Massachusetts Tobacco Cessation and Prevention Program

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The Massachusetts Tobacco Cessation and Prevention Program (MTCP) is an anti-tobacco program run by the Massachusetts Department of Public Health with the goal of decreasing tobacco prevalence in the state of Massachusetts. MTCP has four main components: preventing youth smoking, assisting current smokers with quitting, protecting against second hand smoke, and eliminating tobacco related disparities. Since the program began in, adult smoking rates have declined from 22.6% in 1993 to 16.1% in 2008, allowing Massachusetts the 4th lowest smoking rates in the country. [1]

Massachusetts Department of Public Health

The Massachusetts Department of Public Health is a governmental agency of the Commonwealth of Massachusetts with various responsibilities related to public health within that state. It is headquartered in Boston and headed by Commissioner Monica Bharel.

Tobacco agricultural product processed from the leaves of plants in the genus Nicotiana

Tobacco is a product prepared from the leaves of the tobacco plant by curing them. The plant is part of the genus Nicotiana and of the Solanaceae (nightshade) family. While more than 70 species of tobacco are known, the chief commercial crop is N. tabacum. The more potent variant N. rustica is also used around the world.

Youth smoking

Smokingamong youth and adolescents is an issue that affects countries worldwide. While the extent to which smoking is viewed as a negative health behavior may vary across different nations, it remains an issue regardless of how it is perceived by different societies. The United States has taken numerous measures, ranging from changes in national policy surrounding youth cigarette access to changes in media campaigns, in attempts to eliminate the use of tobacco products among teenagers. Approximately 90% of smokers begin smoking prior to the age of 18. In efforts to reduce the total number of smokers and negative effects smoking has on society, it is necessary to reduce the number of youth and adolescents who begin smoking.

Contents

History

Massachusetts Tobacco Cessation and Prevention Program (MTCP), previously known as the Massachusetts Tobacco Control Program, began in November 1992 after residents of Massachusetts voted to increase the excise tax on cigarettes (from $.26 to $.51 per pack) [2] in order to fund health related programs. The money raised from the excise tax went to support the Massachusetts Health Protection Fund and around 40% of that money went towards financing the MTPC. Within a year, the MTPC had created several major strategies to lower smoking rate. These initiative began with a major media campaign which used television, newspapers, and radio, as well as other types of media, to educated the citizens of Massachusetts about the negative side effects of smoking and to inform them of new programs being developed to lower smoking prevalence within the state. [3]

Cigarette small roll of cut tobacco designed to be smoked

A cigarette, also known colloquially as a fag in British English, is a narrow cylinder containing psychoactive material, usually tobacco, that is rolled into thin paper for smoking. Most cigarettes contain a "reconstituted tobacco" product known as "sheet", which consists of "recycled [tobacco] stems, stalks, scraps, collected dust, and floor sweepings", to which are added glue, chemicals and fillers; the product is then sprayed with nicotine that was extracted from the tobacco scraps, and shaped into curls. The cigarette is ignited at one end, causing it to smolder and allowing smoke to be inhaled from the other end, which is held in or to the mouth. Most modern cigarettes are filtered, although this does not make them safer. Cigarette manufacturers have described cigarettes as a drug administration system for the delivery of nicotine in acceptable and attractive form. Cigarettes are addictive and cause cancer, chronic obstructive pulmonary disease, heart disease, and other health problems.

Television Telecommunication medium for transmitting and receiving moving images

Television (TV), sometimes shortened to tele or telly, is a telecommunication medium used for transmitting moving images in monochrome, or in color, and in two or three dimensions and sound. The term can refer to a television set, a television program, or the medium of television transmission. Television is a mass medium for advertising, entertainment and news.

Newspaper scheduled publication containing news of events, articles, features, editorials, and advertising

A newspaper is a periodical publication containing written information about current events and is often typed in black ink with a white or gray background.

The MTPC is funded entirely through taxes on cigarettes and smokeless tobacco products. Between the years of 1995 and 1997, MTCP operated on an average yearly budget of $40 million. [4] By 2009, MTCP had reduced its yearly budget to $12.2 million. [5]

Smokeless tobacco

Smokeless tobacco is a tobacco product that is used by means other than smoking. Their use involves chewing, sniffing, or placing the product between gum and the cheek or lip. Smokeless tobacco products are produced in various forms, such as chewing tobacco, snuff, snus, and dissolvable tobacco products. Smokeless tobacco products typically contain over 3000 constituents. All smokeless tobacco products contain nicotine and is therefore highly addictive. Quitting smokeless tobacco use is as challenging as smoking cessation.

