Opportunities for State and Local Health Department to Address Smokeless Tobacco Control in Rural Populations February 22, 2017 3:30 – 5 :00 PM ET You are waiting to join: The call will begin at 3:30 PM ET. Play audio through your computer speakers or phone, but not both.
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Opportunities for State and Local Health Department to Address Smokeless Tobacco Control in
Rural Populations
February 22, 2017
3:30 – 5:00 PM ET
You are waiting to join: The call will begin at
3:30 PM ET.
Play audio through your
computer speakers or
phone, but not both.
Welcome, ASTHO and NACCHO
Christin Kirchenbauer, Oklahoma State Department of Health
Johnna Sue Blair, TSET Healthy Living Program
Vickie Tucker, Mississippi State Department of Health
Jacqueline Carter, Mississippi Tobacco-Free Coalition of Hinds County
Moderated Q&A
Online Resources, ASTHO and NACCHO
Closing
Agenda
Learn about the unique challenges posed by smokeless and combustible tobacco use in rural communities
Discuss examples of campaigns and programs receptive in rural communities to reduce smokeless tobacco use
Explore the collaboration between state and local health departments to implement successful tobacco control initiatives in rural areas
Objectives
ASTHOVision
Healthy people thriving in a nation free of preventable illness and injury.
MissionTo transform public health within states and territories to help
members dramatically improve health and wellness.
National voice for approximately 2,800 city, county, metro, district, and tribal local health departments (LHDs) across the nation
VISION: Health, equity, and well-being for all people in their communities through public health policies and services
MISSION: The mission is to be a leader, partner, catalyst, and voice for local health departments in order to ensure the conditions that promote health and equity, combat disease, and improve the quality and length of all lives.
National Association of County and City Health Officials
Two ways to listen to audio:Through your computer speakers (preferred)Via telephone
(888-233-0996, Conference ID 65871834)Do not use both methods
This call is being recorded and the recording will be shared on ASTHO and NACCHO’s websites
Submit questions through the chat box online (phone lines are muted for this webinar)
Logistics
Oklahoma Smokeless Tobacco Initiatives
Christin Kirchenbauer, MPH
and
Johnna Sue Blair
February 22, 2016
Oklahoma Infrastructure
• The Oklahoma State Health Department oversees all statewide tobacco control efforts
• The Tobacco Settlement Endowment Trust (TSET)
– Community initiatives
• Healthy Living Program (HLP)
• Health Systems Initiatives
• Oklahoma is preempted
Oklahoma Youth Tobacco Survey -
High School33.0
24.022.8 23.4
20.217.9
16.014.6
6.3
19.0
0
5
10
15
20
25
30
35
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Pe
rce
nt
Year
Cigarette Smoking Electronic Cigarette Smoking
Oklahoma Youth Tobacco Survey -
Smokeless Tobacco Use
13.0
10.1
12.1 11.9 12.1 12.0
8.4
10.2
6.7
4.94.2 4.5
5.44.3
5.24.3
0
2
4
6
8
10
12
14
16
18
20
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Pe
rce
nt
Year
High School Middle School
Behavioral Risk Factor Surveillance
System – Adult Smokeless Tobacco Use
6.9 6.76.3 6.5 6.7
4.3 4.1 4.0
0
1
2
3
4
5
6
7
8
9
10
2011 2012 2013 2014 2015
Pe
rce
nt
Year
Oklahoma United States
Statewide Media Campaigns
• Tobacco Stops with Me
– Tobacco-free message for Oklahomans
– Aims to inspire individuals to make positive
changes
• The Oklahoma Tobacco Helpline
– No Judgements, Just Help
Oklahoma Tobacco Helpline Media
Smokeless Tobacco Media
Campaign
• Goal: Increase calls to the Oklahoma
Tobacco Helpline (OTH) from males wanting
to quit using smokeless tobacco
• Increase awareness of the OTH for family
and friends of smokeless users
Story Telling - James Capps
Creative Materials
Evaluation - Smokeless Tobacco
Media Campaign
• Calls to the OTH from smokeless users increased 265% in the first two weeks of the campaign
– Week 1 – 95 smokeless callers
– Week 2 – 124 smokeless callers
• We also saw an increase in male smokers trying to quit
– Overall call volume was up 51% during the first two weeks of the campaign
Continued Social Media Presence
Oklahoma Cessation Initiatives
• Health Systems Initiatives
– Focus on health systems change and provider education
– During FY16, 10,996 fax referrals and 2,169 electronic referrals
• Tribal Cessation Workgroup
– Focus on individuals that are disproportionately affected by tobacco dependence
– 44.7% Increase in American Indian utilization of the OTH from FY15 to FY16 (2,792 to 4,039)
OTH Success
• New messaging and services in FY16
resulted in a 43% in OTH utilization
–37,061 tobacco users registered for services
• In FY 16, there were 2,366 smokeless tobacco users that completed an intervention
–47.7% increase compared to FY15
– Treatment reach of 1.3% in FY16 compared to 0.9% in FY15
Prevention Initiatives
