TOBACCO CONTROL SECTION Local Lead Agencies Competitive Grantees

1. CALIFORNIA TOBACCO CONTROL PROGRAM PARTNERS ELECTRONIC COMMUNICATION MEDIA CAMPAIGN TOBACCO EDUCATION CLEARINGHOUSE PROGRAM EVALUATION TOBACCO CONTROL SECTION Local Lead Agencies Competitive Grantees ETHNIC NETWORKS African American Latino Asian/Pacific Islander Native American STATEWIDE PROGRAMS Technical Legal Assistance Smoke-Free Bar Program Divestment Youth Advocacy Network Smokers’ Help Line Smoke-Free Lavender Proj. TOBACCO CONTROL REGIONS

2. LOCAL LEAD AGENCIES • PART OF COMPREHENSIVE PROGRAM • PROVIDE STABLE, ONGOING PRESENCE AT LOCAL LEVEL • ORGANIZED LOCAL COALTIONS • MAJOR ROLE IN CALIFORNIA’S SUCCESSES

3. LLA SUCCESSES • CHANGING SOCIAL NORMS • SUPPORT FOR POLICIES/ MOBILIZING COMMUNITIES • ACTING LOCALLY, THINKING GLOBALLY

4. Adult Smoking Prevalence forCalifornia and the United States1988-1998 * Tax Increase and Start of the CA Tobacco Control Program * Definition change in 1996 resulted in more “occasional smokers” being counted. Sources: CTS, 1990, 1992-3, 1996, weighted to 1990 CA population; CATS/BRFS, 1994-1998, weighted to 1990 CA population. Prepared by: California Department of Health Services, Tobacco Control Section, August 13, 1999

5. 30-day Smoking Prevalence for California 12-17 year-olds Telephone Survey, 1990-1998 California: 1990, 1992-1993: California Tobacco Survey (CTS), UCSD, weighted to 1990 CA population with 4 race and 2 age groups. 1994-1998: California Youth Tobacco Survey (CYTS), CDHS, weighted to 1990 CA population with 4 race and 3 age groups. Prepared by: California Department of Health Services, Tobacco Control Section, August 13, 1999

6. NEW AND AMENDED ORDINANCES 1/1/90 - 11/16/99 202 CLEAN INDOOR AIR 181 ACCESS 25 ADVERTIS.

7. REDUCING ETS EXPOSURE IN THE HOME • 1997 RANDOM PHONE SURVEY • 1998 MEDIA CAMPAIGN • 1998 POST SURVEY • PRE-POST DATA • NEEDED TAILORED MESSAGE TO REACH HARD CORE SMOKERS

8. NEEDED MORE INFORMATION • HELD 3 FOCUS GROUPS OF SMOKERS W/CHILDERN • CAUCASIAN • AFRICAN AMERICAN • CHINESE (CANTONESE)

9. AFRICAN AMERICANS • REASONS FOR SMOKING INSIDE • HABIT • ONLY PLACE CAN SMOKE INDOORS • “I PAY THE RENT” • FEEL LIKE OUTCAST IF SMOKE OUTSIDE • BELIEVE HEALTH EFFECTS ARE EXAGERRATED IN MEDIA CAMPAIGN”

10. AFRICAN AMERICANS • REASONS FOR SMOKING OUTSIDE: • OFFENSIVE ODOR • TURNS WALLS BROWN • “IT’S A FORM OF RESPECT I GIVE TO MY WIFE AND KIDS” • CHILD HAS ASTHMA • RATHER NOT TAKE POSSIBLE RISK OF HARMING FAMILY”

11. AFRICAN AMERICANS • RESPONSE TO MEDIA MESSAGES: • DON’T EQUATE SMOKING INSIDE WITH LOVING CHILDREN • LIKED • “STEP OUTSIDE TO SMOKE, YOUR CHILDREN WILL APPRECIATE IT” • “I’M SMOKING OUTSIDE BECAUSE OF MY KIDS”

12. CAUCASIANS • LESS LIKELY TO MENTION CHILDLREN • THOUGHT SOME ADS WERE NOT BELIEVABLE , EXAGERRATED RISK • WANTED TO HEAR FACTS TO PROVE SECOND HAND SMOKE HARMFUL • DISTRUST OF GOVERNMENT “PROPAGANDA”

13. CAUCASIANS • REASONS FOR SMOKING INSIDE: • ONLY PLACE CAN SMOKE INSIDE • COMFORTABLE • “IT’S MY HOUSE” • “CHILDREN ARE FED PROPAGANDA AT SCHOOL THEN TELL ME WHAT TO DO. I. I AM THE ADULT”

14. CAUCASIANS REASONS FOR SMOKING OUTSIDE: • Protect family in case there really is harm • Bad odor, dirty walls • Cannot smoke inside at work anymore so accustomed to smoking outside .

15. Caucasians RESPONSE TO MEDIA MESSAGES: • Do not like or believe messages that say second hand smoke kills • Do not like ads that make them feel guilty

16. Cantonese speaking Chinese • Although 9 out of 10 smoked outside, most felt ETS hazards exaggerated • Feel affected by social norms in this country • Some felt smokers are generally “hated” in the United States

17. CANTONESE Reasons for smoking outside: • Poor circulation inside the house • Children learn secondhand smoke harmful in school and throw away parent’s cigarettes • Societal pressures in the U.S. • Scolding by family member

18. DEVELOPED 4 TV SPOTS • Acknowledged some had doubts re hazards of secondhand smoke • Did not equate love of children with smoking outside - no guilt message • Provided other reasons to smoke outside - odor, not hard once develop habit, already smoke outdoors when at work

19. PRODUCED TV SPOTS • Three in English • One in Cantonese • Tagged with phone number, incentive - key chain/flashlight/alarm clock labeled “It’s Time To Go Outside”

20. EVALUATION • No funds for another random phone survey • Viewers requesting incentive sent survey and educational information • Incentive sent if returned survey

21. SURVEY- 223 RETURNED • WHAT DID THEY THINK OF AD • IF SMOKER, WHERE SMOKE • DID AD INFLUENCE TO GO OUTSIDE • WHAT ABOUT AD INFLUENCED THEM • NON-SMOKERS - ASKING SOMEONE ELSE TO SMOKE OUTSIDE • INFLUENCE OF AD

22. WHERE SMOKED PRE/POST AD

23. % SMOKERS, ADINFLUENCE

24. NONSMOKERS/AD INFLUENCE

25. REASONS SMOKERS CHANGED • ALREADY THINKING OF GOING OUTSIDE - TIPPED THE SCALES • REMINDED HOW CARELESS TO SMOKE INSIDE • RESPECT AND CONSIDERATION OF NON SMOKERS, ESPECIALLY KIDS

26. MEDIA BUY - ENGLISH • $10K -230 SPOTS($43/SPOT) - 3 WKS. • CABLE 57.3% REACH, 4.1 FREQUENCY • BLACK ENTERTAINMENT TONIGHT • CNN - NEWS • FOX SPORTS • LIFETIME - TARGETING WOMEN • TNT - MOVIE CHANNEL

27. MEDIA BUY - CANTONESE • $6,000 • CHANNEL 26 (BAY AREA) • 48 SPOTS ($125/SPOT) • TWO WEEKS • CANTONESE EVENING NEWS • MOVIES • HONG KONG WEEKLY NEWS