April Roeseler1, Madeleine Solomon, Carissa Beatty, Alison M Sipler. 1. California Tobacco Control Program, California Department of Public Health, Sacramento, California (Ms Roeseler); and Emory University, Emory Centers for Training and Technical Assistance, Atlanta, Georgia (Mss Solomon, Beatty, and Sipler).
Abstract
CONTEXT: The Tobacco Control Network (TCN) is comprised of the tobacco control programs in the health departments of states, territories, and the District of Columbia. During the assessment period, the TCN was managed by the Tobacco Technical Assistance Consortium at Emory University. OBJECTIVE: To assess the readiness of state and territory tobacco control programs to work on evidence-based, promising policy and system change strategies aimed at preventing and reducing tobacco use and secondhand smoke exposure. DESIGN: The Policy Readiness and Stage of Change Assessment was a Web-based survey fielded in September 2013, which was based on the Community Readiness Model. SETTING: Fifty-nine comprehensive tobacco control programs. PARTICIPANTS: State and territory tobacco control program managers and their internal and external partners. INTERVENTION: The TCN's 2012 Policy Platform recommendations were used as the basis to assess state/territory readiness to adopt and implement evidence-based and promising tobacco control policy/system change strategies. MAIN OUTCOME MEASURES: Sixteen tobacco control strategies were rated on: (1) implementation status, (2) readiness, (3) stage of change, and (4) the appropriate level of action for work on the strategy. RESULTS: The 3 strategies with the highest readiness scores were as follows: (1) 100% smoke-free air in workplaces (64%), (2) tobacco-free schools (61%), and (3) $1.50 or less cigarette tax with funds to tobacco control (53%). The 3 strategies with lowest readiness scores were: 1) coupon redemption (17%), 2) tobacco mitigation fee (14%), and 3) disclosure or sunshine laws (8%). CONCLUSION: Readiness to work on tobacco control strategies varied by region and strategy. Many states/territories are ready to work on strategies for which there is less evidence of a population-level impact for reducing tobacco use, but which contribute to denormalizing tobacco use. Working toward less impactful policies may build support, capacity, and policy success, laying an important foundation to achieve more impactful strategies.
CONTEXT: The Tobacco Control Network (TCN) is comprised of the tobacco control programs in the health departments of states, territories, and the District of Columbia. During the assessment period, the TCN was managed by the Tobacco Technical Assistance Consortium at Emory University. OBJECTIVE: To assess the readiness of state and territory tobacco control programs to work on evidence-based, promising policy and system change strategies aimed at preventing and reducing tobacco use and secondhand smoke exposure. DESIGN: The Policy Readiness and Stage of Change Assessment was a Web-based survey fielded in September 2013, which was based on the Community Readiness Model. SETTING: Fifty-nine comprehensive tobacco control programs. PARTICIPANTS: State and territory tobacco control program managers and their internal and external partners. INTERVENTION: The TCN's 2012 Policy Platform recommendations were used as the basis to assess state/territory readiness to adopt and implement evidence-based and promising tobacco control policy/system change strategies. MAIN OUTCOME MEASURES: Sixteen tobacco control strategies were rated on: (1) implementation status, (2) readiness, (3) stage of change, and (4) the appropriate level of action for work on the strategy. RESULTS: The 3 strategies with the highest readiness scores were as follows: (1) 100% smoke-free air in workplaces (64%), (2) tobacco-free schools (61%), and (3) $1.50 or less cigarette tax with funds to tobacco control (53%). The 3 strategies with lowest readiness scores were: 1) coupon redemption (17%), 2) tobacco mitigation fee (14%), and 3) disclosure or sunshine laws (8%). CONCLUSION: Readiness to work on tobacco control strategies varied by region and strategy. Many states/territories are ready to work on strategies for which there is less evidence of a population-level impact for reducing tobacco use, but which contribute to denormalizing tobacco use. Working toward less impactful policies may build support, capacity, and policy success, laying an important foundation to achieve more impactful strategies.
Authors: Amy Y Hafez; Mariaelena Gonzalez; Margarete C Kulik; Maya Vijayaraghavan; Stanton A Glantz Journal: Am J Public Health Date: 2019-09-19 Impact factor: 9.308
Authors: Kristy L Marynak; Xin Xu; Xu Wang; Carissa Baker Holmes; Michael A Tynan; Terry Pechacek Journal: Public Health Rep Date: 2016 Jul-Aug Impact factor: 2.792
Authors: Matthew C Farrelly; Frank J Chaloupka; Carla J Berg; Sherry L Emery; Lisa Henriksen; Pamela Ling; Scott J Leischow; Douglas A Luke; Michelle C Kegler; Shu-Hong Zhu; Elizabeth M Ginexi Journal: J Addict Behav Ther Date: 2017-09-15
Authors: Douglas A Luke; Amy A Sorg; Todd Combs; Christopher B Robichaux; Sarah Moreland-Russell; Kurt M Ribisl; Lisa Henriksen Journal: Tob Control Date: 2016-10 Impact factor: 7.552
Authors: Peg Allen; Meagan Pilar; Callie Walsh-Bailey; Cole Hooley; Stephanie Mazzucca; Cara C Lewis; Kayne D Mettert; Caitlin N Dorsey; Jonathan Purtle; Maura M Kepper; Ana A Baumann; Ross C Brownson Journal: Implement Sci Date: 2020-06-19 Impact factor: 7.960