Table Of Content

T O B A C C O C O N T R O L S TAT E H I G H L I G H T S 2 0 1 2 National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health Online To download copies of this book, go to www.cdc.gov/tobacco or call toll free 1-800-CDC-INFO (1-800-232-4636). TTY: 1-888-232-6348 For More Information For more information about tobacco control and prevention, visit CDC’s Smoking & Tobacco Use Web site at http://www.cdc.gov/tobacco. Suggested Citation: Centers for Disease Control and Prevention. Tobacco Control State Highlights 2012. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2013. T O B A C C O C O N T R O L S T A T E H I G H L I G H T S 2 0 1 2 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Foreword Reducing death and disease caused by tobacco is a winnable battle. Proven strategies to reduce tobacco use include implementing high-impact tobacco countermarketing and strong policies that protect nonsmokers from secondhand smoke; increasing the price of tobacco products; and having well-funded, sustained, comprehensive tobacco control programs. This report provides state-specific data and information about these strategies as well as other high-impact and cost-effective strategies that we know work to reduce tobacco use and save lives. While the nation has made tremendous progress in reducing tobacco use, we still are far from the goal of ending the tobacco epidemic. Each day, more than 3,800 young people under 18 years of age smoke their first cigarette and more than 1,000 youth under 18 years of age become daily cigarette smokers. Youth and young adult smoking prevalence that had been dropping for many years have slowed. In fact, there could be three million fewer young smokers today if success in reducing youth tobacco use that was made between 1997 and 2003 had been sustained. The Centers for Disease Control and Prevention (CDC) has published two editions of Best Practices for Comprehensive Tobacco Control Programs (1999 and 2007) that have provided the structure and recommended levels of state investment for comprehensive programs. The purpose of Tobacco Control State Highlights 2012 is to provide state-specific data about high-impact and cost-effective tobacco control strategies and measures to track states’ progress in tobacco control. The report can also be used to provide policymakers with useful and accessible state-level data to assist with decision making. The framework for this report is based on the World Health Organization’s MPOWER package of high-impact strategies: Monitor tobacco use and prevention policies; Protect people from tobacco smoke; Offer help to quit tobacco use; Warn about the dangers of tobacco; Enforce bans on tobacco advertising, promotion, and sponsorship; and Raise taxes on tobacco. If, within the next 5 years, all state tobacco control programs were to fully implement the strategies described in this report and were funded at CDC-recommended levels, rates of tobacco use would decline precipitously. It’s time to eradicate the harm caused by tobacco use. With additional effort and support for evi- dence-based, cost-effective strategies that can be implemented now, we will make real and significant progress in our efforts to save lives and accelerate progress in the fight against tobacco use. Ursula E. Bauer, Ph.D., M.P.H. Director National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention iii iv Contents Foreword ...................................................................................................................................... Executive Summary ...................................................................................................................... Introduction ................................................................................................................................ Purpose of This Document ............................................................................................................. MPOWER Framework With Selected Indicators ............................................................................ Monitor tobacco use and prevention policies .................................................................................. Protect people from tobacco smoke ................................................................................................ Offer help to quit tobacco use ....................................................................................................... Warn about the dangers of tobacco ............................................................................................... Enforce bans on tobacco advertising, promotion, and sponsorship .................................................... Raise taxes on tobacco ................................................................................................................... Summary of Findings and Indicator Definitions ......................................................................... Monitor .......................................................................................................................................... Adult Current Cigarette/Smokeless Tobacco Use .............................................................................. Youth Current Cigarette/Smokeless Tobacco/Cigar Use .................................................................... Past-Year Cigarette Initiation ........................................................................................................ Protect ............................................................................................................................................ Adult Exposure to Secondhand Smoke ........................................................................................... Smoke-Free Home Rules ............................................................................................................... Opinions About Smoking in the Workplace .................................................................................... State Smoke-Free Policy ................................................................................................................ Offer .............................................................................................................................................. Adults Who Made a Quit Attempt in the Last Year ........................................................................ Quitline Utilization ..................................................................................................................... Medicaid Coverage for Counseling and Medications ...................................................................... Warn .............................................................................................................................................. Tobacco Countermarketing Media Intensity ................................................................................... Knowledge of the Dangers of Tobacco ............................................................................................ Enforce ........................................................................................................................................... State Allows Local Advertising and Promotion Laws ....................................................................... Over-the-Counter Retail Licensure ................................................................................................ Raise .............................................................................................................................................. Amount of Tobacco Product Excise Tax .......................................................................................... Price Paid for Last Cigarettes Purchased ........................................................................................ v State Highlights Alabama ......................................................................................................................................... Alaska ............................................................................................................................................. Arizona ........................................................................................................................................... Arkansas ......................................................................................................................................... California ....................................................................................................................................... Colorado ........................................................................................................................................ Connecticut ................................................................................................................................... Delaware ........................................................................................................................................ District of Columbia ...................................................................................................................... Florida ............................................................................................................................................ Georgia .......................................................................................................................................... Hawaii ............................................................................................................................................ Idaho .............................................................................................................................................. Illinois ............................................................................................................................................ Indiana ........................................................................................................................................... Iowa ............................................................................................................................................... Kansas ............................................................................................................................................ Kentucky ........................................................................................................................................ Louisiana ........................................................................................................................................ Maine ............................................................................................................................................. Maryland ........................................................................................................................................ Massachusetts ................................................................................................................................. Michigan ........................................................................................................................................ Minnesota ...................................................................................................................................... Mississippi ...................................................................................................................................... Missouri ......................................................................................................................................... Montana ......................................................................................................................................... Nebraska ........................................................................................................................................ Nevada ........................................................................................................................................... New Hampshire ............................................................................................................................. New Jersey ...................................................................................................................................... New Mexico ................................................................................................................................... New York ....................................................................................................................................... vi North Carolina ............................................................................................................................... North Dakota ................................................................................................................................. Ohio ............................................................................................................................................... Oklahoma ...................................................................................................................................... Oregon ........................................................................................................................................... Pennsylvania ................................................................................................................................... Rhode Island .................................................................................................................................. South Carolina ............................................................................................................................... South Dakota ................................................................................................................................. Tennessee ....................................................................................................................................... Texas .............................................................................................................................................. Utah ............................................................................................................................................... Vermont ......................................................................................................................................... Virginia .......................................................................................................................................... Washington .................................................................................................................................... West Virginia .................................................................................................................................. Wisconsin....................................................................................................................................... Wyoming ....................................................................................................................................... Data Interpretation ...................................................................................................................... Understanding Confidence Intervals............................................................................................... Understanding State Ranks ............................................................................................................. Selected Indicators by State and Rank ......................................................................................... Adult Cigarette Prevalence, 2011 .................................................................................................... Adult Smokeless Tobacco Prevalence, 2011 ..................................................................................... Youth Cigarette Prevalence, 2011 ................................................................................................... Youth Smokeless Tobacco Prevalence, 2011 .................................................................................... Youth Cigar Prevalence, 2011 ......................................................................................................... Youth Tobacco Prevalence, 2011 ..................................................................................................... State Smoke-Free Policy, June 30, 2012 .......................................................................................... State Allows Local Smoke-free Laws, June 30, 2012 ....................................................................... State Cigarette Excise Tax per Pack, June 30, 2012 ........................................................................ Tobacco Counter-Marketing Media Intensity – Household Quarterly General Rating Points (GRPs), 2010 ............................................................ Tobacco Counter-Marketing Media Intensity – Youth Quarterly Target Rating Points (TRPs), 2010 ....................................................................... vii Data for All Indicators, by State ................................................................................................... References .................................................................................................................................... Appendix A: Medicaid Coverage, 2010, Detailed Data ................................................................ Appendix B: STATE System Update for Legislative Indicators (as of December 31, 2012) .......... Appendix C: 2011 BRFSS Methodology Update .......................................................................... viii