Engaging community leaders & youth in promoting smoke free policies for parks

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Engaging community leaders & youth in promoting smoke free policies for parks October 31, 2012 APHA 140 th Annual Meeting & Expo Nicole Coxe, MPH(c), Janie Burkhart, MPH, Whitney Webber, MS, Tonya Veitch, BS, Mariah Lafleur, MPH

Presenter Disclosures Nicole Coxe (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationship to disclose

Presentation Outline Our strategy for creating smoke free parks Results of the campaign Overcoming challenges Questions

Why smoke free parks why NOW? Reduce secondhand smoke exposure Limit youth exposure to tobacco use Reduce tobacco litter Highlight parks as a symbol of health in our community

The why now? Question In March 2010, Santa Clara County was awarded a $6.9 million Communities Putting Prevention to Work (CPPW) grant through the American Recovery & Reinvestment Act, to implement strategies to reduce the burden of chronic disease

Santa Clara County CPPW Strategies Promote health equity & reduce health disparities

Santa Clara County Demographics 1.78 million residents 1 Most populated county in the Bay Area; 6th most populated in CA 1 20% of the population is <15 1 Diverse population 1 35% White 32% Asian 27% Hispanic 2% African American 10% of adults smoke 2 ; 8% of youth smoke 3 Image source: Los Angeles Public Relations 1 Source: U.S. Census Bureau, 2010 Census 2 Source: Santa Clara County Public Health Department, 2009 Behavioral Risk Factor Survey 3 Source: California Healthy Kids Survey, 2009-10

Prior to smoke free parks intervention March 2010

County Adopts Smoke free Parks Policy In November 2010, Santa Clara County Board of Supervisors adopted a comprehensive smoke free policy (including all county parks + trails) Strong county leadership paved the way for other cities to follow

Our Strategy to Engage Other Cities

city & county collaboration + community engagement 11

How We Engaged Cities (Insider Strategy) Funding Opportunity $30,000 base award + per capita 10 cities chose to focus on smoke free parks CPPW Leadership Team Helped build connections & linkages Cities Network Formed Training & networking sessions Cities could troubleshoot with each other Connected cities with experts in the field

Engaging the Community (Outsider Strategy) 5 Phases / Policy Adoption Model (Developed by Los Angeles County & Center for Tobacco Policy and Organizing) 1. Community Assessment 2. Strategy Planning 3. Recruitment 4. The Campaign 5. Implementation & Evaluation

City Action Team Approach Prioritized & formed 5 citybased campaigns Recruited from existing coalitions Further engaged youth, residents, stakeholders, community leaders Youth Mini Grant project Engaged 50 youth on 9 different tobacco prevention projects

Youth in Action: Success in promoting smoke free parks http://vimeo.com/50999949

Prior to smoke free parks intervention March 2010

Post smoke free parks intervention May 2012

Cities Make Great Strides in Going Smoke free 9 cities and the County implemented smoke free parks 6 are 100% smoke free; 1 is 100% tobacco free 1 city was not CPPW funded 15 additional smoke free provisions implemented across these cities (ex. smoke free dining, service areas, common areas of multi family housing)

Overcoming Challenges to Engaging Community Leaders & Youth

Overcoming Challenges Engaging cities Strong county & community leadership helped to engage cities Funding collaboration led to prioritization Access to technical assistance, field experts, peers in other cities helped build capacity Engaging youth & the community Youth mini grant project Localized action & specific activity focused actions Incentives Establishing a coalition (sustainability, recruitment)

Thank you! Questions? Contact information: Nicole Coxe, Tobacco Prevention Policy Lead Santa Clara County Public Health Department Email: nicole.coxe@phd.sccgov.org Phone: 408.793.2745 21