Online Program

Successes and challenges in tobacco control in California: Strategies from a quarter century

Tuesday, November 5, 2013

Lourdes Baezconde-Garbanati, PhD, MPH, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA
Pamela Ling, MD, MPH, Division of General Internal Medicine, Department of Medicine, Center for Tobacco Control Research and Education, University of California, San Francisco, San Francisco, CA
Michael Ong, MD, PhD, Medicine, University of California, Los Angeles, Los Angeles, CA
Lawrence W. Green, DrPH, Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA
Shu-Hong Zhu, PhD, Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA
Patricia Etem, MPH, CIVIC Communications, Long Beach, CA
Wendel Brunner, PhD, MD, MPH, Contra Costa Health Services, Martinez, CA
Alan Henderson, Dr.PH, CHES, California State University Long Beach, San Luis Obispo, CA
Dorothy Rice, Sc.D. (Hon), Institute for Health and Aging, School of Nursing, University of California, San Francisco, Oakland, CA
Peggy Uyeda, Tobacco Use Prevention Education Coordinator (R), CA
Myron Dean Quon, Esq, National Asian Pacific American Families Against Substance Abuse, Los Angeles, CA
Denise Adams-Simms, MPH, San Diego Black Health Associates, San Diego, CA
Although California has had many successes since the implementation of The Tobacco Tax and Health Protection Act of 1988 (Proposition 99), there are still many challenges ahead. Since 1988, adult smoking consumption has dropped dramatically from 23.7% to 12.0% (2011), an almost 50% decrease. However, emerging adults between the ages of 18-24 have the highest smoking prevalence among any age group. Illegal sales to minors, has increased for the first time in three years. Smoking prevalence is higher in schools in neighborhoods with five or more tobacco retail outlets than those with no tobacco retailers. There are currently 36,700 licensed tobacco retail stores in California, one for every 254 kids. Tobacco companies continue to spend more than half a billion dollars each year advertising their products in California's retail environment. In less than a decade, sales of smokeless products, including snus, cigarillos, dissolvable and flavored orbs and sticks, have nearly tripled from $77 million in 2001 to $211 million in 2011. Flavored tobacco is marketed heavily towards youth and emerging adults, as is hookah, and e-cigarettes (E-NDDs- electronic-nicotine delivery devices). The Tobacco Education and Research Oversight Committee (TEROC), California's legislatively mandated advisory committee, has developed its 2012-2014 Master Plan to meet these new challenges. As California celebrates its quarter century in tobacco control, this presentation covers lessons learned, provides the most recent data on these new challenges, and discusses strategies to improve health outcomes and reduce health care costs locally in California and globally.

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the latest data on California's current challenges in tobacco use with youth and emerging adults. Discuss prior successes in California’s fight to curb tobacco use via its comprehensive program based on social norm change Describe successful strategies that can help other States and nations facing similar tobacco control challenges Identify at least three out of seven strategies to help achieve a tobacco-free California and a tobacco-free world. These may include: 1) Raising the Tobacco Tax to Maintain and Advance Progress toward a Tobacco-Free California; 2) Strengthening the Tobacco Control Infrastructure; 3) Achieving Equity in All Aspects of Tobacco Control among California's Diverse Populations 4) Minimizing the Impacts of Tobacco Use on People and the Environment; 5) Preventing Tobacco Use Initiation; 6) Increasing Tobacco Use Cessation; 7) Minimizing Tobacco Industry Influence and Activities.

Keyword(s): Advocacy, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in tobacco control for over 20 years. I am a member of TEROC. I am also member of the Dissemination Subcommittee; charged by committee members with the responsibility of this submission on behalf of the State of California Tobacco Education and Research Oversight Committee (TEROC)
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.

Back to: 4264.0: Emerging Research in Tobacco