Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Apr;19 Suppl 1(Suppl_1):i56-61.
doi: 10.1136/tc.2009.031047.

Using a cessation-related outcome index to assess California's cessation progress at the population level

Hao Tang  1 , Erin Abramsohn, Hye-Youn Park, David W Cowling, Wael K Al-Delaimy
Affiliations

Using a cessation-related outcome index to assess California's cessation progress at the population level

Hao Tang et al. Tob Control. 2010 Apr.

Abstract

Background: The California Tobacco Control Program (CTCP) has employed strategies to change social norms around smoking in order to decrease the prevalence of smoking and tobacco-related diseases. Research is scarce on CTCP's impact on overall smoking cessation in California.

Methods: Tobacco Use Supplement to the Current Population Survey (TUS-CPS) data from 1992-1993 to 2006-2007 was used to create a cessation-related outcome index (CROI), which was a summarised z score of the following determinants: plan to quit, quit attempt and recent quit rate for each of the 50 US states. CROI trends over the period of six separate TUS-CPSs were plotted for California and other comparison states, for 18-34 year olds and for those 35 years or older separately in the context of historical cigarette price z score trend.

Results: California had a consistently high CROI for both age groups. The CROI trend line increased moderately in California for both age groups despite a declining cigarette price z score trend. In contrast, other selected states with a declining cigarette price z score trend had a declining CROI trend for both age groups.

Conclusions: The increase of CROI in California while cigarette price z score trend declined suggests that the implementation of CTCP, even without a significant direct cessation component, has had a profound impact on cessation outcomes.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Average CROI score in U.S. states, 1992–1993 to 2006–2007.
Figure 2
Figure 2
CROI score in California and other selected U.S. states, 1992–1993 to 2006–2007.
See this image and copyright information in PMC

References

    1. Bal DG, Kizer KW, Gelten PG, et al. Reducing tobacco consumption in California: development of a statewide anti-tobacco use campaign. JAMA 1990;264:1570–74 - PubMed
    1. United Kingdom Department of Health Health Service Circular 1999/087: new NHS smoking cessation services. London, UK: UK Department of Health, 1999. http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/He... (accessed 12 Oct 2008).
    1. COMMIT Research Group Community Intervention Trial for Smoking Cessation (COMMIT): summary of design and intervention. JJNCI 1991;83:1620–28 - PubMed
    1. National Cancer Institute ASSIST: shaping the future of tobacco prevention and control. Tobacco Control Monograph 16. Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Cancer Institute, 2005. http://cancercontrol.cancer.gov/tcrb/monographs/16/m16_complete.pdf (accessed 12 Oct 2009).
    1. Valery L, Anke O, Inge KK, et al. Effectiveness of smoking cessation interventions among adults: a systematic review of reviews. Eur J Cancer Prev 2008;17:535–44 - PubMed