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Effect of Tobacco Advocacy at the State Level

州一级烟草宣传的影响

基本信息

批准号：
9893866
负责人：
Dorothy Elinor Apollonio
金额：
$ 55.71万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
1994
资助国家：
美国
起止时间：
1994-07-01 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9893866
关键词：
Accounting Advocacy Advocate Aerosols Affect Air Behavior Businesses Case Study Cause of Death Cessation of life Cigarette Cost Control Data Data Set Development Disease Effectiveness Electronic cigarette Environment Ethnic Origin Ethnic group Family Smoking Prevention and Tobacco Control Act Goals Government Grant Health Health Care Costs Health Expenditures Health Professional Individual Laws Legal Malignant Neoplasms Marijuana Marketing Medical Mental disorders Methods Modeling Modernization National Longitudinal Survey of Youth Nicotine Pattern Policies Population Price Private Sector Process Program Effectiveness Public Health Race Regulation Research Resources Series Shapes Smoking Smoking Behavior Smoking and Health Research Socioeconomic Status Statutes and Laws Taxes Tobacco Tobacco Industry Tobacco use United States Food and Drug Administration Variant Work Youth authority cigarette smoking disability econometrics electronic cigarette use environmental tobacco smoke health disparity improved interest marijuana legalization marijuana use premature preventable death programs public policy on tobacco response smoke-free policy smoking cessation tobacco control tobacco prevention tobacco products tribal lands young adult

项目摘要

PROJECT SUMMARY Tobacco use remains the nation's leading cause of preventable death. The emergence of e-cigarettes and legalized marijuana use, and the increasing concentration of tobacco use among some racial and ethnic groups, poor people, people with mental illness, and young adults are all changing the environment in which tobacco control efforts take place. High quality state and local tobacco control policies and programs not only prevent tobacco use and disease, but can be an important component of health care cost containment, a key concern at all levels of government and in the private sector. The tobacco industry continues to work to stop or blunt these efforts' effectiveness. All tobacco control programs are not equally effective at reducing smoking and health care costs, making it important to quantify the effects of tobacco control policies and programs. Our research will inform the development and implementation of effective tobacco control policies and programs in this rapidly changing environment through three specific aims: 1. Identify and analyze the new challenges to state and local tobacco control policymaking and program implementation to inform the development of effective responses to these challenges. 2. Identify policy and demographic determinants of smoking initiation, progression and cessation, including smokefree policy coverage and cigarette taxes, as well as variation in these determinants by race/ethnicity and socioeconomic status. 3. Quantify the magnitude and quality of tobacco control program spending across states and the relationship between associated changes in smoking behavior and healthcare expenditures. We will pursue Aim 1 through a series of detailed case studies of the development and effects of state tobacco control policies and programs on tobacco use. For Aim 2 we will merge national datasets, beginning with the National Longitudinal Survey of Youth, with policy data on clean indoor air laws, tobacco taxes, price and demographic variables to develop new models of smoking behavior that will provide a framework for better understanding how these policies affect individual behavior and health disparities. We will pursue Aim 3 using modern econometric methods to quantify the effects of state tobacco control programs, allowing for differences in program effectiveness on smoking behavior and, in turn, the effects of both smoking and tobacco control programs on health care costs. This more sophisticated understanding of what tobacco control policies and programs are most effective, together with understanding the tobacco industry's evolving efforts to block these policies, will help public health professionals develop, implement, and defend effective tobacco control policies and strategies that respond to this changing environment.

项目总结