Transcript Document
Presented by:
Community Settings Presentation
100% Tobacco-Free Policy o Colleges and Universities o Faith-Based Organizations (FBOs) o Healthcare Facilities o Recreational Facilities o School Districts “Decision-makers”, “key stakeholders” – people in authority able to make decisions about policy changes in community settings (i.e., student affairs coordinators, recreation managers, school district staff)
o
Secondhand Smoke:
The Science o
Education & Awareness
Working with the Media o Evaluating the Issue o Resources
What is Secondhand Smoke?
o Combination of side stream smoke (comes from burning
or heated
tobacco), and mainstream smoke (comes from exhaled smoke). o Contains over 4,000 chemicals, some of which are carcinogens (cancer causing).
3
rd
Leading Cause
of
Preventable Death
in
US
o Secondhand smoke is the third leading cause of preventable death in this country, killing 53,000 nonsmokers in the U.S. each year. o For every eight people smoking kills, it takes one nonsmoker with them.
JAMA, March 10, 2004 Vol 291, No.10
Cigarette Toxins
New Products
Various emerging tobacco products:
o Little Cigars and Cigarillos o Hookah o E-Cigarettes o Dissolvable Tobacco
Little Cigars
Product Substitution
o A review of
formerly-secret tobacco industry
documents finds that little cigars were intended to replace cigarettes as advertising became restricted.
Cigar use is associated with
cancers
of the oral cavity, larynx, esophagus, and lung .
Product Usage
o Between 2000 to 2011, consumption of
large cigars increased by 233%
while consumption of
cigarettes declined by 33%
.
Smokeless Tobacco
Tobacco
Use
SC Adult
Smoking rate –
23.1%
*Rate of smoking during pregnancy –
13.4%
SC Youth
Smoking rate –
23.7%
Source: 2011 BRFSS, 2010 PRAMS, and 2011 SCYTS
Tobacco Use Policies
• Health reasons – to promote healthy living • Environmental reasons – to reduce litter & fires • Behavioral Reasons – to show adults as positive role models
6 Major Conclusions
Surgeon General’s Report, 2006
1.
There is
no risk-free level of exposure
secondhand smoke.
to 2.
Secondhand smoke exposure
causes disease and premature death
in non smoking children and adults.
3.
Exposure
of adults to secondhand smoke
causes heart disease and lung cancer
.
4.
Children exposed to secondhand smoke are at an
increased risk for sudden infant death syndrome (SIDS), acute respiratory infections, ear problems, and more severe asthma
.
6 Major Conclusions
Surgeon General’s Report, 2006 continued…
5.
Eliminating smoking in indoor spaces fully protects nonsmokers from exposure to secondhand smoke.
Separating smokers from nonsmokers, cleaning the air, and ventilating buildings cannot eliminate exposure
of nonsmokers to secondhand smoke.
6.
Millions
of Americans are
still exposed to secondhand smoke
in their homes and workplaces.
Tobacco Use & SHS Exposure Causes Death & Illness
0
Research
Secondhand smoke cannot be controlled by ventilation or air cleaning. “
At present, the only means of effectively eliminating health risk associated with indoor exposure is to ban smoking activity.
” – American Society of Heating, Refrigerating & Air-Conditioning Engineers (ASHRAE), 2005
“No air purifier can protect against the health hazards associated with secondhand tobacco smoke.”
“
Honeywell has not in the past and does not make health hazard claims
.” “
We make no claims that this product will protect people from second hand smoke….The Environizer electronic air purifiers do not eliminate such [health] hazards….The Environizer will not help remove gases that are found in tobacco smoke
.”
True or False?
o o o o o SHS exposure only includes cigarettes.
SHS kills over 50,000 nonsmokers each year.
Toxins in cigarettes include the same chemicals found in rocket fuel, paint thinner and insecticide.
E-cigarettes are legally not a tobacco product.
Air ventilation/air cleaning systems can eliminate exposure to SHS.
