Learning Objectives: Describe the effects of tobacco cessation treatments, funding and personnel allocation, client demand, tobacco production, smoke-free restaurants, and health department structure on local level smoking prevalence and quit attempt rates.
Abstract: Comprehensive programs and tobacco control policies are known to impact smoking prevalence. Little is known, however, about the effects of environmental, treatment, client, and structural policy outputs on smoking prevalence at the local level. The purpose of this study is to examine whether tobacco cessation interventions and tobacco policy outputs affect local level smoking prevalence and quit attempt rates among adults in health department service areas in Kentucky. The secondary data used in this study were collected from the 2001 Behavior Risk Factor Surveillance Survey (BRFSS), the Local Health Department Tobacco Cessation Survey (cessation services and policies), the Smoke-Free Food Service Establishment Survey (percent of smoke-free restaurants), Kentucky Agricultural Statistics (pounds of burley tobacco produced), Kentucky Department for Public Health (funding for tobacco control by health department service area), and local health departments (health department format, type of coordinator position, funding used for counter-advertising). Regression analysis will be used to determine any independent and/or interactive effects of these variables. Results of this study will document the link between systems interventions for tobacco cessation and tobacco policies and the outcomes of smoking prevalence and quit attempt rates. Tobacco control advocates and researchers will benefit from understanding how policy outputs impact smoking prevalence at the local level.
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