Tobaccotimes Spring 2013 DPH Tobacco Use Prevention and Control Program
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ISSUE 3 TobaccoTimes Spring 2013 DPH Tobacco Use Prevention and Control Program In this issue Tobacco Use in the Military p.1 Point of Sale Impact p.2 DMHAS Tobacco Enforcement Program p.3 Tips from Former Smokers II Protecting Pets p.4 CDC is building on the success of the Tips cam- paign by launching a new Tobacco Use in Uniform Many service members did not use tobacco until round of advertisements. they entered the service. Over one third of cur- The new campaign fea- Tobacco use has a detrimental effect on our mili- rent smokers in the military stated they started to smoke after joining. A DoD survey shows tures additional health tary. Tobacco affects military readiness and the health of their personnel and families, and places a some of the reasons why service members stat- conditions including huge burden on the Department of Defense (DoD) ed they began smoking: cigarettes are available chronic obstructive pul- and the Veteran’s Administration (VA) health care at many places on installations and that makes monary disease [COPD], system. The DoD spends an average of $1.6 billion it easy to smoke, most of their friends smoke, to asthma in adults, smoking dollars per year due to tobacco-related medical ex- relax, and to relieve stress and boredom. -related complications in penses. a person with diabetes Tobacco use has detrimental effects on military and population groups There has been a long history of tobacco use in the personnel. Tobacco use reduces a service including American Indi- military. Although smoking occurred in previous member’s physical fitness and endurance. Ser- an/Alaska Native and Les- wars, tobacco companies really began targeting vice members who use tobacco have higher bian, Gay, Bisexual, and servicemen during World War I, stating that smok- absenteeism rates, lower productivity, drop out of basic training, are more likely to sustain inju- Transgender that were ing was a way to deal with the situations occurring around them and to boost morale. Cigarettes were ries and have poorer vision then non-tobacco not included in the first included in the rations given to servicemen in 1918 users, all of which compromise troop readiness. Tips campaign. The cam- and remained a part of the rations until 1975. paign also includes an ad TRICARE (the health care system for military focused on the effects of Tobacco use among active duty U.S. service per- personnel and their families) now covers cessa- secondhand smoke expo- sonnel is at a much higher rate than the general tion services. These services include group and sure as well as an emo- public. The smoking rate for active duty personnel individual counseling, cessation medications tional cessation ad. is 30.6% versus 20.6% for the general public. The and access to print and online cessation materi- rate of use for smokeless tobacco is 13.6%. The als without a co-pay. TRICARE will cover two smoking rate for veterans is lower at 19.7%, alt- quit attempts per year with the option of a 3rd hough 70% of veterans reported using tobacco at attempt with pre-authorization. some time in their life. Smoking rates among de- For more information, go to TRICARE or TRI- ployed service members is the highest at more than CARE’s web-based cessation program: Quit 50%. Tobacco, Make Everyone Proud. The website Tobacco use is correlated with pay grade and rank. program includes online tools, personalized quit Smoking is highest among enlisted members with plans and live chat services. Services are avail- lower pay grades and rates are lowest among offic- able for both active military and veterans. ers. Tobacco use can cost as much as 10% of an enlisted member’s salary. The Impact of Point of Sale Ads With the Master Settlement er the youth prevalence rate. Agreement, the Tobacco Indus- Schools that do not have any try was left with fewer venues to retailers within walking distance advertise and promote their had an average 11.9% youth products. The Family Smoking prevalence rate. Schools with Prevention and Tobacco Con- one to five retailers within walking trol Act further restricts adver- distance had a 13.6% prevalence tising and placement of prod- rate. And, schools that had five ucts. However, Point of Sale or more retailers within walking (POS) advertising is still a very distance of the school had a large and powerful form of ad- prevalence rate of 15.1%. vertising for the Tobacco In- POS advertising is big dustry. Tobacco POS advertising also increases craving among smok- business for the tobacco Point-of-sale tobacco ers and lowers the companies and a powerful Exposure to POS -World Health Organization advertising consists likelihood of success- tool. It promotes initiation, tobacco advertising, of the displaying and ful quit attempts. promotes daily