Has the California Tobacco Control Program Reduced Smoking?

摘要: Context.—Comprehensive community-wide tobacco control programs are considered appropriate public health approaches to reduce population smoking prevalence.Objective.—To examine trends in behavior before, during, and after the California Tobacco Control Program.Design.—Per capita cigarette consumption data (1983-1997) were derived from tobacco industry sales figures. Adult (≥18 years) prevalence data were obtained from the National Health Interview Surveys (1978-1994), (1990-1996), Current Population (1992-1996), and California Behavioral Risk Factor Survey its supplement (1991-1997). Trends compared before introduction of program, with the period program being divided into 2 parts (early, 1989-1993; late, 1994-1996).Main Outcome Measures.—Change California compared rest United States.Results.—Per declined 52% faster in the early period than previously (from 9.7 packs per person month at the beginning 6.5 1993), the decline was significantly greater United States (P<.001). In late period, decline in slowed 28% so that 1996 an average of 6.0 consumed. No decline occurred the rest States, 1996, 10.5 were consumed. Smoking showed a similar pattern, but period, there no significant either or States. 18.0% California and 22.4% States.Conclusions.—The initial effect did not persist. Possible reasons include reduced funding, increased tobacco industry expenditures for advertising promotion, pricing and political activities. The question remains how community can modify regain original momentum.