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