Tobacco Prevention and Control in Utah, 11th Annual Report

8/4/2019 Tobacco Prevention and Control in Utah, 11th Annual Report

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Tobacco Prevention and Control in UtahEleventh Annual Report, August 2011

Utah Department of Health

Tobacco Prevention and Control Program

After Utahs online tobacco cessation program, Utah QuitNet, was featured in print, TV, and radio advertisements, registrations increased by

67%. In FY2011, nearly 4,000 Utah tobacco users used Utah QuitNet services to improve their quit success.


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TPCP Update

The Utah Department o Health (UDOH) Tobacco Prevention and ControlProgram (TPCP) and its partners use comprehensive strategies to reducetobacco use and tobacco-related disease and death. Major program outcomesare listed below:

Helping Tobacco Users Quit

With an age-adjusted adult smoking rate of 8.8% (2010), Utah continues tohave the lowest adult smoking rate in the U.S.1 Still, nearly 200,000 youth andadult Utahns smoke and may need help quitting.

The TRUTH campaign continued to reach adults with messages that encouragedquit attempts and informed them about evidence-based quit services. In 2011, 94%of adult smokers were aware of the Utah Tobacco Quit Line and 81% knew aboutthe online quit service, Utah QuitNet. Adult smokers who reported that they sawor heard anti-tobacco ads were more likely to know about quit services or to haveused them than smokers who were not exposed to ads.2 UtahQuitNet advertising onTV and on the radio in January 2011 resulted in a three-fold increase in QuitNetregistrations compared to registrations during the month of January in previous years.During FY2011, nearly 11,000 Utahns used TPCP-funded tobacco cessationservices. Tailored services were offered for adults, teens, and pregnant women.These quit services greatly increased tobacco users quit success.The Utah Quit Line and Utah QuitNet have served nearly 87,000 registered userssince the TPCP began offering the telephone-based quit program in 2001 and theonline program in 2003. In FY2011, the Quit Line and QuitNet served an averageof 860 Utahns per month with free counseling and tailored quit information.

In FY2011, 615 Utah youth tobacco users participated in the Utah-developedteen cessation class, Ending Nicotine Dependence. Ten percent of participantsreported quitting and an additional 32% reduced their smoking by the final class.

Preventing Youth from Starting to Use Tobacco

In 2009, 8.5% of Utah high school students (grades 9-12) reported that theyhad smoked in the past 30 days. Utahs youth smoking rate is less than half thenational rate of 19.5%.3

In 2011, 93% of Utah youth ages 13 to 17 reported that they saw or heardanti-tobacco ads at least once a month during the past six months, and 92%said the TV ads made them think of the negative effects of tobacco use.2

Since 2002, 19 of Utahs 41 school districts worked with TPCP and local healthdepartments to strengthen tobacco-free school policies, tobacco education, and policyenforcement. These districts serve nearly 200,000 students in 361 schools.Since 2001, illegal tobacco sales to underage youth during compliance checksdeclined by 64%. At 5.7%, the rate of non-compliance is at its lowest recorded level.To lower the rate of non-compliance and educate retailers about Utahs tobaccoaccess laws, local health departments shared educational materials and conductedtrainings.One Good Reason, Utahs statewide anti-tobacco youth group, educated Utahnsabout new, dissolvable tobacco products that resemble breath mints and strips.The composition, packaging, and flavoring of these products might be particularly

appealing to children.

2010 Highlights of TPCP Goals

eferences:Utah Department o Health. Behavioral Risk FactorSurveillance System (BRFSS).1989-2010. Salt Lake City:Utah Department o Health, Center or Health Data.(Note: Due to challenges in surveying smokers bytelephone, this rate may underrepresent adult smokingprevalence. Updates to the BRFSS methodology areexpected to lead to improved estimates.)University o Colorado. Independent Evaluation ofUtahs Tobacco Prevention and Control Program.

2010-2011. Denver: University o Colorado Denver,Department o Family Medicine.YRBSS: Youth Risk Behavior Surveillance System. YouthOnline: Comprehensive Results. Retrieved August 2,2011 rom http://apps.nccd.cdc.gov/YouthOnline/App/Deault.aspx.Orzechowski and Walker, 2010. The Tax Burden onTobacco-Historical Compilation. Volume 45. Arlington,Virginia: Orzechowski and Walker Consulting.

he Utah TPCP invited Terrie Hallhown above on a poster displayedt Utah bus shelters), a cancerurvivor and anti-tobacco activist, tosit Utah high schools and educatetudents about the dangers ofobacco. A smoker since her earlyeens, Terrie began having severe

hroat pains and was diagnosed withtage IV squamous cell carcinoma.

As a result of her tobacco addiction,all lost her voice box, breathes

hrough a hole in her neck, andndured multiple debilitatingadiation treatments and surgeries.


