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Habit with
him was all
the test of truth
“It must be right: I’ve done it
from my youth.”
George Crabbe, 1810
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TABLE
OF CONTENTS
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Every day thousands of kids under the age of 18 become daily smokers.
But they aren’t worried about it because they believe they
can stop at anytime—and most of these young smokers don’t
think they will be smoking in 5 years anyway. The trouble is, most
are unsuccessful at quitting and many will find themselves smoking
well into adulthood.
The special supplement to Tobacco Control, “Innovations in
Youth Tobacco Control,” provides a terrific summary of the
latest research with this age group. In this December issue of extra!,
we take that research to the next step—bringing you some of
the fresh ideas and novel approaches that are emerging for the under
18 crowd, to help turn that research into practice in your community.
Moving knowledge to action makes the difference . . . let’s
go forward.
Dearell Niemeyer, MPH
Director, Tobacco Technical Assistance Consortium
| “The
tobacco industry pushes states into youth initiatives because
they know we’re not sure how to reach kids under 18.”
Abby Rosenthal, Health Education Specialist, CDC |
Keeping kids away from that first smoke and helping young smokers
to quit presents a set of unique challenges for local tobacco control
advocates. Kids go through so many developmental changes from 12
to 18 and there are important differences among smokers from different
racial and ethnic groups—so the strategies we choose have
to fit a broad range of stages and a variety of individuals. The
approaches we take must be relevant to these stages and groups,
and the tactics we use must be distinguished from those that address
tobacco use in 18-24 year-olds.
While there is still much we don’t know, the good news is,
something is working: in 2003, the percentage of high school seniors
who were “monthly smokers” had fallen to 24.4%, the
lowest figure in 27 years. Source
If we can sustain this decline, thousands of lives can be saved
from death by smoking.
So, what exactly do we know about interventions that
work to prevent tobacco use?
“Get the price of tobacco up,” says Kenneth E. Warner,
PhD, Department of Health Management & Policy, University of
Michigan. “Energy spent on Purchase Use and Possession (PUP)
laws is misplaced, and it’s probably not worth putting a lot
of emphasis on enforcement of youth access laws. Clearly, higher
prices for tobacco products can have a quick and substantial impact
on tobacco use among youth.” For
more information...
Dr. Warner suggests that the other successful tactic has been large,
well-designed media countermarketing campaigns such as one that
originated in Florida and was developed for a national audience
as the truthsm campaign by the American Legacy Foundation.
Source
What about kids and cessation and harm reduction?
The evidence is less clear for what helps kids quit and harm reduction.
- Cessation and kids: Over 50 studies on effective programming
are now underway, but the jury is still out on cessation and kids.
Source
- Harm reduction: Changing tobacco products so they are less addictive
or less harmful is risky. Experts agree that any of these efforts
should be stringently monitored to avoid many potential problems.
Source
Can youth be part of the solution?
Although we don’t yet know about the long-term effectiveness
of youth activism, there is great energy and excitement about young
people taking part in tobacco control at the local level.
Back to Table of Contents
We know that the foundation for success can be found in local action.
Let’s now take a look at four key areas
that can make the difference:
Coordination
is the key
Recent research agrees that the whole is greater than the sum of
the parts, when it comes to youth tobacco control. “There
is evidence that a coordinated approach has a synergistic impact,”
says Ken Warner.
| What the literature
says |
- Elements of a coordinated approach in the community might
include increased excise taxes, media campaigns, school
programs, cessation programs, and tobacco free environments.
- It’s money that matters. Whether you’re talking
prevention or cessation, the cost of tobacco products makes
a big difference with kids: higher prices can keep them
from starting or nudge them toward trying to quit.
- Although the effect of clean indoor air laws has not yet
been documented with regard to kids, they make sense in
a coordinated approach.
