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]
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 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.
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.
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]
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 (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.
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 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.
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 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 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]
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.
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.
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.
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 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.
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.
The use of tobacco for smoking in New Zealand has been subjected to government regulation for a number of decades. On 10 December 2004, New Zealand became the third country in the world to make all indoor workplaces including bars and restaurants smoke-free.
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.
Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco: there are 350 million Chinese smokers, and China produces 42% of the world's cigarettes. The China National Tobacco Corporation is by sales the largest single manufacturer of tobacco products in the world and boasts a monopoly in Mainland China generating between 7 and 10% of government revenue. Within the Chinese guanxi system, tobacco is still a ubiquitous gift acceptable on any occasion, particularly outside urban areas. Tobacco control legislation does exist, but public enforcement is rare to non-existent outside the most highly internationalized cities, such as Shanghai and Beijing. Outside the mainland however, enforcement is strong in the Hong Kong special administrative region. Furthermore, outside the largest cities in China, smoking is considered socially acceptable anywhere at any time, even if it is technically illegal.
The majority of lifelong smokers begin smoking habits before the age of 24, which makes the college years a critical time for tobacco companies to convince college students to pick up the habit of cigarette smoking. Cigarette smoking in college is seen as a social activity by those who partake in it, and more than half of the students that are users do not consider themselves smokers. This may be because most college students plan to quit smoking by the time that they graduate.
Smoking in Syria is steadily increasing in popularity amongst the Syrian population, mainly in the forms of cigarettes or Narghiles. In Syria, the General Organization of Tobacco manages the growth and exportation of tobacco products. Syrians collectively spend about $600 million per year on tobacco consumption. As of 2010, 20% of women and 60% of men smoke and 98% of the overall population is affected by passive smoking. Narghiles and cigarettes are the two main forms of tobacco consumption. Despite the assumption that smoking, specifically the narghile, is embedded in Syrian culture, this phenomenon has only recently become widespread. Health officials are currently working on smoking cessation programs and policies, to remove this idea that smoking in Syria is an essential part of the culture, to educate regarding health effects, and to prevent citizens from smoking in public places.
The use of tobacco products in Egypt is widespread. It is estimated that approximately twenty percent of the population uses tobacco products daily. Cigarettes are the most common form of tobacco consumption in Egypt, with an estimated twenty billion cigarettes smoked annually in the country. After cigarettes, shisha water-pipes are the most common form of tobacco consumption. Many Egyptians are not fully aware of the health risks of using a water-pipe and many believe it to be less harmful than cigarettes.
Smoking in the United States military has been observed in previous wars, but smoking's close association with the United States military started in World War I when tobacco companies began to target military personnel through the distribution of cigarettes to servicemen and the eventual inclusion of cigarettes into rations. Although the military has attempted to implement tobacco control initiatives, the association between smoking and military personnel has persisted to the present day as smoking rates remain high, despite declines in civilian rates. Such high rates have led to questions about the effect of smoking from the apparent health risks to troop readiness and training costs.
SmokinginCanada is banned in indoor public spaces, public transit facilities and workplaces, by all territories and provinces, and by the federal government except Alberta. As of 2010, legislation banning smoking within each of these jurisdictions is mostly consistent, despite the separate development of legislation by each jurisdiction. Notable variations between the jurisdictions include: whether, and in what circumstances ventilated smoking rooms are permitted; whether, and up to what distance away from a building is smoking banned outside of a building; and, whether smoking is banned in private vehicles occupied by children.
Tobacco is an agricultural product acting as a stimulant triggering complex biochemical and neurotransmitter disruptions. Its main ingredient is nicotine and it is present in all cigarettes. Early tobacco usage was for medical cures and religious purposes. In the 1990s, cigarette usage became increasingly popular when it was sold in mass amounts. The popularity of smoking increased and in 1964, the Surgeon General of the United States wrote a report concerning the dangers of cigarette smoking. In the United States, for the past 50 years efforts have been made so that the public should be aware of the risks of tobacco usage.
Tobacco Free Florida is an anti-smoking organization based in the U.S. state of Florida, administered by the Florida Department of Health.
The scientific community in United States and Europe are primarily concerned with the possible effect of electronic cigarette use on public health. There is concern among public health experts that e-cigarettes could renormalize smoking, weaken measures to control tobacco, and serve as a gateway for smoking among youth. The public health community is divided over whether to support e-cigarettes, because their safety and efficacy for quitting smoking is unclear. Many in the public health community acknowledge the potential for their quitting smoking and decreasing harm benefits, but there remains a concern over their long-term safety and potential for a new era of users to get addicted to nicotine and then tobacco. There is concern among tobacco control academics and advocates that prevalent universal vaping "will bring its own distinct but as yet unknown health risks in the same way tobacco smoking did, as a result of chronic exposure", among other things.
Tobacco smoking is popular and, at least for men, culturally acceptable in North Korea. As of 2014, some 45% of men are reported to smoke daily, whilst in contrast only 2.5% of women smoke daily, with most of these being older women from rural areas. Smoking is a leading cause of death in North Korea, and as of 2010 mortality figures indicate that 34% of men and 22% of women die due to smoking-related causes, the highest mortality figures in the world. There are tobacco control programs in North Korea, and although smoking is not prohibited in all public spaces, the smoking rates have declined since their peak in the 2000s.
Smoking in Latvia is currently regulated through the implementation of multiple policies and laws against the use and consumption of tobacco products. Many of these regulations resulted from the Fifty-Sixth World Health Assembly in 2003, after which Latvia adopted the WHO Framework Convention on Tobacco Control. Latvia has higher prevalences of smoking tobacco in children and adults than many other European countries, where in 2014, it was reported that 37.6% of adults currently smoked tobacco. These high prevalences also occur in children, where the Global Youth Tobacco Survey (GYTS) in 2011 found that 40.5% of children in grades 7 through 9 reported current tobacco use, while 31.5% were smoking cigarettes. The percentage of children smoking tobacco decreased between the years of 2011 and 2014, where another GYTS survey indicated that 24.7% of youth from grades 7 through 9 regularly smoked tobacco.