Kentucky Tobacco Use Prevention and Cessation Status Report

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Kentucky Tobacco Use Prevention and Cessation
Status Report

• 2003

Original Report Prepared by Ellen J. Hahn, DNS,
RN Mary Kay Rayens, Ph.D. Carol Riker, MSN,
RN Lisa Greathouse, MSN, RN, Robert Rasnake, MA,
LPCC, NCC Chizimuzo Okoli, MSN, RN Sue
Hedgecock, BSN, RN Todd Paul, MA University of
Kentucky College of Nursing
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Disclaimer

• The following presentation is a synopsis of a
  research report. DSA and REACH are not endorsing
  or taking a position on the methodology or
  reported findings. The information has been
  drawn from the executive summary. This
  presentation is for informational purposes only,
  and the intent is to help general prevention
  practitioners translate research into practice.
  Neither REACH nor DSA are validating, endorsing,
  synthesizing or in any other way critically
  evaluating the study, but merely summarizing the
  reported work of another research group, in order
  to inform practitioners.

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Overview of Report

• Sources of data include
• Behavioral Risk Factor Surveillance System
  (BRFSS)
• Kentucky Vital Statistics Birth File
• Local Health Department Tobacco Cessation Survey
• Workplace Tobacco Policy Survey
• School Tobacco Policy Survey
• Kentucky Youth Tobacco Survey (KYTS)
• Illegal Tobacco Sales to Minors Data Base
• Smoking Policy in Food Service Establishments

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Progress Report Summary

• State Highlights
• Kentucky has made progress in 4 of the 10 areas
  over the past five years.
• Kentucky has made no progress in 5 areas
• Kentucky is losing ground in one tobacco
  prevention and cessation area

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Making Progress

• Proportion of health departments providing
  tobacco cessation programs increased to 100 in
  2002
• There was more than a 150 increase in health
  departments providing the Cooper-Clayton Method
  to Stop Smoking program from 1999 to 2002
• Participation rates in cessation programs jumped
  dramatically since 1999, yet the average
  participation rate was only 38.4 per 10,000 adult
  smokers

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Making Progress

• The percent of smoke-free food establishments
  increased significantly by 22 from 1999 to 2002
• This reflects voluntary changes since there were
  no local or state laws restricting smoking in
  public places during that time
• Slight decrease in youth smoking from 2000 to
  2002, but not statistically significant
• There was a significant decline in 7th grade
  smoking in 2002

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Making Progress

• Tobacco sales to minors decreased significantly
  from 1997 to 2002, yet there was wide variation
  by county in the number of compliance checks
  completed
• On average, three-fourths of the counties had 30
  or fewer compliance checks per year from 1997 to
  2002

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Progress Report Summary

• No Progress
• No significant changes reported in the percent of
  adults who smoked cigarettes from 1996 to 2001
• No significant changes reported in the percent of
  adults who attempted to quit smoking from 1996 to
  2001
• Age-adjusted death rate from heart disease and
  lung cancer increased from 1996 to 2000.
• Kentucky leads the nation in adult smoking
  prevalence

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No Progress

• No significant change in the percent of women who
  smoked during pregnancy from 1997 to 2001 (23.4)
• No significant changes in the percent of
  manufacturing facilities that offered cessation
  resources, reimbursed for cessation services, or
  sold cigarettes on company property from 1999 to
  2002
• About 1 in 3 facilities health plans reimbursed
  for nicotine replacement therapy

10
No Progress

• In 2001 only 15 of middle and high schools in
  Kentucky provided direct smoking cessation
  services for students and employees
• Nearly all middle and high schools banned smoking
  on school ground for students in 2001, but only
  44.7 banned smoking on school grounds for
  employees
• In 2001 the percent of Kentucky
  schools posting no-smoking
  signs had not changed from 1999

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No Progress

• From 1999 to 2002 there was no significant
  increase in the percentage of facilities that had
  smoking policies, banned indoor smoking, or had
  separately enclosed and ventilated areas