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State
of Ohio: "The Buckeye State"
Total population: 11.4 million
Adult smoking prevalence: 26.6%1
(now 21.4%)2
Youth smoking prevalence: 25.7%3
Pregnant smoking prevalence: 17.9%4
Total funding for tobacco control in FY 2005:
$53.3M5
Proportion for tobacco cessation: 28%6
Cessation Services Profile
Quitline services: Multi-session counseling
services are available to anyone who calls. Reduced price
NRT program will be offered in mid to late 2005 to any eligible
caller.
Medicaid coverage & services: Medicaid
covers OTC-NRT and Zyban, all with a prescription, but does
not pay for counseling.
Health plan coverage & services: Some
offer Wellbutrin as standard pharmacy benefit but have no
counseling coverage. Several (at least three) are planning
to join the Ohio Cooperation Plan which relies on the quitline
to provide counseling services and health plans/OTUPCF to
cover medications.
Key partners in tobacco cessation:
- Ohio Tobacco Use Prevention and Control Foundation (OTUPCF)
- Department of Health
- Department of Jobs and Family Services (Medicaid)
- American Heart Association
- American Lung Association
- American Cancer Society
- Veteran’s Administration
Primary leadership:
- Ohio Tobacco Use Prevention and Control Foundation (OTUPCF)
- Veterans Administration
- Ohio Department of Health
Status of cessation program: Funding for
the state tobacco program, including cessation services, flows
through the Ohio Tobacco Use Prevention and Control Foundation
and the Ohio Department of Health. The Ohio Tobacco Quit Line
has been reaching its call volume goals with 80% of callers
enrolling in counseling and 60% staying in the program. Six
month quit rates are about 29%. Distribution of reduced price
NRT will begin in mid to late 2005. The Ohio Cooperation Plan
is nearly ready to launch bringing together resources from
health plans and the quitline to increase coverage of comprehensive
services.
All but three of Ohio’s 80 local grantees are providing
a variety of cessation services. Most of these grantees are
just completing their first year evaluations that will show
outcomes. Plans are underway to unify and solidify these programs
into a more coordinated approach.
Ohio has entered into an agreement with the state drug and
alcohol program and mental health program to include cessation
in the delivery of these services. In addition, the Ohio Health
Department and Commission on Minority Health have been funded
to include cessation in the infrastructure of services they
deliver. The health department provides training on school-based
programs, has delivered PHS guideline information to Ohio
physicians, and will approach dental practices beginning in
the summer of 2005. ODH is also partnering on a program to
train hospital nurses to deliver cessation services to Medicare
recipients. OTUPCF will be bringing into Ohio core competency
training to increase and standardize level of proficiency
by cessation providers. A comprehensive plan to reach and
train physicians in Ohio on PHS guidelines and cessation services
is being developed.
Key successes:
- The quitline has been a success and is reaching its target
goals.
- Many of the local programs appear to be successful but
a review of the annual evaluations is needed.
- Adult smoking rates have declined from 27.8% before the
program started to 21.4% in 2004.
Key challenges:
- Increase the motivation to quit among Ohio tobacco users.
- Finding approaches that work to help young people stop.
- Finding ways to increase adoption of the PHS Guidelines
by health care providers.
- Increase partnerships for reimbursement of cessation services
from health plans/employers
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1. Sustaining State Programs for Tobacco Control:
Data Highlights 2004, CDC
2. Ohio Adult Tobacco Survey, 2004
3. Sustaining State Programs for Tobacco Control: Data Highlights
2004, CDC (grades 9-12)
4. CDC. Smoking During Pregnancy --- United States, 1990--2002.
MMWR 2004; 53(39);911-915.
Percentage of mothers who smoked during pregnancy by area:
2002
5. Campaign for Tobacco Free Kids. FY2005 Rankings of State
Funding for Tobacco Prevention: www.tobaccofreekids.org
6. MSA, CDC
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