Creating Smokefree Living Spaces For Non-Smoking Partners of Chinese American Smokers

Chinese men smoke at high rates, and this puts household members at risk for tobacco-related diseases. A newly published qualitative study examines perspectives of Chinese American smoker and nonsmoker household pairs in the Creating Smokefree Living Together Program.
Researchers conducted four focus groups with 30 Chinese American participants (15 smokers and 15 nonsmokers) who, in household pairs, completed smokefree education interventions of either brief or moderate intensity. 
Findings included:
·         There was a preference for dyadic and group interventions because of the support offered.
·         Increased knowledge of the health harms of smoke exposure within a pair improved the nonsmoker’s support for smokefree living.
·         Learning communication strategies improved household relationships and assertiveness for smokefree environments.
·         Biochemical feedback was useful but had short-term effects.
·         Project magnets provided cues to action.
The researchers concluded that involving household partners is critical to smokefree interventions. Simple reminders at home appear to be more powerful than personal biochemical feedback of smoke exposure for sustaining motivation and engagement in ongoing behavioral changes within the household. 
Source: Saw et al. (2018). Perspectives of Chinese American smoker and nonsmoker household pairs about the creating smokefree living together program.
Cancer, 124 Suppl 7:1599-1606

Did You Know? Rapid Increase from 2010 – 2015 in Hookah Use Among African American Adults


Among young adults, use of hookah tobacco (HT) is an emerging health-risk behavior. A newly published study examined whether the prevalence of ever-use and current use of HT increased among U.S. young adults (18-30 years old) in the period from 2010 to 2015 and whether the patterns of HT use differed across diverse demographic subpopulations of young adults. Researchers analyzed data from the 2010-2011 and 2014-2015 Tobacco Use Supplement to the Current Population Survey.


Findings included:

·         The rate of current use of HT increased from 1% in 2010-11 to 2% in 2014-15.

·         The rate of ever-use increased from 7% to 12%.

·         The over-time increase was not uniform: the increase was most rapid among 26-30 year-old adults, non-Hispanic Black and African American adults, and in Northeastern and Midwestern U.S. regions.

·         The rate of HT ever-use was 16% for daily and 23% for occasional cigarette smokers, 23% for users of smokeless tobacco products, 37% for cigar smokers, and 55% for smokers of regular pipe (filled with tobacco).


The researchers concluded that because HT use is becoming increasingly more popular among young adults, methods should target not only cessation of cigarette smoking but use of all tobacco products.


Source: Soulakova et al. (2018). Prevalence and factors associated with use of hookah tobacco among young adults in the U.S. Addictive Behaviors, May 12;85:21-25. doi: 10.1016/j.addbeh.2018.05.007. [Epub ahead of print]

CTCP RFA “Tribal Grants to Reduce Tobacco-Related Disparities” to be Released on January 30th!

unnamed (1)
We are pleased to announce that the California Department of Public Health, California Tobacco Control Program, anticipates releasing the Request for Applications (RFA) CG 20-10003, California Tribal Grants to Reduce Tobacco-Related Disparitieson January 30, 2020. This RFA will fund projects to reduce commercial tobacco-related disparities and achieve health equity among American Indian Tribal populations through approaches focused on tobacco use prevention and reduction.
We highly encourage you to forward this funding opportunity to Tribal government contacts that may be interested. Please read the funding eligibility closely.
If you have questions or need support completing your RFA, please contact CTCP.

Check Out These Policy Opportunities in Sonoma County!


County of Sonoma Board of Supervisors: The Board directed staff to provide policy options to update the current Tobacco Retail License (TRL) policy to include policy options for flavored tobacco products and electronic cigarette sales bans. County staff is scheduled to present to the board on these policy options on March 3rd.

CONTACT: Board of Supervisors:


City of Petaluma: The city is currently drafting a TRL policy. The City Youth Council at the 12/16/19 meeting specifically requested of the Council a TRL with a flavored tobacco sales restriction.

CONTACT: City of Petaluma: Peggy Flynn, City Manager,, (707) 778-4345


City of Sebastopol: The city has a TRL policy on the goals and has requested a presentation on 2/4/20 from county staff and coalition/community members on this policy option.

