SAVI Community Trends Report: Unequal Access Tobacco Epidemic Report 2017 FINAL | Page 9

Recommendation 1
State
Fund state tobacco control activities at the level recommended by the CDC.
Recommendation 2
State
Substantially increase excise tax rates to be more in line with level
imposed by the top quintile of states.
Recommendation 4
State and local
Enact complete bans on smoking in all nonresidential indoor locations,
including workplaces, malls, restaurants, and bars.
Recommendation 16 Increase demand for effective cessation programs and activities through
mass media and other general and targeted public education programs.

State, heath
care partners
Recommendation 21
State and local

Support the efforts of community coalitions to promote, disseminate,
and advocate for tobacco use prevention and cessation
Recommendation 22
State and local
•

•

Consider populations disproportionately affected by tobacco addiction
and tobacco when designing and implementing prevention and
treatment programs.
Ensure health communications are culturally-appropriate and that
special outreach efforts target all high-risk populations.
Recommendation 30 State
Regulate retail POS of tobacco products for purpose of discouraging
consumption and encouraging cessation.
Recommendation 32 Restrict the number of tobacco outlets.
State
Recommendation 35 State

Limit visually displayed tobacco advertising in all venues, including
mass media and at the point of sale
Table 1. State and Local Recommendations for Ending the Tobacco Problem, Institute of Medicine
recommended by the IOM, but would increase
our rank to 14th among states, [67] while
saving countless Hoosier lives and avoiding
millions in healthcare and lost productivity
costs. This coalition is also advocating for
Indiana legislation to raise the age of legal
tobacco purchase from 18 to 21 years.
$7 million per year in state and federal fund-
ing, slightly under 10% of the recommended
amount. [69] Meanwhile, tobacco companies
spend app roximately $284.5 million annually
marketing tobacco products in Indiana. [70]
Passing stricter smoke-free air laws (IOM
Recommendation 4) is another way Indiana
could reduce exposure to the adverse effects
of tobacco. The state legislature passed
smoke-free air legislation in 2012, but several
types of work environments were exempted
from the law, thus weakening its capacity to
protect citizens from tobacco smoke. [71] The
Indiana State Department of Health estimates
that only 31% of Indiana residents, living in
the twenty-one cities and counties that have
passed comprehensive laws, are nearly fully
protected from second-hand smoke. [72]
When the price of tobacco rises, there is a cor-
responding increase in the number of tobacco
users interested in quitting and in the demand
for cessation services. Indiana’s state tobacco
control program (IOM Recommendations 1, 16,
21, 22) has been underfunded in recent years.
According to the Centers for Disease Control
and Prevention (CDC), a minimum of $51.2
million should be invested in state tobacco
control functions in Indiana, including $20.6
million for cessation interventions. [68] The
CDC’s recommended funding level for Indiana
is $73.5 million, which would provide $33.1 for
cessation services. [68] Indiana’s tobacco con-
trol program actually receives approximately
Action Toward Equity
The current study unveils new information
about where and toward whom interventions
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