One Key to Cessation: Boots on the Ground

Report
DSHS Cessation:
Helping Texans Quit
Barry Sharp, MSHP, CHES
Tobacco Prevention & Control Program
Texas Department of State Health Services
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DSHS Cessation:
Helping Texans Quit

Today’s Discussion:



Texas Tobacco Quitline
Priority Populations
State Worksite Initiatives
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Quitlines 101

What are quitlines?

According to the North American Quitline Consortium:
 Quitlines are telephone-based tobacco cessation services that
help tobacco users quit. Services offered by quitlines include
coaching and counseling, referrals, mailed materials, training to
healthcare providers, Web-based services and, in some
instances, free medications such as nicotine replacement therapy
(NRT).
 Much research shows that quitlines are highly effective in helping
tobacco users quit. Due to their ability to reach and serve
tobacco users, regardless of location, quitlines have quickly
spread across North American. Today, residents in all 50 states,
the District of Columbia, each U.S. territory and all ten Canadian
provinces have access to public quitline services.
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Texas Tobacco Quitline




Began in 1999 as pilot project for the
American Cancer Society; Free & Clear took
over in 2010.
Free counseling statewide
Free information resources statewide
Free nicotine replacement therapy in selected
areas
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Texas Tobacco Quitline
Monthly Call Volume 2007-2010
2000
1800
1600
1400
1200
1000
800
600
400
200
0
Jan.
Feb.
Mar.
Apr.
May
2007
Jun.
2008
Jul.
Aug.
2009
Sep.
Oct.
Nov.
Dec.
2010
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Percent of Callers by
Government Employment
2.50%
2.00%
1.50%
1.00%
0.50%
0.00%
2008
City Government
Health Districts
State Government
2009
County Government
Independent School Districts
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Who calls Texas Quitline

84% are tobacco users





3% each are proxy and providers
10% are general public
58% are female, 42% are male
21% are Hispanic
Race:


64% White, 16% Black, 2% American Indian
<1% Asians, Arab, Hawaiian/Pacific Islander
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Who calls Texas Quitline

Tobacco Product of Choice




92% cigarettes
4% cigars
3% smokeless
Stages of Change



90% are in preparation to quit
7% are ready to take action to quit or set quit date
3% are contemplation or pre-contemplation
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DSHS Priority Populations

Six Comprehensive Coalitions
Funded:







Lubbock-Cooper ISD
Ector County Health
Department
Northeast Texas Public Health
District
Fort Bend County Health
Department
Austin/Travis County Health
Department
San Antonio Metropolitan
Health District
All State Employees, Retirees
and their dependents

Targeted Cessation
Metropolitan Statistical Areas:


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Beaumont-Port Arthur: Hardin,
Jefferson and Orange
Counties
College Station-Bryan: Brazos,
Burleson and Robertson
Counties
Killeen-Temple-Fort Hood:
Bell, Coryell and Lampasas
Counties
Lufkin-Nacogdoches: Angelina
and Nacogdoches Counties
Texarkana: Bowie County
Waco: McLennan County
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Boots on the Ground Support
Average Calls Per Month Per County
20
15.51
16.01
15
10
5.49
5
0.83 1.02
1.24 1.32
1.26 1.36
0
2008
TPCC Coalitions
2009
Media Only
2010
No Interventions
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So What Does This Mean?

Boots on the Ground support creates a
synergistic effect by changing the
environment and social norms for the
community. This change increases the
willingness of tobacco users to change
behaviors, thus resulting in additional calls to
the quitline.
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Where to find help:

DSHS Regional Tobacco Coordinators
 Region 1: Sherri Scott, Amarillo
 Region 2/3: Sandra Cobb, Arlington
 Region 4/5N: Lana Herriman & Dreka Strickland, Tyler
 Region 6/5S: Debbie Melecio, Houston
 Region 7: Cindy deSa, Temple
 Region 8: Rick Meza, San Antonio
 Region 9/10: Becky Zima, El Paso
 Region 11: Berta Cavazos, Harlingen
Email: [email protected]
Website: www.dshs.state.tx.us/tobacco
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Where to find help:

Texas Prevention Resource Centers, Tobacco Education
Specialists:
Region 1: Lola Coppage, Lubbock
 Region 2: Lekeshia White, Abilene
 Region 3: Natalie Buxton, Dallas
 Region 4: Ralph Terzolo, Longview
 Region 5: Linda Smith, Lufkin
 Region 6: Steve Haynes, Houston
 Region 7: Mona Carroll, Bryan
 Region 8: J. Anthony Garcia, San Antonio
 Region 9: Michelle Masoud, Odessa
 Region 10: Victor Parra, El Paso
 Region 11: Jose Marte Garza, Pharr
http://www.tcada.state.tx.us/prc/index.shtml

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Thank you for your time and participation in
today’s presentation. Please feel free to
contact for more information or assistance.
Barry Sharp, MSHP, CHES
Program Coordinator
Tobacco Prevention & Control Program
[email protected]
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