• Standardized Tobacco Assessment for
Retail Stores (STARS)
• Retail Point of Sale (POS) data to help
inform policy decisions
• Strategic planning for unsolicited tobacco
retailer education
• Youth advocacy programs
Local Grantee Policy Initiatives
• Sectors
– Worksites
– Schools
– City governments
– Multi-unit housing
– Early childhood education (ECE) establishments
– Health care organizations
– Congregations
Policy Highlights
• Embark Public Transportation Tobacco-Free
Policy
• Oklahoma City Public Housing Authority
goes tobacco-free curb to curb including
smokeless and e-cigarettes
• 24/7 Tobacco-free Schools
Local Grantee Perspective
Johnna Sue Blair
Healthy Living Coordinator
Wagoner County Health Department
JOHNNA SUE BLAIR
• Policy driven grant focused on making
sustainable changes to our environment
and social norms
• Local communities drive the decisions on
what to work on believing communities
know what will work in their cities
WAGONER COUNTY
Wagoner County population (2010 U.S. Census)
• Wagoner 8,323• Coweta 9,943• Okay 620• Porter 574
Other smaller towns in the county
County is 73% white
• Wagoner is 59% minority (African American, Native American or 2 or more races)
• Coweta is 23% minority
WAGONER COUNTY
• Must use multi-tier education – adults,
youth and children
• Emphasize positive role-modeling
• Students Working Against Tobacco (SWAT)
WAGONER COUNTY
Barriers
• Enforcement
• Social Norms
“it’s okay for boys to dip”
Successes
• Municipal Property Ordinances
• 24/7 Tobacco and Vape-Free
Schools Before State Law
• Federally Qualified Health
Center (FQHC)
• Event Policies
Mississippi’s Smokeless Tobacco Efforts
Mississippi State Department of Health
Office of Tobacco Control
Vickie M. Tucker, MS, CHES, CSM
Mississippi Tobacco-Free Coalition
Jacqueline M. Carter, MPH, CRTF
Rescue Social Change Group (RSCG)
A behavior change agency that works to
provide comprehensive behavior change via
marketing programs.
RSCG Media Activities Down & Dirty Campaign
O Media Packages
O Events
Support for Smokeless Efforts
MSDH Office of Tobacco Control
MSDH District Level Staff
Mississippi Tobacco-Free Coalitions
MTFC Hinds County
Community Involvement
O Mississippi High School Activities Association
O Mississippi Association of Coaches
O Vacation Bible Schools
MTFC Hinds County
Policy Efforts
Tobacco-Free School Zones
MTFC Hinds County
Policy Efforts
College Campuses
MTFC Hinds County Policy Efforts
Municipalities
Questions
Submit your questions through the Chat Box on your screen.
Audience Q&A
NACCHO Resources
Tobacco Webpage
http://naccho.org/programs/community-health/chronic-disease/tobacco
NACCHO Toolbox
http://naccho.org/resources/toolbox
Publications
Best Practices
Fact sheets
Tools
Best Practices for Comprehensive Tobacco Control Programs at the Local Level
Companion to CDC’s Best Practices – 2014
Frames local-level strategies for recommended program components
Outlines minimum and recommended funding levels
NACCHO Contacts
Contact:Megan Jourdan
Director of Community Health Promotion
Melanie Ruhe
Program Analyst
Safe, Healthy and Resilient Communities
ASTHO ResourcesGeneral Tobacco Information:
www.astho.org/programs/prevention/tobacco/
ASTHO E-Cigarette Resources:
http://www.astho.org/Prevention/Tobacco/E-Cigarettes/
Archived Webinars:
http://www.astho.org/Prevention/Tobacco/Webinars/
Comprehensive Tobacco Control:
Guide for State & Territorial Health Officials
www.astho.org/Prevention/Tobacco/Comprehensive-Tobacco-Control-Guide/
Contacts:
Alicia Smith: [email protected] Talyah Sands: [email protected] Josh Berry: [email protected]
New on the ASTHO WebsiteTribal Tobacco Prevention Case Study:
http://www.astho.org/Prevention/Tobacco/North-Dakota-Engages-American-Indian-Tribes-in-Tobacco-Prevention/
Smoke-Free Multi-Unit Housing Case Study:
http://www.astho.org/Prevention/Tobacco/Smoke-Free-Housing-Multi-Level-Case-Study/
Working with Insurance Commissioners on Cessation Coverage Issue Brief:
http://www.astho.org/Prevention/Tobacco/Comprehensive-Coverage-for-Tobacco-Cessation-Issue-Brief/
E-Cigarette Resource Library:
http://www.astho.org/Prevention/Tobacco/E-Cigarettes/Library/
All available on http://www.astho.org/Programs/Prevention/Tobacco/
www.tobaccocontrolnetwork.org
New on the TCN WebsiteRecent Additions to the TCN Resources Tab:
Tobacco Policy Scans
State Success Stories
TCN 2016-2017 Podcast Series
State Tobacco Control Program Success Story Template
http://tobaccocontrolnetwork.org/resources/
Interactive TCN Policy Recommendations:
http://tobaccocontrolnetwork.org/tcn-policy/
Interactive State Policy Map:
Coming Soon!
Inquiries related to the TCN: [email protected]
Please complete your evaluations immediately following the webinar – we value your feedback!
Thank you for joining us!
NACCHO:
Megan [email protected]
www.naccho.org/topics/HPDP/tobacco/
ASTHO:
Joshua [email protected]
www.astho.org/Programs/Prevention/Tobacco/
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