- In ideal situations, school health education programs
can be effective. The trouble is teachers are often under-trained
and over-burdened with other responsibilities.
|
| Hot button issues |
- Making certain that school programming fits with an overall
community plan.
|
| What local advocates
can do |
- Support efforts to increase the cost of tobacco products
through policy changes. For advocacy resources on tax policy,
see Smokeless
States Tobacco Tax Resources.
- Matthew Farrelly, Director of Public Health Economics,
and Policy Research at Research Triangle Institute believes
that we are missing an opportunity if we do not coordinate
school curricula with media campaigns. He also suggests
that in addition to life skills and refusal skills, school
programs should focus on media literacy, in which students
learn to deconstruct tobacco ads and find out what’s
really going on. For media literacy activities, see CDC’s
MediaSharp.
- Work to make local school systems and workplaces smoke-free
and to make smoke-free environments the norm in your community.
For sample school policies, see Fit,
Healthy, and Ready to Learn: A School Health Policy Guide.
- Make sure your experience adds to the body of knowledge.
Abby Rosenthal, Health Education Specialist for the CDC,
advises that you collect data and keep careful records so
that when you evaluate your efforts, you and other communities
can benefit from your experience. See CDC’s Introduction
to Program Evaluation for Comprehensive Tobacco Control
Programs, a guide for planning and implementing evaluation
activities.
|
| From the field:
A coordinated approach that works |
The “Reaching Everyone by Exposing Lies”
(Rebel) program in New Jersey provides a good example of how
to bring these elements together for greater impact. Rebel is
funded by excise taxes, coordinated with a media campaign, “Not
for Sale,” and is structured in such a way as to address
the issues of developmental needs and sustainability. Rebel
has targeted themes of second hand smoke and clean indoor air
and involves kids from kindergarten through college. To learn
more about Rebel in New Jersey, see www.njrebel.com.
|
Back to "Key Areas" Menu
Cessation
Abby Rosenthal (Health Education Specialist, CDC)
advises that it’s tough to figure out what works to help youth
under 18 quit smoking—recruiting kids for cessation and keeping
them in a program is difficult, and regulations requiring parental
notification complicate the issue.
What
the literature says
Here’s what we know about cessation for
youth under 18: |
- Nicotine replacement therapy (NRT) doesn’t work
as well with kids. Source
A
- Cognitive/behavioral programs show promise. Source
B
- Use of internet cessation programs has not been formally
evaluated. Source
C
|
| Hot
Button Issues |
- Without firm data, should you focus on prevention, and
forget cessation for the time being?
- If you are feeling pushed to offer cessation services,
what should you offer?
|
| What
local advocates can do |
| Numerous research
studies are now underway to learn more about youth under 18—how
they become addicted, what’s the best way to help them
quit, and what are the differences among different ethnic
and racial groups.
Until we have more definitive information, here’s what
you can do at the local level:
- Work for policies and environments in your community that
support cessation, like advocating for higher tobacco taxes
and clean indoor air laws.
- If your local coalition feels pressed to offer cessation
programs, document and evaluate the program. To learn more
about how to track your experience, see see Backinger CL,
McDonald P, Ossip-Klein DJ, et al. Improving the future
of youth smoking cessation. Am J Health Behav 2003;
27(Suppl 2):S170-S184.
- Work with health care providers to provide both brief
interventions and to refer young smokers to cessation programs.
- Work with school systems to provide a consistent environment
that discourages smoking, supports cessation attempts, and
provides confidentiality to kids who want to quit.
- Check out the National
Action Plan on Youth and Young Adult Cessation prepared
by the Youth Tobacco Cessation Collaborative.
|
| From
the field: A cessation success |
- To provide for cessation services in the schools, the
State Tobacco Education and Prevention Partnership at the
Colorado Department of Public Health and Environment funds
the American Lung Association to train school personnel
to implement the Not On Tobacco (NOT) program on school
grounds during school hours. The program is now active in
100 schools across the state, and has yielded a 28% quit
rate and a 60% reduction rate for the 700 students who have
completed the program.
