Smoking Cessation: Recent Indicators of What s Working at a Population Level



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Acknowledgments Population Based Smoking Cessation: Proceedings of a Conference on What Works to Influence Cessation in the General Population was developed under the editorial direction of Donald R. Shopland, Special Expert, Tobacco Control Branch, National Cancer Institute, Bethesda, Maryland. This monograph is the result of a conference and set of analyses commissioned and funded jointly by the National Cancer Institute and the of the Department of Health Services. The conference was held on June 8 and 9, 1998 in,. Draft sections of this volume were subjected to peer review and revision, and the resultant draft of the entire volume was also subjected to peer review and revision. The senior scientific editor for this monograph was David M. Burns, M.D.,, University of, San Diego,. Richard H. Amacher was the managing editor of the volume and project director for the KBM Group Inc., Silver Spring, Maryland, who contracted with the National Cancer Institute to produce this volume. William Ruppert, M.S., Health Program Specialist, Tobacco Control Section, Department of Health Services, Sacramento, was the project officer for the contract with the Tobacco Control Section, Department of Health Services. Chapter 1 Chapter 2 Smoking Cessation: Recent Indicators of What s Working at a Population Level Cessation and Cessation Measures Among Adult Daily Smokers: National and State-Specific Data i

Smoking and Tobacco Control Monograph No. 12 Chapter 3 Restrictions on Smoking in the Workplace Christy M. Anderson, B.S. Michael Johnson, Ph.D. Department of Health Jacqueline M. Major, M.S. Lois Biener, Ph.D. Senior Fellow University of Massachusetts Boston, MA Jerry Vaughn, B.S. Programmer/Analyst Thomas G. Shanks, M.P.H., M.S. Principal ii

Acknowledgements Chapter 4 Chapter 5 Population Impact of Clinician Efforts to Reduce Tobacco Use Impact of Medications on Smoking Cessation Thomas G. Shanks, M.P.H., M.S. Principal Jacqueline M. Major, M.S. Kathryn B. Gower, B.S. Statistical Assistant Donald R. Shopland Coordinator Smoking and Tobacco Control Program (STCP) National Cancer Institute Bethesda, MD Jack F. Hollis, Ph.D. Kaiser Permanente Center for Health Portland, OR John R. Hughes, M.D. Professor Department of Psychiatry University of Vermont Burlington, VT iii

Smoking and Tobacco Control Monograph No. 12 Chapter 6 Chapter 7 Chapter 8 Effect of Cost on Cessation Self-Help Materials Telephone Quitlines for Smoking Cessation Dave Sweanor, J.D. Senior Legal Council Non-Smokers Rights Assoc. Smoking and Health Action Foundation Ottowa, ON Christy M. Anderson, B.S. Susan J. Curry, Ph.D. Center for Health Studies Group Health Cooperative of Puget Sound Seattle, WA Jacqueline M. Major, M.S. Shu-Hong Zhu, Ph.D. Assistant Professor Cancer Prevention and Contol Center iv

Acknowledgements Chapter 9 Chapter 10 Chapter 11 Mass Media in Support of Smoking Cessation Community-Wide Interventions for Tobacco Control Interaction of Population-Based Approaches for Tobacco Control Robert E. Sparks, Ph.D. Associate Professor School of Human Kinetics University of British Columbia Vancouver, BC Lawrence W. Green, Dr.P.H. Institute of Health Promotion University of British Columbia Vancouver, BC K. Michael Cummings, Ph.D., M.P.H. Chairman Department of Cancer Prevention, Epidemiology, and Biostatistics Roswell Park Cancer Institute Buffalo, NY Howard A. Fishbein, Dr.P.H., M.P.H. The Gallup Organization Rockville, MD Jennifer B. Unger, Ph.D. Assistant Professor Institute for Prevention C. Anderson Johnson, Ph.D. Institute for Prevention v

Smoking and Tobacco Control Monograph No. 12 Louise Ann Rohrbach, M.D. Assistant Professor Institute for Prevention Beth Howard-Pitney, Ph.D. Stanford Universty Stanford, CA Tess Boley Cruz, Ph.D. Clyde Dent, Ph.D. Kim Ammann Howard, Ph.D. Stanford Universty Stanford, CA We gratefully acknowledge the following distinguished scientists, researchers, and others, both in and outside the Government, who contributed critical reviews or assisted in other ways: Dileep G. Bal, M.D. Chief Cancer Control Branch Neal Benowitz, M.D. San Francisco San Francisco, CA Lester Breslow, M.D., M.P.H. Professor Los Angeles Carolyn Celebuki, Ph.D. of and Evaluation Massachusetts Dept. of Public Health Boston, MA Gregory Connolly, D.M.D, M.P.H. Tobacco Control Program Massachusetts Dept. of Public Health Boston, MA Jeri Day, M.P.H. Health Education Consultant Dept. of Education vi