Goals

The main goal of MTCP is for all Massachusetts residents to live tobacco free. More, specifically, MTCP has four major goals under which they structure their various programs. These include youth smoking prevention, assistance in quitting smoking, protection against second hand smoke, and elimination of tobacco related disparities. The MTCP has focused on different aspects of these goals throughout the seventeen years the program has been in effect. Over that time frame, they have garnered success in decreasing second hand smoke and smoking rates, especially within the youth population.

Youth Smoking Prevention

Youth smoking prevention has been one of the major goals of MTCP since the beginning. In general, MTPC implements youth prevention programs through education, supporting youth civic engagement, and educating retailers about the dangers of selling to minors. MTPC has also increased enforcement of laws against selling tobacco products to minors.

Education Learning in which knowledge and skills is transferred through teaching

Education is the process of facilitating learning, or the acquisition of knowledge, skills, values, beliefs, and habits. Educational methods include storytelling, discussion, teaching, training, and directed research. Education frequently takes place under the guidance of educators and also learners may also educate themselves. Education can take place in formal or informal settings and any experience that has a formative effect on the way one thinks, feels, or acts may be considered educational. The methodology of teaching is called pedagogy.

Civic engagement or civic participation is any individual or group activity addressing issues of public concern. Citizens acting alone or together to protect public values or make a change or difference in the community are common types of civic engagement. Civic engagement includes communities working together in both political and non-political actions. The goal of civic engagement is to address public concerns and promote the quality of the community.

One of the more aggressive forms of youth smoking prevention has been the strict enforcement of laws that prevent sale of tobacco products to minors. Massachusetts has been extremely successful in decreasing youth tobacco sales. Illegal tobacco sales to minors dropped form 44% in 1994 to 11% in 1999. [6] Additionally, illegal sales of tobacco were cut in half from 2006 to 2007. [7]

In law, a minor is a person under a certain age, usually the age of majority, which legally demarcates childhood from adulthood. The age of majority depends upon jurisdiction and application, but it is generally 18. Minor may also be used in contexts that are unconnected to the overall age of majority. For example, the drinking age in the United States is usually 21, and younger people are sometimes called minors in the context of alcohol law, even if they are at least 18. The term underage often refers to those under the age of majority, but it may also refer to persons under a certain age limit, such as the drinking age, smoking age, age of consent, marriageable age, driving age, voting age, etc. Such age limits are often different from the age of majority.

Youth prevention programs also play a key role in lowering smoking rates among minors. Throughout MTCP, many anti-tobacco programs have been created to encourage youth to avoid using tobacco products. One example of such a program is known as The Eighty-Four . The Eighty Four refers to the 84% of youth in Massachusetts that do not use tobacco products. The Eighty Four is a movement created by MTCP to encourage youth to actively participate in fighting tobacco use. The Eighty Four maintains local chapters in high schools throughout the state, as well as a youth friendly website on which high students can blog and participate in online discussions. The initiative also runs programs such as short film contests where students can actively be involved in helping prevent youth smoking. Through various programs and control measures throughout the state, MTCP has reduced youth smoking rates among high school students from 30% in 1993 to 16% in 2009. [8]

Website set of related web pages served from a single web domain

A website or Web site is a collection of related network web resources, such as web pages, multimedia content, which are typically identified with a common domain name, and published on at least one web server. Notable examples are wikipedia.org, google.com, and amazon.com.

Assistance in Quitting Smoking

MTCP provides assistance to smokers who want to quit smoking. It also encourages lower smoking rates through increased taxes on cigarettes and through distributing information on the harmful effects of smoking.

One of the largest initiatives of MTCP is the Massachusetts Smokers' Helpline. The smokers helpline is a toll-free helpline (1-800-TryToStop) that offers free referral and counseling to Massachusetts residents who are trying to quit smoking. They have English, Spanish, and Portuguese speaking counselors available. In addition to the helpline, MTCP has created an interactive website (www.TryToStop.org) where smokers can get information and tools to assist in their efforts to quit smoking. The website contains information in nine different languages.

Another interactive website called Quitworks (www.quitworks.org) is for smokers referred by health care providers. Quitworks was created as a joint effort between MTCP and major health care insurance companies in Massachusetts.

MTCP has continued over the years to encourage smokers to quit through increasing taxes on cigarettes. In 1993, when the program began, taxes were increased from $.26 to $.51 per pack. They were raised to $.76 per pack in 1996 and $1.51 per pack in 2002. [9] An additional $1 tax increase was implemented on July 1, 2008. [10] To accompany the most recent tax increase, MTCP gave away a two-month supply of nicotine patches to smokers who wanted to quit. This program was advertised through MTCP helpline and health care providers.

