ERIKA TRAPL, PHDASSOCIATE DIRECTOR, PRCHN

ASSISTANT PROFESSOR, DEPT. OF EPIDEMIOLOGY AND BIOSTATISTICS

CUYAHOGA COUNTY HEALTH ALLIANCETOBACCO-FREE WORKSHOP

AUGUST 24, 2012

Overview of Tobacco Use in Cuyahoga County

Outline

What is the PRC?Brief history of local tobacco controlTobacco use over the past decadeAdult attitudes towards tobacco-free lawsAdolescent tobacco useTobacco-free policies

Prevention Research Center for Healthy Neighborhoods

• Funded by the Centers for Disease Control and Prevention (CDC)

• One of 37 PRCs across the country.

• Mission: to foster partnerships within Cleveland’s urban neighborhoods for developing, testing, and implementing strategies to prevent and reduce the burden of chronic disease.

Working with communities from within to prevent and reduce chronic disease.

Cost of Tobacco Use

TOBACCO USE IS STILL THE #1 PREVENTABLE CAUSE OF DEATH IN THE

US.

During 2000–2004, cigarette smoking was estimated to be responsible for $193 billion in annual health-related economic losses in the United States

$96 billion in direct medical costs and an additional $97 billion in lost productivity).

Brief History of Local Tobacco Control

Master Settlement Agreement: 1998Cuyahoga County Comprehensive Partnership

for Tobacco Reduction: 2001 Aggressively funded local tobacco control programming

through Ohio Tobacco Prevention Foundation until 2008Increase in state excise tax to $1.25: 2005Smoke-Free Ohio (Clean Indoor Air): 2006Ohio Tobacco Prevention Foundation abolished:

2008Federal tobacco tax increase: 2009

2010:

20.5%

Cigarette Use: County, State and National Comparison (2003-2007)

Source: Cuyahoga County Behavioral Risk Factor Surveillance Survey; CDC BRFSS

Attitudes towards Tobacco-free Policies

The majority of Cuyahoga County adults (82.8%) report that they approve of the Smoke-Free Ohio Act Non-smokers (87.6%) and smokers (58.1%).

26.4% of smokers who made at least one quit attempt in the past 12 months said that non-smoking workplace policies led them to do so.

Source: 2007 Cuyahoga County Behavioral Risk Factor Surveillance Survey

Smoking and Children

In 2007, 70.5% of smokers agreed/strongly agreed that their children are upset by their smoking 65.6% reported that their children have talked to

them about quitting If we coupled this with worksite policies…

So, what about the kids?

Source: 2007 Cuyahoga County Behavioral Risk Factor Surveillance Survey

Adolescent Tobacco Use in Cuyahoga Co.

Source: 2010-2011 Youth Risk Behavior Survey Data

Tobacco-Free Campuses

July 2011: Ohio State Board of Education Supports Tobacco-Free Schools Voted 15-0 to adopt a resolution endorsing the 100

percent tobacco-free school campuses model policy

July 2012: Ohio Board of Regents Recommends Tobacco Ban Each board of trustees of the University System of Ohio

should consider implementing its own policy to establish its campus as tobacco-free

Tobacco Control: Next Steps

Tobacco-Free Worksite CAMPUS Policies Benefits to Employees Benefits to Employers Benefits to surrounding community by changing

perceptions and values

Thank you…Questions?

Contact Info: Erika Trapl, PhD

Erika.Trapl@case.edu216-368-0098