Extinguishing the Tobacco Epidemic in Texas
Cigarette smoking remains the leading cause of preventable death and disability in the United States, despite a significant decline in the number of people who smoke. Over 16 million Americans have at least one disease caused by smoking. This amounts to $170 billion in direct medical costs that could be saved every year if we could prevent youth from starting to smoke and help every person who smokes to quit.
In 2017, 16.8% of Texas high school youth reported currently using any tobacco product, including e-cigarettes. Among Texas high school youth, 7.4% reported currently smoking cigarettes.
Was received from CDC for tobacco prevention and control activities in FY 2019
Many Community Health Workers (CHW) in Texas work along the border region of the state where many newly immigrated people from across Central and South America are living. Although initial smoking rates can be low in these communities, once people immigrate into the U.S., smoking rates begin to rise. Having CHWs screen and refer tobacco users to the quitline is a critical step in promoting healthy behaviors among this underserved population. To increase quitting, Texas is working with Texas A&M University to incorporate tobacco screening and referral training into CHW certification and is developing continuing education units for CHWs on tobacco screening and cessation referrals. Texas is also working with the University of Texas at Austin to develop and disseminate a telephone app specifically for CHWs to give them the tools they need in the field to educate individuals about tobacco use and make referrals for cessation services.
Texas is one of 50 states plus DC that receives funding and technical support from the Centers for Disease Control and Prevention to support comprehensive tobacco control efforts and quitlines. The Office on Smoking and Health (OSH) is the lead federal agency for comprehensive tobacco prevention and control. For decades, OSH has led public health efforts to prevent young people from using tobacco and to help all tobacco users to quit.
Despite significant progress, tobacco use remains the leading preventable cause of death and disease in the US. The good news is that 7 out of 10 smokers want to quit smoking. That is why since 2012 CDC has been educating the public about the consequences of smoking and exposure to secondhand smoke and encouraging smokers to quit through a federally funded, national tobacco education campaign, Tips From Former Smokers®. The campaign features former smokers suffering from the real consequences of smoking.
The Tips® campaign connects smokers with resources to help them quit, including a quitline number (1-800-QUIT-NOW) which routes callers to their state quitline. The Texas quitline provides free cessation services, including counseling and medication. These services are effective in improving health outcomes and reducing healthcare costs.
“I was thinking about relapsing today and the new commercials came on. It changed my mind real fast. You don’t understand the power of these commercials until you have made the decision to quit. Terrie Hall makes me cry every time . . . that could easily be me.”
–Justin: January 2016
Incoming calls to the Texas state quitline increased by an average 112% during the 2019 Tips® campaign. The Texas state quitline received a total of 21,060 calls from April 23rd – October 8th during the 2019 Tips® campaign.
Tobacco prevention and control activities are a public health “best buy.” Evidence-based, statewide tobacco control programs that are comprehensive, sustained, and accountable have been shown to reduce the number of people who smoke, as well as tobacco-related diseases and deaths. For every dollar spent on tobacco prevention, states can reduce tobacco-related health care expenditures and hospitalizations by up to $55. The longer and more states invest, the larger the reductions in youth and adult smoking. A comprehensive statewide tobacco control program includes efforts to: