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State of Alaska

Complete Health Indicator Report of Tobacco Use - Adults (18+) - Not Smoking Cigarettes (HA2020 Leading Health Indicator: 3)

Definition

Percentage of adults 18 years of age and older who responded "No" on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] to the question: "Have you smoked at least 100 cigarettes in your entire life?" or, if the response was "Yes", they responded "not at all" to the question: "Do you now smoke cigarettes every day, some days, or not at all?"

Numerator

Weighted number of adults (18+) who responded "No" on the BRFSS to the question: "Have you smoked at least 100 cigarettes in your entire life?" or, if the response was "Yes", they responded "not at all" to the question: "Do you now smoke cigarettes every day, some days, or not at all?"

Denominator

Weighted number of adults (18+) with complete and valid responses on the BRFSS to the question: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", also to a second question on smoking frequency.

Data Interpretation Issues

The Behavioral Risk Factor Surveillance System (BRFSS) is a primary source for estimating not cigarette smoking for Alaska. The median of states, District of Columbia, and territories provides a comparison for the United States (U.S.). The BRFSS is a telephone survey of adults 18 and over. Information on background and methodology of the BRFSS managed by the Centers for Disease Control and Prevention (CDC) can be found at: [http://www.cdc.gov/brfss/]. The website for the Alaska BRFSS is: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx]. The questions on not cigarette smoking have been asked on the standard BRFSS (1991 onward) as well as the supplemental BRFSS survey since its inception in 2004.

Why Is This Important?

Tobacco use is the leading cause of preventable disease and death in the United States.^1^ There have been over 12 million tobacco-related deaths in the United States since the landmark 1964 Surgeon General's report, which broadcast that smoking was a cause of cancer.^2^ And smoking kills more than just those who choose to smoke. Exposure to secondhand smoke kills approximately 50,000 Americans every year.^3^ The use of tobacco products (both cigarettes and smokeless tobacco products, such as chewing tobacco) is responsible for 30% of all cancer deaths, 21% of all coronary heart disease deaths, and 18% of all stroke deaths.^2^ For every one person who dies from tobacco use, another 20 suffer reduced quality of life from tobacco-related illness.^4^ In addition, tobacco use costs the US economy more than $96 billion each year in direct medical expenses and another $97 billion per year in lost productivity;^3^ Alaska's share of these costs are approximately $546 million annually.^5^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). Best Practices for Comprehensive Tobacco Control Programs-2014. [http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2014/comprehensive.pdf]. Published 2014. Accessed October 4, 2016. 2. U.S. Department of Health and Human Services. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General, 2014. [http://www.surgeongeneral.gov/library/reports/50-years-of-progress/]. Published 2014. Accessed October 4, 2016. 3. U.S. Centers for Disease Control and Prevention (CDC). Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses-United States 2000-2004. Morbidity and Mortality Weekly Report (MMWR) 2008;57(45):1226-1228. 4. U.S. Centers for Disease Control and Prevention (CDC). Cigarette smoking-attributable morbidity-United States, 2000. Morbidity and Mortality Weekly Report (MMWR) 2003; 52(35):842-844. 5. U.S. Centers for Disease Control and Prevention (CDC). Smoking-Attributable Mortality, Morbidity, and Economic Costs. [https://chronicdata.cdc.gov/Health-Consequences-and-Costs/Smoking-Attributable-Mortality-Morbidity-and-Econo/ezab-8sq5?]. Updated 2009. Accessed October 4, 2016. }}

Healthy People Objective: Reduce tobacco use by adults: Cigarette smoking

U.S. Target: 12.0 percent

Other Objectives

Healthy Alaskans 2020 Indicator 3: Increase the percentage of adults (age 18 years and older) who currently do not smoke cigarettes to 83% by 2020.

How Are We Doing?

Over 80% of Alaskan adults (18+) did not smoke cigarettes in 2015. Alaska Native adults (18+) had a smoking rate of 38.4%, resulting in a significantly lower rate of not smoking cigarettes (61.6%) than other races in 2013-2015. The highest rates of not smoking cigarettes were found among those 65 years of age and older, Asians, those with higher incomes, those not in the workforce, college graduates, those who were married, and urban residents. The prevalence rates for not smoking cigarettes from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, poverty status, and weight status) are limited to 2010 and later to allow for ease of assessing recent trends. Crosstabulations of not smoking cigarettes by body mass index (BMI), sexual orientation, disability, and Adverse Childhood Experiences (ACEs) score were conducted for the 3-year average of 2013-2015. Each comparison showed significant differences in prevalence. Prevalence of not smoking cigarettes by regions of Alaska are presented for the most recent time period allowing reporting for all Alaskans and Alaska Native people: 1) single-year for the 7 Alaska Public Health Regions, 2) three-year averages by the 5 Metropolitan or Micropolitan Statistical Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) three-year averages for 29 boroughs and census areas, and 5) five-year averages for the 12 tribal health organization regions. These time intervals match those for the InstantAtlas health profiles for each of the geographic regionalizes of Alaska for those desiring longer time series.

