Overview of elements of five comprehensive statewide tobacco control programmes in the USA to 1998-99.
California | Massachusetts | Arizona | Oregon | Florida | |
Programme funding source and cigarette price increases | 1989: tax increase by 25 cents to 35 cents/pack, earmarked 20% of revenue for tobacco control34 | 1993: tax increase by 25 cents to 51 cents per pack53 1996: tax increase by 25 cents to 76 cents/pack, and increases for loose tobacco and cigars53 | 1994: tax increase by 40 cents to 58 cents/pack and increased tax on other tobacco products, earmarked 23% of revenue for tobacco control63 | 1996: tax increase by 30 cents to 68 cents per pack, earmarked 10% of increase for tobacco control69 | 1997: Florida tobacco settlement funding, but no tax increase |
November 1998: national 45 cent price increase due to multi-state settlement agreement, followed by widespread price discounting of popular brands | |||||
Per capita programme spending (in US 1999 dollars) | 1989-93: $3.27 1993-96: $1.78 34 | 1994-97: average $7.0953 | 1996-98: average $3.8963 | 1997-99: $2.5969 | 1997: $2.61 1998: $4.7382 |
Tobacco industry intervention | Lobbying to divert funding from tobacco control programme34 Ratio of industry: programme spending was 5:1 in 1989-93 and 10:1 in 1993-9634 | Lobbying to divert funding from programme54 | Thought responsible for 1 year delay in programme spending, so baseline measures not gathered, and for limiting early programme activity to teens and pregnant women63 | Unsuccessful attempts to divert funding and limit the scope and target groups of the programme70 | Probable behind scenes lobbying to reduce programme funding and fire programme director82 |
Programme components | 1989-96 (average)34: Mass media 17% Local lead agency grants 26% Competitive grants 22% School based programmes 31% Administration and evaluation 5% | 1996-9753: Mass media 33% Local lead agency grants for cessation, education, advocacy 43% School programmes 15% Statewide services e.g. training and quitline 5% Research/evaluation 4% | 1997-9863: Mass media and sponsorships 54% Local lead agency grants for school education, cessation, protection from ETS 25% Info clearinghouse and quitline 5% Statewide projects, admin and evaluation 16% | 1997-9969: Public awareness and education 27% Local lead agency grants 38% Statewide/regional projects for quitline, tribal programmes 16% School programmes 12% Coordination/evaluation 7% | 1998-9982: Mass media 37% Education/training 23% Youth and community programmes 21% Enforcement 12% Evaluation 6% |
Programme focus | Adults Teenagers Protection of non-smokers from ETS | Adults Teenagers Protection of non-smokers from ETS | Pre-teenagers Teenagers Pregnant women Adults from mid-1998 | Adults Teenagers Protection of non-smokers from ETS | Teenagers |
ETS, environmental tobacco smoke.