Translating Science into Policy: A Survey of State Tobacco Control Plans

将科学转化为政策：国家烟草控制计划调查

• 批准号: 7432737
• 负责人: Jennifer K Ibrahim
• 金额: $ 7.5万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-02 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7432737
• 关键词: Address; Administrator; Advocate; Agreement; Attention; Behavior; Characteristics; Climate; Condition; Data; Data Collection; Development; Development Plans; District of Columbia; Economics; Effectiveness; Electronic Mail; Ensure; Environment; Exercise; Exposure to; Funding; Goals; Health; Health Promotion; Health Resources; Heart; Human Resources; Interview; Knowledge; Learning; Literature; Litigation; Mails; Malignant Neoplasms; Measures; Peer Review; Policies; Population; Population Density; Prevalence; Prevention; Process; Public Health; Public Opinion; Purpose; Questionnaires; Rate; Reporting; Research; Research Infrastructure; Resources; Review Literature; Risk; Science; Smoke; Statutes and Laws; Strategic Planning; Structure; Surveys; Telefacsimile; Telephone; Time; Tobacco; Tobacco Industry; Tobacco use; Translating; United States; Work; base; demographics; experience; follow-up; improved; prevent; programs; public policy on tobacco; reduce tobacco use; response; smoking prevalence; social; tobacco control; tool

DESCRIPTION (provided by applicant): Health advocates and administrators across the United States continue to develop and revise state-level strategic plans to prevent tobacco use and promote cessation. There is a growing body of literature to document the effectiveness of different approaches to tobacco control to achieve these goals and decrease the prevalence of cancer; however, there is little known about the process by which states develop such plans for tobacco control. Previous research conducted by the Association of State and Territorial Health Officers has documented the existence of tobacco control plans and analyzed the composition of those plans. However, there have been major changes in the tobacco control environment since that time, including the 1998 Master Settlement Agreement which altered the practices of the tobacco industry and provided significant funding to the states for tobacco control efforts, as well as a shift in the social norm making tobacco use more and more unacceptable. The purpose of this study is to examine the structures and processes used by states to develop strategic plans to reduce tobacco use and prevent initiation. To address these issues, we will survey the Departments of Health from the 50 states and the District of Columbia to determine the process by which their state tobacco control plans have been developed. The first step is to contact each of the Departments of Health and confirm the key players involved in the process. Once the list of appropriate contacts is confirmed, a questionnaire will be mailed to each of the parties identified. The survey instrument will inquire about the content of their existing strategic plan, the people involved in the development of the plan and the factors influencing the development of the plan, including what scientific information or best practices guided the process. To address issues of recall bias and socially desirable responses, we will also collected secondary data on tobacco-related state characteristics, such as tobacco use behaviors, existing tobacco-related policies, and funding for tobacco control, as well as state demographics including population density, economic indicators, and partisanship. Following the quantitative data collection, we will conduct follow-up interviews with the states that have produced multiple editions of the strategic plans over time to determine if the same factors were considered each time. The information collected on states' experiences in developing tobacco control plans can help other states as they revise their own tobacco control plans or develop other plans for health promotion and prevention. Given limited public health resources, including funding, personnel and time, it is imperative that states work wisely to protect the health of the public by reducing tobacco use and preventing exposure to secondhand smoke. PUBLIC HEALTH RELEVANCE: While there is documented evidence that tobacco control efforts are effective in reducing tobacco use and preventing initiation thereby reducing the risks of developing cancer and heart-related conditions, resources for tobacco control efforts are dwindling. Therefore, it is important to understand the process by which states are developing strategic plans for tobacco control to ensure that the plans are meaningful, based on the existing scientific literature regarding the effectiveness of tobacco control strategies and used as a guide in developing tobacco-related legislation or tobacco-related programs, and not merely an exercise.

描述（由申请人提供）：美国各地的健康倡导者和管理人员继续制定和修订州一级的战略计划，以防止烟草使用和促进戒烟。越来越多的文献记录了不同烟草控制方法在实现这些目标和降低癌症患病率方面的有效性;然而，人们对各州制定此类烟草控制计划的过程知之甚少。州和地区卫生官员协会以前进行的研究记录了烟草控制计划的存在，并分析了这些计划的组成。然而，自那时以来，烟草控制环境发生了重大变化，包括1998年的总和解协议，该协议改变了烟草业的做法，并为各州的烟草控制工作提供了大量资金，以及社会规范的转变，使烟草使用越来越不可接受。本研究的目的是审查各州制定减少烟草使用和预防吸烟战略计划所使用的结构和程序。为了解决这些问题，我们将对50个州和哥伦比亚特区的卫生部进行调查，以确定他们制定州烟草控制计划的过程。第一步是与每个卫生部联系，确认参与这一进程的主要参与者。一旦适当的联系人名单得到确认，将向确定的每一方邮寄一份调查表。调查工具将询问其现有战略计划的内容、参与制定计划的人员以及影响计划制定的因素，包括指导这一进程的科学信息或最佳做法。为了解决回忆偏差和社会期望反应的问题，我们还将收集与烟草相关的州特征的二级数据，例如烟草使用行为，现有的烟草相关政策和烟草控制资金，以及州人口统计数据，包括人口密度，经济指标和党派偏见。在定量数据收集之后，我们将对那些随着时间的推移制定了多个版本的战略计划的州进行后续采访，以确定每次是否考虑了相同的因素。收集到的关于各州制定烟草控制计划的经验的信息可以帮助其他州修订自己的烟草控制计划或制定其他健康促进和预防计划。鉴于包括资金、人员和时间在内的公共卫生资源有限，各国必须明智地开展工作，通过减少烟草使用和防止接触二手烟来保护公众健康。公共卫生相关性：虽然有记录证据表明烟草控制工作可以有效减少烟草使用和预防吸烟，从而降低患癌症和心脏相关疾病的风险，但用于烟草控制工作的资源正在减少。因此，重要的是要了解各国制定烟草控制战略计划的过程，以确保这些计划是有意义的，以现有的关于烟草控制战略有效性的科学文献为基础，并作为制定烟草相关立法或烟草相关计划的指南，而不仅仅是一种练习。