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

• pportunity.

– 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

4 sessions

Thompson et al, Health Affairs 2004;23(1)

Current Cigarette Smoking among High School Students, Arkansas & the US, 1997-2007*

43.2% 39.6% 34.7% 25.9% 20.7% 36.4% 34.8% 28.5% 21.9% 23.0% 20.0%

0% 10% 20% 30% 40% 50% 1997 1999 2001 2003 2005 2007

AR Rate US Rate

3,500 3,500

Per Capita Cigarette Consumption Number of Cigarette Packs Sold Taxed per Adult* Arkansas Fiscal Years 2001-2007

104 108 110 108 122 117 136

0.0 40.0 80.0 120.0 160.0 200.0

FY 2007 FY 2006 FY 2005 FY 2004 FY 2003 FY 2002 FY 2001

Packs per Adult

How do you use your state’s purchasing power?

Source: CDC Behavioral Risk Factor Surveillance System.

1 9 9 8 2 0 0 7

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 0 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

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.

Diabetes Trends* Among Adults in the U.S.,

(Includes Gestational Diabetes) BRFSS, 1990,1995 and 2001

1990 1995 2001

Economic impact of chronic disease in Arkansas (2003)

Source: DeVol and Bedroussian. An Unhealthy America: The Economic Burden of Chronic

• Disease. Milken Institute, October 2007. Available at www.milkeninstitute.org.

Lost productivity 81% Treatment expenditures 19%

$11.3 billion $2.6 billion Total costs: $13.9 billion

National and Arkansas Childhood Obesity Trends

03-04 N=2,159 03-04 N=981 5 10 15 20 25

1963-65 1966-70 1971-74 1976-80 1988-94 99-00 01-02 03-04

US 6-11 yr US 12-19 yr

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.

04 05 06 07

Avg N=150,881 Avg N=212,011 AR grades K-6 AR grades 7-12

Arkansas data source: Arkansas Center for Health Improvement, Little Rock, AR, September 2007.

19.0 19.5 20.0 20.5 21.0 21.5 22.0 2004 2005 2006 2007 AR grades K-6 AR grades 7-12