For more information about NOT activities in Colorado, including
resources for facilitators, go to American
Lung Association of Colorado’s web site.
- Youth affiliated with Get R!EAL, Colorado’s youth
empowerment movement against tobacco lies, developed a fun
and supportive “Quit Kit” that youth can access
by calling the state quitline. Youth 15 and older who call
for the Quit Kit also have access to Quitline counseling
services. Additionally, college-aged tobacco activists promote
the Colorado quitline with youth through Get R!EAL special
events and activities, including the road tour.
To learn more about how this partnership works and how school
personnel are trained and supported, contact Katy Kupecz
at katy.kupecz@state.co.us
or Sarah Davis at sdavis@alacolo.org.
|
Back to "Key Areas" Menu
Made
by youth for youth
The answer to concerns about youth activism, says Shari Sitron,
Youth Activism Manager for the American Legacy Foundation, is “balance.
The program should be youth led, but adult supported.” Mike
Mobley, Program Manager, Department of Health, Florida, puts it
another way. “You tell us ‘This is what works with our
peers.’ It’s our responsibility as adults to figure
out how to do it.”
| What the literature says
Overall, what we are seeing is quite promising.
One of the difficulties in evaluating the effectiveness of
the youth prevention programs, says Ben Frey of the American
Legacy Foundation, is identifying exactly who and what made
the positive difference. “Each ‘flyer’ and
‘attendant’ counted by our Youth Empowerment grantees
could very well represent a ‘tipping point’ for
youth who are struggling to make up their minds about tobacco
use. We certainly know that our 17 youth empowerment grants
across the country have helped to
|
- Create new community coalitions and partnerships;
- Galvanize more youth around this issue than in previous
years;
- Contribute to nationwide decreases in youth tobacco use
through outreach and education activities.”
And people who are involved in youth activism—whether
they are adult facilitators or the kids themselves—cannot
say enough about the excitement and energy that empowered
young people bring to the table.
For a comprehensive resource on youth advocacy, check out
Streetheory.
|
| Hot button issues |
- Can we engage youth other than the high achievers and
the “joiners” in youth activism?
- Can we sustain youth activism when a new “generation”
comes along every 3-4 years?
|
| What local advocates
can do |
- The American Legacy Foundation provides a Speaker’s
Bureau composed of youth activists who have won internships
with the Foundation. Invite one of these experienced tobacco
control activists to speak to your local coalition about
how to work with youth.
- Christine Ortiz, who participated from the beginning of
the Florida truthsm campaign and SWAT program
gives this advice: “Let young people put a face on
tobacco control and be the messenger. You provide an opportunity.”
- Bring youth into your planning process. Christine Ortiz
says, “Involving youth in the brainstorming process
leads to a message that is effective. The youth then have
ownership. They will stay involved and get others involved
in being true advocates.”
- Keep the message focused against the industry, not the
smokers. Teen smokers can be activists, too—they have
the best insight into how to get other smokers to embrace
the program.
- Provide for a variety of roles for young people. As Mike
Mobley says, “Some will be superstars, and some will
be deadheads. Make room for the leaders as well as room
for the guy who just wants to wear the T-shirt and show
up because his friend’s there. You never know when
you’ll see the fruit of your labor.”
