National Prevention Strategy

Tobacco Free Living

National Prevention Strategy's Tobacco-Free Living

The National Prevention Strategy provides evidence-based Recommendations for Tobacco Free Living. The Strategy also identifies actions that partners including governments, businesses, health care systems, schools, community organizations and individuals can take to implement these recommendations across multiple settings. The resources in this toolkit are intended to help state and territorial governments and their partners implement the Strategy through the suggested actions below: 

  • Implement and sustain comprehensive tobacco prevention and control programs, including comprehensive tobacco free and smoke-free policies and paid media advertising.
  • Work with the FDA to enforce the provisions set forth in the Tobacco Control Act.
  • Implement and enforce policies and programs to reduce youth access to tobacco products (e.g., Synar program).
  • Balance traditional beliefs and ceremonial use of tobacco with the need to protect people from secondhand smoke exposure.
  • Begin with Examples of State Collaboration
  • Assess State Needs and Priorities
    • Community Health Assessment and Group Evaluation (CHANGE) Tool
      CDC’s assessment tool helps states and coalitions assess change strategies in communities, identify gaps and support action planning for improvement. The CHANGE tool addresses physical activity, nutrition, tobacco use, chronic disease management and leadership.
    • Smoking Among U.S. Adults with Mental Illness
      CDC’s Vital Signs report discusses the statistics for smoking among adults with mental illness, as well as recommendations for how to reduce smoking rates in this population. States can use this data to support the need for programs and policies that reduce tobacco use among people with mental illness.
    • State Tobacco Activities Tracking and Evaluation (STATE) System
      Hosted by CDC, this online warehouse integrates many data sources to provide comprehensive summary data to facilitate research and policy change. Current and historical state-level data include tobacco use behaviors, demographics, economics, environment, funding, health costs and legislation.
    • Tobacco Control State Highlights
      CDC's report guides states in developing and implementing high-impact strategies and assessing their performance. It provides state-specific data on numerous indicators such as prevalence of tobacco use, second hand smoke exposure, Medicaid coverage for cessation, smoke-free policies and more. It is currently available on CDC's Smoking & Tobacco Use website.
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  • Review Evidence-Based Recommendations
    • Best Practices for Comprehensive Tobacco Control Programs
      CDC’s evidence-based guide helps states plan and establish effective tobacco control programs to prevent and reduce tobacco use with a comprehensive approach that includes educational, clinical, regulatory, economic, and social strategies.
    • Community Guide
      The Guide to Community Preventive Services (The Community Guide) is the place to find evidence-based recommendations and findings covering many health topics and types of interventions for behavior change, disease prevention and environmental change.
    • Healthy People 2020
      Healthy People offers science-based, 10-year national objectives for improving the health of all Americans, and provides measurable objectives and goals to help states engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge.
    • Surgeon General’s Reports on Smoking and Tobacco Use
      The most recent reports are E-Cigarette Use Among Youth and Young Adults (2016) and The Health Consequences of Smoking: 50 Years of Progress (2014).
    • MPOWER Measures
      The World Health Organization (WHO) introduced the MPOWER measures to assist in country-level implementation of effective interventions to reduce the demand for tobacco. MPOWER stands for: Monitor tobacco use; Protect people; Offer help; Warn about the dangers; Enforce bans; and Raise taxes.
    • U.S. Preventive Services Task Force (USPSTF) Clinical Recommendations
      The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products. For pregnant smokers, they recommend that clinicians provide pregnancy-tailored counseling.
    • U.S. Public Health Service Clinical Practice Guidelines for Treating Tobacco Use and Dependence
      The U.S. Public Health Service provides new, effective clinical treatments for tobacco dependence based on published, evidence-based research. The Guidelines urge every clinician, health plan, and health care institution to ask patients two key questions: “Do you smoke?” and “Do you want to quit?”
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  • Take Action to Make Change
    • Assessing Compliance of Smoke-Free Laws
      This "How-to" Guide for Conducting Compliance Studies can help states and tobacco control organizations prepare for and implement studies to assess compliance with smoke-free laws. The guide provides timelines, sampling plans, the actual study implementation and results.
    • Change is In the Air
      The US Department of Housing and Urban Development (HUD) has developed this action guide for establishing smoke-free public housing and multifamily properties. This guide provides implementation steps, resources, and success stories. HUD introduces the guidance in a memorandum.
    • Curriculum on Smoke-free Policies in Multi-Unit Housing
      The American Lung Association’s online curriculum examines how partners (building managers, property owners, policymakers, residents and other stakeholders) can come together to implement a smoke-free policy in multi-unit housing properties like apartments and condominiums.
    • Implementing Smoke-free Laws
      Developed by the Robert Wood Johnson Foundation, the Campaign for Tobacco Free Kids and Americans for Nonsmokers’ Rights, this toolkit includes a timeline, advertising and outreach materials, resources and activities to help states and partners with implementing smoke-free laws.
    • Tobacco Prevention Policy Tool
      The American Academy of Pediatrics showcases various tobacco and secondhand smoke prevention and control strategies possible at each level of advocacy: practice, school/child care, community, state and national. It is designed for child health care professionals to work with partners on advocacy efforts.
    • provides easy-to-understand, actionable information on prevention and wellness topics that state health agencies can use to promote healthy living in their communities, organized around evidence-based actions that individuals cans take to stay healthy. The Health Topics A-Z allows users to browse by category, population, or topic for tools and resources for maintaining a healthy lifestyle.
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  • Align Policies and Laws
    • State Legislated Actions on Tobacco Issues (SLATI)
      The American Lung Association’s Tobacco Policy Project, SLATI, is an extensively researched source of information on tobacco control laws and policy. The website tracks laws such as restrictions on smoking in public places and workplaces and tobacco taxes.
    • State Tobacco Cessation Coverage Database
      States can help smokers quit by providing comprehensive cessation treatments through Medicaid programs, state employee health benefit programs and quitlines. The American Lung Association’s database tracks cessation coverage policies and details for each state and the District of Columbia.
    • State of Tobacco Control
      The American Lung Association's annual State of Tobacco Control report provides a snapshot of where states are regarding key tobacco control policies. It discusses state spending, smoke-free air policies, cigarette excise taxes, cessation coverage, and smoking attributable death statistics.
    • Tobacco and Juvenile Offenders: Breaking the Cycle
      In this policy brief, the Public Health Law Center explores tobacco control policies in juvenile residential correctional facilities and detention centers, the health impact of tobacco use on juvenile offenders, challenges and policy opportunities for tobacco cessation in the juvenile justice system.
    • Tobacco Behind Bars: Policy Options for the Adult Correctional Population
      In this policy brief, the Public Health Law Center explores tobacco control policies in local and state prisons and jails, the health care cost of tobacco use among the correctional population, regulatory challenges and policy opportunities with correctional tobacco- and smoke-free policies.
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