Core Data Set

This core data set is based on the evaluation questions identified by the Center for Tobacco Policy Research (CTPR), MFH, and grantees. Each grantee was responsible for submitting these data to CTPR through their web-based data collection system, the Tobacco Initiative Evaluation System (TIES), on a monthly and quarterly basis.https://openscholarship.wustl.edu/cphss/1098/thumbnail.jp

Community Grants Snapshots: Q1-Q4 of 2012

This snapshot provides outcomes of the Tobacco Prevention and Cessation Initiative from January to December of 2012, and includes site data, cessation services & quit rate data, systems & policy changes, and resources.https://openscholarship.wustl.edu/cphss/1025/thumbnail.jp

TIES User Manual

This manual facilitates grantees through the process of submitting data using the Tobacco Evaluation System (TIES). The manual provides detailed information about: submitting data, features of the system, registering a user account and managing user profiles, entering monthly and quarterly data, and producing data report summaries.https://openscholarship.wustl.edu/cphss/1069/thumbnail.jp

Tobacco Prevention and Cessation Initiative 2011 Evaluation Report

This report contextualizes Missouri’s tobacco control environment, summarizes the Tobacco prevention and Cessation Initiative (TPCI) evaluation findings for 2011, and provides highlights of the Initiative’s evaluation data to date (2005-2011).https://openscholarship.wustl.edu/cphss/1023/thumbnail.jp

Prevalence of cigarette advertising and other promotional strategies at the point of sale in St Louis, Missouri: Analysis by store type and distance from a school

INTRODUCTION: Point-of-sale advertising provides an opportunity for the tobacco industry to communicate with current and potential smokers. The US Family Smoking Prevention and Tobacco Control Act allows states to implement policies requiring that tobacco products be placed out of sight, and the Food and Drug Administration is considering banning point-of-sale advertising within 1,000 feet of schools. Our objective was to compare cigarette point-of-sale advertising near schools with grades prekindergarten through 12 and by store type. METHODS: All registered cigarette retailers (n = 1,229) and schools (n = 581) in the city of St Louis and St Louis County were geocoded and mapped by using ArcGIS. Retailers were divided into 2 groups, those within 1,000 feet and those within 1,001 to 2,000 feet of a school; 200 retailers from each group were randomly selected. We assessed tobacco interior and exterior advertising, brands advertised, discounts, gifts with purchase, “no sales to minors” signage, and cigarette functional items (eg, advertising on shopping baskets). Analyses were done by distance from a school and store type. RESULTS: We analyzed 340 retailers. Most retailers within 1,000 feet (91.2%) and from 1,001 to 2,000 feet (94.2%) of a school displayed cigarette advertising (P = .20). Convenience stores had the highest number of interior ads. In multivariable models, distance from school explained 0.2% of the variance in total advertising. CONCLUSION: Cigarette point-of-sale advertising is highly prevalent in St Louis within 1,000 feet of schools. A ban based on distance from a school might decrease advertising exposure, but its effect on smoking prevalence is yet to be determined because advertising farther from schools would still prevail

Point of Sale Advertising: Baseline Policy Assessment

This report provides an overview of the retail environment and point of sale advertising in a sample of St. Louis County tobacco retailers. These findings were provided to the St. Louis County Department of Health and other CPPW stakeholders, including the Leadership Team, to help inform intervention efforts for strengthening point of sale policies.https://openscholarship.wustl.edu/cphss/1053/thumbnail.jp

Psychosocial services provided by licensed cardiac rehabilitation programs

BackgroundProfessional health organizations recommend that outpatient cardiac rehabilitation programs include activities to optimize the physical, mental, and social well-being of patients. The study objectives were to describe among cardiac rehabilitation programs (1) mental health assessments performed; (2) psychosocial services offered; and (3) leadership's perception of barriers to psychosocial services offerings.MethodsA cross-sectional survey of North Carolina licensed outpatient cardiac rehabilitation programs on their 2018 services was conducted. Descriptive statistics were used to summarize survey responses. Thematic analysis of free text questions related to barriers to programmatic establishment or expansion of psychosocial services was performed by two team members until consensus was reached.ResultsSixty-eight programs (89%) responded to the survey. Forty-eight programs (70%) indicated offering psychosocial services; however, a majority (73%) of programs reported not directly billing for those services. At program enrollment, mental health was assessed in 94% of programs of which 92% repeated the assessment at discharge. Depression was assessed with the 9-item Patient Health Questionnaire by a majority (75%) of programs. Psychosocial services included individual counseling (59%), counseling referrals (49%), and educational classes (29%). Directors reported lack of internal resources (92%) and patient beliefs (45%) as the top barriers to including or expanding psychosocial services at their facilities.ConclusionsCardiac rehabilitation programs routinely assess mental health but lack the resources to establish or expand psychosocial services. Interventions aimed at improving patient education and reducing stigma of mental health are important public health opportunities

Disparities and Menthol Marketing: Additional Evidence in Support of Point of Sale Policies

This study examined factors associated with point-of-sale tobacco marketing in St. Louis, an urban city in the United States. Using spatial analysis, descriptive statistics, and multilevel modeling, we examined point-of-sale data and the proportion of mentholated cigarette and total cigarette marketing from 342 individual tobacco retail stores within St. Louis census tracts characterized by the percent of black adults and children. Menthol and total tobacco product marketing was highest in areas with the highest percentages of black residents. When examining menthol marketing to children, we did not find as strong of a relationship, however results of multilevel modeling indicate that as the proportion of black children in a census tract increased, the proportion of menthol marketing near candy also increased. These results indicate the need for communities globally to counter this targeted marketing by taking policy action specifically through the enactment of marketing restrictions provided by the 2009 Family Smoking Prevention and Tobacco Control Act and the Framework Convention of Tobacco Control