Publications

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The publications in this area provide key information about the programs and research of the Tobacco Control Section (TCS). All resources are available as full-text documents in pdf format. If you have questions or comments on these publications you may send an email to tcsweb@dhs.ca.gov.

Please note that not all publications on this page are produced by the Tobacco Control Section, however all publications have been reviewed and approved for inclusion on this page.

California's Story

California Tobacco Control Update 2006 [2006; 26 pages, pdf]
The California Tobacco Control Update 2006 provides background information on California’s tobacco control environment, describes the social norm change strategies with the support of updated evidence, and presents the trend for long-term outcomes as a reflection of current California tobacco control efforts. It also highlights progress in tobacco control using the framework of logic models developed by the Centers for Disease Control and Prevention (CDC) for evaluating comprehensive tobacco control programs.

Toward a Tobacco-free California 2006-2008: Confronting a Relentless Adversary, A Plan for Success [2006; 62 pages, pdf]
Confronting a Relentless Adversary A Plan for Success Executive Summary [2006, 8 pages, PDF]
This seventh master plan of the Tobacco Education and Research Oversight Committee (TEROC) sets forth goals and highlights objectives for the years 2006-2008. The plan notes that it is time to regain momentum in the fight against tobacco, while facing the relentless adversary with strength and resolve to realize the vision of a smoke-free California.

Tobacco Control Laws That Affect Retail Businesses: Revised Brochure [2005; 13 pages, pdf]
Tobacco Control Laws That Affect Retail Businesses was revised in 2005. The new brochure incorporates information on new legislation related to retailer licensing and self-service displays. Single and bulk copies of the brochure can be ordered directly from the Tobacco Education Clearinghouse of California (TECC). Call toll-free to speak with a TECC customer service representative (1-800-258-9090, ext.103 or 230) or access the TECC sales catalog online at www.tecc.org.

The Seduction of Harm Reduction – Proceedings 2004 [2005; 130 pages, pdf]
This report explores the proceedings of the Seduction of Harm Reduction Summit, held in Sacramento, CA, on September 8-9, 2004. The California Department of Health Services, Tobacco Control Section, conducted the summit in order to obtain input regarding a draft position paper on harm reduction as a tobacco control strategy. Summit participants, whether speakers or attendees, consisted of a variety of perspectives and disciplines, such as medicine, public health, law, public relations, the private sector and epidemiology.

Stop Tobacco Sales to Youth: California Retailers and Youth Tobacco Laws (revised July 2007)
Stop Tobacco Sales to Youth: California Retailers and Youth Tobacco Laws is a training presentation designed as a self-education tool for use by California tobacco retailers and their employees. Accompanying the training presentation is an introductory letter to retailers and a clerk quiz. The California Department of Public Health is providing this training pursuant to Business & Professions Code, Section 22974.8. This law requires that training be provided to licensed California tobacco retailers who have received a warning letter from the State Board of Equalization following a first conviction of a state law which prohibits selling, giving or furnishing tobacco products to persons under the age of 18.

Retail Introductory Letter [January 2007; 1 page, pdf]
Tobacco Retailer Presentation [July 2007; 46 pages, pdf]
Clerk Quiz [January 2007; 1 page, pdf]

Toward a Tobacco Free California 2003-2005 The Myth of Victory [2003; 58 pages, pdf]
This sixth master plan of the Tobacco Education and Research Oversight Committee (TEROC) highlights program accomplishments and lessons learned, specifies the goals, and details 6 policy and legislative recommendations in regard to tobacco prevention and control in California.

The Cost of Smoking in California 1999 [2002; 207 pages, pdf]
This report, aimed at health educators and legislators, presents estimates of the economic costs of smoking for the State of California, and, for the first time, the estimated costs of smoking for each county in California. The report includes tables depicting state statistics as well as county statistics.

A Model for Change: The California Experience in Tobacco Control [1998; 31 pages, pdf]
This overview document was prepared as an adjunct to the October 1998 National Conference on Tobacco or Health presentation, "How to Develop and Manage a Statewide Tobacco Control Program at Varying Levels of Funding." It covers: the California social norm change approach to tobacco control; CDHS/TCS program priority areas; California statewide program infrastructure; FAQs; conclusions; and further readings.