Education & Awareness
Working with the Media
Why Education & Awareness?
o Create community awareness about public health issue o Develop new policies – community settings o Strengthen or expand existing policies o Ensure policies are adopted, implemented & enforced
Types of Change
Policy Change Individual Behavioral Change o Policies are regulations and rules (both formal and informal) that can
support or inhibit healthy
lifestyles. o Policy changes can assist large groups of people with living a healthy lifestyle and/or creating a healthier environment
vs.
o Voluntary behavior change that often results in one time, short term behavior modification o Not part of ongoing strategic plan o Impact is on a smaller scale
Community Settings
100% Tobacco-Free Policy o Colleges and Universities o Faith-Based Organizations (FBOs) o Healthcare Facilities o Recreational Facilities o School Districts
Preparing for Change
o
Identify and designate roles and responsibilities
o
Determine timeline for efforts
o
Define education efforts
Building a Foundation
o Collect information (policymaking process, community assessment, past efforts) o Develop relationships with identified key stakeholders o Establish credibility within the community o Build capacity & focus at the community level
Assessing Policy
o Examine current policy o Identify needed changes o Specify options for policy change o Evaluate policy environment o Identify key stakeholders, champions and organizations
Forming an Approach
o Select a Strategy • • Direct – communication with decision-makers Indirect – earned media o Identify Target Audience(s) o Choose Tactics & Tools • • Private, public Individual, group o Set Levels of Success
Media & Communications
o Media Awareness o Develop a media and communications plan o Frame the Issue • Utilize talking points • • Recruit and train spokespersons Identify story tellers o See handout for tools to use for developing and implementing a communications plan
New Media Landscape Social media
o Facebook o Twitter o Pinterest o Linked In o Blogs o Web banners o QR codes
“To Do”
o Check out and talk to decision-makers (ministers, recreation managers, coaches, student personnel administrators, wellness committees, etc.) o Prepare responses to audiences that may not agree w/ you o Know the pressure points o Try to educate the media about the facts o Check meeting documents ahead of time o Be proactive, not reactive o Stay in tune with policy process o Expect obstacles
“
NOT To Do ”
o Expect that others will get the job done o Assume public is focused only on secondhand smoke (SHS) o Speculate “it’s the right thing to do” so we don’t have to worry about secondhand smoke exposure o View smokeless tobacco use as less of a public health concern o Assume decision-makers know the facts/are informed o Believe that “common sense” is common
True or False?
o Social media is a good way to engage others.
o A communications plan is just a list of people and their contact information.
o When recruiting and training spokepersons, it doesn’t matter if they are local or not.
o Policy change and individual behavioral change have the same impact in community settings.
Scenario
You’re a staff member at the local college and would like to see a tobacco-free campus policy adopted. Who can you engage to create a task force to advocate for this policy?
Community Settings Presentation
Evaluating the Issue
What is Evaluation?
o An ongoing process of assessment of actions or progress to provide information needed for making decisions. o Evaluation is action-oriented, seeking to provide information useful for decision making relevant to program development and improvement.
o
Measurement of your actions to help make decisions
Types of Evaluation
Quantitative: o Numerical data o Ask what, how often, how many?
o Describes o Shorter time to collect Qualitative: o Narrative data o Asks why?
o Interprets o Longer time to collect
“Numbers” “Words”
Quantitative Evaluation
o Surveys o Polls o Facebook & Twitter “likes” and “dislikes” o Website hits o Air Quality Monitoring (for indoor settings) o Media Campaigns – reach, follow-up action o Events o Publications distribution
Qualitative Evaluation
o Surveys - comments o Polls o Community forum meetings o Facebook & Twitter comments o Focus groups o In-depth interviews o Events – one-on-one personal contact
Air Quality Monitoring
o SidePak Aerosol Monitor Manual Air Quality Monitor: Technical Assistance on monitor preparation and use; and collecting and extracting data for analysis
Evaluation Results
o Simple – Keep it simple and to the point, don’t ask too many questions o Focused – Stay on subject, don’t collect what you don’t need o Ethical - Remember to protect the privacy of your participants o Consistent – Collect information in the same way each time for each type of evaluation o Documented – Keep records of your evaluation in case your information is questioned
True or False?
o Conducting a three question survey at a special event booth is not a real type of evaluation.
o When the information is collected and used, the actual surveys, Facebook comments, etc. can be thrown away.
o One of the best ways to measure support for SHS exposure protection is to collect the community setting’s input.
Scenarios
Your community group has participated in a local festival and conducted a short survey on support for smoke-free air in faith-based settings. You use the collected information as a talking point in a presentation and someone challenges the information. What do you do?