|
| From the field:
Youth activism succeeds |
| RAZE, the statewide youth tobacco control movement of
West Virginia, was kick-started two years ago through funding
from the American Legacy Foundation. Developed to “tear
down the lies of Big Tobacco,” RAZE has unified county
“crews” of youth throughout the state and diverse
organizational partners behind a common message. RAZE is youth-led
and implemented, and supported by chapter coordinators in
46 of West Virginia’s 55 counties. RAZE coordinates
its activities and messaging with a statewide countermarketing
campaign and includes peer-to-peer awareness, group activities
such as “commotions,” successful advocacy for
an increase from 17 – 55 cents in tobacco taxes, In
Step (cessation for spit tobacco), tobacco free schools policy,
and an increase in the number of NOT cessation programs from
6 – 52 in high schools throughout the state. Through
the Youth Tobacco Survey, they have documented a 20% decrease
in teen smoking in West Virginia since the inception of the
initiative. To learn more about RAZE, go to www.razewv.com. |
Back to "Key Areas" Menu
Connecting
with Priority Populations
Suppose you buy into working with youth in your community as a
part of your coordinated effort. Part of the how-to will be reaching
the priority groups in your locale. extra! talked with advocates
who are in the trenches to see what advice they had to offer about
reaching the hard-to-reach.
| What the
literature says
- Currently, the highest rates of smoking for under 18s
are among Native Americans, whites, Hispanics, and high
school students who are not college bound. Source
A
- Although smoking rates for Asian Americans overall are
lower than for white Americans, rates for Southeast Asian
populations are much higher, according to Cheryl Owens,
Program Manager for Asian American Youth Against Tobacco
(AAYAT). Cheryl suspects that close relations with the family
may defer the time Asian kids begin to smoke until after
they turn 18.
- Teenage girls who think “thin is in” are more
likely to smoke—recent research has noted a connection
between dieting and smoking initiation for adolescent girls.
Source
B
- The very highest rates of smoking among pregnant women
are among 18-19 year olds. Source
C
- Like mother, like child—the children of women who
smoked heavily during pregnancy are more likely to become
addicted to tobacco if they try smoking. Source
D
|
| Hot button issues |
- Finding culturally relevant materials is tough.
- Translation is expensive.
- Collecting accurate data for Asian American/Pacific Islander
groups is tough, since surveys like the Behavioral Risk
Factor Surveillance System are conducted in English.
- There’s a take-home message for parents of youth
in priority populations, too. Smoking rates range as high
as 70% for Cambodian and Laotian men.
- The ongoing challenge of infrastructure development.
- Getting community members and organizations of leadership
involved in policy advocacy initiatives, for fear of political
funding backlash.
- The challenge of other critical issues facing communities.
|
| What local advocates
can do |
- Take advantage of opportunities to intervene with teenage
girls who may start smoking in order to stay thin.
- Go where the women are. Take your messages about smoking
and pregnancy to schools and to the Women, Infants, and
Children’s (WIC) Nutrition Program.
- Ronald Kwesi Harris, Director of Alcohol, Tobacco and other Drugs
Prevention Programs for the Bobby E. Wright Behavioral Health
Center, believes that involving the youth is one of the
answers. “When you work with youth, the planning,
the products, and the services should be made by them, for
them.”
- You don’t necessarily have to reinvent the wheel.
Cheryl Owens was able to adapt the American Cancer Society
peer mentoring program, STAMP, for AAPI audiences.
- Ronald Kwesi Harris and Cheryl Owens are in agreement about the
potential for delivering tobacco control messages to parents
through their children. Kwesi says, “If young people
are involved, I need to see some collateral. Our programs
can enlighten adults, too.”
- Faith-based organizations are good mechanisms in African
American communities for establishing youth advocacy programs,
spreading prevention messages and moving public policy.
|
| From the field:
Successful programs targeting priority populations |
- Asian American Youth Against Tobacco
http://www.aayat.org/
(AAYAT), funded by the Ohio Tobacco Use Prevention and Control
Foundation, is a coalition of Asian American youth dedicated
to increasing awareness and reducing the harmful effects
of tobacco use through health education, disease prevention
and policy advocacy throughout Ohio. AAYAT is a leadership
and advocacy program whose members comprise high school
students from various Asian ethnicities. Meetings are held
monthly and are run by the youth.
