Understanding Tobacco Control Updates for Community Members

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Understanding Tobacco ControlUpdates for
Community Members

• Understanding and Eliminating Tobacco-Related
  Disparities

Strengthening Communities to Fight Tobacco T R A
I N I N G T E C H N I C A L A S S I S
T A N C E P R O G R A M
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Presentation Objectives

• Identify tobacco-related health disparities in
  Wisconsin
• Understand the difference between diversity,
  disparity,and parity
• Understand how to identify and eliminate
  tobacco-related disparities in this community

Strengthening Communities to Fight Tobacco T R A
I N I N G T E C H N I C A L A S S I S
T A N C E P R O G R A M
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What are Health Disparities?

• Differences in the...
• incidence,
• prevalence,
• mortality, and
• burden of disease or other adverse condition
• among population segments

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What are Health Disparities?
Disparities can be based on such factors as

• age
• race
• ethnicity
• income

• education
• occupation
• gender
• sexual preference

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Tobacco-related Disparities

• Tobacco disparities can be differences in
  tobacco-use prevalence rates, incidence of
  tobacco-related diseases, exposure to secondhand
  smoke, industry targeting, quit and relapse
  rates, and access to prevention and cessation
  programs.

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Diversity vs. Disparity

• Diversity
• Diversity means that our tobacco control programs
  should be truly representative and inclusive of
  the communities we serve and should ensure that
  all representatives are empowered to participate
  in the decision-making process.

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Diversity vs. Disparity

• Disparity
• Disparity refers to the gap that exists between
  specific populations, based on agreed-upon
  indicators within a set timeframe.

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Reaching Parity

• Parity is achieved when equal outcomes for two or
  more communities, population groups, etc. are
  reached.
• Refers to the process by which organizations and
  communities participate in achieving the outcome.
  
• Achieving parity in a given tobacco control area
  is equivalent to eliminating disparities for
  that area.

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Reaching Parity

• This process involves improving access to
  planning, decision-making, capacity and
  infrastructure building, funding opportunities,
  and other services that address the
  disproportionate use of tobacco and/or exposure
  to secondhand smoke.

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Data IndicatorsHow we measure disparities

• Tobacco use prevalence rates
• Degree of exposure to secondhand smoke
• Relative targeting by the industry
• Incidence of tobacco-related disease
• Quit rates
• Relapse rates
• Access to prevention and cessation services
• Other?

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Data that Reveal Disparities

• Prevalence of Tobacco Use Education
• ltHigh School 42
• HS Graduate 31
• Some College 23
• College Graduate 13
• See Bringing Everyone Along data grid for
  more sources and details

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Data that Reveal Disparities

• Exposure to Secondhand Smoke
• Income Home Work
• lt25,000 55 19
• 25-50,000 44 20
• 50,000 38 19
• See Bringing Everyone Along data grid for
  more sources and details

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WI Disparities Team 6 Major Goals

• 1. Improve the quality of data to enhance the
  identification of tobacco-related disparities and
  drive interventions to reduce those disparities
• 2. Create diverse partnerships that maximize
  funding, resources, and broad-scale impact to
  address tobacco disparities.
• 3. Increase number of existing tobacco control
  programs and strategies that include an emphasis
  on elimination of disparities.

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WI Disparities Team 6 Major Goals

• 4. Educate and motivate funders, policy makers
  and community opinion leaders to support the
  elimination of tobacco disparities for the
  benefit of their constituency.
• . Increase the capacity of disparately affected
  populations to address tobacco related issues.
• . Determine Best Practice Models in Wisconsin
  to eliminate tobacco disparities.

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Target your interventions

• Coalition Development - Address diversity
• Who should you have on board
• Social Service Agencies
• Local tech school or community college rep.
• Representative from labor unions
• Faith-based communities representing
  racial/ethnic groups

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Target your interventions

• Complete an Environmental Scan
• Population Assessment
• S.W.O.T. (Strengths, Weaknesses, Opportunities,
  and Threats)

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Target your interventions

• Address Disparities Through Local Policy
• Policy in AODA and Mental Health clinics
• Clinical Practice Guidelines in clinics
• Working with Tribes or other racial/ethnic
  populations Ask/advise/refer to service
  providers
• First Breath site
• Access to cessation support in school setting
• Implementing best practices curriculum
• Smoke-free workplaces target blue collar workers
• Smoke-free restaurants target youth

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Resources

• Bringing Everyone Along A Strategic Plan to
  Identify and Eliminate Tobacco-Related
  Disparities http//www.dhfs.state.wi.us/health/To
  baccoControl/pdf_files/DisparitiesStrategicPlan.pd
  f
• Moving Toward Health Achieving Parity through
  Tobacco Control for All Communities
• http//www.appealforcommunities.org/pages/Parity_K
  it43.php?project_id43
• Tobacco Use Among U.S. Racial/Ethnic Minority
  Groups A Report of the Surgeon General
• http//www.cdc.gov/tobacco/sgr/sgr_1998/index.htm
• Finding Our Way - Achieving Parity in Tobacco
  Control
• http//www.ttac.org/assistance/e-news-print/mailer
  04-29-03full.pdf
• Vicki Stauffer (608-267-3823), Division of Public
  Health Tobacco Control Program

Strengthening Communities to Fight Tobacco T R A
I N I N G T E C H N I C A L A S S I S
T A N C E P R O G R A M
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Summary

• Diversity can be one of the first steps in
  addressing disparities. Parity is reached when
  equal outcomes for population groups are reached,
  or when a disparity is eliminated.
• In order to identify disparities, quantitative
  and qualitative data should be improved.
• Bringing Everyone Along A Strategic Plan to
  Identify and Eliminate Tobacco-related
  Disparities provides strategies action steps
  to address barriers and root causes of the
  disparities.

Strengthening Communities to Fight Tobacco T R A
I N I N G T E C H N I C A L A S S I S
T A N C E P R O G R A M
20
Discussion

• What populations have you identified to be
  affected by tobacco-related disparities within
  your community?
• How can data be improved in your community to
  identify tobacco-related disparities?
• What strategies are you using to address
  tobacco-related disparities?

Strengthening Communities to Fight Tobacco T R A
I N I N G T E C H N I C A L A S S I S
T A N C E P R O G R A M