GOAL IV: PUBLIC POLICY

Texans will enact public and worksite policies that create tobacco-free environments where spit tobacco use is viewed as an unhealthy and socially unacceptable behavior.

Objective A: Increase the number of legislated and enforced public policies aimed at reducing youth access to spit tobacco products.

Spit tobacco use among youth is a growing problem. Between 1970 and 1986, the use of snuff increased 15 times and the use of chewing tobacco increased four times among adolescents age 17-19.[17] About one-third of American high school seniors and more than half of male high school seniors have tried spit tobacco.[18] Among high school seniors who use spit tobacco, 23% have tried by the sixth grade, 53% by eighth grade, and 73% by grade nine.[19]

Desired Results:
Reduced percentage of illegal, spit tobacco purchases by youth.
Reduced use of spit tobacco by youth.
Strategy 1: Develop, implement, and monitor public policies to address spit tobacco purchase and availability and to restrict illegal sales of spit tobacco products to minors.

Since September 1989, Texas law has prohibited the sale of spit tobacco to persons younger than eighteen years of age. Despite the prohibition, minors have been able to purchase tobacco products. A January 1993 study conducted by the Texas Department of Health revealed that out of 71 attempts by minors to purchase spit tobacco in the Austin metropolitan area, 42 (59.2%) were successful.[20]

The U.S. Food and Drug Administration has attacked the problem of minor access to tobacco with new federal regulations. As of February 28, 1997, retailers must ask for photo identification from any tobacco buyer under the age of twenty-seven. As of August 28, 1997, tobacco ads and promotional material are prohibited within 1,000 feet of a school or public playground. Beyond 1,000 feet, only black and white tobacco ads are allowed. Despite Texas and federal laws, continued efforts are necessary to restrict illegal tobacco sales and promote compliance among retailers.


Strategy 2: Implement activities to monitor and enforce state and federal law prohibiting the sale and reducing the appeal of spit tobacco products to minors.

Strategy 3: Utilize media resources to influence social norms and promote reduced youth access to spit tobacco products.

Objective B: Increase the number of schools, health care facilities, worksites, and other institutions/organizations that implement and enforce tobacco-free policies.

A study at the University of Missouri-Columbia found that a total workplace ban on smoking may be the most effective and cheapest way to get people to give up cigarettes. The study indicated that nearly 51% of employees in hospitals where a total smoking ban had been in effect for five years had quit smoking.[21] In recent years, the emphasis of tobacco control has shifted from interventions aimed at individual tobacco users to changing the social environment in which tobacco use takes root. The most effective, preventative measures are likely to be universal interventions that both reduce youth access to tobacco products and promote a tobacco-free social norm.[22]

In a survey of physicians and dentists who treated adolescent patients, practitioners positively supported the following tobacco control measures: higher sales tax, allocating tobacco tax for prevention, banning advertising from public areas, limited point of sale, no vending machine sales, and no sponsoring of sporting/cultural events. Practitioners who had never used tobacco indicated a greater support for tobacco control measures than practitioners who themselves were users.[13]

In an effort to restrict spit tobacco use in public schools, the Texas Legislature passed a law in 1995 which prohibits both the possession and use of tobacco products at all school-related or school-sanctioned activities, regardless of whether the activities occur on or off of school property. Although the law mandates that school district boards enforce these policies, students still admit to having used spit tobacco in school.


Desired Results:
Increased percentage of schools, health care facilities, worksites, and other institutions/organizations with implemented and enforced tobacco-free policies.

Strategy 1: Increase the number of Texas elementary, secondary, trade, and higher education schools, both public and private, that implement and enforce a comprehensive tobacco-free policy which prohibits all tobacco use on school property or at school-sponsored events.

Strategy 2: Increase the number of Texas health care facilities and health care provider offices that implement a comprehensive tobacco-free policy which prohibits the use of tobacco products.

Strategy 3: Increase the number of Texas worksites that implement a comprehensive tobacco-free policy which restricts or prohibits the sale and use of tobacco products.

Strategy 4: Increase the number of Texas communities and municipalities that implement a comprehensive tobacco-free policy which affects public places, sporting arenas, buildings, and transportation.

Strategy 5: Utilize the media to influence social norms and promote the implementation and enforcement of tobacco-free policies.

Objective C: Increase the number of individuals and organizations that advocate to restrict or minimize the influence of spit tobacco products, images, and sponsorships.

Tobacco products are among the most heavily advertised products in the United States. Six billion dollars were spent in 1993 alone on tobacco advertising and promotions. Tobacco company expenditures for specialty gift items (such as T-shirts, caps, sunglasses, key chains, calendars, and sporting goods) that bear a tobacco logo increased by 122%, from $340 million in 1992, to $756 million in 1993. Increasingly, tobacco marketing dollars pay for promotion activities that may have special appeal to young people, such as sponsoring concerts, sporting events and other public entertainment, distributing specialty items bearing product names and logos, and issuing coupons and premiums.[23]

Desired Results:
Increased percentage of individuals and organizations that advocate to restrict or minimize the influence of spit tobacco products, images, and sponsorships.

Strategy 1: Increase the number of health care professional and educational organizations that adopt formal spit tobacco control positions.

Strategy 2: Increase the number of state and community organizations that adopt formal spit tobacco control positions.

Strategy 3: Utilize media resources to influence social norms and promote public interest in restricting or minimizing the influence of spit tobacco products, images, and sponsorships.



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