Cigarette Restitution Fund Program
Cigarette Restitution Fund Program
Health issue/health disparity
Health disparity in the recent years has experienced a lot of attention in the recent years. The Cigarette Restitution Fund Program in Maryland will be in the nest coming ten years spend more than $80 million on programs aiming to combat tobacco related diseases including cancer. The program has recently noted the effect of cigarette smoking and cancer on the minorities as they are disproportional to the whites. The National Health Resources and Services Administration has suggested new activities and strategies to combat health disparities in the United States the main of HRSA is to eliminate health disparities and ensure that all people do have an access to healthcare. This issue remains a significant factor of consideration within the national health concern. Maryland’s Department of Health secretary has called for the need to observe the health problem in Maryland on disparities of wellness d heath.
The African-Americans are affected by health disproportionally than the whites. The report by the Secretary of Maryland Department of health indicates that overall, in Maryland, Africans-Americas do experience a much higher mortality rate and cancer incidences. Further, many African –Americans are diagnosed with cancer when it’s at an advance stage as compared to white. Unlike white men, the African- American men face higher death from the cancer. Unlike other counties in the nation cancer is at the third position in terms of the rate of colorectal cancer mortality. In death rate, the African-Americans face the highest incidences compared to the whites. Maryland was also found to experiences a mortality rate decrease from prostate cancer for white men, but the rate of mortality for African American men has been increasing over the last years.
Interview
Have you received colorectal cancer screening?
Do aspects such as, health, insurance status, income, and race affect your utility of screening tests?
Does the district provide easy access to affordable physical health screening?
Does your community healthcare facility offer elements of treatment diagnosis and screening for colorectal cancer or oral cancer and other cigarette related diseases?
Do you have any prevention information?
What are the weakness and strengths of the tobacco prevention, tobacco use policies and tobacco reduction services in your institutions and community?
On the weakness you have identified, what are your recommendations for the needed action.
Is health education course essential for young and old people?
What are health education programs on tobacco prevention and treatment benefits?
Do you know of any health education program nearby?
Do these programs offer lessons on skills of tobacco prevention in as a way to help people adopt healthy behaviors?
Do the lessons provide participants with a wide range of opportunities on how to practice their learned skills?
Does the health education program use a wide range of examples that are appropriate to ones culture and inclusive of all the community’s ethnic culture?
What are some contributing factors that made you start smoking?
Have you quitted smoking?
If you are an ex-smoker, how did you manage to successful quit?
If not, do you wish to quit smoking?
What are some of the challenges you experiences as you try to stop smoking?
Tobacco prevention program
Many factors do contribute to the actual reasons of one developing the habit of tobacco us. It is important for learning institutions and community health programs to help the young and adults eliminate their use of tobacco. This is through development of intervention programs on tobacco education, enforcing strong tobacco-free policies, and encouraging adult role models as seen in their non smoking behavior. The tobacco prevention program is intended for community members as well as for learning institutions such as universities and colleges in Maryland DC. These programs will be ‘Tobacco-Free Schools for the Youth’ and “Tobacco –Free Program for Community in Maryland. These two prevention programs do meet the requirements indicated by guidelines of the Centers for Disease Control and Prevention (CDC). The program will educate on health and tobacco, medical expenditure attributed to smoking, and reducing behaviors of tobacco-use. Apart from education, the program will provide screening and treatment to those using tobacco. This is with the aim of reducing the burden of cancer and smoking related diseases to all residents in Maryland. The program will enhance surveillance of cancer, implement institutional and community based programs to detected, treat and prevents cancer. The program will further encourage research on tobacco use in the area and its results be integrated in the local clinical facilities.
This program will mainly focus on the ethnic/racial minority groups who suffer the most from illness related to tobacco use and death. The research to be conducted in this program will try to establish the actual reasons that contribute to population differences in terms of susceptibility and exposure and consequences related to tobacco use such as diseases addition and tobacco use.
The evidence provided by this research will consequently be used to provide evidence based implementation and designing of a prevention program focusing the African-Americans. The research will further explore the environmental, psychosocial and cultural factors that influence Africans Americans in their use of tobacco. This program therefore aims at indentifying the causative factors as well as addressing the determinant factors that influence the se of tobacco. The adults and adolescents minority populations will be interviewed as well as adults in low socio-economic status. The program will recruit ethnic/racial minority groups particularly the African Americans who are ex-smokers and smokers. They will be supportive in the quantitative phase dealing with issues on relapse management and prevention and in future successful cessation. The program will create time to look into the past success stories given by quitters and quit attempts made by the current smokers. The findings will be used by the implementers, planners and evaluators at the local level to monitor the short term, long-term, and intermediate progress of the program. The objectives of this program are:
Objective 1: prevention of tobacco use among adults and the youth in Maryland.
Objective 2 reduce disparities in the use of tobacco. This is through targeting the adults and youth of the African American population and African American adults living in low-status income.
Objective 3: Control to second hand exposure to smoke. This will be achieved through educating on the impact of second hand smoking with the aim of reducing under-age youth exposure and workplace exposure to second hand smoke.
Objective 4: To increase Cessation. This means to increase the proportion and number of adults with the desire and effort to quit smoking.
The Program Anti- Smoking program for the African Americans in Maryland
It’s high time you quit!
We help you on how to quit
It is our understanding that quitting is a difficult thing more than the smoke only. As you become part of this program we will help you be an expert in freeing yourself from tobacco use. This is through learning the “Four Critical practices on quitting for life” these are principles that have helped other people quit smoking and are based on research evidence.
What’s your goal?
Did you make a new year’s resolution for 2012 to stop smoking? Being part of this program will help you increase your chances of fulfilling your 2012 goal of quitting your smoking habit. The first step that you need to do is to be ready. We welcome both the ex-smokers and the current smokers to this program.
Why now need to stop now
Every organ in your body is damaged through smoking.
Smoking is the cause to coronary heart diseases and cancer.
About one in every five deaths in the United Sates is due to health effects of smoking.
Take caution.
Second hand smoking is dangerous to other people who do not smoke. This includes infants, children and unborn babies.
Second hand smoking in children leads to high risks of lung infection, ear infection and SIDS deaths. There is high risk for the child to be a smoker. It’s the cause to low birth weight babies.
Second hand smoking makes asthma and allergies worse. It causes cancer and heart attack to non smokers.
Reference
AAHP (2012) addressing health disparities. Retrieved from
On October 15, 2012
Learn To Live (2012) your road to quoting. Retrieved from
http://www.aahealth.org/ltl_pdf/roadmaptoquitting.pdf
On October 15, 2012
Winkleby M, Feighery E, Altman D, Kole S, Tencati E (2001)Engaging ethnically
Diverse teens in a substance use prevention advocacy program. American Journal of Health Promotion. p 43
Centers for Disease Control and Prevention (2000) Strategies for reducing exposure to environmental tobacco smoke, increasing tobacco-use cessation, and reducing initiation in communities and health-care systems. Weekly Report. From
On October 15, 2012
Star G, Schooley R (2005) key outcome indicators for evaluating comprehensive tobacco control programs Atlanta.
HW Kellogg Foundation (2004) using logic models to bring together planning, evaluation and action logic development guide.
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