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TPCP Updat

Protecting Utahns from Secondhand Smoke

Ninety-three percent of Utahns have implemented rules against smoking in theirhomes, and 98% of Utah children live in smoke-free homes (2009).1

In FY2011, TPCPs partners assisted 14 health care entities and three outdoor

recreation venues with enacting policies that protect Utahns from secondhandsmoke exposure.In the last year, the number of smoke-free apartment and condominium units inTPCPs Smoke-ree Apartment and Condominium Statewide Directory increasedby 1,122 to more than 17,000 smoke-free units in 13 Utah counties.In addition to these private properties, a public housing authority in Tooele with22 units received assistance in becoming smoke free.

Eliminating Tobacco-related Disparities

Utahns of lower socioeconomic status and in certain racial and ethnic

populations smoke cigarettes at higher rates than the general population. Forexample, Utahns (age 25 and older) with less than a high school educationwere nearly 10 times more likely to report cigarette smoking than Utahns with acollege degree.1

More than 2,000 low-income or uninsured tobacco users, including 1,630Medicaid-insured pregnant women, received free counseling and prescriptions formedications to help them quit tobacco during FY2011. Twenty-six percent of thepregnant women who participated in Medicaids TPCP funded tobacco cessationprogram were able to quit and an additional 22% reduced their tobacco use.The TPCP worked with Medicaid to offer tobacco cessation counseling andmedications to Medicaid clients who use tobacco. In FY2011, more than 3,600

Medicaid clients participated in Medicaids tobacco cessation program.In partnership with the Utah Division of Substance Abuse and Mental Health,

the TPCP works on reducing the disproportionate burden of tobacco use in

populations suffering from mental illness and substance use disorders. As part of

this project, all publicly-funded treatment facilities are developing tobacco-free

policies and incorporating tobacco cessation in treatment activities.

The TPCP continues to develop newstrategies to learn about and help thoat greatest risk for tobacco-related

diseases and death, and to informresidents about new tobacco producthat threaten public health in Utah.

The TPCP and its partners willcontinue to research tobacco-redisparities and assist communitybased agencies with preventingtobacco use among racial, ethnicand sexual minorities in Utah, anamong people with low incomeor education levels. Researching

and addressing tobacco use atthe community level is especiallyimportant at a time of changingdemographics in Utah.

The TPCP and its partners playa key role in educating the publicabout newly-developed tobacco nicotine products that may lead increased tobacco use among yoand perpetuate nicotine addictioamong those who want to quit

smoking.

TPCP Plans for FY2012

Figure 1.Number of Cigarette Packs Sold per Capita by Year, Utah, 1990-2010

0

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70

1990

1992

1994

1996

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2000

2002

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2010

NumberofCigarettePacksSoldPerCap

ita

Year

StateCigTaxIncrease:$0.27to$0.52

State Cig Tax Increase:$0.52 to $0.70

State Cig Tax Increase:$0.70 to $1.70

Changes in Utah Cigarette ConsumptionUtahs per capita cigaretteconsumption has declined by 50%since 1990.4 Increases in the Utahcigarette excise tax in 1997 and2002 coincide with decreases inconsumption. While it is too earlyto assess the impact of the 2010tax increase on consumption,demand for quit services (UtahTobacco Quit Line and QuitNet)increased dramatically.Smokers also reported higherlevels of quit intentions and quitattempts.1 For details see http://health.utah.gov/opha/publications/

hsu/11Jun_TobaccoTax.pdf.

Source: Orzechowski and Walker4


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Adult Smoking

At 8.8%, Utahs 2010 age-adjustedadult smoking rate is at its lowest

recorded level (Figure 2).1 Due tochallenges in surveying smokersby telephone, this rate mayunderrepresent adult smokingprevalence. Updates to the BRFSSmethodology are expected to lead toimproved estimates.5

Smoking disproportionately impactsUtahns with lower incomes. In 2010,16% of Utah adults with a householdincome of less than $25,000 reported

current smoking.1 In comparison, only4% of Utah adults with a householdincome of $75,000 or higher reportedcurrent smoking.1

Youth Smoking

Since 1999, the percentage of Utahhigh school students who had ever triedcigarette smoking declined by 40%.3

The percentage of high school students

who reported current smokingdecreased from 12% in 1999 to 8% in2001. Since 2001, it has remained inthe range of 7.3% to 8.5% (Figure 3).2

Smoking Among Pregnant Women

Since 1999, smoking among pregnantwomen has decreased by 21% (Figure4). In 2009, 6.5% of pregnant womenreported that they smoked during theirpregnancies.3

Pregnant women in their teens andpregnant women with a high schooleducation or less continue to report

smoking rates of 13% or higher.3

Exposure to Secondhand Smoke

In 2010, 1.9% (or 16,600) Utahchildren age 17 and younger wereexposed to secondhand smoke insidethe home.1 The percentage of Utahchildren who live in homes wherepeople smoke indoors has declinedsignificantly since 2001.

