Every state and many localities now have a tobacco control coalition, aimed at advocating for effective tobacco control and prevention policy. In some cases, coalition members also engage in lobbying for specific legislation. Typically, coalitions include the three major health voluntary organizations (American Cancer Society, American Heart Association, American Lung Association), medical associations and grassroots nonsmokers’ organizations. Recognizing the strength of diversity, many coalitions have expanded beyond the traditional “health base” to include women’s organizations, children’s groups and other civic organizations.
The federal government now provides funds to states and the District of Columbia to support tobacco control efforts. The Robert Wood Johnson Foundation’s Smokeless States program, administered by the American Medical Association, provides additional monies to fund state coalitions. Some states have chosen to use tobacco settlement monies to fund comprehensive tobacco control and prevention programs.
The impact of state coalitions is still being evaluated. However, ASSIST, a 7-year program, has produced a substantial decrease in tobacco consumption. Those who participate in coalitions are convinced of their effectiveness; they provide a united front from which to challenge the tobacco industry.1
1 Manley MW, Pierce JP, GIlpin EA, et al. Impact of the American Stop Smoking Intervention Study on Cigarette Consumption. Tobacco Control. 1997;6(suppl):S12-S16. |
