Impact of Tobacco Use in Kentucky: Challenges and Success Stories

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The content highlights the devastating effects of tobacco use in Kentucky, including high annual deaths and financial toll. It also showcases initiatives like the Tobacco Prevention & Cessation Program and successful partnerships with employers to combat smoking. The data underscores the urgent need for tobacco control measures to reduce the burden on public health and the economy.


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  1. KY Tobacco Prevention & Cessation Program A Presentation for the Tobacco Settlement Agreement Fund Oversight Committee September 14, 2023

  2. Deaths in Kentucky (Annual) 10,000 The Human Toll of Tobacco Use in Kentucky 9,000 8,000 7,000 6,000 5,000 4,000 3,000 Tobacco use is Kentucky s #1 cause of preventable disability, disease and death. 2,000 1,000 0 Cause of disability, disease and death source: CDC. Smoking & Tobacco Use: Data and Statistics. (2023) Graph source: Kentucky Tobacco Prevention & Cessation Program using data from CDC, the Kentucky Transportation Cabinet, the Kentucky Justice & Public Safety Cabinet and the Center for AIDS Research. Kentucky Department for Public Health 2

  3. The Financial Toll of Smoking in Kentucky Kentucky s Tobacco-Use-Related Revenue and Healthcare Expenses (Annual) $1,000,000,000 $500,000,000 $0 Tobacco Tax Revenue Medicaid ($500,000,000) ($1,000,000,000) ($1,500,000,000) ($2,000,000,000) Direct Healthcare Costs of Tobacco Use ($2,500,000,000) Tobacco tax revenue source: The Campaign for Tobacco-Free Kids. Broken Promises to Our Children: Kentucky. (January 13, 2023) Estimated expenses source: The Campaign for Tobacco-Free Kids. The Toll of Tobacco in Kentucky. (May 2, 2023) Kentucky Department for Public Health 3

  4. Tax burden: $1,247 per Kentucky household in state and federal taxes from government expenditures caused by smoking Source: The Campaign for Tobacco-Free Kids. The Toll of Tobacco in Kentucky. (May 2, 2023) Kentucky Department for Public Health 4

  5. $6,987 in additional costs to their employer per year each employee who smokes = $3,059,473,620 Annual cost to Kentucky employers (in added healthcare costs and productivity losses) Source: University of Kentucky, Kentucky Center for Smoke-free Policy. Estimated Monthly and Annual Costs to Employers from Cigarette Smoking by County. (February 2022) Kentucky Department for Public Health 5

  6. Success: Employer Partnership I reached out to Dorman Products to see if they would be interested in offering a Freedom From Smoking class for their contributors they allowed us to offer the class on their time meaning they allowed the participants to participate in the class and they still got paid. We are hoping to offer another class this fall! Worksite participants and health department staff on Freedom From Smoking graduation day. (June 2023, Gallatin County, KY) - Ashley Badar, Three Rivers District Health Department Kentucky Department for Public Health 6

  7. Over 88% of Kentucky adults who smoke say they want to quit. That s over 660,000 Kentuckians! Source: Kentucky Behavioral Risk Factor Surveillance System. (2019) Kentucky Department for Public Health 7

  8. Over 88% of Kentucky adults who smoke say they want to quit. That s over 660,000 Kentuckians! Unfortunately, only about 40% know about 1-800-QUIT-NOW. Source: Kentucky Behavioral Risk Factor Surveillance System. (2019) Kentucky Department for Public Health 8

  9. For every $1 invested in Quit Now Kentucky, $4.03 was returned in future cost savings. + Source: University of Kentucky College of Nursing. Providing Quitline Services is a Smart Investment. (2021) Kentucky Department for Public Health 9

  10. Tobacco-Use Prevention 9 in 10 adults who smoke were addicted to nicotine by age 18. If current trends continue, 119,000 Kentucky kids will ultimately die prematurely from smoking. Age of addiction source: U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. (2012) Projected deaths source: The Campaign for Tobacco-Free Kids. The Toll of Tobacco in Kentucky. (May 2, 2023) Kentucky Department for Public Health 10

  11. The Youth Vaping Crisis Current Tobacco Product Use Among U.S. High School Students According to the 2021 Kentucky Incentives for Prevention Survey, over one in five Kentucky 10thand 12thgraders had used an e-cigarette in the last 30 days. Source: CDC. National Youth Tobacco Survey. (2019) Kentucky Department for Public Health 11

  12. The Youth Vaping Crisis Ever using e-cigarettes increases the likelihood of smoking cigarettes among young people. One study found young people in the U.S. who had ever used e-cigarettes had 8x higher odds of currently using cigarettes a year later. E-cigarettes may be responsible for 22% of new people ever trying a cigarette totaling nearly 200,000 new smokers. Source: Truth Initiative. E-Cigarettes: Stats, Facts, and Regulations. (June 15, 2021) Kentucky Department for Public Health 12

  13. Kentucky School Behavior Events by Category Tobacco 39% Harrassment 31% 2021-2022 school year Behavior events resulting in suspension (in-school or out- of-school), detention, restraint or seclusion Drugs 13% Assaults 12% Weapons 3% Alcohol 2% Source: Kentucky Department of Education. School Report Card: Safe Schools Data (2021-2022 School Year) Kentucky Department for Public Health 13

  14. Helping Youth Quit E-Cigarettes My Life, My Quit quitline for youth No cost Confidential INDEPTH alternative-to-suspension curricula for schools Not-on-Tobacco cessation classes for schools and communities Kentucky Department for Public Health 14

  15. Success: Hardin Co. Students Win with Vaping Education Hardin County High School students won first place at the Kentucky Health Occupations Students of America (HOSA) State Leadership Conference with a peer-to-peer education program created with resources from Lincoln Trail District Health Department and the Kentucky Tobacco Prevention & Cessation Program. Winners Sadie Atcher, Juliana Stith, Zoey Graziano and Kati Vest at Kentucky HOSA State Leadership Conference (March 2023). Kentucky Department for Public Health 15

  16. Health Departments with MSA funding for Tobacco Prevention & Cessation (FY23) Kentucky Department for Public Health 16

  17. Tobacco Prevention & Cessation Program Budget for FY24 MSA Funds Local Health Departments 10% Quitline Services* 10% Other Cessation* Bidirectional referrals for health care systems Kentucky Cancer Program outreach to veterans Scholarships for tobacco treatment specialists MSA 50% $2 Million 15% Prevention* UK #iCANendthetrend Peer Education 15% Other Education* * Supplemented with CDC funds Kentucky Department for Public Health 17

  18. FY23 Funding Sources Media MSA Local Health Departments Quitlines $2 Million CDC Personnel $1.6 Million Partners Travel & Supplies Kentucky Department for Public Health 18

  19. According to the CDC, for every $1 spent on a comprehensive tobacco control program, Kentucky could expect to see a $55 return on investment. Kentucky Department for Public Health 19

  20. Thank you! Ellen H. Cartmell Tobacco Prevention & Cessation Program Manager Kentucky Department for Public Health EllenH.Cartmell@ky.gov Kentucky Department for Public Health 20

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