Since 1999, the percentage of Utah

adults who have a rule against smokin their homes has increased from 87

to 93%.1

Tobacco-related Disease and Death

Smoking is the leading cause of lungcancer death in men and women.

Other diseases caused by smokinginclude esophageal, laryngeal, oral, athroat cancers; cervical, bladder, kidnpancreatic, and stomach cancers; acmyeloid leukemia; pneumonia; chronlung disease; cataracts; periodontitisaortic aneurysm; and coronary heartand cardiovascular disease.

Utahs lung and bronchus cancerincidence has decreased significantlysince 1999 (Figure 5).4

Despite this progress, more than 1,2Utahns age 35 or older die each yeaas a result of tobacco use.6

Smoking Rates and Health Consequencesigure 2.ercent of Adults Who Reported Current

igarette Smoking, Utah 1999-2010

Age-adjusted)

igure 3.ercent of High School Students Who

eported Current Cigarette Smoking,

tah 1999-2009 (Odd Years)

igure 4.ercent of Pregnant Women Who

eported Cigarette Smoking, Utah

999-2009

ource: Utah Cancer Registry4

ource: Utah BRFSS1

ource: Utah YRBS2

Tobacco Use in Utah

igure 5.ge-adjusted Cancer Incidence Rates for

ung and Bronchus Cancer, Incidence per00,000 Population, Utah 1999-2007

ource: Utah Birth Certifcates3

1

3.

5

1

2.

5

1

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2.

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.9

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.2

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.2

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2009

Percentag

e

Year

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7.

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7.1

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.5

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11.9

8.3 7.3 7.4 7.98.5

0

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34.

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28.

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26.2

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References:Utah Department o Health.1 Behavioral Risk Factor Surveillance System (BRFSS).1999-2010. Salt Lake City: Utah Department o HeCenter or Health Data.YRBSS: Youth Risk Behavior Surveillance System. Youth Online: Comprehensive Results. Retrieved August 2, 2011, rom http://ap2nccd.cdc.gov/YouthOnline/App/Deault.aspxUtah Birth Certifcate Database. Retrieved July 25, 2011 rom Utah Department o Health, Center or Health Data, Indicator-Base3Inormation System or Public Health at http://ibis.health.utah.gov. These smoking rates are based on pregnancies that led to livebirths.Utah Cancer Registry. Retrieved July 25, 2011 rom Utah Department o Health, Center or Health Data, Indicator-Based Inormat4System or Public Health web site: http://ibis.health.utah.gov.Ofce o Public Health Assessment. Utah Behavioral Risk Factor Surveillance System.5 New Behavioral Risk Factor Surveillance Sys(BRFSS) Weighting Methodology. Utah Department o Health. Retrieved August 3, 2011 rom http://health.utah.gov/opha/OPHA_BRFSS.htm.National Center or Chronic Disease Prevention and Health Promotion. (2010).6 Tobacco Control State Highlights 2010. Atlanta,GA: U.S. Department o Health and Human Services. Retrieved August 16, 2011 rom http://www.cdc.gov/tobacco/data_statistics/

state_data/state_highlights/2010/states/utah/index.htm.


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Tobacco Use in UtaSmoking Rates by Local Health Districts and Small Areas

Utahs adult smoking rates varyconsiderably by small area and local healthdistrict. The small area with the highestrate o cigarette smoking was Rose Park(27.2%); Syracuse/Kaysville had the lowest

rate at 1.9%. Small area data are used to

identiy and reach areas that are at higherrisk or tobacco use. For example, inSalt Lake Valley Health District (overallprevalence 10.6%), small area rates rangerom a low o 2.3% in Northeast Sandy to

a high o 27.2% in Rose Park.1

Figure 6.Current Cigarette Smoking by Local Health District, Small Area, Utah, andU.S. Adults, 2009-2010, (Aggregate Data, Age-adjusted)

Reference:1Utah Department o Health. Behavioral Risk FactorSurveillance System (BRFSS).2009-2010. Salt Lake CUtah Department o Health. Center or Health Data(Note: Due to challenges in surveying smokers bytelephone, these rates may underrepresent adult smprevalence. Updates to the BRFSS methodology areexpected to lead to improved estimates.)

Note: Local health districts are representedyellow bars. The blue bars beneath indicate

small areas within that district. For more deabout small area defnitions, see the UtahBehavioral Risk Factor Surveillance SystemSmall Area Report 2001-2005, Appendix CSmall Area Defnitions and Key Maps. Thehorizontal lines extending rom the bars ind95% confdence intervals. Confdence intervare used to show the reliability o an estimaA 95% confdence interval means that 95% the time, the given interval will contain the parameter value.*These estimates have relative standard erro >30% and do not meet UDOH standardsreliability.

**The estimates or Provo/BYU, and East aWest Orem have been suppressed because relative standard error was greater than 50%or the relative standard error could not bedetermined.

**

**

**

0.0% 10.0% 20.0% 30.0% 40.0%

Ben Lomond (5)Roy/Hooper (9)

Downtown Ogden (7)South Ogden (8)

Morgan/East Weber County (6)*Riverdale (10)

Weber-Morgan LHDWasatch County LHD

Pleasant Grove/Lindon (43)Provo South (48)

*South Utah County (50)*North Orem (44)

Springville/Spanish Fork (49)*American Fork/Alpine (42)

*Lehi/Cedar Valley (41)**West Orem (45)**Provo/BYU (47)**East Orem (46)Utah County LHD

TriCounty LHDTooele County LHDSummit County LHD

Other Southwest Dist. (61)St. George (58)Cedar City (60)

Other Washington County (59)Southwest Utah LHD

Carbon/Emery Counties (56)

Grand/San Juan Counties (57)Southeastern Utah LHD

Rose Park (17)South Salt Lake (25)

Midvale (32)West Valley East (23)

Glendale (21)Kearns (29)

Downtown Salt Lake (24)West Valley West (22)

W. Jordan Northeast (33)Murray (31)Magna (20)

Taylorsville (30)Sandy Center (36)

*Avenues (18)Cottonwood (28)

W. Jordan Southeast (34.1)Riverton/Draper (39)

Millcreek (26)

*Foothill/U of U (19)W. Jordan West, Copperton (34.2)

Holladay (27)*Southeast Sandy (38)

*South Jordan (35)*Northeast Sandy (37)

Salt Lake Valley LHDClearfield/Hill Air Force Base (11)

Bountiful (16)Layton (12)

Woods Cross/North Salt Lake (15)*Farmington/Centerville (14)

*Syracuse/Kaysville (13)Davis County LHD

Sevier/Piute/Wayne Counties (55)Juab/Millard/Sanpete Counties (54)

Central Utah LHDBrigham City (1)

Logan (3)*Other Box Elder County (2)

*Other Cache/Rich County (4)Bear River LHD

Local Health District

Small Area

Utah StateRate 9.1%

US Rate17.8%


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Capacity and Infrastructure

The TPCP Builds Local Capacity and Infrastructure

More than 85% o Utah TPCP unding is passed on to other agencies and local communities. To ensure that these unds are usedmost eectively to reduce tobacco use and improve community health, the TPCP provides statewide inrastructure, technical

assistance, and program evaluation services to unded agencies.

Statewide ServicesStatewide tobacco prevention and cessation services and inrastructure ensure consistency throughout Utah and lower costs. Someexamples o statewide coordination eorts and services are:

Coordination o a statewide strategic planning process and completion o required progress reports or state and ederal unders.Statewide retailer education and compliance program to enorce underage tobacco sales laws and meet national accountabilitystandards or the Division o Substance Abuse and Mental Healths ederal block grant unding.Statewide tobacco cessation services or youth, adults, and pregnant women.Partnerships with regional and statewide health systems that provide tobacco cessation counseling and quit medications to low-income Utahns.Partnerships with health care providers and insurance companies to establish statewide systems changes that increase access to

tobacco cessation assistance.Developing marketing materials and resources or local initiatives and high-risk groups.Providing outreach to disparate populations and maintaining community partnerships.

Training and Technical AssistanceTo ensure that local partners are inormed about best practices and regional and national innovations in tobacco prevention andcontrol and have opportunities to network and share plans and experiences with each other, the TPCP oers a variety o options ortraining and technical assistance. These include:

Training and technical assistance or the public and partners regarding secondhand smoke prevention, the Utah Indoor Clean AirAct, and Secondhand Smoke Amendments.Training or community members in acilitating youth tobacco cessation programs.Tobacco prevention and control resources and inormation or public distribution, such as policy guides and educational materials.

Tailored assistance or local partners through site visits and regular telephone and e-mail communication.

Data and EvaluationThe TPCP uses qualitative and quantitative data to ensure that services reach populations at greatest risk or tobacco use. Inaddition, the TPCP requires that its unded programs are rigorously and consistently evaluated. To encourage the development odata-driven local programs and build local capacity or conducting evaluations, the TPCP oers the ollowing support to undedpartners:

Distribution o statewide and local-level survey data that help identiy population groups and geographic areas with the highesttobacco use prevalence.Distribution o ocus group fndings that help with the planning o eective interventions.Technical assistance or planning evaluations, developing tailored surveys or ocus group guides, and conducting data analysisand writing reports.


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Use of Funds FY201

State TPCP FundingUtah Tobacco Settlement Account: $4,041,000Utah Cigarette Tax Restricted Account: $3,131,700

Draw-down of Federal Funds Through TPCP Activities

Federal and private revenues depend on matches with state funds.TPCPs work with retailers to prevent underage tobacco sales protects $6.8 millionin Synar block grant unding or Utahs Division o Substance Abuse and MentalHealth. The Synar amendment regulates youth access to tobacco products.TPCP state unds allow the program to secure $1,215,000 in unding rom theCenters or Disease Control and Prevention.The TRUTH marketing campaign draws down $1,271,386 in ederal Medicaidmatch dollars

In-kind Revenue: Marketing Campaign Added ValueMedia vendors donate approximately $2 for every $1 spent by TPCPon media.

Donated airing o ads, news specials, and other media events: $5,085,544

Figure 7.Estimated Annual Cost of Smoking in Utah, Cigarette and Tobacco Tax Revenue,

Tobacco Industry Marketing Expenditures in Utah, Utah Tobacco Settlement Payment,

and CDC Recommended and Actual Annual Investment in Tobacco Prevention and

Control, Latest Available Data

Tobacco-related ExpendituresTobacco use costs the Utah economy an estimated $663 million annually in smoking-related medical costs and lost productivity.1 The tobacco industry spends nearly $60million every year to market tobacco products in Utah and recruit new tobacco users.2Net cigarette and tobacco tax revenue to Utah is estimated at $124 million annually.Utahs FY2010 estimated tobacco settlement payment was $38.2 million. The Centersor Disease Control and Prevention recommends that Utah spend $23.6 millionannually to reduce tobacco use.3 At $8.4 million, the TPCP was unded at 36% o therecommended level (Figure 7).

References:National Center or Chronic Disease Preventio1Health Promotion. (2010). State Tobacco ActiviTracking and Evaluation (STATE) System. AtlantU.S. Department o Health and Human ServiceRetrieved August 3, 2011 rom http://apps.nccd

gov/statesystem/DetailedReport/DetailedReportaspx.Campaign or Tobacco-Free Kids. (2009).2 Statspecifc Tobacco Company Marketing Expenditur1998 to 2006. Retrieved August 3, 2011 rom hwww.tobaccoreekids.org/research/actsheets/pd/0271.pd.National Center or Chronic Disease Preventio3and Health Promotion. (2007). Best Practices fComprehensive Tobacco Control Programs - 200Atlanta, GA: U.S. Department o Health and HServices. Retrieved August 3, 2011 rom http://wcdc.gov/tobacco/stateandcommunity/best_practindex.htm.

In 2010, the TPCP initiated apartnership with the Division ofSubstance Abuse and MentalHealth to reduce tobacco useamong populations sufferingfrom substance abuse or mentahealth issues. The partnership,titled Recovery Plus, will ensu

that all publicly-funded treatmecenters establish tobacco-freepolicies and add tobacco cessato their treatment protocols.

369.0

293.6

124.0

58.7 38.2 23.6 8.4

0

100

200

300

400

AnnualDirectMedicalExpensesDueto

SmokinginUtah(2004)

AnnualLostProductivityDuetoSmokingin

Utah(2000-2

004)

FY11UtahCigaretteandTobaccoTax

Revenue

EstimatedAnnualUtahTobaccoIndustry

MarketingExpenditure

2010EstimatedUtahMSAPayment

CDCRecommendedTPCPInvestmentin

Utah FY

11TPCPBudget

Dollars(inmillions)


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Bear River Health Department (BRHD)

Tobacco Prevention and Control in Bear River

Since the late 1990s, the estimatedage-adjusted adult smoking rate

in Bear River Health District hasdecreased by 44%.1

During State Fiscal Year 2011, 6.1%of tobacco outlets in Bear River HealthDistrict sold tobacco to underageyouth during compliance checks.Since 2001, the illegal sales rate hasdecreased by 45%.2

Tobacco Statistics

BRHD State

Adult Cigarette Smoking (2010)1 5.3% 8.8%

Youth Cigarette Smoking in Grades 8, 10, 12 (2009)3 4.9% 6.4%

Pregnant Women Smoking (2009)4

6.1% 6.5%Rate o Children Exposed to Secondhand Smoke inTheir Homes (2010)1

0.9% 1.9%

Homes with No Smoking Rule (2010)1 95.3% 92.9%

Number o Quit Line Registrations (FY2011) 260 6,541

Number o QuitNet Registrations (FY2011) 162 3,829

Number o Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)

156 615

Anti-tobacco Ad Recall in the Past Month (2010)1 81.6% 84.7%

ear River Health District Counties: Boxlder, Cache, Rich

A winning ad for the local Truthom Youth Anti-tobacco Advertising

Contest was created by a 4th gradetudent from North Park Elementarychool. The Contest educates 4th-

nd 5th-grade students across thetate about tobacco-related risksnd encourages them to create anti-obacco messages for themselves andheir peers.

