The Tobacco Education, Prevention and Cessation Grant Program

1
The Tobacco Education, Prevention and Cessation
Grant Program

• Presented By
• Jason Vahling, MPH, STEPP Director
• November 13, 2007

2
Whats the Big Deal?

• Leading cause of preventable death
• Leading cause of preventable disability
• Reduces life span by 12 years in US 20 in third
  world
• 1 public health issue in CO, US and the world
• Kills 50 of all adult smokers

3
Whats the Big Deal?
4
Purpose of the Grant Program

• To provide funding for community-based and
  statewide tobacco education programs designed to
• reduce initiation of tobacco use by children and
  youth
• promote cessation of tobacco use among youth and
  adults and
• reduce exposure to secondhand smoke

5
Legislative Requirements

• Established formal Review Committee
• Funded programs must be consistent with the State
  Strategic plan
• At least 50 must be awarded to grantees for
  evidence-based programs and programs that prevent
  and reduce tobacco use among youth
• (continued ?)

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Legislative Requirements (cont.)

• At least 15 must be awarded to grantees to
  reduce health disparities
• Up to 15 shall be awarded to grantees of the
  Tony Grampsas youth services program

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Tobacco Grant Program Review Committee

• Review Committee convened in October 2005
• For 05-06 and 06-07, agreed to use existing
  Colorado State Strategic Plan
• Commissioned the development of a new State
  Strategic plan

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Colorado Tobacco Prevention and Control Strategic
Plan

• Implement an effective infrastructure
• Build partnerships with the community
• Address populations disparately affected by
  tobacco use (data driven)
• Engage in policy work
• Advance the knowledge base
• Deliver comprehensive programming

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• Evidence Base

.
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Best Practices 2007

• State and Community Interventions
• Statewide Programs
• Community Programs
• Tobacco-Related Disparities
• Youth (Schools and Enforcement)
• Chronic Disease Programs
• Health Communication Interventions
• Cessation Interventions
• Surveillance/Evaluation
• Administration/Management

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Program Successes

• Own YourC Campaign
• Empower youth with the message that their choices
  define who they are and who they will become
• 375,000 visitors to the site
• 9,000 teens signed up a C-ville citizens
• FixNixer
• On-line cessation program the emails and text
  messages youth to help them quit tobacco use
• 1,100 registrants to the site

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Program Successes (cont.)

• Tony Grampsas Youth Services Tobacco Initiative
  (TTI)
• Served over 20,000 hard-to-reach disparate youth
  and parents
• K-12 Tobacco Prevention Initiative
• Funded 475 schools within 34 districts
• Reached over 290,000 students
• Colorado QuitLine
• Served over 70,000 smokers
• Reaching 6.8 of smokers in Colorado
• The service has increased quit rates from 28
  percent to 36 percent by offering a free
  eight-week supply of the patch

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Program Successes (cont.)

• Tobacco Disparities Initiative
• 46 workgroup members developed a Tobacco
  Disparities Strategic Plan
• Funded nine agencies to build capacity
• Colorado Clean Indoor Air Act
• Launched a statewide educational campaign,
  SmokeFree Colorado
• Call center assisted close to 2,000 people
• 54,172 people visited www.smokefreecolorado.org

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Program Successes (cont.)

• Local health agencies
• Funded approximately 45 LHAs serving 59 counties
  
• Orchestrated a Tobacco Free Hospitals Forum for
  44 hospital administrators to influence the
  adoption of tobacco-free policies

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CO is Poised for Greatness

• Prevalence is going down
• Major policy accomplishments
• Recognized as a leader by the CDC

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Adult Current Smoking Prevalence Colorado vs.
US, 1998-2006(Percent)
25
US
20.1
20
Colorado
17.9
15
10
5
0
1998
1999
2000
2001
2002
2003
2004
2005
2006
Source Centers for Disease Control and
Prevention (CDC). Behavioral Risk Factor
Surveillance System Survey Data. Atlanta,
Georgia U.S. Department of Health and Human
Services, Centers for Disease Control and
Prevention, 20006.
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Adult Cigarette Smoking Prevalence
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Colorado Youth Smoking, 2001-2006(Percent,
current smokers)
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18.2
18
Healthy People 2010
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Objective 16
14.6
14
12
10
8
6
3.4
4
2.6
2
2001
2001
2006
2006
0
Middle School
High School
Source Tobacco Program Evaluation Group,
University of Colorado Cancer Center. Adolescent
tobacco use and exposure, Colorado 2001 and 2006.
Denver, Colorado
State Tobacco Education and Prevention
Partnership, Colorado Department of Public Health
and Environment, 2007.
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For more information

• State Tobacco Education and Prevention
  Partnership website www.steppcolorado.com
• Jason Vahling, MPH, Director
• State Tobacco Education and Prevention
  Partnership
• 303.692.2578
• Jason.vahling_at_state.co.us