Community Education Presentation
Resources
Resources
o Cessation o Evaluation o Marketing o Media o Policies o Science and Research
Cessation
SC Tobacco Quitline
o S.C. DHEC provides state-wide tobacco Quitline service FREE to any S.C. resident. o 1-800-784-8669 (1-800-QUIT-NOW) o Free Quitline promotional materials (posters, cards, stickers) are available. To order, visit www.scdhec.gov/quitforkeeps
Evaluation
o Community “readiness” checklist o Sample surveys o Air quality monitoring SidePak & instructions o Sample opinion questions
Marketing & Media
o Smoke-Free Communities Toolkit o DHEC, SCTFC websites and www.sctobaccofree.com
o
let’s clear the air
palm cards o Op-Ed, press release and Letters-to-the-Editor samples o Talking points
Policies
Model Policies o Colleges & Universities o Faith-based Organizations o Healthcare Facilities o Recreational Facilities o Schools Districts
Science & Research
o Surgeon General’s Report o ASHRAE statement o CDC documents o E-cigarette (one-pager) o Journal articles…
Technical Assistance
Megan Hicks State Program Director South Carolina Tobacco-Free Collaborative 803-251-0130 ext. 306 [email protected]
Technical Assistance
Doug Outlaw Midlands Regional Coordinator South Carolina Tobacco-Free Collaborative 803-251-0130 ext. 305 [email protected]
Jessica Piezzo Pee Dee Regional Coordinator South Carolina Tobacco-Free Collaborative 843-457-7739 [email protected]
Terry Taylor Upstate Regional Coordinator South Carolina Tobacco-Free Collaborative 864-982-4963 [email protected]
?
Questions
www.sctobaccofree.com
References
o o o o o o o o o o o Linda A. Thomas, MS University of Michigan Health System Tobacco Consultation Service EMERGING TOBACCO PRODUCTS: “NEW PRODUCTS, SAME TARGETS” Amber Bullock and Kristen Tertzakian NOVEMBER 8, 2012 – Legacy 1.National Toxicology Program. Report on Carcinogens. Eleventh Edition. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program, 2005.
National Cancer Institute (1998). Smoking and tobacco control monographs: Monograph 9: Cigars: Health effects and trends. Chapter 4 (105 – 160); Bethesda, MD. National Institutes of Health, National Cancer Institute; NIH Pub. No. 98-4302.
Centers for Disease Control and Prevention. Consumption of Cigarettes and Combustible Tobacco — United States, 2000–2011. MMWR 2012;61(30);565-569.
JAMA, March 10, 2004 Vol 291, No.10 Mercia Tapping, President of AllergyBuyersClub.com, “[Allergy Buyers Club letter re: performance of air cleaners and health hazard claims on www.allergybuyersclub.com],” Allergy Buyers Club, March 19, 2004.
Janell Siegfried, Honeywell representative, “[Honeywell letter re: performance of air cleaners and health hazard claims],” Honeywell, June 12, 2000.
J. Christian Angle, Trademark/Corporate Attorney for RadioShack Corporation. “[RadioShack letter re: performance of air purifiers and health hazard claims on www.radioshack.com.]” RadioShack Corporation. May 26, 2004.
Respiratory Health Effects of Passive Smoking (Also Known as Exposure to Secondhand Smoke or Environmental Tobacco Smoke - ETS) (U.S. Environmental Protection Agency, 1992) CDC MMWR August 3, 2012. Weekly/Vol. 61/No. 30
References
“From
Advocacy Tools and Guidelines: Promoting Policy Change
. Copyright 2001 Cooperative for Assistance and Relief everywhere, Inc. (CARE). Used by permission.”
An Introduction to Advocacy Training Guide
By Ritu R. Sharma Support for Analysis and Research in Africa (SARA), Health and Human Resources Analysis for Africa (HHRAA), U.S. Agency for International Development, Africa Bureau, Office of Sustainable Development Policy & Environmental Change Fact Sheet - May 2005 Cardiovascular Health, Nutrition & Physical Activity Section, Michigan Department of Community Health
Understanding Policy, Systems, and Environmental Change to Improve Health,
Minnesota Department of Health
References
Putting Your Evaluation Plan to Work Part II
Cooperative.
A publication of the American Academy of Pediatrics A
Planning, Implementing, & Evaluating Health Promotion Programs A Primer
Mckenzie, James F., Neiger, Brad L., Thackeray, Rosemary.
Air Quality Monitoring, Roswell Park and Campaign for Tobacco-Free Kids.