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RISE News with rising sun logomark
rural hills illustration
August 2021
Dear Rural Partners,

Congratulations on getting your progress reports in and on all your hard work so far in 2021! We are excited to see what the rest of the year holds. We are always thrilled to have opportunities to collaborate with you and support the work you do—so please never hesitate to reach out. 

Warmly,
The RISE Team
RISE’s Policy Platform is Here!
 
California has made great progress in reducing overall tobacco use, yet significant geographic disparities remain throughout rural areas.  Adults living in rural areas of California are more likely to smoke cigarettes than those in urban areas; rural high school students use cigarettes and smokeless tobacco at higher rates than their urban counterparts; and rural counties have more stores that sell tobacco per 100,000 residents than counties in the rest of California. 

After many conversations with our amazing rural partners across California, many hours of review by our Advisory Committee members and so much hard work, RISE is thrilled to share our finished Policy Platform. The RISE Policy Platform identifies policy, environmental, and system change initiatives to combat the disparities seen in California’s rural communities. RISE hopes that the Policy Platform will advance the policy and advocacy campaign efforts of our rural partners.
This Policy Platform describes lessons learned from previous tobacco control policy work and describes the political context of rural policymaking. It provides guidance on how to frame policy proposals and how to overcome internal resistance. Finally, it presents five priorities for policy and systems changes deemed the most important and achievable measures for reducing tobacco use and exposure in California’s rural communities, along with some examples of successful policy adoption.

The five priority areas are:
1.    Enact strong tobacco retailer licensing (TRL) policies.
2.    Reduce the sale of menthol and other flavored tobacco products.
3.    Reduce exposure to secondhand smoke and aerosols.
4.    Reduce tobacco product waste (TPW).
5.    Increase tobacco cessation messaging and options for treatment.

You can learn more about these five priority areas and read the entire Policy Platform on RISE’s website (link below). We are here to support you and are always available for technical assistance. Reach out at any time. We are excited to see how the RISE Policy Platform can contribute to the health of our rural communities and the amazing work you all do!

https://www.ca-rise.org/take-action/policy-platform/
UPCOMING 
2021 Latino Behavioral Health Conference

Envisioning Latino Behavioral Health Equity in The Next Decade The purpose of the 2021 National Latino Behavioral Health Conference is to highlight the latest and most relevant data around Prevention, Treatment, Recovery, Policy, and Research focusing on the Hispanic and Latino communities.    

Dates: September 16-17, 2021
Topics: Virtual data around Prevention, Treatment, Recovery, Policy, and Research focusing on the Hispanic and Latino communities. 
Location: Virtual
Register: https://nlbhconference2021.com/registration

National Rural ACEs Virtual Summit
 
Explore prevention best practices and innovation to address ACEs in rural and tribal lands. The summit will look at the unique aspects of addressing ACEs and establishing trauma-informed practices where resources are low and need is high.

Dates: Sept 29-30, 2021
Register: https://www.northernaces.org/2021-rural-aces-summit
Early bird registration is now open for a discounted rate!
CEUs are available too! 
 
RESOURCES 
Nowhere To Go: Maternity Care Deserts Across the U.S.
(2020 Report)

 
Nowhere To Go: Maternity Care Deserts Across the U.S. shines a light on the unequal access to maternity care found throughout the U.S. and highlights current research and its impact on the health of pregnant individuals and babies. Access to quality maternity care is a critical component of maternal health and positive birth outcomes, especially considering the high rates of maternal mortality and severe maternal morbidity in the U.S.

Maternity care deserts are counties in which access to maternity health care services is limited or absent, either through lack of services or barriers to a person’s ability to access that care. The report states that as of 2018, California had 5 counties (Modoc, Sierra, Alpine, Glenn, and Colusa) considered to be maternity care deserts and 8 counties (Shasta, Tehama, Yuba, Lake, Calaveras, Madera, San Benito, and Imperial) considered to have low to moderate access to maternity care.

