This article examines the effect of tobacco cessation treatment factors and environmental, structural, and client factors on participation in tobacco cessation programs among adults in a tobacco growing state. A pooled time series cross-sectional research design was used to analyze the primary and secondary data collected at the population level (N = 140 Health Department Service Areas; HDSA). Results indicated that for every cessation program added, there would be an increase in participation of 4 adults per 10,000 smokers, and for every $1.00 per capita spent on counteradvertising, there would be an increase in participation of 26 adults per 10,000 smokers. Local health departments need to initiate or increase counteradvertising, targeting younger adults and HDSAs with higher per capita tobacco production; enhance marketing efforts for cessation; and increase the number of cessation programs offered by HDSAs to as many as are feasible and affordable.
Brownson, R. C., Eriksen, M. P., Davis, R. M., & Warner, K. E. (1997). Environmental tobacco smoke: Health effects and policies to reduce exposure. American Journal of Public Health, 18, 163-185.
2.
Centers for Disease Control. (1996). Cigarette smoking before and after an excise tax increase and anti-smoking campaign—Massachusetts, 1990-1996. Morbidity and Mortality Weekly Report, 45(44), 966-970.
3.
Centers for Disease Control. (1997). Smoking attributable mortality and years of potential life lost—United States, 1984. Morbidity and Mortality Weekly Report, 46(20), 444-451.
4.
Centers for Disease Control. (1999a). Best practices for comprehensive tobacco control programs. Atlanta, GA: U.S. Department of Health and Human Services, CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
5.
Centers for Disease Control. (1999b). State laws on tobacco control—United States, 1998. Morbidity and Mortality Weekly Report, 48(SS-3), 21-40.
6.
Centers for Disease Control. (2000). Trends in cigarette smoking among high school students—United States, 1991-1999. Morbidity and Mortality Weekly Report, 49(33), 755-758.
7.
Centers for Disease Control. (2001). State-specific prevalence of current cigarette smoking among adults, and policies and attitudes about secondhand smoke—United States, 2000. Morbidity and Mortality Weekly Report, 50(49), 1101-1106.
8.
Centers for Disease Control. (2002a). Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995-1999. Morbidity and Mortality Weekly Report, 51(4), 300-303.
9.
Centers for Disease Control. (2002b). Tobacco control state highlights 2001: Impact and opportunity. Atlanta, GA: U.S. Department of Health and Human Services, CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
10.
Centers for Disease Control. (2004a). Cigarette smoking among adults—United States, 2002. Morbidity and Mortality Weekly Report, 53(20), 427-431.
11.
Centers for Disease Control. (2004b). State specific prevalence of current cigarette smoking among adults—United States, 2003. Morbidity and Mortality Weekly Report, 53(44), 1035-1037.
12.
Centers for Disease Control. (n.d.). State tobacco activities tracking and evaluation system. Retrieved February 13, 2003, from http://www.2cdc.gov/nccdphp/osh/state
13.
Chaloupka, F. J., & Grossman, M. (1996). Tobacco control policies and youth smoking (Working Paper 5740). Cambridge, MA: National Bureau of Economic Research.
14.
Escobedo, L. G., Anda, R. F., Smith, P. F., Remington, P. L., & Mast, E. E. (1990). Sociodemographic characteristics of cigarette smoking initiation in the U.S.: Implications for smoking prevention policy. Journal of the American Medical Association, 264(12), 1550-1555.
15.
Escobedo, L. G., & Peddicord, J. P. (1996). Smoking prevalence in U.S. birth cohorts: The influence of gender and education. American Journal of Public Health, 86(2), 231-236.
16.
Farrelly, M. C., Davis, K. C., Haviland, M. L., Messeri, P., & Healton, C. G. (2005). Evidence of a dose-response relationship between “truth” antismoking ads and youth smoking prevalence. American Journal of Public Health, 95(3), 425-432.
17.
Fiore, M. C., Bailey, W. C., Cohen, S. J., et al. (2000). Treating tobacco use and dependence: A clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
18.