Protection against secondhand smoke

MTCP is committed to decreasing environmental tobacco smoke (ETS) in Massachusetts. Through smoking bans and educating the public on dangers of secondhand smoking, MTCP has been able to significantly reduce the amount of second hand smoke throughout the state. One of their first and most successful initiatives focused on creating smoke-free workplaces. They saw a significant decline in smoking in workplaces during the initial phases of the program and as of July 5, 2004, all workplaces in Massachusetts with any employees must be completely smoke-free. [11] There have also been significant results from smoking bans in restaurants. Additionally, MTCP is encouraging smoke-free homes through educating the public.

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Tobacco smoking practice of burning tobacco and inhaling the resulting smoke

Tobacco smoking is the practice of smoking tobacco and inhaling tobacco smoke. The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists, where it followed common trade routes. The practice encountered criticism from its first import into the Western world onwards but embedded itself in certain strata of a number of societies before becoming widespread upon the introduction of automated cigarette-rolling apparatus.

Smoking cessation is the process of discontinuing tobacco smoking. Tobacco smoke contains nicotine, which is addictive and can cause dependence. Nicotine withdrawal makes the process of quitting often difficult.

Smoking ban public policies, including criminal laws and occupational safety and health regulations, that prohibit tobacco smoking in workplaces and other public spaces

Smoking bans, or smoke-free laws, are public policies, including criminal laws and occupational safety and health regulations, that prohibit tobacco smoking in workplaces and other public spaces. Legislation may also define smoking as more generally being the carrying or possessing of any lit tobacco product.

Quitline is a telephone helpline offering treatment for addiction and behavior change/issues. Presently most quitlines treat tobacco or alcohol addiction. Quitlines are treatment centres that offer advanced treatment and should not be confused with call centres.

Tobacco harm reduction (THR) is a public health strategy to lower the health risks to individuals and wider society associated with using tobacco products. It is an example of the concept of harm reduction, a strategy for dealing with the abuse of other drugs. Tobacco smoking is widely acknowledged as a leading cause of illness and death, and preventing smoking is vital to public health.

Electronic cigarette electronic cigarette

An electronic cigarette or e-cigarette is a handheld electronic device that simulates the experience of smoking a cigarette. It works by heating a liquid which generates an aerosol, or "vapor", that is inhaled by the user. Using e-cigarettes is commonly referred to as vaping. The liquid in the e-cigarette, called e-liquid, or e-juice, is usually made of nicotine, propylene glycol, glycerine, and flavorings. Not all e-liquids contain nicotine.

Smoking in New Zealand

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Tobacco control field of public health addressing tobacco use

Tobacco control is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes. Tobacco control is a priority area for the World Health Organization (WHO), through the Framework Convention on Tobacco Control. References to a tobacco control movement may have either positive or negative connotations, both briefly covered here.

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References

  1. Massachusetts Department of Public Health. 2009. Annual Report: Massachusetts Tobacco Cessation and Prevention Program. Boston: Massachusetts Department of Public Health
  2. Koh, H K. 2002. Accomplishments of the Massachusetts Tobacco Control Program. Tobacco Control 11: 1-3.
  3. Connolly, Gregory and Robbins, Harriet. 1997. Massachusetts Tobacco Control Program. Boston: Massachusetts Department of Public Health
  4. Connolly, Gregory and Robbins, Harriet. 1997. Massachusetts Tobacco Control Program. Boston: Massachusetts Department of Public Health
  5. Massachusetts Department of Public Health. 2009. Annual Report: Massachusetts Tobacco Cessation and Prevention Program. Boston: Massachusetts Department of Public Health.
  6. Koh, H K. 2002. Accomplishments of the Massachusetts Tobacco Control Program. Tobacco Control 11: 1-3.
  7. Massachusetts Department of Public Health. 2008. Massachusetts Tobacco Control Program: Reducing the health and economic burden of tobacco use. Boston: Massachusetts Department of Public Health
  8. Massachusetts Department of Elementary and Secondary Education. 2010. Trends in Youth Tobacco Use in Massachusetts, 1993-2009. Boston: Massachusetts Department of Public Health
  9. Massachusetts Department of Public Health. 2000. Independent Evaluation of Massachusetts Tobacco Control Program: Eighth Annual Report; January 1994 to June 2001. Boston: Abt Associates Inc.
  10. Massachusetts Department of Public Health. 2009. Annual Report: Massachusetts Tobacco Cessation and Prevention Program. Boston: Massachusetts Department of Public Health.
  11. Massachusetts Department of Public Health. 2008. Massachusetts Smoke-Free Workplace Law. Boston: Massachusetts Department of Public Health