Abstract
In the USA, California’s highly-regarded Tobacco Control Program (CTCP) has defined its goal as “ending the tobacco epidemic for all population groups” by 2035. To understand local advocates’ perceptions of endgame-oriented policies, we interviewed 28 advocates from California communities that had recently adopted tobacco control policies. There was no consensus among participants on which specific policies would constitute the tobacco endgame in California. There was an agreement, however, that policymakers should promote policies that would impact communities with the highest tobacco use prevalence and that policies should be ‘clean’, avoiding exemptions. Participants were cognizant of California’s history of tobacco control policy innovations beginning locally and eventually being adopted at the state level. Many commented that recent policy innovations in the state had begun a conversation that made more ‘radical’ ideas seem possible. California tobacco control advocates are engaged in local endgame policy discussions and prepared to advance California’s endgame goal.
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References
California Tobacco Control Program. California Tobacco Control Program Overview 2017. https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/CDPH%20Document%20Library/AboutUS/ProgramOverview/AboutUsProgramOverview081216.pdf.
Rogers T. The California Tobacco Control Program: Introduction to the 20-year retrospective. Tob Control. 2010;19(Suppl 1):i1–2.
California Department of Public Health, California Tobacco Control Program. 2017–2021 Local lead agency comprehensive tobacco control plan guidelines 2017. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=2ahUKEwjf3-GIwKbkAhUFsJ4KHRlaBDUQFjABegQIAhAC&url=https%3A%2F%2Fotis.catcp.org%2Futilities%2FtcforFileFetch.cfm%3FdocID%3D1214&usg=AOvVaw3kKI9P_ro6qrWMWHX874w1.
McDaniel PA, Smith EA, Malone RE. The tobacco endgame: a qualitative review and synthesis. Tob Control. 2015;25(5):594–604.
Smith EA, McDaniel PA, Malone RE. Leadership perceptions of endgame strategies for tobacco control in California. J Public Health Manag Pract. 2019;25(6):554–61.
American Nonsmokers' Rights Foundation. Municipalities prohibiting the sale of flavored tobacco products 2019 [updated 1 October 2019. https://no-smoke.org/wp-content/uploads/pdf/flavored-tobacco-product-sales.pdf.
Chapman S. Public health advocacy and tobacco control: making smoking history. Oxford: Blackwell Publishing; 2007.
McClurg L. San Francisco passes first-in-the-nation flavored tobacco, vaping ban: KQED.Org; 2018. https://www.kqed.org/futureofyou/441395/sf-voters-may-ban-vape-flavors-menthol-cigarettes.
Baker A, Goodman JD, Mueller B. Beyond the chokehold: the path to Eric Garner's death. New York: New York Times; 2015.
Park M, Selig R. San Francisco bans sales of flavored tobacco products CNN: CNN; 2018. https://www.cnn.com/2018/06/06/health/san-francisco-flavored-cigarettes-proposition-e/index.html.
Khoo D, Chiam Y, Ng P, Berrick AJ, Koong HN. Phasing-out tobacco: proposal to deny access to tobacco for those born from 2000. Tob Control. 2010;19(5):355–60.
Callard CD, Thompson D, Collishaw NE. Curing the addiction to profits: a supply-side approach to phasing out tobacco. Ottawa: Canadian Centre for Policy Alternatives; 2005.
Borland R. A strategy for controlling the marketing of tobacco products: a regulated market model. Tob Control. 2003;12(4):374–82.
U.S. Department of Health and Human Services. The health consequences of smoking 50 years of progress: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
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Support for this paper was provided by the California Tobacco Related Disease Research Program, Grant No. 26IR-0003.
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Smith, E.A., McDaniel, P.A. & Malone, R.E. California advocates’ perspectives on challenges and risks of advancing the tobacco endgame. J Public Health Pol 41, 321–333 (2020). https://doi.org/10.1057/s41271-020-00230-5
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DOI: https://doi.org/10.1057/s41271-020-00230-5