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State of New Mexico: "Land of Enchantment"
Total population: 1.8 million
Adult smoking prevalence: 21.2%1
Youth smoking prevalence: 30.1%2
Pregnant smoking prevalence: 10.1%3
Total funding for tobacco control in FY 2005:
$5.0 million4
Proportion for tobacco cessation: 15%5
Cessation Services Profile
Quitline services: Through NCI/CIS quitline.
Anyone is eligible for services. New Mexico is in the process
of contracting for a new quitline service.
Medicaid coverage & services: 90 day
supply of Zyban only
Health plan coverage & services: As
of March 1, 2004, all health plans that provide maternity
benefits are mandated to cover cessation classes or counseling
and prescription Zyban or NRT (no coverage for OTC).
Self-insured coverage & services: DK
Percentage of smokers with cessation benefits:
DK
Key partners in tobacco cessation:
- New Mexicans Concerned About Tobacco (NMCAT)
- NM Medical Society
- American Cancer Society
- American Lung Association
- American Heart Association
- NM State Health Department
Primary leadership:
- New Mexicans Concerned About Tobacco (NMCAT)
- NM Medical Society
- NM State Health Department
- University of NM Hospital
- Stop Tobacco On My People (STOMP)
- NM Pharmaceutical Association
- NM Medical Review Association
Status of cessation program: The cessation
program in New Mexico was initially planned as a cessation
services program with state funds used to support a contractors
offering cessation programs. This approach was changed to
the use of quitline services along with training for a variety
of health care providers as recommended by the PHS guidelines.
The training programs are offered through professional associations
such as the NM Medical Association for physicians, and a very
successful program that combines training and reimbursement
for pharmacists through the Pharmacy Association. New Mexico
has also passed a mandated benefit required for all health
plans that provide maternity services and plans for promoting
this benefit to increase utilization are underway. A next
step for the New Mexico program is to develop proactive and
tailored quitline services through another quitline contractor.
Key successes:
- Kept level funding by demonstrating success. Strong evaluation
program.
- Increased cigarette tax by $.70 per pack
- Mandated insurance coverage.
- Reduced smoking prevalence in both adults and youth (below
national averages).
- About 40% if New Mexicans are now covered by clean indoor
air policies.
Key challenges:
- Geography: most of state is rural or frontier. Only 15
people per square mile.
- Low SES: 48th in nation in per capita income
- Most of population clustered in 3-4 cities.
- Diverse population: White, Hispanic, Native American,
SE Asian.
- Up to 24% of population in some counties live in households
in which English is not the primary language.
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1.Sustaining State Programs for Tobacco Control:
Data Highlights 2004, CDC
2. Sustaining State Programs for Tobacco Control: Data Highlights
2004, CDC (grades 9-12
3. CDC. Smoking During Pregnancy --- United States, 1990--2002.
MMWR 2004; 53(39);911-915.
Percentage of mothers who smoked during pregnancy by area:
2002
4. Campaign for Tobacco Free Kids. FY2005 Rankings of State
Funding for Tobacco Prevention: www.tobaccofreekids.org
5. Sources: MSA/General Fund; CDC
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