Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Am J Prev Med. 2015 Jan;48(1 Suppl 1):S6-S12. doi: 10.1016/j.amepre.2014.09.001.
For more than a decade, the Oklahoma Tobacco Settlement Endowment Trust and Oklahoma State Department of Health have collaborated to implement best practices in tobacco control through state and community interventions, including legislated and voluntary policy approaches, health communication, cessation programs, and surveillance and evaluation activities. This partnership eliminates duplication and ensures efficient use of public health dollars for a comprehensive tobacco control program based on a systems and social norm change approach. The purpose of this paper is to briefly describe strategies to reduce tobacco use despite a rare policy environment imposed by the presence of near-complete state preemption of tobacco-related law. Key outcome indicators were used to track progress related to state tobacco control and prevention programs. Data sources included cigarette excise tax stamp sales, statewide surveillance systems, Oklahoma Tobacco Helpline registration data, and local policy tracking databases. Data were collected in 2001-2013 and analyzed in 2012 and 2013. Significant declines in cigarette consumption and adult smoking prevalence occurred in 2001-2012, and smoking among high school students fell 45%. Changes were also observed in attitudes and behaviors related to secondhand smoke. Community coalitions promoted adoption of local policies where allowable, with 92 ordinances mirroring state clean indoor air laws and 88 ordinances mirroring state youth access laws. Tobacco-free property policies were adopted by 292 school districts and 309 worksites. Moving forward, tobacco use will be prioritized as an avoidable health hazard in Oklahoma as it is integrated into a wellness approach that also targets obesity reduction.
十多年来，俄克拉荷马烟草和解信托基金和俄克拉荷马州卫生部一直合作，通过州和社区干预措施实施最佳的烟草控制实践，包括立法和自愿政策方法、健康传播、戒烟计划以及监测和评估活动。这种伙伴关系消除了重复，并确保公共卫生资金的有效利用，以实施基于系统和社会规范改变方法的全面烟草控制计划。本文的目的是简要描述在存在几乎完全的州级烟草相关法律预先批准的罕见政策环境下，减少烟草使用的策略。关键结果指标用于跟踪与州级烟草控制和预防计划相关的进展。数据来源包括香烟消费税印花销售、全州监测系统、俄克拉荷马州烟草热线注册数据和地方政策跟踪数据库。数据收集于 2001-2013 年，并于 2012 年和 2013 年进行了分析。2001-2012 年期间，香烟消费和成年吸烟率显著下降，高中生吸烟率下降了 45%。与二手烟相关的态度和行为也发生了变化。社区联盟在允许的情况下促进了地方政策的通过，其中 92 项条例效仿了州级室内清洁空气法，88 项条例效仿了州级青少年准入法。292 个学区和 309 个工作场所通过了禁烟物业政策。今后，烟草使用将被优先视为俄克拉荷马州可避免的健康危害，因为它将被纳入一个以减少肥胖为目标的健康促进方法中。
