WASHINGTON (AP) - In 17 states where the federal government
spent $128 million to discourage tobacco use, smoking dropped by
about 3 percentage points over eight years, just over half a point
more than in states without the program.
The program was responsible for reducing the number of smokers
in the target states by about 104,000, estimated Frances A.
Stillman, a researcher at the Johns Hopkins Bloomberg School of
Public Health.
Translating the results to the entire nation, the program,
called the American Stop Smoking Intervention Study, or ASSIST,
would have cut the number of smokers by about 278,700, said
Stillman, first author of a study appearing Wednesday in the
Journal of the National Cancer Institute.
The program was funded by the institute.
Studies by the Centers for Disease Control and Prevention
suggest that cigarette smoking is responsible for more that 440,000
deaths a year in the United States. Smoking has been linked to
heart disease, emphysema and other respiratory system diseases,
stroke and a number of different types of cancer.
The anti-smoking program trained local advocacy groups to lobby
for passage of higher cigarette excise taxes and to promote
regulations for smoke-free environments. The program also mounted a
public relations effort to counter an estimated $47 billion spent
by industry to market tobacco products during the study period and
included efforts to limit underage access to tobacco.
At $128 million, the program spent about $1,200 for each smoker
who kicked the habit. Elizabeth A. Gilpin, a University of
California, San Diego, researcher and a co-author of the study,
called that cost ``a real bargain.''
``Most smoking cessation programs will spend that (for each
smoker),'' said Gilpin. ``That's just for a few hours of a
counselor's time. When you think about what you save in health care
costs, $1,200 is a real bargain.''
In the study, researchers used industry cigarette sales figures
and tobacco use surveys to determine the impact of the ASSIST
effort. The study found that smoking decreased nationally by about
2.41 percentage points. In the 17 states where the ASSIST program
was in action, smoking declined by 3.02 percentage points, a
difference of .61 point.
During the eight years of the ASSIST program, smoking among all
the U.S. population dropped from 24.67 percent to 22.26 percent,
and from 25.19 percent to 22.17 percent in the targeted states.
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