Tobacco Control Strategies (TCS) for Mississippians with Disabilities

Transcription

1 Tobacco Control Strategies (TCS) for Mississippians with Disabilities Mina Li, MD., PhD., CSM. Institute for Disability Studies The University of Southern Mississippi 2011 DISABILITY and HEALTH PARTNERS MEETING June 14 16, 2011

2 Mississippi Population: 2,967,297 (US Census, 2010) African American Population Rate: 37% (US Census, 2010) National Ranks: #1 Highest Rate in Poverty 28% (UI & KC, 2011) #1 Highest Rate in Obesity/Overweight 68% (CDC/BRFSS, 2010) #50 th Health Care System Performance (CF, 2011) MS was the 1 st State that challenged tobacco companies and sued them for the health care costs associated with smoking tobacco (1994). 2

3 Definition Functional Limitation Developmental Limitation Self-care Limitation Mobility Limitation Work Limitation American Community Survey

4 Definition 4

5 Problems 31.4% 26.5% 23.3% 17.9% National MS With Disability Without Disability Source: CDC BRFSS

6 Purpose of the Study To explore tobacco use status among people with disabilities in MS. To define the barriers that limit the ability in receiving/accessing smoking cessation information and resources. To initiate tobacco cessation and control strategies for people with disabilities. 6

7 Research Questions Why do people with disabilities in MS smoke? Have they tried to access available cessation programs? What barriers prevented individuals with disabilities from participating in tobacco cessation programs? Are people with disabilities who smoke physically active? Would physical activity assist people with disabilities in their efforts to stop using tobacco? 7

8 About the TCS Project Funding Source Mississippi State Department of Health, Office of Tobacco Control Project Duration Four years 2010~2014 Project Implementation Phase I Data assessment and analysis Phase II Tobacco Cessation Strategy Development for People with Disabilities in Mississippi 8

9 Methodology Quantitative Method Survey 19 Questions Qualitative Method Focus groups 6 Groups Personal interview 18 Professionals 9

10 2010 Tobacco Usage Survey 205 Individuals with Disabilities Filled Out the Survey Questionnaire Demographic Information Tobacco Usage 18 Questions with Multiple Choices Open-ended Question 1 10

11 Focus Group Sites Tupelo (Lee Co.) Greenwood (Leflore Co.) Hattiesburg (Forrest Co.) Meridian (Lauderdale Co.) Jackson (Hinds Co.) Long Beach (Harrison Co.) 11

12 Agency Representation of Interviews 18 Professional Individuals Were Interviewed: Primary Healthcare Association Rural Health Association The ACT Center MS Tobacco Quitline MSDH Office of Preventive Health (Diabetes Program, Chronic Disease Program) University of Mississippi Medical Center Cancer Institute MS Nurses Foundation Family Physicians Foundation American Cancer Society American Lung Association American Heart Association 12

13 Finding Survey (1) Demographic Highlights 61.7% 55.6% 74.7% 61.4% 63.8% 52.2% 60.6% 92.6% Male Black 25~54 Yr Single (NM & D) Employed (FT & PT) High School or Less Less than $22K H Income Cigarette Smoking 13

14 Finding Survey (2) Top 5 Reasons Why Mississippians with Disabilities Smoke or Use Tobacco 63.4% 36.6% 31.9% 26.7% 9.6% Relaxation Can't Quit Boredom Socializing w/ Friends Drinking Alcohol 14

15 Finding Survey (3) Mississippians with Disabilities Tobacco Cessation Status Yes No Not Answered Did you quit smoking or using tobacco for a while because of the 15.1% 74.1% 10.7% Have you ever participated in a program to help you quit smoking 28.8% 66.8% 4.4% Have you ever seen/heard an ad for cessation services? 59.0% 37.6% 3.4% Do you plan to quit smoking or using tobacco? 65.4% 28.8% 5.9% Have you ever tried to quit smoking or using tobacco? 73.2% 24.4% 2.4% 15

16 Finding Survey (4) Top 5 Barriers Preventing Current Cessation Programs from Working for Mississippians with Disabilities 44.2% 33.7% 30.4% 22.1% 16.6% Don't Know about Programs Don't Know Where to Find Programs Don't Want to Quit Transportation Don't Know Where to Find Information 16

17 Finding Survey (5) Exercise Frequency 9.0% 9.5% 37.5% Don't exercise 1 day a week 2-3 days a week 31.0% 4-6 days a week Exercise everyday 13.0% n = 200

18 Finding Survey (6) Top 5 Reasons Why Mississippians with Disabilities Think About Quitting Smoking or Using Tobacco 48.0% 35.1% 32.7% 29.8% 21.6% Personal Illness Someone I Love Asks Me to Quit Cost of Cigarettes (Goes Up) Family or Friends Become Ill Family or Friend Dies 18

19 Finding Focus Groups Q: Why do they smoke? A: Reduce stress, Addiction/Habit, Drinking alcohol/social gathering, Eating, Boredom. Q: Have they tried to access available cessation programs? A: No. Q: What barriers prevent them from participating in cessation programs? A: Cost of the programs, No desire to quit, Time conflict, Being around others who smoke, Transportation/Parking. Q: Are they physically active (regular exercise)? A: No. Q: Would physical activity assist them in their efforts to stop tobacco use? A: Majority believes so because of stress reduction and keeping minds and hands busy from using tobacco. 19

20 Finding Interviews Q: Why do they smoke? A: Reduce stress, Addiction/Habit, Family & friends smoke, No desire to quit. Q: Have they tried to access available cessation programs? A: No data assessed for this population. Q: What barriers prevent them from participating in cessation programs? A: Transportation, No desire to quit, Lack of culturally appropriate programs, Cost of products, Challenges of disability conditions, Lack of awareness of existing programs, Program delivery methods. 20

21 Next Phase Use the data collected from the study to create accessible and practical tobacco cessation programs strategically and specifically targeting Mississippians with disabilities. 21

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23 Acknowledgement TCS Project Team Members