Local Program Resources

Local Lead Agency Guidelines for a 2007-2010 Comprehensive Tobacco Control Plan [2007; 85 pages, pdf]
The purpose of these guidelines is to direct the Local Lead Agencies (LLAs) in the development of the 2007-2010 Comprehensive Tobacco Control Plan (CTCP) as required by the Health and Safety Code, Section 104350-104480 and Section 104500-104545. The guidelines are designed to allow an LLA to effectively implement and evaluate their community's tobacco control program over the next three years.

Communities of Excellence in Tobacco Control Module 1: Introduction to Communities of Excellence [2006; 18 pages, pdf]
The first module of the Communities of Excellence in Tobacco Control series provides an overview of the Communities of Excellence in Tobacco framework.

Communities of Excellence in Tobacco Control Module 2: Conducting a Communities of Excellence Needs Assessment [2006; 130 pages, pdf]
The second module provides detailed instructions on how to complete the Communities of Excellence needs assessment.

Communities of Excellence in Tobacco Control Module 3: Priority Populations Speak about Tobacco Control [2006; 105 pages, pdf]
The third module includes a brief discussion of the issues surrounding disparities in tobacco control, followed by sections that provide insights into the particular cultural, linguistic, and social characteristics that impact tobacco control work in several priority populations.

Communities of Excellence in Tobacco Control Module 4: Developing a Tobacco Control Intervention and Evaluation Plan [2006; 64 pages, pdf]
The last module of the series provides detailed instructions on developing a tobacco control intervention and evaluation plan based on the findings of the Communities of Excellence needs assessment.

2005 Project Directors’ Meeting: Compendium of Abstracts [2005; 44 pages, pdf]
Capitalizing on Success: California's Smoke-free Vision. This Compendium of Abstracts from the April 2005 Project Director's Meeting in Sacramento, CA, includes abstracts for poster sessions and oral panel presentations made by project directors, staff and evaluators attending the conference.

Local Lead Agency Guidelines for a 2004-2007 Comprehensive Tobacco Control Plan [2004; 97 pages, pdf]
The purpose of these guidelines is to direct the Local Lead Agencies (LLAs) in the development of the 2004-2007 Comprehensive Tobacco Control Plan (CTCP) as required by the Health and Safety Code, Section 104350-104480 and Section 104500-104545. The guidelines are designed to allow an LLA to effectively implement and evaluate their community's tobacco control program over the next three years.

Communities of Excellence: Needs Assessment Guide [2003; 138 pages, pdf]
The purpose of this manual is to provide information that will help individuals complete the Communities of Excellence (CX) needs assessment in preparation for writing the 2004-2007 Local Lead Agency Comprehensive Tobacco Control Plan.

The Youth Development Approach [2002; 12 pages, pdf]
This booklet describes the CDHS/TCS perspective on youth development principles and their integration into local tobacco control programs. Involving youth in tobacco control advocacy activities in meaningful ways enables them to gain experiences and competencies that foster healthy, positive development and also helps change community-level social norms that support tobacco use.

Legal Technical Assistance on Tobacco Control Policy [2002; 32 pages, pdf]
This case study provides an overview of the Technical Assistance Legal Center (TALC), established in 1997, to provide help to local California tobacco control programs, city attorneys, county counsels and others working on various tobacco-related policies. It presents information about TALC's mission statement and philosophy, organizational and staffing structure, and legal team model. The appendix includes an overview of key public health restrictions on the Master Settlement Agreement.

Eliminating Smoking in Bars, Taverns and Gaming Clubs: The California Smoke-Free Workplace Act [2001; 58 pages, pdf]
This case study documents the California Tobacco Control Program's efforts in eliminating smoking in virtually all indoor workplaces, including bars, taverns and gaming clubs. Appendices include full-text of Assembly Bills 13 and 3037 and California Labor Code 6404.5, implementation chronology, and resource agencies.

Youth 2K and Beyond Conference Proceedings [2000; 68 pages, pdf]
The TCS-sponsored "Youth 2K and Beyond Conference" in 2000 focused on tobacco control, education and prevention and California's youth.

The California Smokers' Helpline: A Case Study [2000; 42 pages, pdf]
This May 2000 case study provides background information on the state-funded California Smokers' Helpline's organizational and physical requirements, services and methods of promotion. It describes how the Helpline supplements and compliments other state-funded programs. Chapters cover: services and structure, cessation methodologies, hiring and training counselors, quality assurance, methods of program promotion, and evaluation.

