MMWR Morb Mortal Wkly Rep. 1997 Mar 21;46(11):246-8.
In 1995, tobacco use contributed to the deaths of 6274 persons in Oregon (1995 population: 3,132,000) as reported by physicians on death certificates; annual costs in Oregon for the direct and indirect consequences of tobacco use were approximately $1 billion (State Health Division, Oregon Department of Human Resources, unpublished data, 1997). In response to the health burden associated with tobacco use in Oregon, in late 1995 a statewide coalition of health-care and tobacco-use prevention interests began a petition-driven citizen initiative, "Measure 44", to increase the tax on each pack of cigarettes from .38 to .68 and the tax on noncigarette tobacco products from 35% to 65% of wholesale price beginning February 1, 1997. This report presents findings of surveys conducted before and after the measure was approved by voters; in both surveys, respondents indicated that support for such an initiative was increased by dedicating a portion of the new revenue to tobacco-use prevention and education and to expanded insurance coverage under the Oregon Health Plan (OHP) for medically underserved persons.
1995年，据医生在死亡证明上的报告，俄勒冈州有6274人死于烟草使用（1995年人口：313.2万）；俄勒冈州因烟草使用的直接和间接后果产生的年度成本约为10亿美元（俄勒冈州人力资源部州卫生部，未公布数据，1997年）。为应对俄勒冈州与烟草使用相关的健康负担，1995年末，一个由医疗保健和烟草使用预防相关利益方组成的全州联盟发起了一项由请愿推动的公民倡议，即“第44号措施”，从1997年2月1日起，将每包香烟的税从0.38美元提高到0.68美元，将非香烟烟草产品的税从批发价的35%提高到65%。本报告展示了在该措施获得选民批准之前和之后进行的调查结果；在两项调查中，受访者均表示，将一部分新收入用于烟草使用预防和教育，以及扩大俄勒冈健康计划（OHP）为医疗服务不足人群提供的保险覆盖范围，会增加对这类倡议的支持。
