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. 2022 Jan-Dec:29:10732748221138713.
doi: 10.1177/10732748221138713.

A Comprehensive Program to Reduce Tobacco-related Cancers Through Actions by a National Cancer Institute-designated Cancer Center

Jennifer Cofer  1 , Alex N Hurst  1 , Tiffany Winter  1 , Mark Moreno  2 , Paul M Cinciripini  1 , Michael T Walsh Jr  3 , Jennifer Tektiridis  4 , Ernest Hawk  4
Affiliations

A Comprehensive Program to Reduce Tobacco-related Cancers Through Actions by a National Cancer Institute-designated Cancer Center

Jennifer Cofer et al. Cancer Control. 2022 Jan-Dec.

Abstract

Tobacco use accounts for 30% of all cancer-related deaths worldwide and 20% in the US, despite effective, evidence-based interventions for reducing tobacco use and tobacco-related cancers and deaths. In 2012, to reduce the burden of tobacco-related cancer and associated population-level risks across Texas, The University of Texas MD Anderson Cancer Center initiated the EndTobacco® program to promote statewide cancer control activities. We created evidence-based initiatives, established selection criteria, and implemented actions involving policy, education, and tobacco treatment services. As a result, EndTobacco has supported, educated, and convened local and state coalitions in policymaking; provided tobacco treatment education to health professionals; implemented Texas' only certified tobacco treatment training program; and led an initiative to enhance the tobacco-free culture of the state's publicly funded university system. Supported by commitments from MD Anderson, we developed and implemented evidence-based actions for tobacco control tailored to the center's mission, values, expertise, resources, and partnerships. By 2021, the adult smoking rate in Texas dropped from 19.2% (2014) to 13.2%. Contributors to this drop include state tobacco control policies, programs and services from multiple agencies and associations, and EndTobacco activities that complement the statewide effort to prevent youth smoking initiation and increase quit attempts among youth and adults.

Keywords: cancer control; cancer prevention; health systems change; provider tobacco training; tobacco control; tobacco prevention; tobacco treatment.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
EndTobacco timeline.
Figure 2.
Figure 2.
EndTobacco program logistics, Abbreviations: CTTTP, Certified Tobacco Treatment Training Program; ETU, End Tobacco Use Initiative; TCCEP, Tobacco Cessation Clinic Enhancement Program.
Figure 3.
Figure 3.
EndTobacco planning conceptual framework. Abbreviations: CDC, Centers for Disease Control and prevention; CTTTP, Certified Tobacco Treatment Training Program; ETU, Eliminate Tobacco Use™; TCCEP, Tobacco Cessation Clinical Enhancement Program; WHO, World Health Organization; TEACH, Tobacco Education and Cessation in the Health System.
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