How Do We Compare With the U.S.?

The Alaska adult smoking rate has somewhat paralleled, but been consistently above the rate for the national median of states, District of Columbia, and territories.

What Is Being Done?

In collaboration with partners statewide, the Alaska Tobacco Prevention and Control (TPC) program provides leadership, coordinates resources, and promotes efforts that support Alaskans in living healthy and tobacco-free lives. Specifically, the Alaska TPC provides funding and technical assistance for regional tobacco prevention and control programs; provides media and other counter-marketing communications statewide; operates a tobacco quit-line that provides cessation counseling and nicotine replacement therapy (NRT) free of charge; ensures the ongoing surveillance of tobacco use trends in Alaska and the evaluation of program efforts; and supports tobacco-free partnership projects in Alaska. Additional information on current tobacco prevention efforts in Alaska is available at: [http://www.hss.state.ak.us/dph/chronic/tobacco/default.htm] or [http://www.tobaccofree.alaska.gov]. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_3_Tobacco_Adult.pdf].

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs.* '''Strategy 1:''' [[br]]Introduce and implement statewide or community comprehensive smoke-free workplace laws. '''Evidence Base:''' [[br]]Several of the Surgeon General's reports, CDC Best Practices, and The Community Guide all list smoke-free workplaces as an evidence-based strategy to change social norms, support smokers in their quit attempts, and prevent young people from starting to smoke. '''Strategy 2:''' [[br]]Adopt and implement comprehensive tobacco-free and smoke-free post-secondary and healthcare campus and multi-unit housing policies. Address emerging issues guided by the evidence base. '''Evidence Base:''' [[br]]Several Surgeon General's reports, CDC Best Practices, The Community Guide, and U.S. Public Health Service Clinical Practice Guideline all list tobacco-free or smoke-free campus policies as an effective, evidence-based method to reduce tobacco use. Young adults are particularly vulnerable to transitioning from trying smoking to lifelong smoking depending on their environments. Post-secondary campus policies help establish a community context where young adults can be tobacco-free and prepare for the workforce with a smoke-free/tobacco-free policy. Worksites and healthcare campuses that establish a culture of health support their employees who are trying to quit through smoke-free or tobacco-free policies. In addition. healthcare campuses that are tobacco-free promote health and wellbeing before, during, and after illness. Healthcare campuses should include clinical practice guidelines and provide Nicotine Replacement Therapies to in-patients. Smoke-free multi-unit housing policies protect adults and youth from exposure to secondhand smoke in their homes, support adults to quit tobacco, and prevent youth from starting. '''Strategy 3:''' [[br]]Train healthcare providers to ask at every visit, advise patients to quit, and refer to cessation services. Document in the electronic health record systems. Providers include physicians, nurses, dentists, behavioral health providers, pharmacists, Community Health Aides/Practitioners, nurse practitioners, case managers, intake specialists, and others. '''Evidence Base:''' [[br]]The U.S. Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence is a step by step tool to promote comprehensive, evidence-based strategies to reduce tobacco use among adults. Several Surgeon General's reports, the Community Guide, and CDC Best Practices also note these evidence-based strategies to support individuals who use tobacco in their quit attempts. * Sources for strategies can be found at [http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS3_Tobacco-Adults.pdf] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_3_Tobacco_Adult.pdf].

Available Services

The Alaska Tobacco Quit Line and Alaska's online quitting program offer assistance in quitting tobacco use to Alaska adults and teens. For services and information call the Alaska Tobacco Quit Line at 1-800-QUIT-NOW or visit Alaska's online tobacco cessation support program at [http://www.alaskaquitline.com].

Health Program Information

For information on quitting tobacco use, call the Alaska Tobacco Quit Line at 1-800-QUIT-NOW or visit Alaska's [http://www.alaskaquitline.com/online tobacco cessation support program].


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, all Alaskans, Alaska Natives, and U.S., 1991-2020