CONTACT: City of Sebastopol: Larry McLaughlin, City Manager,, (707) 823-1153


Please contact the people listed above to get involved in these opportunities.

Tobacco Industry Targets American Indians and Alaska Natives Through Emails

Non-Hispanic American Indians and Alaska Natives (NH AI/AN) have the highest commercial tobacco use (CTU) among U.S. racial/ethnic groups. A newly published study examined the prevalence of tobacco industry marketing exposure and correlates of CTU among NH AI/AN compared to other racial/ethnic groups. Data from the Population Assessment of Tobacco and Health Study were analyzed.
Findings included:
  • NH AI/AN had a higher prevalence of exposure to retail tobacco ads (65% vs 59%), mail (20% vs.14%) and email (17% vs.11%) marketing than NH Whites.
  • CTU was higher among NH AI/AN than NH Whites and among adults who reported exposure to tobacco ads, mail, and email marketing.
There is higher tobacco marketing exposure in stores and via mail for NH AI/AN. Email marketing exposure was higher, even after controlling for tobacco-related risk factors. The tobacco industry may be targeting NH AI/AN through emails, which include coupons and other marketing promotions.
Source: Carroll et al. (2019). Tobacco Industry Marketing Exposure and Commercial Tobacco Product Use Disparities among American Indians and Alaska Natives. Substance Use & Misuse, Sep 23:1-10. [Epub ahead of print]

Major Gaps In Tobacco Marketing Related Research Focusing On Asian Americans, American Indian/Alaska Natives, Pregnant Women, LGBT Populations, And Those With Mental Health Or Medical Co-Morbidities

A newly published paper reviewed the literature on pro-tobacco marketing and anti-tobacco campaigns targeting eight vulnerable populations to determine key findings and research gaps.
Findings included:
  • There were 144 articles that met inclusion criteria on pro-tobacco marketing or anti-tobacco campaigns aimed at eight US groups: women of reproductive age, racial/ethnic minority groups (African American, Hispanic/Latino, Asian/Pacific Islander and American Indian/Alaska Native), Lesbian/Gay/Bisexual/Transgender (LGBT) populations, groups with low socioeconomic status, rural/inner city residents, military/veterans, and people with mental health or medical co-morbidities.
  • There were more studies on pro-tobacco marketing rather than anti-tobacco campaigns, and on cigarettes rather than other tobacco products.
  • Major gaps included studies on Asian Americans, American Indian/Alaska Natives, pregnant women, LGBT populations, and those with mental health or medical co-morbidities.
  • Gaps related to tobacco products were found for hookah, snus, and pipe/roll-your-own tobacco in the pro-tobacco studies, and for all products except cigarettes in anti-tobacco studies.
Source: Cruz et al. (2019). Pro-tobacco marketing and anti-tobacco campaigns aimed at vulnerable populations: A review of the literature. Tobacco Induced Diseases, Sep 18;17:68.

Study Examines How Tobacco Industry Marketing Incorporated American Indian Culture And Traditional Tobacco


As part of this study (Tobacco Control, February 2018) researchers conducted a keyword search of industry documents using document archives from the Truth Tobacco Documents Library. The study found that tobacco industry marketing tactics have incorporated American Indian culture and traditional tobacco since at least the 1930s, with these tactics prominently highlighted during the 1990s with Natural American Spirit cigarettes. Documents revealed the use of American Indian imagery such as traditional headdresses and other cultural symbols in product branding and the portrayal of harmful stereotypes of Native people in advertising. The historical and cultural significance of traditional tobacco was used to validate commercially available tobacco. The researchers concluded that the tobacco industry has misappropriated culture and traditional tobacco by misrepresenting American Indian traditions, values and beliefs to market and sell their products for profit. Recommendations include ongoing monitoring of tobacco industry marketing tactics directed at exploiting Native culture and counter-marketing tactics that raise awareness about the distinction between commercial and traditional tobacco use.

Source: D’Silva et al. (2018). Tobacco industry misappropriation of American Indian culture and traditional tobacco. Tobacco Control, Feb 19, [Epub ahead of print]

Read the abstract at