✯ ✯ 2003 National Health Policy ✯Conference
January 22-23, 2003 J.W. Marriott Washington, D.C.
Tobacco Control and the Settlement Agreement
Presented at Date Presented by
2003 National Health Policy Conference Washington, DC January 22, 2003 Cheryl G. Healton, DrPH President & CEO American Legacy Foundation
1001 G Street NW, Suite 800 · Washington, DC 20001 Phone: 202-454-5555 · Fax: 202-454-5599 · www.americanlegacy.org
Major Foundation Initiatives
Countermarketing – Youth Prevention - truthsm campaign Integrated counter marketing & cessation campaigns Great Start Circle of Friends: Unite to Be Smoke-Free National Grant Initiatives Youth Empowerment Priority Populations Cessation Services Policy Reports Saving Lives, Saving Money: Why States Should Invest in a Tobacco-Free Future
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Survey Design
The National Youth Tobacco Survey (NYTS) is a nationally representative school-based survey of middle and high school students Panel Analysis Subset of 69 schools from 2000 repeated in 2002 (N=7500/year) Permits examination of changes in youth smoking within schools over time as it relates to truthsm Schools represent low, medium and high levels of truthsm campaign exposure
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Percent of Youth Smoking in 2000 and 2002, by truthsm exposure
25 20 15 10 5 0 Low
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19.7
20.3 17.5 12.9 10.2 14.8 2000 2002
Med
High
Results
Smoking rates have declined substantially Declines are related to truth exposure Marginally statistically significant dose-response relationship between truthsm and current smoking (P<0.10) in overall sample Statistically significant truth effect among high school students (P<0.005) No truth effect for middle school students
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Rank 1 2 3 4 5 6 7 8 9 10
State Maine Minnesota Mississippi Maryland Hawaii Indiana Arkansas Pennsylvania Washington Virginia
MSA Funds Spent on Tobacco 2002 (in millions) $12.7 $17.6 0 $30.7 $22.2 $5 $11.9 $41.4 $17.5 $15.8
Total Funding for FY2003 (in millions) $15.2 $37.6 $20 $30 $10.3 $32.5 $16.4 $52 $26.2 $22.2
Percent of CDC’s Minimum Recommendation Within CDC guidelines Within CDC guidelines Within CDC guidelines Within CDC guidelines 95% 93% 92% 79% 79% 67%
2002 Rank 3 5 4 12 27 6 7 14 18 21
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MSA funds securitized
Rank 11 12 13 14 15 16 17 18 19 20
State New Jersey Vermont Arizona Alaska Colorado Delaware California Nebraska Oregon Wisconsin
MSA Funds Spent on Tobacco 2002 (in millions) $30 $5.8 Not available $3 $12.9 $5.5 $20 $7 $2.5 $5.5
Total Funding for FY2003 (in millions) $30 $5.2 $18.3 $5 $15 $5 $88.4 $7 $11.1 $15.5
Percent of CDC’s Minimum Recommendation 67% 66% 66% 62% 61% 58% 54% 53% 53% 50%
2002 Rank 11 10 2 28 19 13 8 17 16 20
MSA funds securitized
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Rank 21 22 23 24 25 26 27 28 29 30
State Florida Utah Georgia Ohio New York West Virginia Wyoming New Mexico South Dakota Rhode Island
MSA Funds Spent on Tobacco 2002 (in millions) $29.8 0 $20.8 $119.6 $42.5 $5.9 $900,000 $5 $1 0
Total Funding for FY2003 (in millions) $37.5 $7 $19.1 $27 $40 $5.9 $3 $5 $2.9 $3.3
Percent of CDC’s Minimum Recommendation 48% 46% 45% 44% 42% 41% 41% 37% 34% 33%
2002 Rank 29 26 22 31 24 25 28 30 34 32
MSA funds securitized
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Rank 31 32 33 34 35 36 37 38 39 40
State Nevada North Dakota Louisiana New Hampshire Iowa Illinois North Carolina Massachusetts Texas Kentucky
MSA Funds Spent on Tobacco 2002 (in millions) $4.1 $2.1 $500,000 $3 $9.4 $48.9 0 Not available $12.5 $3
Total Funding for FY2003 (in millions) $4.3 $2.5 $8 $3 $5.1 $12 $6.2 $4.8 $12.5 $3
Percent of CDC’s Minimum Recommendation 32% 31% 30% 28% 26% 19% 15% 14% 12% 12%
2002 Rank 33 35 47 37 22 9 51 1 39 36
MSA funds securitized
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Rank 41 42 43 44 45 46 47 51 51 51 51
State Idaho Oklahoma South Carolina Montana Kansas Connecticut Alabama Michigan Missouri Tennessee Washington, DC
MSA Funds Spent on Tobacco 2002 (in millions) $1 $1.8 $1.6 0 $500,000 $1 $600,000 0 $22.2 0 0
Total Funding for FY2003 (in millions) $1.3 $2.45 $2 $384,000 $500,000 $575,000 $360,000 0 0 0 0
Percent of CDC’s Minimum Recommendation 12% 11% 8% 4% 3% 3% 1% 0% 0% 0% 0%
2002 Rank 40 41 42 43 44 45 46 51 51 51 51
MSA funds securitized
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