References:Utah Department o Health.1 Behavioral Risk Factor Surveillance System (BRFSS).2010. Salt Lake City: UtahDepartment o Health. Center or Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data rom the late 1990s reer to combined BRFSS data rom 1997-1999.)Tobacco Prevention and Control Program. (2010).2 Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department o Health.Tobacco Prevention and Control Program.3 Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment o Health.Utah Birth Certifcate Database. Retrieved July 21, 2011 rom Utah Department o Health, Center or Health Data,4Indicator-Based Inormation System or Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.

Program Highlight

With the addition of Brigham City Community Hospital and Cache Valley Hospitalenacting tobacco-free policies this year, 100% of the hospitals in the Bear RiverHealth District are now smoke free. Other tobacco-free policies implementedthis fiscal year include: Providence City, TTM Technologies, Sports Academy, theMulticultural Center, and Migrant Head Start.


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Central Utah Public Health Department (CUPHD

Since the late 1990s, the estimatedage-adjusted adult smoking rate in

Central Utah Public Health District hasdecreased by 33%.1

During State Fiscal Year 2011, 5.6%of Central Utah stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 59%.2

Tobacco Prevention and Control in Central Utah

Tobacco Statistics

CUPHD State



Pregnant Women Smoking (2009)4 12.0% 6.5%

Rate o Children Exposed to Secondhand Smoke inTheir Homes (2010)1

1.9% 1.9%





Central Utah Public Health DistrictCounties: Juab, Millard, Piute, SanpeteSevier, Wayne

Brinklee Sentker won the 2011Truth from Youth Anti-TobaccoAdvertising Contest at DeltaElementary School in Millard SchDistrict. The Contest educates 4and 5th-grade students across thstate about tobacco-related risksand encourages them to create atobacco messages for themselves

and their peers.

Program Highlight

The Central Utah Public Health Department assisted the town of Hanksville inWayne County with adopting a tobacco-free city park policy.



10/2010

Davis County Health Department (DCHD)

Since the late 1990s, theestimated age-adjusted adult

smoking rate in Davis Countyhas decreased by 46%.1

During State Fiscal Year 2011,5.5% of Davis County storessold tobacco to underageyouth during compliancechecks. Since 2001, the illegalsales rate has decreased by66%.2

Tobacco Prevention and Control in Davis County

Tobacco Statistics

DCHD State



Pregnant Women Smoking (2009)4 4.7% 6.5%Rate o Children Exposed to Secondhand Smoke inTheir Homes (2010)1

1.0% 1.9%





109 615


handra Mutchie and Jacob Wood,members of the Davis County YouthCouncil (DCYC) at the Davis CountyHealth Department, participated in

fforts to educate opinion leadersbout the dangers of new tobaccoroducts. Jacob Wood says of thexperience, Its just so much fun toet people know how we feel abouthis subject. Shandra Mutchie says,Being on the Davis County Youth

Council has been an exceptionalxperience, in addition to educatingthers, I learned a lot myself.

Members of the Davis County Youth

Council continue to educate theireers throughout Davis County abouthe harmful effects of tobacco and

what the tobacco industry is doing toarget youth as potential new tobaccosers.

Program Highlight

The Davis County Health Department provides support to local schools that teachtobacco prevention curricula. More than 2,200 4th and 5th graders participated inthe curricula offered by DCHD this year. These curricula use a wide variety of skill-building activities to encourage student involvement and participation.



11/20 1

Salt Lake Valley Health Department (SLVHD


Salt Lake County has decreased by38%.1

During State Fiscal Year 2011,4.9% of Salt Lake Valley stores soldtobacco to underage youth duringcompliance checks. Since 2001, theillegal sales rate has decreased by70%.2

Tobacco Prevention and Control in Salt Lake Valley

Tobacco Statistics

SLVHD State



Pregnant Women Smoking (2009)4 7.2% 6.5%Rate o Children Exposed to Secondhand Smoke inTheir Homes (2010)1

2.7% 1.9%


Number o Quit Line Registrations (FY2011) 2,388 6,541

Number o QuitNet Registrations (FY2011) 1,752 3,829


52 615


Teen Advocates Against Tobacco(TAAT), Salt Lake Valley HealthDepartments anti-tobacco youthgroup, spent time at the Capitol

learn about the legislative procesget a first-hand look at governmein action. After their tour, the yoeducated the public about harmfnew tobacco products.

Program Highlight

Salt Lake Valley Health Department continued to assist local worksites, health clinics,and multiple unit housing communities to develop and implement tobacco-freepolicies and promote tobacco use cessation.



