Progress toward quitting The cessation environment in New York
TCP Vision and Mission Vision: All New Yorkers live in a tobacco free society. Mission: Reduce morbidity and mortality and alleviate social and economic burden caused by tobacco use in New York State.
Where we need to go Adult smoking prevalence: 12 percent Youth smoking prevalence: 1 percent By 21, there will be one million more smokefree New Yorkers living healthier, happier, richer lives 9, adult smokers who quit 1, youth who did not initiate
How we get there Tobacco use: A social and political problem with an individual addictive component Community mobilization and advocacy Media and countermarketing Cessation support and services Surveillance and evaluation
Evidence-based practices Increasing price of tobacco Clean Indoor Air (Smoking bans and restrictions) Mass media campaigns with interventions (i.e., part of comprehensive tobacco control programs) Availability of treatment for tobacco dependence Provider reminder systems Telephone counseling and support Reducing patient costs for treatments
New York s Tobacco Cessation Environment Media Policy Community Action Health Care System Tobacco Users Self-Quit Tobacco Dependence Treatment Health Care Providers & Organizations Community Programs New York State Smokers Quitline Counseling and NRT Information and Selfhelp Materials Referral
Per capita cigarette consumption* New York, 195-25 Per capita tax paid pack sales 16 14 12 1 8 6 4 2 1 st SGR on Smoking and Cancer 1 st studies linking Smoking and cancer Fairness Doctrine For TV advertising Federal excise Tax doubles NYS CIAA 1989 Nicotine Meds OTC SGR on SHS NYS excise Tax doubles NYS excise Tax doubles NYS CIAA 23 195 1955 196 1965 197 1975 198 1985 199 1995 2 25 Year *Based on tax paid sales
Who Smokes Race/Ethnicity and Gender who smoke of smokers 1 8 6 4 2 18.5 65.1 Non- Hispanic White 18.4 18.3 14.6 14.7 Non- Hispanic Black 13.2 5.6 19.7 56.9 16.6 43.1 Hispanic Other Male Female Race/Ethnicity Gender
Who Smokes Income who smoke of smokers 1 8 6 4 2 33.8 24.5 < $3, $3 - $59,999 28.4 19.5 15.913.4 11.21.5 15.113.9 $6 - $89,999 Income $9, + Missing
Who Smokes Education who smoke of smokers 1 8 6 4 2 35.9 28.5 24.3 2.5 27.2 13.5 1.4 23.4 < High Schl HS Grad Some College College Degree + Education
Who Smokes Health Insurance who smoke of smokers 1 8 6 4 2 15.2 53.3 11.18.8 31.5 13.2 26.1 24.7 Private Medicare Medicaid None Insurance Status
Cessation Outcomes Interest in Quitting 1 8 6 4 2 46.8 25. 22.2 Planning to Quit in Next 3 Days 6.7 Set a Quit Date Made Quit Attempt Remained Quit 6 Months
Reasons for Trying to Quit 1 87.5 89.2 8 6 4 2 59.8 22.9 39.9 63.1 63.2 Cost Smoking Bans MD/DDM recommended Current Hlth Concern Future Hlth Concern Other's Hlth Example for Kids
Strategies for Quitting Among current smokers and recent quitters 1 8 83.2 6 4 27.9 45.6 2 Evidence-based strategies Support-based strategies Nonevidence-based strategies
Strategies for Quitting Evidence-based strategies 1 8 6 4 2 3.2 3.6 1.5 24.6 Cessation class Counseling Called Quitline (past 12 months) Medication
Strategies for Quitting Quitline 1 8 6 4 2 57.8 Aware of Quitline 3.4 Called Quitline (ever) 1.5 Called Quitline (past 12 months) (1.56 million smokers) (91,8 smokers) (4,5 smokers)
Quitline contacts June 5 to May 6 5, 47,877 4, Number 3, 2, 1, 4,442 2,537 Called QL - 1st time Called QL - Repeat Fax to Quit Referral Quitline contacts Source: RPCI Quitline Call Database
Source of Quitline number June 5 to May 6 5 4 3 2 1 33. 16.3 7.4 7.3 6.6 6.4 3.1 3.1 3. Family/Friend Television "311" Hlth Care Provider Newspaper Radio Fax to Quit Workplace Internet Source Source: RPCI Quitline Call Database
Strategies for Quitting Nonevidence-based strategies 1 8 6 4 42.5 33.7 2 1.8 Cut back Cold turkey Switch to lights 3.4 Switch to smokeless 3.1 3. 2.8 Herbal remedy Acupuncture - Hypnosis Quest
Who Quits Planning to Quit in Next 3 Days 4 64 years old Aware of Media Medicaid HCP Advice Smoke more cigarettes Buy cheap cigarettes 8% more likely 76% more likely 71% more likely 48% more likely 4% less likely 4% less likely
Who Quits Made Quit Attempt in Past 12 Months HCP Advice Aware of Media Buy cheap cigarettes Smoke more cigarettes 78% more likely 61% more likely 37% less likely 3-5% less likely
of smokers who visited health care provider 1 8 6 4 65.7 67.2 7.1 64.9 58.8 61. 63.2 65.7 71. 66.3 2 23Q3 23Q4 24Q1 24Q2 24Q3 24Q4 25Q1 25Q2 25Q3 25Q4
of smokers who were asked if they smoke when they visited health care provider 1 8 93.4 9.6 86.2 87.5 88.5 88.1 83.7 92.3 89.9 93.2 6 4 2 23Q3 23Q4 24Q1 24Q2 24Q3 24Q4 25Q1 25Q2 25Q3 25Q4
of smokers who were advised to quit when they visited health care provider 1 8 76. 73.2 68.2 67.4 67. ~33, smokers NOT being advised to quit by HCP 78.9 72.4 81. 79.5 79.2 6 4 2 23Q3 23Q4 24Q1 24Q2 24Q3 24Q4 25Q1 25Q2 25Q3 25Q4
of smokers who were assisted with quitting when they visited health care provider 1 8 6 4 38.2 36.7 34.6 37.9 36.1 36 percent increase in assistance with quitting since Fall 4 44.7 36.1 45.9 48.2 49.1 2 23Q3 23Q4 24Q1 24Q2 24Q3 24Q4 25Q1 25Q2 25Q3 25Q4
Conclusions Policy interventions effective in promoting cessation Hard hitting media messages should be aired consistency State tax policy should be rationally implemented and enforced Smokefree workplace policies effective in supporting cessation
Conclusions Health care provider action essential Smokers advised to quit are more likely to try Assistance with quitting has increased dramatically Expect to see more successful quitting over time Smokers need better information about effective quitting strategies