Arkansas Tobacco Settlement Act of 2000 Arkansas Center for Health - PowerPoint PPT Presentation

Arkansas Tobacco Settlement Act of 2000

Arkansas Center for Health Improvement ( 1999 Public challenge to elected leadership) Four Principles for Tobacco Settlement Decisions – All funds should be used to improve and optimize the health of Arkansans. – Funds should be spent on long-term investments that improve the health of Arkansans. – Future tobacco-related illness and health care costs in Arkansas should be minimized through this opportunity. – Funds should be invested in solutions that work effectively and efficiently in Arkansas.

Tobacco Settlement Initiated Act - 2000 • Staged political process • ~ $60m / year • $$ in perpetuity • All new health programs • External evaluation in place • No changes in Thompson et al, Health Affairs 2004;23(1) 4 sessions

Current Cigarette Smoking among High School Students, Arkansas & the US, 1997-2007* 50% 43.2% 39.6% 40% 34.7% 36.4% 34.8% 30% 25.9% 28.5% 20.7% 20% 23.0% 21.9% 20.0% 10% AR Rate US Rate 0% 1997 1999 2001 2003 2005 2007

3,500 3,500

Per Capita Cigarette Consumption Number of Cigarette Packs Sold Taxed per Adult* Arkansas Fiscal Years 2001-2007 200.0 160.0 136 Packs per Adult 122 117 120.0 110 108 108 104 80.0 40.0 0.0 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007

How do you use your state’s purchasing power?

Obesity Trends* Am ong U.S. Adults BRFSS, 1 9 9 0 , 1 9 9 8 , 2 0 0 7 ( * BMI ≥ 3 0 , or about 3 0 lbs. overw eight for 5 ’4 ” person) 1 9 9 8 1 9 9 0 2 0 0 7 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥ 30% Source: CDC Behavioral Risk Factor Surveillance System.

Diabetes Trends* Among Adults in the U.S., (Includes Gestational Diabetes) BRFSS, 1990,1995 and 2001 1990 1995 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10% Source: Mokdad et al., Diabetes Care 2000;23:1278-83; J Am Med Assoc 2001;286:10.

Economic impact of chronic disease in Arkansas (2003) Total costs: $13.9 billion Treatment expenditures 19% $2.6 billion $11.3 billion Lost productivity 81% Source: DeVol and Bedroussian. An Unhealthy America: The Economic Burden of Chronic Disease. Milken Institute, October 2007. Available at www.milkeninstitute.org.

National and Arkansas Childhood Obesity Trends 22.0 25 21.5 21.0 AR grades 7-12 Avg N=150,881 20.5 AR grades K-6 20 Avg N=212,011 20.0 AR grades K-6 03-04 N=981 19.5 AR grades 7-12 03-04 N=2,159 19.0 15 2004 2005 2006 2007 10 US 12-19 yr 5 US 6-11 yr 0 1963-65 1971-74 1988-94 01-02 04 06 1966-70 1976-80 99-00 03-04 05 07 NHANES data sources: Ogden et al. Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000 . JAMA 2002;288(14):1728-1732. Ogden et al. Prevalence of Overweight and Obesity in the United States, 1999-2004 . JAMA 2006;295(13):1549-1555. Arkansas data source: Arkansas Center for Health Improvement, Little Rock, AR, September 2007.