12/2012

Southeastern Utah District Health Department (SEUDH


Southeastern Utah Health Districthas decreased by 21%.1

During State Fiscal Year 2011 2.1%of Southeastern Utah stores soldtobacco to underage youth duringcompliance checks. Since 2001, theillegal sales rate has decreased by83%.2

Tobacco Prevention and Control in Southeastern Uta

Tobacco Statistics

SEUDHD State


Youth Cigarette Smoking in Grades 8, 10, 12

(2009)3

8.3% 6.4%


Rate o Children Exposed to Secondhand Smokein Their Homes (2010)1

6.8% 1.9%





outheastern Utah Health District Counties:arbon, Emery, Grand, San Juan

Ive been chewing tobacco since I was2. My buddies and I started because

we thought that it was cool to chew likeur baseball heroes. Ten years later, as

watched my friends smoke cigarettes,fooled myself into thinking that I was a

ot safer dipping.

Not long ago, my 10-year-old son cameo me in tears and said Daddy, I dontwant you to die. Hed learned about theangers of tobacco in school. I startedo do some research and was shockedo learn just how dangerous dippingobacco really is. I tried to quit chewing,ut I got jittery and uncomfortable andouldnt do it. I finally recruited the helpf the Southeastern Utah District Health

Department.

hank goodness they have a programpecifically for people who chewobacco. Almost six months ago I wasble to kick the habit with the help ofhe Southeastern Utah District Health

Department, stay comfortable, and notain any weight.

hank you so much for your program - Ieel like it really saved my life!

eith MasonUSA/KASL Radiorice, Utah

Program Highlight

Southeastern Utah District Health Department launched a new anti-tobaccoadvertising campaign that featured local residents who quit tobacco use. SEUDHDreceived positive campaign feedback from community members who appreciated theuse of local stories.



13/20 1

Southwest Utah Public Health Department (SWUPH


in Southwest Utah Public HealthDistrict has decreased by 22%.1

During State Fiscal Year 2011,5.7% of Southwest Utah storessold tobacco to underage youthduring compliance checks. Since2001, the illegal sales rate hasdecreased by 75%.2

Southwest Utah Public Health DistrictCounties: Beaver, Garfield, Iron, KaneWashington

Tobacco Prevention and Control in Southwest Utah

Tobacco Statistics

SWUPHD State



(2009)3

6.6% 6.4%


Rate o Children Exposed to Secondhand Smoke inTheir Homes (2010)1


14/2014

Summit County Public Health Department (SCPHD)


Summit County Health District hasdecreased by 22%.1

During State Fiscal Year 2011,6.6% of Summit County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 73%.2

Tobacco Prevention and Control in Summit County

Tobacco Statistics

SCPHD State



(2009)

3

10.4% 6.4%



1.1% 1.9%





Program Highlight

Summit County Health Department held focus groups with local youth, schooladministrators, law enforcement agencies, and judicial programs. The findingswill support the development of new community-based tobacco prevention andcessation programs.

The winning billboard ad for thestatewide Truth from Youth Anti-tobacco Advertising Contest wascreated by a 5th-grader fromSouth Summit Middle School. TheContest educates 4th- and 5th-grade students across the stateabout tobacco-related risks andencourages them to create anti-tobacco messages for themselvesand their peers.



15/20 1

Tooele County Health Department (TCHD


smoking rate in Tooele County hasdecreased by 32%.1

During State Fiscal Year 2011,6.9% of Tooele County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 71%.2

Tobacco Prevention and Control in Tooele County

Tobacco Statistics

TCHD State


Youth Cigarette Smoking in Grades 8, 10, 12(2009)3

11.3% 6.4%



1.4% 1.9%





47 615


Hillary Bryan, an intern at the ToCounty Health Department, usedprint materials to teach Tooele

County residents about the ill effeof tobacco use.

Program Highlight

The Tooele County School District coordinates the Prevention Activities Coalition(PAC), working with more than 130 students from across the county on preventionpolicies and activities.



16/2016

TriCounty Health Department (TRCHD)


smoking rate in TriCounty hasdecreased by 23%.1

During State Fiscal Year 2011,14.5% of TriCounty stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 22%.2

riCounty Health District Counties:Daggett, Duchesne, Uintah

Tobacco Prevention and Control in TriCounty

Tobacco Statistics

TRCHD State



(2009)3

6.2% 6.4%



7.2% 1.9%





19 615


To reduce exposure of clients andmedical personnel to secondhandmoke, Northeastern Counseling

Center developed and implemented aobacco-free policy.

Program Highlight

TriCounty Health Department has developed a partnership with local school districtsto collaborate on efforts to establish comprehensive school tobacco policies anddevelop strategies to reduce tobacco use among youth.



