TOBACCO USE

WHY TOBACCO USE?

Tobacco use is the leading preventable cause of death in the United States, contributing to an increase in the development of cancers and cardiovascular and respiratory diseases.¹ Tobacco use was identified as the #3 overall health concern and chronic disease as the #4 overall health concern in Hendricks County by respondents to the CHA Survey.² Additionally, focus group and town hall meeting participants identified the low tax on tobacco products and allowances for smoking establishments as top concerns facing Hendricks County.³ Lastly, participants in the Forces of Change Assessment identified the shift from tobacco use and rise in electronic vaping device usages as a force impacting public health, and identified the lack of regulation for electronic vaping devices as a threat in Hendricks County. ⁴

Additional primary and secondary data show that tobacco use is still an issue in Hendricks County. Currently, 18% of the adult population and about 8% of pregnant women in Hendricks County smoke. ⁵,⁶ The quit attempt rate for Hendricks County is slightly lower than the state rate as well (56% verses almost  58%).⁷ Additionally, the second most commonly used drug among middle and high school students in central Indiana is electronic vaping devices, with nearly 25% of 12 graders reporting their use. Lastly, Hendricks County has only one municipality. Plainfield, with a comprehensive smoke-free air ordinance, which prohibits smoking in all public spaces including bars, restaurants, and work places.⁸

Additional information about tobacco use can be found in the 2016 Hendricks County Community Health Assessment.


PRIORITY AREA LEADERS AND PARTNERS 

PRIORITY AREA LEADER: Michael McDonald, Coordinator
Tobacco Free Hendricks County

PRIORITY AREA PARTNERS: Hendricks County Health Department, Hendricks Regional Health, Indiana State Department of Health, QSource


2016 WORK PLAN 

GOAL: By December 31,2018, decrease the percentage of Hendricks County adults who smoke from 18% to 17% as reported by the County Health Rankings.

SHORT-TERM OBJECTIVE: By December 31, 2016, increase the number of calls, fax referrals, or other contact with the Indiana Tobacco Quitline by Hendricks County residents by 30% as reported by the Indiana State Department of Health.

STRATEGIES: 

Identify 10 health care providers, community agencies, and/or employers who are not currently Preferred Providers in the Indiana Tobacco Quitline.

Meet with potential Preferred Providers to discuss enrolling in the Quitline, developing policies for referral to the Quitline, and assisting with implementation of policies for referral.

Host Quitline training for current Preferred Providers to provide updates on the Quitline and examples from other agencies to who successfully implemented referral policies and procedures.

Send quarterly newsletter to Preferred Providers telling them about Quitline enrollment numbers, successful referral sites, and other updates.

Develop messaging and marketing materials to share with Preferred Providers and the general public.

MID-TERM OBJECTIVE: By December 31, 2017, increase the number of municipalities with comprehensive smoke free air ordinances from 1 to 2 as reported by Tobacco Free Hendricks County.

STRATEGIES: 

Assess municipalities’ willingness or need for a comprehensive smoke-free air ordinance and identify one municipality to address.

Meet with policymakers to discuss need for a comprehensive smoke-free air ordinance and determine support level.

Gather at least 500 petitions from municipality residents, businesses, and organizations supporting the implementation of a comprehensive smoke free air ordinance.

Draft language for the comprehensive smoke free air ordinance.

Present ordinance, petitions, and additional community support to policymakers within the municipality.

 

LONG-TERM OBJECTIVE: By December 31,2018, 75 Hendricks County pregnant women who smoke will quit smoking during pregnancy as reported by the Hendricks County Health Department.

STRATEGIES:

Identify health care providers and community organizations working with pregnant women, educate them on the BABY & ME- Tobacco Free™ program, and enroll them as Referral Partners.

Enroll pregnant women who smoke into BABY & ME – Tobacco Free™ for home based tobacco cessation services and fax refer them to the Indiana Tobacco Quitline for phone, web, or text-based support.

Send quarterly newsletter to Referral Partners telling them about BABY & ME- Tobacco Free™ enrollment numbers, successful, referral sites, and other updates.

Develop messaging and marketing of BABY & Me- Tobacco Free™ for Referral Partners and the general public.

 

 


COMMUNITY RESOURCES

Tobacco Free Hendricks County

Coordinates collaboration among local partners to reduce tobacco use and secondhand smoke exposure in Hendricks County.

BABY & ME – Tobacco Free™ at the Hendricks County Health Department

Provides tobacco cessation services to pregnant women before and after birth. Contact rfogleman@co.hendricks.in.us for more information. 

Indiana Tobacco Quitline

Provides free phone, web, and text-based tobacco cessation services.

Indiana Tobacco Quitline Preferred Provider Network

Provides resources to health care providers, employers, and community agencies to refer patients and clients to the Indiana Tobacco Quitline and help them quit tobacco.

Hendricks Regional Health

Provides screening and direct referral to the Indiana Tobacco Quitline via electronic medical records.


REFERENCES

1. Centers for Disease Control and Prevention. (2015). Smoking and tobacco use: how to quit. Retrieved from http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/index.htm.

2. Hendricks County Health Partnership. (2015). 2015 Hendricks County community health assessment survey results: Microsoft Excel spreadsheet.

3. Hendricks County Health Partnership. (2015). Public meetings and key informant interviews summary: Microsoft Word document.

4. Hendricks County Health Partnership. (2015). 2015 Hendricks County forces of change assessment- brainstorming and threats and opportunities discussion results: Microsoft Word document.

5.County Health Rankings and Roadmaps. (2015). Adult smoking rate: Indiana. Retrieved from http://www.countyhealthrankings.org/app/indiana/2015/measure/factors/9/map.

6.Indiana State Department of Health. (2013). Indiana natality report – 2013: table 32. outcome indicator percentages by county of residence and race/ethnicity of mother: Indiana counties, 2013. Retrieved from http://www.in.gov/isdh/reports/natality/2013/tbl32_t_percent.htm.

7. Indiana Prevention Resource Center. (2015). The Indiana prevention resource center 2015 prevalence statistics main findings: Indiana youth survey. Retrieved from http://www.drugs.indiana.edu/publications/survey/indianaSurvey_2015.pdf.

8.Feeding America. (2015). Map of the meal gap 2015: overall food insecurity in Indiana by county in 2013. Retrieved from http://www.feedingamerica.org/hunger-in-america/our-research/map-the-meal-gap/2013/IN_AllCounties_CDs_MMG_2013.pdf.