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Failure to defend a successful state tobacco control program: policy lessons from Florida.

机译:未能捍卫成功的州烟草控制计划:佛罗里达州的政策课程。

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摘要

OBJECTIVES: This investigation sought to define policy and political factors related to the undermining of Florida's successful Tobacco Pilot Program in 1999. METHODS: Data were gathered from interviews with public health lobbyists, tobacco control advocates, and state officials; news reports; and public documents. RESULTS: As a result of a recent legal settlement with Florida, the tobacco industry agreed to fund a youth anti-smoking pilot program. The program combined community-based interventions and advertisements. In less than 1 year, the teen smoking prevalence rate dropped from 23.3% to 20.9%. The program also enjoyed high public visibility and strong public support. Nevertheless, in 1999, the state legislature cut the program's funding from $70.5 million to $38.7 million, and the Bush administration dismantled the program's administrative structure. Voluntary health agencies failed to publicly hold specific legislators and the governor responsible for the cuts. CONCLUSIONS: The legislature and administration succeeded in dismantling this highly visible and successful tobacco control program because pro-health forces limited their activities to behind-the-scenes lobbying and were unwilling to confront the politicians who made these decisions in a public forum.
机译:目的:本次调查旨在确定与破坏佛罗里达成功的1999年烟草试点计划有关的政策和政治因素。方法:数据来自与公共卫生说客,烟草控制主义者和州官员的访谈。新闻报道;和公共文件。结果:由于最近与佛罗里达州达成法律和解,烟草业同意资助一项青年反烟试点计划。该计划结合了基于社区的干预措施和广告。在不到1年的时间里,青少年吸烟率从23.3%下降到20.9%。该计划还享有很高的公众知名度和强大的公众支持。然而,在1999年,州立法机构将该计划的资金从7050万美元削减到3870万美元,布什政府拆除了该计划的行政结构。自愿医疗机构未能公开任命特定的立法者和州长来负责削减。结论:立法机关和行政部门成功取消了这一引人注目的且成功的烟草控制计划,因为支持卫生的部队将他们的活动限制在幕后游说,并且不愿在公共论坛上与做出这些决定的政客们对抗。

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