- Ronald Kwesi Harris, Director of Alcohol, Tobacco, and
Other Drugs Prevention Programs for the Bobby E. Wright
Behavioral Health Center has worked in partnership with
the American Lung Association and the Illinois Tobacco Coalition
to deliver the Youth Engagement Pilot Project with inner
city youth in Chicago. He believes in extending the message
beyond tobacco. “Talking about alcohol, tobacco, and
other drugs is the mechanism, the selling point, we use
with the elders and parents to get to work with the youth.
But what we want is to develop principled individuals. We
want to empower them to use their voices instead of their
sexuality.” To learn more about their success in making
inroads into communities of color, contact Ronald Kwesi
Harris at
rharris@bobbyewright.com.
- The Partnership for a Smokefree Chicago’s campaign
“No More Butts” consists of youth-created characters,
Nicotina and MB. For more information about the campaign,
see campaign press
release.
Donna Scrutchins
Project Coordinator
“No More Butts Campaign”
Chicago Department of Public Health
(312)747-2138
- In New Jersey, Mom’s Quit Connection provides smoke-free
support during and after pregnancy. Contact: Merle J. Weitz:
856-665-6000, ext 222. www.momsquitsmoking.org
|
Back to "Key Areas" Menu
Back to Table of Contents
Earlier this month the American Legacy Foundation launched Streetheory,
a new web site for youth tobacco control advocates. Developed by
and for youth, Streetheory brings it all together to help youth
put knowledge into action.
Read on for the many uses of the site….
Learn the Facts
- Read the Issues
for background information on key tobacco control topics and priority
populations.
- Check out Resources
to find the latest news, facts, industry quotes, and links to
national and state organizations
Take Action
- From public speaking to murals, find tips and samples in Activism.
Connecting with Others
Back to Table of Contents
Let ttac
help you strengthen activities geared toward youth tobacco control
in your community.
Consider the following services specific to youth, available to
you through ttac:
- Help develop a strategy to strengthen the tobacco control infrastructure
in your community
- Help develop a plan for building youth empowerment in your local
community and state
- Help think through how to build coordinated youth activities
in your community
- Work together to identify cessation programs that work for youth
- Provide information on ways to identify and maintain dollars
for youth cessation in your community
- Link you to the latest information and materials for priority
populations
ttac
is committed to equipping the tobacco
control community with the
information and tools necessary to effectively reduce tobacco
use.
Click
here for more information on how to request technical
assistance from ttac.
|
Back to Table of Contents
Schools
and prevention programming
Centers
for Disease Control and Prevention, Division of Adolescent and School
Health (DASH)
DASH provides many resources on school health programming,
including the School Health Index a self-assessment and
planning tool for schools that are developing health promotion policies
and programs. Watch for DASH’s new resource in the Spring
2004: the Health Education Curriculum Analysis Tool, an
assessment tool designed to help users select or develop curricula
that can most effectively help youth adopt healthy behaviors based
on national standards.
Fit,
Healthy, and Ready to Learn: A School Health Policy Guide
Developed by the National Association of State Boards of Health,
this guide includes sample policies to discourage tobacco use to
complement CDC's school health guidelines.
Guidelines
for School Health Programs to Prevent Tobacco Use and Addiction
These guidelines identify strategies most likely to be effective
in preventing tobacco use and addiction among young people. The
guidelines were developed by CDC staff in collaboration with experts
from other federal agencies, state agencies, universities, voluntary
organizations, and professional associations.
Substance
Abuse and Mental Health Services (SAMHSA): Model Programs
SAMHSA provides this resource to assist program planners with identifying
proven prevention programs.
Back to "Resources and Links" Menu
Cessation
American
Journal of Health Behavior: Special Issue on Youth Tobacco Cessation
This supplement, funded by the National Cancer Institute (NCI) and
the CDC, offers current understanding of research efforts underway,
suggests recommendations for collecting and reporting future data,
and reveals better practices and guidelines to follow based on a
systematic review of published and unpublished youth tobacco cessation
studies.
