Aguinaga Bialous S, Glantz S A
Department of Medicine, University of California, San Francisco 94143, USA.
Tob Control. 1999 Summer;8(2):141-51. doi: 10.1136/tc.8.2.141.
In 1994, Arizona voters approved Proposition 200 which increased the tobacco tax and earmarked 23% of the new revenues for tobacco education programmes.
To describe the campaign to pass Proposition 200, the legislative debate that followed the passage of the initiative, and the development and implementation of the tobacco control programme.
This is a case study. Data were collected through semi-structured interviews with key players in the initiative campaign and in the tobacco education programme, and written records (campaign material, newspapers, memoranda, public records).
Despite opposition from the tobacco industry, Arizonans approved an increase in the tobacco tax. At the legislature, health advocates in Arizona successfully fought the tobacco industry attempts to divert the health education funds and pass preemptive legislation. The executive branch limited the scope of the programme to adolescents and pregnant women. It also prevented the programme from attacking the tobacco industry or focusing on secondhand smoke. Health advocates did not put enough pressure at the executive branch to force it to develop a comprehensive tobacco education programme.
It is not enough for health advocates to campaign for an increase in tobacco tax and to protect the funds at the legislature. Tobacco control advocates must closely monitor the development and implementation of tax-funded tobacco education programmes at the administrative level and be willing to press the executive to implement effective programmes.
1994年，亚利桑那州选民通过了第200号提案，该提案提高了烟草税，并将新增税收的23%指定用于烟草教育项目。
描述通过第200号提案的活动、该提案通过后的立法辩论，以及烟草控制项目的制定和实施情况。
这是一项案例研究。通过对提案活动和烟草教育项目中的关键人物进行半结构化访谈，并收集书面记录（活动材料、报纸、备忘录、公共记录）来获取数据。
尽管遭到烟草行业的反对，亚利桑那州人还是批准了烟草税的提高。在立法机构，亚利桑那州的健康倡导者成功地抵制了烟草行业转移健康教育资金和通过先发制人立法的企图。行政部门将该项目的范围限制在青少年和孕妇。它还阻止该项目抨击烟草行业或关注二手烟问题。健康倡导者在行政部门没有施加足够的压力，以迫使它制定一个全面的烟草教育项目。
健康倡导者仅仅争取提高烟草税并在立法机构保护资金是不够的。烟草控制倡导者必须密切关注由税收资助的烟草教育项目在行政层面的制定和实施情况，并愿意向行政部门施压以实施有效的项目。