consump- including product advertising of tobac- tion and discourages quit- displays, influences co products inside, Tobacco displays cue ting. youth smoking, outside, and on the cravings in current increases impulse For more information on property of retail users. Studies have tobacco purchases the effects of advertising, sales outlets, includ- found that pictures of and undermines to conduct a store audit or ing advertising on cigarettes increase the quitting attempts. to discuss tobacco adver- functional items such craving for nicotine tising with store owners go as counter mats and among nicotine- to CounterTobacco.org change cups. deprived smokers (those who have not smoked recently) and (information and data from “Retail Tobacco Companies spend non-nicotine deprived smokers. Landscape for Tobacco Products” Trend to Watch $1M per hour at POS to market, Smokers also notice the display, presentation, CDC Office on Smoking advertise and promote ciga- which prompts an impulse buy and Health Surveillance and Evalua- Although the number of rettes and smokeless tobacco. even if they are trying to quit. cigarettes consumed in Many products are placed at the United States has For every 1 person who eye level and near products that Studies have also found the clos- declined, there has been dies from tobacco use, an- youth are interested in purchas- er someone who is trying to quit an increase in use of oth- other 20 suffer from one or ing. Studies have found an as- lives to a tobacco retailer, the er tobacco products. sociation between the exposure lower the odds of their success in more serious illness. These include chewing to POS tobacco promotion and quitting. tobacco, moist snuff, e- smoking initiation. cigarettes, cigars, and CT QUITLINE SUCCESS AT 7- little cigars/cigarillos. Exposure to cigarette advertising MONTH FOLLOW-UP increases the likelihood that youth The CDC's Morbidity and 83% of respondents had made at least will start to smoke. Mortality 2012 Weekly one serious quit attempt since Report indicates that The more promotions there are enrollment. from 2000 to 2011 ciga- in stores, such as sales, the 27% had been quit for 30 days or more. rette consumption de- more likely that youth already creased by 32.8%, how- occasionally smoking will in- 34% had been quit for 7 days or more. ever, consumption of oth- crease their consumption level. Of those with a reported history of mental health condi- er tobacco products in- tions, 26% had been quit for 30 days or more. creased by 123.1% dur- Studies have found that the ing the same period. higher the density of tobacco 96% reported being satisfied or very satisfied with Quit- retailers near schools, the high- line services. 2 Around Spotlight on…. the DMHAS Tobacco Prevention and World Enforcement Program Alabama - The Universi- Virtually all new users of to- among individuals under the violation ty of Alabama Medical bacco products are under age of 18 by requiring states to within an Center, Alabama’s larg- 18, the minimum legal age to enact and enforce laws prohib- 18-month est employer, an- purchase tobacco products iting any manufacturer, retailer, period. nounced that all new in Connecticut. Efforts to or distributor from selling or Under the TPEP Police Partner- hires will have to be to- prevent tobacco use among distributing tobacco products to ship Program, Synar Investigators bacco free. full article minors across the state are individuals under the age of 18. conduct unannounced inspections implemented by the Depart- The ultimate goal of the in collaboration with municipal and ment of Mental Health & Ad- amendment is to reduce the state law enforcement to ensure North Dakota — Voters diction Services (DMHAS) number of tobacco outlets sell- that criminal aspects of the law are approved a ballot meas- enforced. A criminal violation of Tobacco Prevention and En- ing to minors to no more than ure to prohibit smoking the law results in a fine imposed by forcement Program (TPEP). 20 percent. in bars, restaurants, and a judge of not more than $200 for The CT Synar Tobacco other workplaces includ- Connecticut has enacted, and the 1st offense and up to $500 for Compliance Program, CT ing motels, private nurs- continues to enforce, laws that any subsequent offenses within an FDA Tobacco Compliance ing homes, cabs, and Inspection Program, and the prohibit the sale and distribu- 18-month period. public transportation. full CT Tobacco Merchant and tion of tobacco products to indi- The Synar Amendment further re- article Community Education Initia- viduals under 18 years of age. quires that states conduct unan- tive all function under the The Department of Revenue Services (DRS) is the enforce- nounced inspections of a random umbrella of TPEP. Vermont – A new law ment and licensing agency of sample of tobacco vendors each prohibits the sale of elec- CT Synar Tobacco tobacco products.