202735 Quarter that changed the world

Tuesday, November 10, 2009: 2:30 PM

April Roeseler, BSN, MSPH , California Department of Public Health, California Tobacco Control Program, Sacramento, CA
David Cowling, PhD , California Tobacco Control Program, California Department of Public Health, Sacramento, CA
Colleen Stevens, MSW , California Department of Public Health, California Tobacco Control Program, Sacramento, CA
In 1988, California voters approved a 25 cent tax on cigarettes that earmarked 5 cents for tobacco use prevention and cessation and in 1989 legislation established the California Tobacco Control Program (CTCP). The CTCP is one of the most successful public health programs of its era. As a result of an integrated policy and media intervention in California, adult smoking prevalence dropped 35% since 1988; smoking rates among high schools students remain lower than the national level; tobacco consumption declined by more than 60%; and lung and bronchial cancer incidence has declined 3.5 times faster in California than the rest of the nation. Smoking prevalence declined by approximately one-quarter for each of the race/ethnicity groups of males and even larger declines occurred among women. While smoking prevalence disparities remain across race/ethnicity groups, a remarkably uniform effect on smoking prevalence has occurred suggesting that CTCP is both reaching and effecting disadvantaged populations.

Implementation of evidence-based interventions and funding have contributed to these accomplishments, but the sustainability of the Program in light of funding redirection, tobacco industry lawsuits, and the controversial media campaign suggest that the enabling legislation; strong external relationships; and organizational, ideological, and cultural practice are at the root of the Program's remarkable accomplishments and longevity. This session affords an opportunity to gain insight from one of the longest running comprehensive tobacco control programs in the U.S.which will help public health leaders build sustainable effective programs in tobacco control and other fields in the future.

Learning Objectives:
1. Identify the major accomplishments of the California Tobacco Control Program (CTCP) and areas where progress has been more limited. 2. Describe how CTCP has evolved its strategies over time to meeting changing needs and improve program effectiveness and efficiency. 3. Identify CTCP operational and cultural practices that have contributed to the success and sustainability of the Program

Keywords: Tobacco Control, Evidence Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved with the California Tobacco Control Program in numerous staff and management positions overseeing Local Programs, Evaluation, and Information Services and dissemination efforts since the Program's launch in October 1989.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.