Fiore, M. C., Novotny, T. E., Hatziandreu, E. J., Patel, K. M., & Davis, R. M. (1989). Trends in cigarette smoking in the U.S.: The changing influence of gender and race. Journal of the American Medical Association, 261(1), 49-55.
19.
Governor’s Office of Agricultural Policy. (2002). Executive summary. Retrieved February 24, 2003, from http://kyagpolicy.com/planning/documents/plan/ltp_exec_summary.pdf
20.
Green, L. W., Eriksen, M. P., Bailey, L., & Husten, C. (2000). Achieving the implausible in the next decade’s tobacco control objectives. American Journal of Public Health, 90(3), 337-339.
21.
Grossman, M., & Chaloupka, F. J. (1997). Cigarette taxes: The straw to break the camel’s back. Public Health Reports, 112, 291-297.
22.
Hahn, E. J. (1999-2001). [Local health department tobacco cessation survey]. Unpublished raw data.
23.
Jeffrey, R. W., Kelder, S. H., Forster, J. L., French, S. A., Lando, H. L., & Baxter, J. E. (1994). Restrictive smoking policies in the workplace: Effects on smoking prevalence and cigarette consumption. Preventive Medicine, 23, 78-82.
24.
Kentucky Agricultural Statistics Service. (2002). Kentucky agricultural statistics 2000-2001. Frankfort: U.S. Department of Agriculture and Kentucky Department of Agriculture.
25.
Kentucky Cabinet for Health Services. (2001). Kentucky youth tobacco survey. Frankfort, KY: Department of Public Health.
26.
Lancaster, T., Stead, L., Silagy, C., & Sowden, A. (2000). Effectiveness of interventions to help people stop smoking: Findings from the Cochrane Library. British Medical Journal, 321(7527), 355-358.
27.
Lantz, P. M. (2003). Smoking on the rise among young adults: Implications for research and policy. Tobacco Control, 12(2), 60-71.
28.
Levy, D. T., & Friend, K. (2001). A computer simulation model for mass media interventions directed at tobacco use. Preventive Medicine, 32, 284-294.
29.
Lynn, L. E., Heinrich, C. J., & Hill, C. J. (2000). Studying governance and public management: Challenges and prospects. Journal of Public Administration Research and Theory, 10(2), 233-261.
30.
Parry, O., Platt, S., & Thomson, C. (1999). The perceived impact of a workplace smoking ban on the work routines of smokers. Health Education Journal, 58, 157-164.
31.
Pedhazur, E. J. (1997). Multiple regression in behavioral research (3rd ed.). Fort Worth, TX: Harcourt Brace College Publishers.
32.
Pierce, J. P., Fiore, M. C., Novotny, T. E., Hatziandreu, E. J., & Davis, R. M. (1989). Trends in cigarette smoking in the U.S.: Educational differences are increasing. Journal of the American Medical Association, 261(1), 56-60.
33.
Sowden, A. J., & Arblaster, L. (2001). Mass media interventions for preventing smoking in young people. The Cochrane Library, 4. Oxford: Update Software.
34.
Streiner, D. L., & Norman, G. R. (1998). PDQ epidemiology. Hamilton, Ontario: B. C. Decker.
35.
Task Force on Community Preventive Services. (2001). The guide to community preventive services: Tobacco use prevention and control. American Journal of Public Health, 20(s2), 1-88.
36.
U.S. Department of Health and Human Services. (2000). Reducing tobacco use: A report of the surgeon general—executive summary. Atlanta, GA: U.S. Department of Health and Human Services, CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
37.
Wasserman, J., Manning, W. G., Newhouse, J. P., & Winkler, J. D. (1991). The effects of excise taxes and regulations on cigarette smoking. Journal of Health Economics, 10, 43-64.
38.
Zhu, S. H., Stretch, V., Balabanis, M., Rosbrook, B., Sadler, G., & Pierce, J. P. (1996). Telephone counseling for smoking cessation: Effects of single-session and multiple-session interventions. Journal of Counseling and Clinical Psychology, 64(1), 202-211.
