, Kansas Department of Health and Environment, Office of Health Promotion, Tobacco Use Prevention Program, btuttle@kdhe.state.ks.us
Problem/Objective: Kansas currently has a higher than average use of spit tobacco. According to the 2002 YTS, over one-third high school males in Kansas report having tried smokeless tobacco and 15% report currently using. This is higher than the estimated national prevalence of 11% among high school males. This trend continues among adults. According to the 2004 BRFSS, 10% of adult males in Kansas currently use smokeless tobacco. This is higher than the estimated national prevalence of 6% among all adult males. Methods: As a rural state, Kansas targets local and county events with specific messages to discourage spit tobacco use. The “Smokeless Does Not Mean Harmless” initiative targets youth ages 12-17 to prevent spit tobacco use and encourage cessation utilizing a multi-dimensional approach. The project utilizes recommended strategies of engaging young people in planning and conducting community prevention and education events including grassroots promotions, local media advocacy, event sponsorship, and other community tie-ins to support and reinforce the statewide media campaign. Results: Through three established TASK Regional Boards, mini-grants are offered to youth groups, such as school, faith-based, and community groups, to design public education campaigns on spit tobacco. TASK Regional Boards provide youth training in counter-marketing, community mobilization, and policy development. Conclusions: The project's highpoint will be the 2007 Kansas State Fair when a Spit Tobacco Summit for youth, oral health professionals, and tobacco control advocates will promote a Tobacco-Free Day to provide a tobacco-free environment for the 300,000 visitors to the Kansas State Fair and to promote the Kansas Tobacco Quitline.