Coordinated State-Community Campaigns Reduce Adult Cigarette Use
Hersey, J. C., Homsi, G. A., & Ray, S. (2005, December). Coordinated State-Community Campaigns Reduce Adult Cigarette Use. Presented at American Public Health Association Annual Meeting, Philadelphia, PA.
Problem: Over the past decade, rates of adult tobacco use have declined only modestly. Then, funds from the Master Settlement Agreement enabled Ohio to fund a countermarketing media campaign and community programs to enable cessation. This study evaluates the impact of this comprehensive tobacco control effort on tobacco use.
Methods: We gathered data through an Adult Tobacco Surveys of 1,601 adults in the summer of 2003 and 4,161 adults in the summer of 2004.
Results: The surveys indicated a significant decrease in Adult Smoking from 25.9% in 2003 to 21.4% in 2004 -- a decrease of 17.4%. Logistic regression found this decrease was significant controlling for education, demographic background, and the price of tobacco. This was more than 4 times rate of annual decrease observed in prior years, as well as in other states around the country. Coincident with this change was a significant increase in the proportion of smokers who were aware of the programs in their community to help them to quit. There were also significant increases in awareness of the harmful health effects of secondhand smoke and in intentions of quitting. The decreases in smoking rates were greater among women, among African Americans, adults with no more than a high school education, and in demographic groups in areas that benefited from media advertising of quit line and development of local programs.
Conclusion: These findings highlight the value of state effort to continue to devote funds to tobacco control efforts.