Effect of Tobacco Advocacy at the State Level

项目总结 烟草使用仍然是美国可预防死亡的主要原因。电子烟和电子烟的出现 大麻使用合法化，一些种族和民族的烟草使用日益集中 群体、穷人、精神病患者和年轻人都在改变环境， 烟草控制工作正在进行。高质量的州和地方烟草控制政策和计划不仅 预防烟草使用和疾病，但可以是医疗保健费用控制的一个重要组成部分，一个关键 这引起了各级政府和私营部门的关注。烟草行业继续努力阻止或 削弱这些努力的有效性。所有的控烟计划在减少吸烟方面并不是同样有效。 和医疗保健成本，因此量化烟草控制政策和方案的影响很重要。 我们的研究将为制定和实施有效的烟草控制政策和 在这个快速变化的环境中通过三个具体目标制定计划： 1.确定和分析州和地方烟草控制政策制定和规划面临的新挑战 执行情况，以便为制定有效应对这些挑战提供信息。 2.确定吸烟开始、进展和戒烟的政策和人口决定因素，包括 无烟政策覆盖范围和香烟税，以及这些决定因素在种族/民族方面的差异 和社会经济地位。 3.量化各州控烟项目支出的规模和质量及其相互关系 吸烟行为的相关变化与医疗支出之间的关系。 我们将通过一系列关于国家烟草的发展和影响的详细案例研究来实现目标1。 控制烟草使用的政策和方案。对于目标2，我们将合并国家数据集，从 全国青年纵向调查，包括清洁室内空气法、烟草税、价格和 人口统计学变量来开发新的吸烟行为模式，这将为更好地 了解这些政策如何影响个人行为和健康差距。我们将使用以下工具实现目标3 允许不同的现代计量经济学方法来量化国家烟草控制计划的影响 在项目中对吸烟行为的有效性，以及吸烟和控烟的影响 关于医疗保健成本的计划。这是对烟草控制政策和 计划是最有效的，再加上了解烟草行业不断发展的努力来阻止这些 政策，将帮助公共卫生专业人员制定、实施和捍卫有效的烟草控制政策 以及应对不断变化的环境的战略。

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.