In rural tobacco control work, we see high use rates for all adults as well as high rates of exposure to secondhand smoke. We also see a severe lack of health care access and proper cessation services. For a pregnant rural adult, this can have serious and potentially deadly outcomes. As tobacco control professionals, we can partner with those working on the issue of maternity deserts to improve positive birth outcomes. By working for better cessation services, we can protect the health of pregnant individuals and babies by reducing tobacco use while pregnant as well as tobacco use that creates harmful secondhand smoke. The report states, “telehealth interventions were associated with improvements in obstetric outcomes related to perinatal smoking cessation and breastfeeding.” This is an opportunity to get creative with our cessation services and promote flexible options to maximize the benefits we see. 

Read the full report here:
https://www.marchofdimes.org/research/maternity-care-deserts-report.aspx
 
Health is Wealth Videos from NorCal 4 Health
 
NorCal 4 Health works in the North Coast Region of California to encourage community planning, policy development, and general plan updates that reduce tobacco influences and secondhand smoke exposure. One focus area is the idea that health is wealth. The link between health and wealth has become so clear, the U.S. Surgeon General Jerome Adams has launched the Community Health and Economic Prosperity (CHEP) Initiative. By using a multi-pronged approach, this initiative engages businesses to be community influencers for health—implementing solutions such as comprehensive smoke-free policies and affordable housing—to strengthen communities to be places of opportunity for health and prosperity for all. CHEP, along with organizations like NorCal 4 Health, are all striving to improve health and increase opportunity. The clear path forward shows us that where there is health, there is wealth.  

NorCal 4 Health has put out a series of videos highlighting and promoting the idea that health is wealth. View them with the links below. 

•    Community Health Equals Economic Prosperity
          (10:33) https://vimeo.com/574650667

•    Community Raised Me, Community is part of your family
          (01:20) https://vimeo.com/574653410   

•    We Need Both Health & Wealth
          (01:31) https://vimeo.com/574654088   

•    Upstream Short
          (01:37) https://vimeo.com/574654549   

•    Upstream Intergenerational Youth
          (1:02) https://vimeo.com/574655002   

•    Public Space - The Shape We Give Our Community
          (02:35) https://vimeo.com/574656208   

•    The Shape We Give Our Community
          (03:33) https://vimeo.com/574655275
 
Nicotine Pouch Unit Sales in the U.S., 2016-2020 

This study assessed U.S. nicotine pouch sales from March 27, 2016 through June 13, 2020. Nicotine pouch sales increased from 163,178 units ($709,635) in 2016 to 45,965,455 units ($216,886,819) during the January–June 13, 2020 period. Mint flavors (including spearmint and wintergreen) were most commonly sold across the study period. However, during the January 2019 –June 2020 period, unit sales of fruit-flavored nicotine pouches increased more rapidly than mint and other nonfruit or non-mint flavors.
 
We know that nicotine pouches and other smokeless tobacco products are used at high rates among adults and youth in our rural areas. Smokeless tobacco can be seen as a part of rural life and culture, and some mistakenly believe that it is less harmful than smoking cigarettes. 58% of rural teen boys in California have ever used smokeless tobacco, and 56% of those still use smokeless tobacco products (https://pubmed.ncbi.nlm.nih.gov/27796632/). We must address smokeless tobacco when enacting rural tobacco control policies, especially as we continue the conversation and work around flavored tobacco products. 

The full research letter is available online at: https://bit.ly/3s1121s
Congratulations to Alejandra, Ann, Beatriz, Boniface, Dalaina, Dyane, Elidia, Freddy, Janis, Jennifer, JoAnn, Lauren, Natalie, Nykeia, Rexanne, Robin, and Yesenia!
NEED TECHNICAL ASSISTANCE?
RISE is here to offer Technical Assistance!
Contact us anytime for support with rural California Tobacco Control work. RISE supports rural tobacco projects by leveraging resources, providing leadership training and opportunities, and offering educational materials specifically designed to assist rural communities. Let us know how we can help!
Click Here to Reach Out
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