Butt Out: Tobacco Control and Cancer Prevention

Holistic-based tobacco control and cancer prevention service that aim to prevent, reduce and/or eliminate the risk of cancer among minority, underserved individuals and communities.


    • Tobacco use can lead to nicotine dependence and serious health problems.
    • Quitting tobacco use dependence can significantly reduce the risk of suffering from smoking-related diseases.
    • Tobacco dependence is a chronic condition that often requires repeated interventions,
    • Nicotine is the psychoactive drug in tobacco products that produces dependence. Smokers are dependent on nicotine.
    • Nicotine dependence is the most common form of chemical dependence in the United States.
    • Quitting smoking is difficult and may require multiple attempts.
    • Smokers often relapse because of stress, weight gain, and withdrawal symptoms.
  • Nicotine withdrawal symptoms may include irritability, anxiety, difficulty concentrating, and increased appetite.


Breaking free from nicotine dependence is not the only reason to quit smoking. Cigarette smoke contains a deadly mix of more than 7,000 chemicals; hundreds are toxic and about 70 can cause cancer. Cigarette smoke can cause serious health problems, numerous diseases, and death. Fortunately, people who stop smoking greatly reduce their risk for disease and premature death.

To achieve health equity, prevent, reduce and/or eliminate tobacco related health disparities and to improve health outcomes especially among racial and ethnic diverse, low-socio-economic status, underserved individuals (tobacco users) residing in the Prince George’s County (PGC).


“Butt Out” is a comprehensive tobacco use prevention and quitting tobacco dependence client-centered service and a promising practice noted by the Center for Health Promotion, Education, Tobacco Use Prevention and Cessation-Maryland Department of Health and Mental Hygiene. This innovative and comprehensive conventional and non-conventional tobacco control service is a leading entity in the PGC since 2008 and its effective treatments and helpful resources exist.

MISSION: Reduce preventable and premature deaths attributed to tobacco use by implementing programs to prevent, decrease and/or eliminate tobacco use and exposure to second and third-hand tobacco smoke among racial and ethnic diverse minority communities


INTENT: Reduce the impact that tobacco use has on underserved and at-risk minority populations that smoke.


GOALS: The goals of Butt Out quitting tobacco use dependence services are as follows:

  • Prevent the initiation of tobacco use among adults and youth
  • Promote treatment and quitting tobacco use dependence among pregnant women, adults and youth
  • Promote healthy lifestyle behaviors and healthy living among minority underserved individuals
  • Eliminate non-smokers exposure to environmental tobacco smoke especially among children and infants
  • Provide tobacco control consultation services to Prince George’s County Health Department and workforce entities
  • Providing community trainings and in smoking cessation
  • Advocate for smoke free living
  • Identify, prevent, reduce and/or eliminate the risk of health disparities as related to tobacco and its effects on underserved population groups
  • Update and maintain an on-line treatment and quitting tobacco use dependence services


Behavior and social cognitive theories, evidence-based/best practices provide the framework for “Butt Out” initiative development and deliverables/interventions:

  • Theory of Reasoned Action (Ajzen, 1980)
  • Belief Model (Becker, 1980)
  • Freedom From Smoking – American Lung Association
  • Centers for Disease Control’s “Best Practice Guidelines for Comprehensive Tobacco Cessation”
  • Proschaska and DiClemente’s Stages of Change Model- Motivational Interviewing
  • Not on Tobacco- University of West Virginia (youth 14-19 years-of-age)


The Butt Out program offers (without cost to qualified participants) the following services:

  • Prevention, treatment and quitting tobacco use dependence and maintenance
  • Conventional- Nicotine replacement therapies, coaching, group/individual
  • Daily assessments-screenings (health impact assessment, smoking survey, CO2 testing, weight and blood pressure screenings, quit/life plan
  • Integrative- (non-conventional)- acupuncture with progressive relaxation, self hypnosis, aromatherapy, therapeutic dance and movement etc
  • Healthy lifestyle behavior and life course trainings
  • Telephone and on-line
  • Eight weeks comprehensive quitting tobacco use dependence training program- 1.5 hrs weekly
  • Smoking cessation programs are implemented via workforce, residential facilities, government agencies, community-based and hospital based
  • Registered Master Tobacco Training Specialist, experienced Tobacco Trainers and Medical team (psychologist, epidemiologist, medical doctor)
  • Comprehensive assessment/intake, daily screenings , and quit/life plan
  • Workshop in the social determinants of health to all program participants


Butt out tobacco control and cancer prevention offers also the following services:

    • Policy development, review, implementation, monitoring and evaluation
    • Legislative support
    • Advocacy in cancer prevention and tobacco use prevention
    • Community engagement
    • Health providers
    • Decision makers
    • Outreach and Community education in Cancer prevention
    • Healthcare providers
    • General public- interested partners
  • Stakeholders


“Butt Out”: Tobacco Control and Cancer Prevention Service Providers Credentials:

Master- Tobacco Training Specialist (registered and certified) – University of Massachusetts School of Medicine Center for Tobacco Treatment Research and Training

Certified Tobacco Treatment Specialist -Center for Tobacco Surveillance and Evaluation Research and School of Public Health and Division of Addiction Psychiatry – Robert Wood Johnson Medical School

Certified  Tobacco Control Trainer –  American Lung Association

**Funding through Prince George’s County Health Department and the Maryland Center at Bowie State University**