California and Massachusetts are pioneers among states that have launched long-term comprehensive public health programs to prevent and reduce tobacco use. These programs are funded with increases in their states' excise tax on tobacco products and have served as models for the nation. Per-capita consumption in both states has declined more rapidly than in the rest of the country. Increase in tobacco use among youth in California and Massachusetts has also slowed in comparison to national trends and, most recently, are showing actual declines in some age groups. Through evidence-based analyses in California and Massachusetts and intense involvement with settlement states, CDC recommends that states establish tobacco control programs that are comprehensive, are sustained over time, and utilize community partnerships.
Communities are frequently the best source of leadership and innovation.
Effective community programs involve people in their homes, worksites, schools, places of worship, entertainment venues, civic organizations, and other public places. Mobilizing culturally, ethnically, professionally, and geographically diverse local partnerships to reduce the use of tobacco products. Providing educational programs to youth, parents, retailers, other business persons, enforcement officials, community leaders, health care providers, civic group members, school personnel, and members of special populations to equip and motivate groups to promote changes in their communities that alter the way tobacco is promoted, sold, and used. Promoting public health policies that encourage tobacco-free community norms. Such policies can focus on clean indoor air, excise taxes, access restrictions, product regulation, insurance coverage for treatment, cessation activities, restrictions on local advertising and promotions, and tobacco product ingredients disclosure.