Youth
Tobacco Cessation Collaborative
The Youth Tobacco Cessation Collaborative (YTCC), formed in 1998,includes
representatives of major organizations that fund research, program,
and policy initiatives related to controlling youth tobacco use.
YTCC works to establish and sustain cross-sharing among researchers
and implementers to sustain team-building and coordination across
involved agencies and organizations, and to track progress and build
toward cessation goals. YTCC has prepared a National
Action Plan on Youth and Young Adult Cessation.
Back to "Resources and Links" Menu
Youth
empowerment and activism
American
Legacy Foundation (Legacy)
In addition to funding youth-led programs, Legacy facilitates a
Speakers Bureau. Youth advocates are trained and then available
to programs across the country to speak on youth activism and effective
youth-adult partnerships.
Ignite
Ignite is a national youth advocacy movement whose primary initiative
is to fight for Master Settlement Agreement funds to be used for
tobacco prevention programs in the states.
Streetheory
See Resource Spotlight for description of this
new resource.
Youth
Action
The Campaign for Tobacco-Free Kids' (CTFK) youth action center is
a resource for youth advocates across the country interested in
taking action, changing policy, and spreading the word about the
tobacco industry.
Back to "Resources and Links" Menu
Examples
of youth tobacco control programs
Asian American
Youth Against Tobacco (AAYAT)
AAYAT is a coalition of Asian American youth dedicated to activism
and advocacy against tobacco use.
Not-On-Tobacco
Teen cessation program developed by American Lung Association.
Reaching
Everyone by Exposing Lies (Rebel)
Rebel is a statewide youth advocacy program in New Jersey.
Stay-Tobacco
Free Athlete Mentor Program (STAMP)
STAMP empowers high-school students to deliver tobacco prevention
program to younger students in their school district.
SWAT
(Students Working Against Tobacco)
Florida statewide youth campaign.
Truth
Campaign
Nation-wide media campaign sponsored by American Legacy Foundation
For additional programs, go to Streetheory’s Group
Locator
Back to "Resources and Links" Menu
Research
articles and literature reviews
Advances
and challenges in youth tobacco research
Tobacco Control. 1 December 2003; Vol. 12, Supplement No.
4
Review of research on youth tobacco issues, primarily cessation.
Community interventions for preventing smoking in young
people
Sowden A, Arblaster L, Stead L. Cochrane Database of Systematic
Reviews. 2003;(1):CD001291.
This review looked at the effectiveness of community interventions
in preventing the uptake of smoking in young people. The study found
that there is some limited support for the effectiveness of community
interventions in helping prevent the uptake of smoking in young
people.
Efficacy
of school-based programs as a component of a statewide tobacco control
initiative — Oregon 1999-2000
MMWR, August 10, 2001, 50(31)
This study from the state of Oregon and CDC shows that students
in school districts funded to implement CDC's school tobacco use
prevention guidelines were about 20 percent less likely to smoke
than students in nonfunded schools.
Impact
of Price on Youth Tobacco Use
This chapter in NCI’s Smoking and Tobacco Control Monograph
14: Changing Adolescent Smoking Prevalence reviews research
on prices and youth and young adult smoking.
Innovations
in youth tobacco control
Tobacco Control, June 2003; Vol 12, Supplement No. 1
This supplement provides a comprehensive review of interventions
and policies aimed at reducing youth cigarette smoking in the United
States. The study found that youth smoking prevention and control
efforts have had mixed results. Several types of strategies warrant
additional attention and evaluation, including aggressive media
campaigns, teen smoking cessation programs, social environment changes,
community interventions, and increasing cigarette prices.
Interventions for preventing tobacco sales to minors
Stead LF, Lancaster T. Cochrane Database of Systematic Reviews.
2002;(1):CD001497
This review assessed the effects of interventions to reduce underage
access to tobacco by deterring shopkeepers from making illegal sales.
