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State
of Wisconsin: "The Badger State"
www.tobwis.org
Total population: 5.4 million
Adult smoking prevalence: 23.4%1
Youth smoking prevalence: 27.1%2
Pregnant smoking prevalence: 14.9%3
Total funding for tobacco control in FY 2005:
$10.0 M4
Proportion for tobacco cessation: About 15%5
Cessation Services Profile
Quitline services: All callers receive comprehensive
counseling. Patches have been available on a limited pilot
basis to seniors and FQHC plus free clinic patients.
Medicaid coverage & services: Medicaid
covers medication and counseling services except for group
counseling and OTC medications.
Health plan coverage & services: 74%
of covered live eligible for at least one medication (up by
one-third since 2002). Over 80% of health plans cover some
type of cessation counseling.
Key partners in tobacco cessation: Insurers,
providers, employers, and non-profit organizations are largest
categories of key partners.
Primary leadership:
- UW Medical School, Center for Tobacco Research and Intervention
- American Cancer Society
- Wisconsin Women’s Health Foundation
- American Lung Association
- Department of Health and Family Services
- Local Coalitions
Status of cessation program: The Wisconsin
Department of Health and Family Services (DHFS) contracts
with the University of Wisconsin Center for Tobacco Research
and Intervention (UW-CTRI) for oversight and management of
the Wisconsin Tobacco Quit Line and regional Outreach Specialists.
The regional Outreach Specialists promote the PHS Guidelines
through the “Fax to Quit” program among clinicians,
health systems, and employers. A new project, “Bringing
Everybody Along” has resulted in the creation of a low
SES network working closely with the existing Ethnic Network
Collaborative. In addition, Wisconsin funds the Not On Tobacco
(N-O-T) youth tobacco prevention program through the American
Lung Association of Wisconsin. The DHFS sponsors a targeted
marketing and media campaign to promote the Quit Line. Finally,
DHFS funds 42 coalitions statewide to work on local promotion
of tobacco addiction treatment resources and coordinate with
state partners.
Key successes:
- Increased Fax to Quit site to 450 in less than one year.
- Quit line receives 350 calls/month just from these referrals.
- Increased targeting of disparately-impacted populations.
Key challenges:
- Continuing to promote and support use of Fax to Quit
program
- Targeting efforts to disparately-impacted populations
- Promoting awareness and us of Medicaid benefits
- Servicing Quitline call volumes beyond fiscal capacity
Lessons learned:
- The QuitLine is an essential tool in the spectrum of treatment
options and needs to be used in the context of education
and outreach on the PHS Guidelines and systemic changes
promoting researched-based tobacco addiction treatment.
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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. State general fund, CDC, American Legacy Foundation Cooperation
Program
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