Butt Out: Tobacco Control and Cancer Prevention

Butt Out is a holistically based tobacco control and cancer prevention service. Our goal is to prevent, reduce and/or eliminate the risk of cancer among racial and ethnic diverse disadvantaged individuals. Butt Out, a 13 year intuitive, provides prevention and quitting tobacco use dependency service and policy service.


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, under-served 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 non­conventional 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 under served and at ­risk minority populations that smoke.

GOALS: The goals Butt Out; quitting tobacco use dependence services are as follow: 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 under served 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 under served population groups and Update and maintain an on­line 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 are listed as follow: 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, and 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 (non­conventional)­ acupuncture with progressive relaxation, self hypnosis, aromatherapy, therapeutic dance and movement etc,
    • Healthy lifestyle behavior and life course trainings (Telephone and on­line)
    • 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)
    • 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 Community Health providers Decision makers Outreach and Community education in Cancer prevention

Butt Out’s largest program is the Maryland Regional African American Tobacco Control Networks (RAATCN).  With funding from the National REACH Coalition, the RAATCN will address tobacco control needs on Maryland’s Historically Black Colleges and Universities (HBCUs) campuses, in ethnic minority and low income communities. AWPLI has also worked on several state and local health departments’tobacco control initiatives. AWPLI will be partnering with the State of Maryland Department of Health and Mental Hygiene (DHMH) – Tobacco Control and Minority Health and Health Disparities Programs on this initiative. AWPLI has partnered with Morgan State University, Bowie State University, Sojourner Douglass College, Coppin State University, University of Maryland –Eastern Shore, Associated Black Charities– Dorchester County, Asian American Center of Frederick, and the United Black Clergy of Anne Arundel County to become a network hub and conduct tobacco control campaigns.  For more information about the RAATCN, download the RAATCN booklet.

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**Funding through the state of  Maryland Department of Minority Health and Mental Hygiene, Prince George’s County Health Department and the Maryland Center at Bowie State University**