Evaluation - Resources

OTIS Evaluation Guide (Draft) [2007; 128 pages, pdf]
The OTIS Evaluation Guide, formally the Local Program Evaluation Planning Guide, provides Tobacco Control Section contractors with step-by-step instructions for entering their plan to evaluate local program interventions. The Guide is based on the Online Tobacco Information System (OTIS) Version 2.

Tell Your Story: Guidelines for Preparing a Complete, High Quality Final Evaluation Report [2006; 32 pages, pdf]
These guidelines for writing an evaluation report of local tobacco control activities cover: general guidelines; sections for the evaluation report; tips for writing outcome objectives; and what information to include in each report section (title page, acknowledgment page, abstract, project description, evaluation methods, presentation of results, discussion and recommendations). Includes sample report and evaluation report checklist.

Tips for Writing Outcome Objectives [1998; 2 pages, pdf]
Developed by the Stanford Center for Research in Disease Prevention (SCDDP), Stanford University School of Medicine.

Evaluation - Reports

Tobacco Advertising in Retail Outlets in California, 2000-04 [2007; 42 pages, PDF]
This report describes the results of a study of tobacco advertising in California retail outlets. The study consists of a survey of 619 randomly-selected tobacco retailers throughout California. In this report the results of this survey are explained and compared to a previous study conducted in 2000.

California Asian Indian Tobacco Use Survey - 2004 [2005; 178 pages, pdf]
This report examines tobacco use prevalence among Asian Indian residents in California. Study findings paint a picture of tobacco use prevalence of various types of tobacco products among California Asian Indian adults, by gender, acculturation, age, and religion as well as key differences in tobacco use between California and India. The authors found comparatively higher long term cessation rates among CA Asian Indians compared with the general California population and a higher likelihood of tobacco use associated with more acculturation or westernization.

California Korean American Tobacco Use Survey - 2004 [2005; 153 pages, pdf]
The purpose of this study is to identify tobacco-related behaviors, knowledge, and attitudes among adults of Korean descent residing in California; the primary focus of the study is on cigarette smoking behavior, although some questions were asked regarding other forms of tobacco use. The present study attempts to expand upon existing epidemiological knowledge of tobacco-related attitudes and behaviors of Korean Americans residing in California, as well as the degree to which the media can influence these attitudes and behaviors.

California Lesbians, Gays, Bisexuals and TransgenderTobacco Use Survey - 2004 [2005; 158 pages, pdf]
This report presents the results of a study to assess tobacco-related behaviors, attitudes, and knowledge within the lesbian, gay, bisexual, transgender (LGBT) population in California. The report also identifies disparities between the LGBT and general adult populations of the State and explores possible explanations for the most important differences.

California Chinese American Tobacco Use Survey – 2004 [2005; 162 pages, pdf]
The purpose of this study is to identify tobacco-related behaviors, knowledge, and attitudes among adults of Chinese descent residing in California; the primary focus of the study is on cigarette smoking behavior, although some questions were asked regarding other forms of tobacco use. The present study attempts to expand upon existing epidemiological knowledge of tobacco-related attitudes and behaviors of Chinese Americans residing in California, as well as the degree to which the media can influence these attitudes and behaviors.

California Active Duty Tobacco Survey – 2004 [2003; 82 pages, pdf]
This report describes the results of a study of the tobacco habits of 156,402 active duty military personnel in the U.S. Army, Navy, Marine Corps, Air Force, and U.S. Coast Guard and stationed at 16 military bases in California. The majority of military personnel were between the ages of 18–34 (76.3%), male (86.9%), and married (58.4%). The report concludes with a comparison of tobacco use and tobacco use behaviors among active duty, general California populations, and the 18–24 year old age group in particular. This study is the first of its kind at the state level.

Evaluation of the In-School Tobacco Use Prevention Education Program, 2001–2002 [2005; 154 pages, pdf]

California Law Enforcement Survey Report, 2004 [2004; 45 pages, pdf]
Attachment 1: Timeline [1 page, pdf]
Attachment 2: Enforcement Survey Protocol[1 page, pdf]
Attachment 3: Letter and Youth Access Policy Enforcement Survey [5 pages, pdf]
Attachment 4: Letter and SHS Law Enforcement Survey [9 pages, pdf]
Attachment 5: Follow Up Letter [2 pages, pdf]

Independent Evaluation of the California Tobacco Control Prevention & Education Program: Waves 1, 2, and 3, 1996-2000 [2003; 234 pages, pdf]
This report presents the results of a study to evaluate the effectiveness of tobacco control and education activities conducted in California from 1996 through 2000 by community programs, schools, and the advertising component of the statewide media campaign.

