Transcript TRU Programs: Framing SHS and Tobacco Price for the Media

TRU Programs:
Framing SHS and Tobacco Price
for the Media
Ann Houston Staples, CHES
Tobacco Prevention & Control
Branch
What is Framing? (Is this little guy
demonstrating tobacco cessation?)

How to talk about an
issue to achieve a
specific result
 What is most
important?
 What do you leave
out?
 What do you
include?
What is Framing? (Or litter prevention?)

How to talk about an
issue to achieve a
specific result
 What is most
important?
 What do you leave
out?
 What do you
include?
What are the important questions to
keep in mind when framing an issue?

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Who am I trying to
reach?
What do they know,
think or do now?
What do I want them
to know, think or do?
What is likely to move
them towards my
objective?
Framing Example: Same
Question/Different Answer

Why do teens use tobacco?
 If you are working on Tobacco Free Schools?
 Because they see examples of tobacco use
at school
 If you are working on price/tax increase?
 Because tobacco is cheap and easy for teens
to get
 If you are working on SHS policy?
 Because they see examples of tobacco use
all around them, at their jobs, and other
places they go
Another Example: SF Worksite Law
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Overall Message
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For Lawmakers
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All workers in our state deserve to be protected from
secondhand smoke – not just government workers and
restaurant and bar workers.
Smoke-free worksite laws are popular with voters and
save public dollars through reduced health care costs.
For Business Owners

Smoke-free worksite laws reduce health care costs for
workers, reduce cleaning costs and increase worker
morale.
For Today
Secondhand Smoke
 Tobacco Pricing Strategies

Secondhand Smoke
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How to make SHS a Teen Tobacco issue:
 Teens suffer the health consequences of
SHS
 SHS Laws help teens by reducing their
exposure to a known health threat and
reducing their tobacco
Teens suffer the health consequences of
SHS

SHS causes those with asthma to suffer
more frequent and severe attacks. (SGR,
2006)
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1
Long-term exposure to SHS increases the
risk of heart disease & lung cancer. (SGR, 2006)
2
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There is evidence that SHS causes heart
attacks. (IOM, 2009)
3
Teens suffer the health consequences of
SHS
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SHS increases teens’ risk of developing
metabolic syndrome* by nearly five-fold.
(Circulation, 2005)
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4
*Defined as excess body fat, high blood sugar,
high lipids and high blood pressure
SHS predisposes adolescents to become
tobacco users themselves. (CMAJ, 2005) 5
 SHS causes learning deficits in reading,
math and reasoning. (Journal of Adolescent Health,
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2007)
6
SHS Laws Help Teens
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Smoke-free laws reduce exposure to SHS.
(The Guide to Community Preventive Services, 2010)
7
Teens in towns with strong SF restaurant
laws have lower rates of progression to
smoking than teens in towns with weaker
or no laws. (Tobacco Control, 2005) 8
 SF Workplaces and homes are associated
with lower teen smoking. (JAMA, 2000) 9
 Restrictions on smoking at school, home &
Public Places may reduce teen smoking.
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(British Medical Journal, 2000)
10
References (SHS)
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The Health Consequences of Involuntary Exposure to Tobacco Smoke:
A Report of the Surgeon General, US DHHS, 2006
3 Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense
of the Evidence. Institute of Medicine. October, 2009
4 Weitzman, M.R. et al. “Tobacco smoke exposure is associated with the
metabilic syndrome in adolescents.” Circulation. August 1, 2005.
5 Becklake, M.R., et al “Childhood predictors of smoking in adolescence: a
follow-up study of Montreat school children,” CMAJ, August 16, 2005
6 Collins, Bradley N, et al “Adolescent Environmental Tobacco Smoke
Exposure Predicts Academic Achievement Test Failure” Journal of
Adolescent Health, 41 (2007)
7 www.thecommunityguide.org
8 Siegel, M. et al. “Effect of local restaurant smoking regulations on
progression to established smoking among youths” Tobacco Control.
October 2005
9 Farkas, A. et al. “Association between Household and Workplace Smoking
Restrictions and Adolescent Smoking” JAMA , August 9, 2000
10 Wakefield, M. et al. “Effect of restrictions on smoking at home, at
school, and in public places on teenage smoking: cross sectional study.”
British Medical Journal. August 5, 2000.
1, 2
Into the Frame: Teens & SHS
Secondhand smoke can hurt teens now,
and, even worse, can take away their
future.
 Smoke-free law can reduce teen exposure
to secondhand smoke and even help teens
not to become tobacco-users.
 Smoke-free laws create healthy futures for
today’s teens.
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Tobacco Pricing Strategies
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Economic research confirms that tobacco
tax increases reduce teen tobacco use
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Numerous studies in peer-reviewed journals
document that cigarette price increases reduce
teen smoking.
Summary: Every 10 percent increase in price
reduces young adult smokers by 3.5% and
teen smokers by 6-7%. (Campaign for Tobacco Free
Kids, 2009)
1
Tobacco Pricing Strategies
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Higher Taxes on smokeless tobacco reduce
its use, particularly among young males;
and increasing cigar prices through tax
increase reduces young cigar smoking.
(AJPH, 2005)
2
Tobacco Pricing Strategies: Expert
Recommendations
Raising cigarette taxes and indexing them
to inflation would reduce use (Institute of
Medicine, 2007)
 Increasing cigarette taxes would prevent
initiation among potential users
(President’s Cancer Panel, 2007)
 Raising tobacco taxes is one of the most
effective tobacco prevention and control
strategies (SGR, 2000)
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Average State Cigarette Tax:
$1.38 per pack
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North Carolina’s Current Tobacco Tax:
Cigs: 45 cents per pack
Smokeless: 28% of wholesale price
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North Carolina’s Cigarette Tax Ranking:
44th Highest Among 50 States
Campaign for Tobacco-Free Kids, April 2010 3
References: Pricing
1
http://www.tobaccofreekids.org/research/
factsheets/pdf/0146.pdf
 2 Chaloupka, R. et al. “Public Policy and
Youth Smokeless Tobacco Use” Southern
Economic Journal October, 1997.
3
http://www.tobaccofreekids.org/research/
factsheets/pdf/0097.pdf
Into the Frame: Tobacco Pricing
Strategies
Tobacco products in North Carolina are too
cheap and too easy for teens to purchase
and use.
 Studies prove that using tobacco taxes to
increase the prices of tobacco products
will discourage many teens from using or
becoming addicted to tobacco.
 A tobacco tax can protect teens from a
lifetime of addiction, health problems, and
early death.
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