Strong tobacco control program requirements and secure funding are not enough: lessons from Florida

Am J Public Health. 2012 May;102(5):807-17. doi: 10.2105/AJPH.2011.300459. Epub 2012 Mar 15.


Florida's Tobacco Pilot Program (TPP; 1998-2003), with its edgy Truth media campaign, achieved unprecedented youth smoking reductions and became a model for tobacco control programming. In 2006, 3 years after the TPP was defunded, public health groups restored funding for tobacco control programming by convincing Florida voters to amend their constitution. Despite the new program's strong legal structure, Governor Charlie Crist's Department of Health implemented a low-impact program. Although they secured the program's strong structure and funding, Florida's nongovernmental public health organizations did not mobilize to demand a high-impact program. Implementation of Florida's Amendment 4 demonstrates that a strong programmatic structure and secure funding are insufficient to ensure a successful public health program, without external pressure from nongovernmental groups.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Financing, Government / legislation & jurisprudence
  • Financing, Government / methods*
  • Florida
  • Health Education / economics
  • Health Education / methods
  • Health Policy
  • Health Promotion / economics
  • Health Promotion / methods*
  • Humans
  • Mass Media
  • Public Health Practice*
  • Smoking / legislation & jurisprudence*
  • Smoking Cessation / methods
  • Smoking Prevention*
  • Social Environment
  • Tobacco Industry / legislation & jurisprudence