The 130th Annual Meeting of APHA

4007.0: Tuesday, November 12, 2002 - Board 1

Abstract #45412

Reducing smoking and cancer in California: A success story

Bruce N. Leistikow, MD, MS and Willy Hsu, BA. Epidemiology and Preventive Medicine, Univ California, Davis, 1 Shields, Davis, CA 95616, 530-752-1409,

Background and Purpose: From 1988-98, the period of the CA comprehensive tobacco control program (CTCP), California reduced per capita cigarette consumption by nearly 50%, to about 50% of levels in the remaining US (rUS). We will describe subsequent CA vs. rUS disparities in cancer incidence and death. Study Design: Time-series analysis. Study Population and Setting: The California and rUS, populations were studied. Method of Analysis: California Cancer Registry ( and data were used. We contrasted CA vs. rUS cancer mortality via current vs. historic average age-standardized CA vs. rUS mortality rate gaps. Findings: Overall cancer mortality rate declines in California are much greater than the rUS in the 1990s. The increased CA vs. rUS cancer mortality gap equates to over 4000 CA cancer deaths prevented or over 40000 excess rUS cancer deaths in 1998 alone. Conclusions: The California CTCP has likely produced large, prompt disparities in smoking, cancer incidence, and cancer death rates for California versus the rUS.

Learning Objectives:

  • After this session, participants will be able to describe disparities between California and remaining US

    Keywords: Cancer, Tobacco Control

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Evaluation Issues in Tobacco Control Poster Session

    The 130th Annual Meeting of APHA