Tobacco Control Successes in California: A Focus on Young People, Results from the California Tobacco Surveys, 1990-2002 [2004; 398 pages, pdf]
This report covers progress made by the California Tobacco Control Program during 1990-2002 as measured by the California Tobacco Surveys (CTS) and other data sources. It provides statewide and regional trends in tobacco use and smoking prevalence among adults and youth aged 12-17, delineates disparities among racial/ethnic groups, and monitors the protection of nonsmokers from secondhand smoke.

Communities of Excellence in Tobacco Control: Findings of the Department of Health Services, Tobacco Control Section [2003; 74 pages, pdf]
Findings from the Communities of Excellence in Tobacco Control (CX) framework introduced to local health departments in California in October 2000.

Fact Sheets

For the most current statistics on tobacco use, please click here.

Regional Smoking Prevalence August, 2003 [2 pages, pdf]
From 1990 to 1999, rates declined in almost all of the regions. In most of the regions, the greatest declines happened between 1990 and 1996.

Health and Economic Consequences of Cigarette Smoking in California August, 2003 [2 pages, pdf]
Cigarette smoking is the leading cause of preventable death in the United States and in California. Approximately 440,000 people in the U.S. die each year from cigarette smoking.

18 - 24 Year Old Smoking Prevalence [2006; 2 pages, pdf]
During the mid-to-late 1990s, smoking prevalence of 18–24 year olds increased dramatically. The 2005 data indicate a decrease in 18–24 year old smoking rates for the second year in a row.

Adult Smoking Prevalence [2006; 2 pages, pdf]
Since the passage of Proposition 99 in 1988, the adult smoking prevalence in California has declined significantly from 22.8% in 1988 to 14.0% in 2005.

Youth Smoking Prevalence [2005; 2 pages, pdf]
The prevalence of cigarette smoking (“smoked in the last 30 days”) among 8th and 10th graders has declined dramatically since 1996 and among 12th graders since 2000.

Cigarette Consumption [2005; 2 pages, pdf]
Since 1988, per capita cigarette consumption in California declined by 59.0%. During the same period, per capita cigarette consumption in the rest of the nation declined by 35.0%.

Secondhand Smoke [2005; 2 pages, pdf]
Secondhand smoke (SHS) is a known cancer-causing agent in humans and has been classified by the U.S. Environmental Protection Agency as a Group A carcinogen. Group A carcinogens include only the most dangerous substances such as asbestos and radon.

Smokers & Quiting [2005; 2 pages, pdf]
Almost 80% of California adult current smokers report that they are thinking about quitting within the next six months, and more than 40% report that they are thinking about quitting smoking within the next 30 days.

Smoking During Pregnancy [2006; 2 pages, pdf]
Cigarette smoking has been identified as a significant and modifiable risk factor for both low birth weight and pre-term delivery. Maternal smoking during pregnancy has also been implicated in sudden infant death syndrome.

Other Fact Sheets

California's Tobacco Education Media Campaign [3 pages, pdf]
Overview of the California media campaign's origins, advertising, industry response, budget, and results.

Cigars: Not a Harmless Fad [2 pages, pdf]
Who smokes cigars? In 1998, 5.9 percent of adult Californians had smoked cigars in the last 30 days. While 9.8 percent of adult men reported smoking cigars, 2.0 percent of adult women smoked them.

Do Doctors Advise Their Smoker Patients to Quit Smoking? [2 pages, pdf]
Physicians can play a significant role in reducing tobacco use. They see approximately 70 percent of smokers each year, and are viewed by smokers as authoritative on tobacco and health issues. Brief advice to quit has been shown to significantly increase the percentage of smoker patients who successfully quit. Based on reports by smokers, the number of physicians who are advising smokers to quit has increased substantially (Hollis, 1999).

Smoking and Impotence [2 pages, pdf]
Male smokers are at least two times more likely to be completely impotent than non-smokers.

TCS Websites

California's Story

Local Program Resources

Evaluation - Resources

Evaluation - Reports

Fact Sheets