The study found that interventions with retailers can lead to large
decreases in the number of outlets selling tobacco to youths. However,
few of the communities studied in this review achieved sustained
levels of high compliance. This may explain why there is limited
evidence for an effect of intervention on youth perception of ease
of access to tobacco, and on smoking behaviour.
Mass media interventions for preventing smoking in young
people
Sowden AJ, Arblaster L. Cochrane Database of Systematic Reviews.
2000;(2):CD001006.
This study sought to determine the effectiveness of mass media campaigns
in preventing the uptake of smoking in young people. The review
found that there is some evidence that the mass media can be effective
in preventing the uptake of smoking in young people, but overall
the evidence is not strong.
School-based programmes for preventing smoking
Thomas R. Cochrane Database of Systematic Reviews. 2002;(4):CD001293.
This study sought to review all randomized controlled trials of
behavioral interventions in schools to prevent children and adolescents
from starting smoking. This study found that there are well-conducted
randomized controlled trials to test the effects of social influences
interventions: in half of the group of best quality studies those
in the intervention group smoked less than those in the control,
but many studies showed no effect of the intervention. There is
a lack of high-quality evidence about the effectiveness of combinations
of social influences and social competence interventions, and of
multi-modal programs that include community interventions.
Tobacco
use among middle and high school students—United States, 2002
Morbidity and Mortality Weekly Report. November 14, 2003;
52(45)
The report reveals cigarette, cigar, bidi, and kretek smoking and
tobacco use overall decreased from 2000 to 2002 among students in
high school (i.e., grades 9–12), continuing a downward national
trend since 1997. Among middle school students from 2000 to 2002,
there was no significant decline in overall tobacco use or for use
of any individual tobacco product.
Back to "Resources and Links" Menu
Back to Table of Contents
Duong Chi-Do
Program Coordinator
Asian Pacific Partners for Empowerment and Leadership (APPEAL)
dcdo@appcho.org
Matthew Farrelly
Director of Public Health Economics, and Policy Research at Research
Triangle Institute
mcf@rti.org
Benjamin Z. Frey
Program Officer
American Legacy Foundation
bfrey@americanlegacy.org
Kristy Fuller
Program Manager, Youth Prevention Program
Division of Tobacco Prevention
kristinfuller@wvdhh.org
Ronald Kwesi Harris
Director of Alcohol, Tobacco and other Drugs Prevention Programs
Bobby E. Wright Behavioral Health Center
rharris@bobbyewright.com
Katherine Klem
President, IGNITE
Katherine@ignitegeneration.org
Katy Kupecz
Director of Youth Programs, State Tobacco and Prevention Partnership
Colorado Department of Public Health and the Environment
Katy.kupecz@state.co.us
Janis Mayer
Department of Health, New Jersey
Janis.mayer@doh.state.nj.us
Mike Mobley
Program Manager, Department of Health, Florida
mmobley@cfl.rr.com
Christine Ortiz
Revolution Consulting
Christine@revolutionizenow.com
Cheryl Owens
Statewide Project Director
Asian American Youth Against Tobacco (AAYAT)
A Program of Asian Services in Action, Inc.
Cheryl.owens@asianinc-ohio.org
Sherry Sitron
Youth Activism Manager
American Legacy Foundation
ssitron@americanlegacy.org
Deidra Smith
Regional Manager, National African American Tobacco Prevention Network
dsmith@naatpn.org
Amber Hardy Thornton
Vice President for Technical Assistance and Training
American Legacy Foundation
athornton@americanlegacy.org
Kenneth E. Warner
Avedis Donabedian Distinguished University Professor of Public Health
and Director, University of Michigan Tobacco Research Network
kwarner@numich.edu
Back to Table of Contents
Aliki P. Weakland, MPH, MSW
Editor
Alison Sipler, MPH, CHES
Managing Editor
Madeline H. Barrow, MEd
Writer/Researcher
Samantha Helfert, MLS
Information Specialist
Back to Table of Contents
|
