American journal of preventive medicine
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Circles of Tobacco Wisdom (CTW) was an elder-led, community-based project that aimed to enhance tobacco control in the American Indian community. Its goal was to provide elders with the knowledge, opportunities, and support to enable them to assume leadership of a tobacco control movement that was grounded in the ceremonial traditions of tobacco use. ⋯ Elders increased their knowledge about commercial and traditional tobacco and changed related attitudes as a result of CTW. Further, American Indian Elders perceived that CTW was effective.
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Following the landmark lawsuit and settlement with the tobacco industry, Minnesota pursued the implementation of stricter tobacco control policies, including tax increases, mass media campaigns, smokefree air laws, and cessation treatment policies. Modeling is used to examine policy effects on smoking prevalence and smoking-attributable deaths. ⋯ Minnesota SimSmoke demonstrates that tobacco control policies, especially taxes, have substantially reduced smoking prevalence and smoking-attributable deaths. Taxes, smokefree air laws, mass media, cessation treatment policies, and youth-access enforcement contributed to the decline in prevalence and deaths averted, with the strongest component being taxes. With stronger policies, for example, increasing cigarette taxes to $4.00 per pack, Minnesota's smoking rate could be reduced by another 13%, and 7200 deaths could be averted by 2041.
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Menthol cigarettes account for 25% of the market in the U.S. The Food and Drug Administration currently is considering regulatory action on tobacco products, including a ban on menthol cigarettes. With 39% of menthol smokers reporting that they would quit smoking if menthol cigarettes were banned, there is a need to better understand whether existing cessation programs, such as quitlines, are serving menthol smokers. ⋯ Quitlines appear to be adequately serving menthol smokers who call for help. Cessation outcomes for menthol smokers are comparable to nonmenthol smokers. However, if a menthol ban motivates many menthol smokers to quit, quitlines may have to increase their capacity to meet the increase in demand.
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Recent attempts to improve the healthfulness of away-from-home eating include regulations requiring restaurants to post nutrition information. The impact of such regulations on restaurant environments is unknown. ⋯ A restaurant nutrition-labeling regulation was accompanied by some, but not uniform, improvements in other aspects of restaurant environments in the regulated compared to the nonregulated county. Additional opportunities exist for improving the healthfulness of away-from-home eating beyond menu labeling.
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Downtown Wilkes-Barre, a town of 40,000 residents in Northeast Pennsylvania, and the hub of a planned urban, suburban, and rural trail network, was the site of a number of changes to improve walkability during the Active Living by Design (ALbD) grant period. ⋯ The Bike-Ped Count illustrates patterns of bicycling and walking downtown and allows comparisons of bicycling and walking among locations, including different cities. In the future, counts will help show how ongoing changes to the downtown environment affect walking and bicycling.