17/20 1

Utah County Health Department (UCHD


in Utah County Health District hasremained unchanged.1

During State Fiscal Year 2011,8.2% of Utah County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 24%.2

Tobacco Prevention and Control in Utah County

Tobacco Statistics

UCHD State



(2009)3

3.1% 6.4%



0.6% 1.9%





133 615


Fifty-six youth from Utah CountysOUTRAGE anti-tobacco youth greducated opinion leaders about thharmful effects of dissolvable tobaat Legislator Education Day onFebruary 24, 2011.

Program Highlight

Utah County Health Department passed a smoke-free campus policy starting onJanuary 12, 2011. The health department posted signs to inform staff and visitors ofthe policy and prevent exposure to more than 4,000 dangerous chemicals found insecondhand smoke.



18/2018

Wasatch County Health Department (WCHD)


Wasatch County has decreased by27%.1

During State Fiscal Year 2011,13.2% of Wasatch County storessold tobacco to underage youthduring compliance checks. Since2001, the illegal sales rate hasdecreased by 5%.2

Tobacco Prevention and Control in Wasatch County

Tobacco Statistics

WCHD State



(2009)39.2% 6.4%



0.9% 1.9%





The Wasatch County HealthDepartment assisted IntermountainHealthcares Heber Valley MedicalCenter in developing a tobacco-free

ampus policy which went into effectn September 1, 2011.

Heber Valley Medical CenterAdministration is supporting andromoting a tobacco free-policyecause:

Promoting health is core toIntermountain HealthcaresmissionThere is no safe level of exposure

to secondhand smokeBeing tobacco free createsa healthier, more invitingatmosphere

Program Highlight

Wasatch County Health Department worked with its community partners to presentthe annual Issues Community Conference. In 2011, more than 1,000 youth andparents learned about the dangers of tobacco use and engaged in activities to buildprotective factors. In addition, all 6th- and 7th-grade students in Wasatch Countyparticipated in the anti-tobacco program Tobacco on Trial.



19/20 1

Weber-Morgan Health Department (WMHD


Weber-Morgan Health District hasdecreased by 35%.1

During State Fiscal Year 2011,5.1% of Weber-Morgan stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate

Tobacco Prevention and Control in Weber-Morgan

Tobacco Statistics

WMHD State



(2009)36.2% 6.4%



2.5% 1.9%





50 615


Bulletin board that was posted atMcKay Dee Hospital during theimplementation of a tobacco-freecampus policy.

In conjunction with public healthofficials, several Northern Utahhospitals jointly announced theirtransition to tobacco-free campuseon November 18, 2010. This dawas chosen for its significance, asit marked the 35th Annual GreatAmerican Smokeout, the day theAmerican Cancer Society has set ato encourage smokers to make a qplan or even quit smoking for just day. The joint initiative prohibits thuse of tobacco products anywherethe hospital campuses and affiliateclinics of the McKay-Dee HospitalCenter in Ogden, Ogden RegionalMedical Center, Davis Hospital anMedical Center, and in Tanner Clinin Layton as of January, 2011.

Program Highlight

Throughout the last year, the Weber-Morgan Governing Youth Council educatedmedia, policy makers, and the general public on emerging nicotine products thatare appealing to youth. Their educational efforts focused on dissolvable nicotineproducts, e-cigarettes, and flavored tobacco.



20/20

Utah Department of Health

Tobacco Prevention and Control Program

1 (877) 220-3466

www.tobaccofreeutah.org

www.health.utah.gov

To view a copy o the Eleventh Annual Tobacco Prevention and Control report online, please go to www.tobaccoreeutahorg and click on the FY2011 Annual Report link or go directly to www.tobaccoreeutah.org/tpcpy11report.pd.

Acknowledgments

The Utah Department o Health would like to thank the Tobacco Control Advisory Committee or its support, dedicationand expert advice.

Scott Brown, M.S., American Heart Association o Utah, Committee Chair

Lloyd Berentzen, M.B.A., Bear River Health Department

Heather Borski, M.P.H., Utah Department o Health*

Gary Edwards, M.S., Salt Lake Valley Health Department

Mary Lou Emerson, M.S., Utah Substance Abuse Advisory Council

Sharon Hansen, M.S., Cornerstone Counseling Center

Don Hooper, American Lung Association o Utah

Brent Kelsey, Utah Division o Substance Abuse and Mental Health

Beverly May, M.P.A., National Campaign or Tobacco-Free Kids

Robert Rols, M.D., M.P.H., Utah Department o Health*

Jesse Soriano, M.A., M.S., State Ofce o Ethnic Aairs

Teresa Theurer, Community Member

Liz Zentner, R.T., Utah Parent Teacher Association

*non-voting member

Tobacco Prevention and Control in Utah, 11th Annual Report

Documents

Transcript of Tobacco Prevention and Control in Utah, 11th Annual Report