# Presentation: 749934

## Tobacco Control UpdateNational Cancer Advisory BoardFebruary 6, 2008

- Cathy L. Backinger, PhD, MPH
- Chief
- Tobacco Control Research Branch Behavioral Research Program Division of Cancer Control and Population Sciences

## Current Cigarette Use Among U.S. Adults and High School Students, 1990-2006

**Source:** Adults: National Health Interview Surveys, Selected Years
-               Youth: National Youth Risk Behavior Survey

**Youth**

**Adults**

## Smoke-free* Jurisdictions in the United States, as of January 2007

- *Smoke-free workplaces, including restaurants

- _January 2007_
- 14 States are entirely smoke-free, plus DC
- 13 States contain no smoke-free jurisdictions

## Smoke-free* Jurisdictions in the United States, as of January 2008

- *Smoke-free workplaces, including restaurants

- _January 2008_
- 21 States are entirely smoke-free, plus DC
- 11 States contain no smoke-free jurisdictions

## Secondhand Smoke:Millions Remain Exposed 

**Source:** USDHHS*. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General—Executive Summary. *USDHHS Services, CDC, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006

- Secondhand smoke exposure fell by 70% from 1988-91 to 2001-02; however, 43% of U.S. nonsmokers are still exposed
- ~ 60% U.S. children remain exposed
- ~ 30% of U.S. indoor workers are not covered by smoke-free workplace policies

## The Changing Market:New Tobacco Products

- The Changing Market:New Tobacco Products

- Cigarette companies have expanded into selling smokeless tobacco products and cigarette alternatives
- Tobacco pouches
- (e.g., Taboka, Snus)
- Modified cigarettes
- (e.g., Omni, Quest)
- Tobacco lozenges
- (e.g., Ariva)
- Cigarette Alternatives
- (Waterpipes, Heating Systems,Bidis, Kreteks)

## New Advertising:Smokeless Tobacco for Smokers

## Tobacco Control:Focus on Young Adults

- Tobacco Control:Focus on Young Adults

**Source:** *American Journal of Public Health* Special Issue on Young Adult Tobacco Cessation. August 1 2007, Volume 97, Issue 8

- Young adults still at risk for smoking initiation
- One year after high school graduation,  25% of 12th grade never smokers had started smoking
- Some young adults at far higher risk.
- Non-college educated vs. college-educated counterparts - 30% vs. 14%
- >60% of young adults in inner city Baltimore smoke cigarettes
- sale of single cigarettes “loosies” contributes to the problem
- Quitting early in life allows avoidance of many hazards of tobacco use
-  Young adults just as likely as older smokers to try to quit, but less likely to use pharmacotherapy -18% vs. 32%

## U.S. PHS Clinical Practice Guidelines:Treating Tobacco Use and Dependence 

- U.S. PHS Clinical Practice Guidelines:Treating Tobacco Use and Dependence

**Source:** Fiore MC, Bailey WC, Cohen SJ, et al. *Treating Tobacco Use and Dependence. *Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. June 2000.

- 2008 update of guidelines published in 1996 and 2000
- Goal:  to provide recommendations and strategies to assist clinicians and tobacco dependence treatment specialists
- 27 member panel, including AHRQ (lead agency) NCI, NIDA, NHLBI, CDC, RWJF, and American Legacy Foundation

## Selected Scientific Collaborations:2007

- Workshops
- Tobacco and Young Low SES Women (December 2007)
- Current Issues in Cigarette Smoking and HIV/AIDS (October 2007)
- State and Community Tobacco Control Policy (April 2007)
- Medication Development for Nicotine Dependence Workshop (January 2007)
- Special scientific journal issues
*Tobacco Control* Quitting Smoking is Easier with Help (December 2007)
*Health Care for the Poor and Underserved* Health Disparities Across the Cancer Continuum (November 2007)
*Addiction *Research on Tobacco-Related Health Disparities (October 2007)

## Tobacco Control Update:NCAB Presentations

**Dorothy K. Hatsukami, PhD**
- Director, Transdisciplinary Tobacco Use Research Center
- University of Minnesota
- Comprehensive Cancer Center
- “Science and Future Research Directions for Reduced Nicotine Content Cigarettes”
**Shu-Hong Zhu, PhD**
- Professor, Family & Preventive Medicine Reducing Cancer DisparitiesUniversity of California, San Diego
- Comprehensive Cancer Center
- “Tobacco Quitlines”