✯ ✯ 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