Acknowledgements Richard Daynard, Ph.D., J.D. President Tobacco Control Resource Center Northeastern University Boston, MA Michael Fiore, M.D.,M.P.H. Center for Tobacco and Intervention University of Wisconsin Madison, WI Karen Gerlach, Ph.D., M.P.H. Program Officer Robert Wood Johnson Foundation Princeton, NJ Gary Giovino, Ph.D. Scientist Roswell Park Cancer Institute Buffalo, NY Thomas Glynn, Ph.D. of Cancer Science & Trends American Cancer Society Washington, DC Ellen Gritz, Ph.D. Chair Department of Behavioral Science MD Anderson Cancer Center Houston, TX Suzanne Hildebrand-Zanki, Ph.D. Tobacco-Related Disease Program University of Oakland, CA Rosalie Lopez Hirano Office Chief Tobacco Education & Prevention Program Arizona Dept. of Health Services Phoenix, AZ Holly Hoegh Scientist Cancer Surviellance Section Thomas P. Houston, M.D. Dept. of Preventive Medicine American Medical Association Chicago, IL Corinne Husten, M.D., M.P.H. Office of Smoking and Health Centers for Disease Control and Prevention Atlanta, GA Marta Induni Associate Cancer Surveillance Section Thomas J. Kean, M.P.H. President Strategic Health Concepts Englewood, CO Rae Kine, B.S. Consultant Healthy Kids Program Dept. of Education Max Larsen, Ph.D. Senior Vice President The Gallup Organization Rockville, MD Robert Leischow, M.P.H. s Administrator Tobacco Education Prevention Program Arizona Dept. of Health Services Phoenix, AZ Jon Lloyd, M.A. Gerardo Marin, Ph.D. Senior Associate Dean College of Arts & Sciences University of San Francisco San Francisco, CA vii

Smoking and Tobacco Control Monograph No. 12 Jesse Nodora, Dr.P.H. Local s Administrator Arizona Dept. of Health Services Phoenix, AZ C. Tracy Orleans, Ph.D. Senior Program Officer The Robert Wood Johnson Foundation Princeton, NJ Pamela Powers, M.P.H. Program s Program for Nicotine & Tobacco Universiy of Arizona Tuscon, AZ Dorothy Rice, B.A., Sc.D. Professor Emeritus Institute for Health and Aging San Francisco San Francisco, CA Sue Roberts, M.S. Local Program Evaluation April Roeseler, M.S.P.S. Chief of Local Programs Unit William Ruppert, M.S. Health Program Specialist Carol Russell, M.P.H. Chief of Program Services Zenen Salazar, B.Ed. Health Educator Program for Nicotine & Tobacco University of Arizona Tuscon, AZ Robin Shimizu, M.P.H. Assistant Chief Jana Kay Slater, Ph.D. Independant Consultant Comprehensive School Health Program Dept. of Education Colleen Stevens, M.S.W. Chief, Media Campaign Unit Lawrence Wallack, Ph.D., Dr.P.H. Professor School of Public Health Berkeley Berkeley, CA Ken Warner, Ph.D. Department of Health Management School of Public Health University of Michigan Ann Arbor, MI viii

Acknowledgements The editors and STCP staff members gratefully acknowledge the following individuals at the, University of,,, for their assistance with the scientific data and preparation of the manuscript: Sharon Buxton Administrative Assistant Robert W. Davignon, M.S. Production Editor Don F. Harrell Administrative Assistant Kristina M. Webb Assistant Finally, the editors and the STCP staff members would like to acknowledge the contributions of the following staff members at KBM Group, Inc., Silver Spring, Maryland, who provided technical and editorial assistance in the preparation of this monograph: Brian E. Steyskal Editor/Graphic Designer Cynthia M. DeLano Assistant Editor Ann L. Kreske Editorial Assistant Yaa Nsia Opare-Phillips Administrative Assistant Analyses of the data presented in this volume were supported, in part, by a contract from the Department of Health Services, Tobacco Control Section (Contract #96-26468). The analyses, interpretations, and conclusions are those of the authors, editors and are the result of the peer review process used to produce this volume. They are not necessarily those of the Department of Health Services. ix