Population-based Health Promotion Strategies for Reduction of Tobacco Use

1. Population-based Health Promotion Strategies for Reduction of Tobacco Use Created by the Registered Nurses’ Association of Ontario

2. Social Determinants of Health Related to Tobacco Use • Social determinants of health: • Economic status • Education • Housing • Employment • Single parenthood • Social deprivation is associated with high rates of smoking and low rates of cessation (World Health Organization, 2003) • During patient assessment it is important that nurses recognize the myriad factors that contribute to the health status of the client/patient

3. National Tobacco Control • Federal Tobacco Control Strategy: A Framework for Action • Health Canada • Developed in 2001 • Revised in 2007 • Current goal  to reduce overall smoking from 19% to 12 % (by 2011)

4. National Tobacco Control – New Objectives: • Reduce prevalence of youth (ages 15 – 17) smokers from 15% to 9% • Increase number of adults who quit smoking to 1.5 million • Reduce prevalence of people exposed to second-hand smoke from 28% to 20% • Examine the next generation of tobacco control policy in Canada • Contribute to the global implementation of WHO’s Framework Convention on Tobacco Control • Monitor and assess contraband tobacco activities and enhance compliance

5. National Tobacco Control (cont.) • Federal government regulates aspects of the sale of tobacco: • Requirements for health messages • Importation of tobacco products • Control of advertising and sponsorship by tobacco companies

6. National Tobacco Control (cont.) • Latest initiative  oblige tobacco companies to list more of cigarettes’ toxic ingredients on the package (Health Canada, 2009b)

7. Provincial Tobacco Control • Each province has jurisdiction over tobacco products and their regulation • [Insert specific information here for your province/territory]

8. Smoke-Free Ontario (SFO) • Administered through the Ministry of Health Promotion and Sport under the Chronic Disease Prevention division • SFO’s Tobacco Control Act • Regulates smoking in public spaces and workplaces • Regulates the conditions of sale of tobacco products • Prohibits the sale of tobacco to people under 19 years • Protects children from second-hand smoke when in daycare programs • Restricts smoking in and around health-care facilities • Bans the use of point-of-sale advertising such as retail power walls • Bans smoking in vehicles when children under 16 years are present

9. SFO • Supports awareness and prevention programs through: • Public health programs (e.g. high school programs) • Monitoring access of minors to tobacco products • Cessation programs: • Smoker’s Helpline • Leave The Pack Behind - campus program • Driven to Quit Challenge - provincial contest • Stop Smoking Treatment for Ontario Patients (STOP) – research study examining the effectiveness of NRT • Training Enhancement in Applied Cessation Counselling and Health (TEACH) – certified training course for health-care professionals

10. SFO Strategy • Prevention • Child/youth programs • Restricted access to tobacco • Protection • Legislation • Smoke-free public spaces, workplaces etc. • Cessation • Cessation programs • Education for health-care professionals

11. Tobacco Awareness Communication Campaign • Needs assessment • Choosing the community, topic, channels of communication • Assessing resources • Tailoring campaigns • Community development • Implementation • Evaluation • Creating a program logic model