditions. The Program has developed inserts on the treatment of chronic conditions to distribute with Quitline provider materials, and information is also distributed to Quitline callers. 2. Health Communications Interventions: TPC Health Communications Interventions consist of a wide range of efforts, including paid television, radio and print media. Research shows that counter-marketing promotes quitting, decreases the likelihood of initiation, and supports community efforts to create tobacco-free social norms. The TPC Program currently has two counter-marketing contractors, one for urban markets and the other for rural markets. 3. Cessation Interventions: Programs that assist both young and adult smokers in quitting can produce significant health and economic benefits. Evidence-based clinical practice guidelines describe a variety of effective cessation strategies, including brief advice by medical providers to quit smoking, FDA approved pharmacotherapy (e.g., nicotine replacement therapy, NRT) and population based cessation helplines or Quitlines. System changes are critical to the broad-based success of cessation interventions. The TPC Program currently funds a statewide, toll-free Quitline that includes the provision of NRT. The program also funds 9 tobacco federally qualified health care systems to implement the clinical practice guidelines. 4. Surveillance and Evaluation: The Alaska Tobacco Prevention and Control Program maintains a surveillance and evaluation system in order to monitor progress in reducing tobacco use and to document program accountability. The surveillance component of the program includes the examination of tobacco-related behaviors, attitudes and health outcomes at regular intervals. Through surveillance, the TPC Program monitors the achievement of the primary program goals, including reduced prevalence of tobacco use among young people and adults, and declines in exposure to secondhand smoke. The TPC Program publishes key tobacco indicators annually in Alaska Tobacco Facts. In addition, the Program has completed specialized data analysis projects on tobacco use among priority populations and specific tobacco topics, including reports on youth, Alaska Natives, economically disadvantaged adults, secondhand smoke, and smokeless tobacco. Program evaluation uses surveillance data to assess program impact and to measure progress in each program component. Grantees and contractors submit routine progress reports containing information on program activities and results. The program also conducts detailed assessments of specific TPC components, including a survey of quit rates and satisfaction among Alaska Tobacco Quitline participants. The TPC Program entered into an inter-governmental agreement, beginning FY 06 with Program Design and Evaluation Services Unit (PDES). PDES has experience evaluating Alaska Tobacco Facts, 2009 Update 42
Page 1 and 2: Alaska Tobacco Facts The impact of
Page 3 and 4: Acknowledgements Tobacco Facts was
Page 5 and 6: 1. Introduction In 2004, the Alaska
Page 7 and 8: 3. Tobacco-Related Deaths and Econo
Page 9 and 10: Smoking Status of Adults, Alaska, 2
Page 11 and 12: Percentage of Adults Who Smoke, by
Page 13 and 14: Percentage Who Smoke 50% 30% Percen
Page 15 and 16: Percentage of Adults Who Smoke, by
Page 17 and 18: Percentage of Adult Smokers Who Smo
Page 19 and 20: 5. Adult Smokeless Tobacco Use Perc
Page 21 and 22: Percentage Who Use Smokeless Tobacc
Page 23 and 24: 6. Youth Cigarette Smoking Percenta
Page 25 and 26: Percentage of High School Students
Page 33 and 34: Percentage of Vendors Found Selling
Page 35 and 36: Percentage Who Use Smokeless Tobacc
Page 37 and 38: 11. Secondhand Smoke According to a
Page 39 and 40: Indicators of Home Secondhand Smoke
Page 41 and 42: Percentage in Agreement Adults’ O
Page 43: The structure of Alaska’s TPC Pro
Page 47 and 48: Section 2. Cigarette Consumption 13
Page 49 and 50: Section 5. Adult Smokeless Tobacco
Page 51 and 52: Tobacco Tax Data 14. Data Sources D
Page 53 and 54: Alaska presently conducts two BRFSS
Page 55: New Jersey have expanded this prohi

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