Maryland Smoke-Free Living Initiatives Maryland Health Housing Symposium June 1, 2016 Dana Moncrief, MHS, CHES Chief, Statewide Public Health Initiatives Center for Tobacco Prevention and Control
MISSION AND VISION MISSION The mission of the is to protect, promote and improve the health and well being of all Marylanders and their families through provision of public health leadership and through community based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at risk and vulnerable populations. VISION The envisions a future in which all Marylanders and their families enjoy optimal health and well being. 2
National Healthy Homes Month June 1 st June 4 th : Change is in the Air! http://portal.hud.gov/hudportal/hud?src=/program_offices/healthy_homes/nhhm2016 3
Overview Dangers of tobacco use & Secondhand Smoke exposure (SHS) Status of Tobacco Use in Maryland Protecting Residents from SHS Cessation Resources 4
Dangers of Tobacco Use Lung and Bronchus Cancers COPD Emphysema Asthma Other cancers Diminished health 5
An Addiction, NOT a Habit Nicotine addiction often requires repeated attempts to overcome Often start smoking again due to withdrawal symptoms, stress, weight gain Nicotine is as addictive as heroin, cocaine or alcohol Only 4% to 7% of smokers are able to quit on their own Addiction to tobacco use is physical, behavioral, and psychological 6
Secondhand Smoke Contains over 7,000 chemicals Nearly 70 are cancer causing EPA Class A Carcinogen Health consequences for both smokers and nonsmokers There is no risk free level of secondhand smoke exposure 7
Health Consequences of SHS Exposure 8
Tobacco Use in Maryland (2000 2014) 9
Youth Tobacco Use 10
Adult Tobacco Use Maryland adult smoking rate decreased significantly from 19.1% in 2011 to 14.6% in 2014 Cigarettes are the overwhelmingly preferred type of tobacco product Of the 14.6% of Maryland adults who are current cigarette smokers, nearly 75% want to quit smoking for good Over 31% reporting they want to quit in the next 30 days Increase in Never Smokers from 58.3% (2011) to 62.7% (2014) 11
Target Populations Persons of lower socio economic status Behavioral Health Medicaid Pregnant women Youth/Young Adults Racial/Ethnic populations 12
Income and Educational Attainment 13
Owner Occupied vs Rental Housing 14
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Voluntary Smoke free Home Rules 16
Youth Secondhand Smoke Exposure Indoors 17
Protecting Residents from Secondhand Smoke (SHS) Exposure 18
Smoke/Tobacco Free Areas Clean Indoor Air law (2008) No smoking in virtually all indoor public places, including bars and restaurants Indoor common areas of multi unit housing properties Does not include explicitly include e cigarettes, BUT does not prevent anyone from prohibiting e cigarette use in their place of business Hospital campuses College/University campuses Parks Beaches Ocean City! 19
Smoke free Multi Unit Housing Several smoke free properties in Maryland Protect Residents: Secondhand smoke drift Health dangers HUD Proposed Rule Property Owner/Manager: Provide a safe community Cost Savings 20
No Safe Level of SHS Exposure www.no-smoke.org 21
Residents Want Smoke free Housing www.no-smoke.org 22
www.no-smoke.org 23
Statewide Survey: Key Findings Over half of the complexes had designated smoke free policies Daily smoking higher in smoking permitted housing 25% daily in smoking permitted housing vs. 5% daily in smokefree housing Residents support smoke free policies 58% in smoking permitted housing vs. 82% in smoke free housing Residents prefer a personal smoke free policy in their home 70% in smoking permitted housing vs. 95% in smoke free housing 24
Focus Groups Most rewarding part of the job is working closely with people to meet their housing needs Not just a landlord Community High costs to turn over the unit from where a smoker lived Many thought there were more smokers Concerns: Fear of litigation Discrimination of smokers Need to keep apartments filled Enforcement 25
Take Aways Property managers and owners enjoy working with residents in providing a safe, healthy home Emphasize the savings associated with smoke free policies Provide more information on the legality of smoke free policies in Maryland Interview peers to highlight success stories of going smoke free Provide more information on enforcement Include information for each type of housing (market, voucher, PHAs) Help residents comply, not evict them September 8, 2015 26 26
Clearing the Air: The Value of Smoke Free Living www.mdsmokefreeliving.org Toolkit Fact sheets Customizable templates Mailers Videos Digital Toolkit Pages for Landlords, Condo Owners, and Residents 27
Clearing the Air: The Value of Smoke Free Living Kathleen Hoke Director, Legal Resource Center for Public Health Policy University of Maryland, Carey School of Law Tiffany Nicolette Marketing and Services Coordinator Shelter Properties, LLC Ryan Trout Special Projects Manager Housing Authority of the City of Frederick 28
Maryland Tobacco Cessation Services 29
Benefits of Quitting 30
The Maryland Tobacco Quitline FREE Confidential Non judgmental Celebrating 10 years! Over 80,000 callers 31
Quitline Services Reactive/proactive phone coaching calls (4 calls) Web Coach and Text 2 Quit services Certified Quit Coaches provide individually tailored quit plans Provides referrals to local county resources cessation classes, in person counseling and free medication Operates 24 hours a day / 7 days a week Free NRT (patch and/or gum) 12 week supply (must be 18+ to receive) Extended services for pregnant women 10 sessions (Pre & Post Partum) Incentives up to $90 in gift cards (Target/Babies R Us) Adolescent Quit Coaching QL serves 13 to 17 year olds 5 phone counseling sessions 32
Quitline Evaluation Results (2013 2014) 97% of participants would recommend the program to a friend trying to quit tobacco. 93% of callers were satisfied with the program. Participants who used patches, gum, or medication were much more satisfied with the program than those who didn t use these. 27% of MDQL callers had been quit for 30 days or longer at the time of the 7 month follow up; 33% had been quit for 7 days or longer. 30% of Web Only users had been quit for 30 days or longer at the time of the 7 month follow up; 40% had been quit for 7 days or longer. 3 out of every 5 callers smoked less cigarettes at the end of the program than when they enrolled the program works! 33
smokingstopshere.com Order FREE materials! 34
Maryland Resources Maryland Department of Health and Mental Hygiene Local Health Departments in all 24 jurisdictions Legal Resource Center for Public Health Policy www.mdsmokefreeliving.org Maryland Tobacco Quitline, 1 800 QUIT NOW www.smokingstopshere.com 35
Thank you! Dana Moncrief, MHS, CHES Maryland Department of Health and Mental Hygiene Primary Care and Community Health Bureau Center for Tobacco Prevention and Control dana.moncrief@maryland.gov 36