::chart - missing::
confidence limits

Alaska ComparisonsYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 83
All Alaskans199173.9%70.5%76.9%1,0931,528
All Alaskans199272.0%68.5%75.2%1,0911,533
All Alaskans199374.2%71.1%77.1%1,1061,532
All Alaskans199471.0%67.5%74.3%1,0771,532
All Alaskans199574.9%71.6%77.9%1,1051,529
All Alaskans199672.3%68.8%75.6%1,0771,530
All Alaskans199773.5%70.0%76.6%1,1401,543
All Alaskans199873.9%71.2%76.4%1,4371,986
All Alaskans199972.7%69.6%75.6%1,4532,045
All Alaskans200075.0%72.1%77.6%1,5352,072
All Alaskans200173.8%71.3%76.2%2,0462,866
All Alaskans200270.7%67.8%73.3%1,9362,690
All Alaskans200373.8%71.3%76.1%1,9342,657
All Alaskans200475.7%74.0%77.4%3,7695,094
All Alaskans200575.2%73.4%76.8%4,3005,722
All Alaskans200676.0%74.0%77.9%3,1764,219
All Alaskans200775.6%73.6%77.6%3,9425,068
All Alaskans200876.2%74.2%78.1%3,8034,915
All Alaskans200978.5%76.5%80.4%3,7764,722
All Alaskans201077.8%75.1%80.3%2,5703,209
All Alaskans201177.4%75.6%79.1%4,8116,076
All Alaskans201279.0%77.4%80.5%6,6138,240
All Alaskans201378.2%76.6%79.6%7,3079,041
All Alaskans201479.7%78.3%81.1%7,3378,815
All Alaskans201580.8%79.3%82.2%6,7448,113
Alaska Native people199160.9%53.9%67.4%195320
Alaska Native people199250.0%41.0%59.0%153277
Alaska Native people199361.0%53.2%68.3%194325
Alaska Native people199460.1%52.2%67.6%171291
Alaska Native people199563.0%55.1%70.2%186312
Alaska Native people199652.7%44.1%61.1%178317
Alaska Native people199758.9%51.1%66.4%197317
Alaska Native people199860.2%53.8%66.3%206361
Alaska Native people199957.9%50.7%64.7%235417
Alaska Native people200057.1%49.6%64.3%228389
Alaska Native people200157.3%51.3%63.2%359624
Alaska Native people200255.3%48.7%61.7%339588
Alaska Native people200354.8%48.6%60.8%324574
Alaska Native people200457.2%52.7%61.5%6301,098
Alaska Native people200559.5%55.4%63.4%7151,205
Alaska Native people200657.3%52.3%62.1%513893
Alaska Native people200759.6%54.6%64.4%6961,113
Alaska Native people200855.6%50.6%60.6%6071,042
Alaska Native people200960.9%55.5%66.1%604931
Alaska Native people201061.4%54.2%68.1%384605
Alaska Native people201164.9%60.4%69.1%7601,177
Alaska Native people201261.8%57.6%65.8%1,1281,772
Alaska Native people201359.4%55.3%63.5%9841,539
Alaska Native people201461.2%57.3%65.0%9561,405
Alaska Native people201564.0%60.2%67.7%1,0241,497
U.S.1991**
U.S.1992**
U.S.1993**
U.S.1994**
U.S.1995**
U.S.199676.6%
U.S.199776.8%
U.S.199877.2%
U.S.199977.4%
U.S.200076.8%
U.S.200177.2%
U.S.200277.0%
U.S.200378.0%
U.S.200479.2%
U.S.200579.5%
U.S.200680.0%
U.S.200780.3%
U.S.200881.7%
U.S.200982.1%
U.S.201082.7%
U.S.201178.8%
U.S.201280.4%
U.S.201381.0%
U.S.201481.9%
U.S.2015**
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

U.S. values are based upon the median value of the states, District of Columbia, and territories. ** = Data not available

Data Sources

  • Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by sex, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Males201076.5%72.3%80.2%1,1551,447
Males201176.0%73.3%78.4%2,1532,773
Males201277.8%75.6%79.9%3,0023,826
Males201376.1%73.8%78.2%3,2934,158
Males201478.6%76.5%85.0%3,3034,023
Males201579.2%77.0%81.2%3,0313,745
Females201079.2%75.7%82.3%1,4151,762
Females201178.9%76.5%81.1%2,6583,303
Females201280.3%78.0%82.5%3,6114,414
Females201380.4%78.3%82.3%4,0144,883
Females201481.0%79.0%82.9%4,0344,792
Females201582.5%80.4%84.5%3,7134,368
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by age group, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Age Group: 18-24,25-34,35-44,45-64,65+YearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
18-24201076.8%66.7%84.6%100138
18-24201175.3%68.6%81.0%264356
18-24201271.9%66.6%76.6%396571
18-24201376.5%71.4%81.0%479641
18-24201481.3%76.6%85.2%391487
18-24201581.7%76.8%85.7%351454
25-34201065.4%57.1%72.9%314419
25-34201171.6%66.6%76.0%583798
25-34201276.2%72.1%79.8%1,0021,289
25-34201374.0%70.0%77.7%9271,246
25-34201475.1%71.0%78.8%8001,031
25-34201573.4%68.8%77.4%681924
35-44201080.0%74.3%84.6%443552
35-44201178.1%74.3%81.5%8191,047
35-44201279.0%74.8%82.7%1,0211,297
35-44201375.3%71.1%79.1%1,1071,388
35-44201478.1%74.5%81.3%1,0531,303
35-44201579.3%75.1%82.9%8641,071
45-64201080.3%77.2%83.0%1,1881,507
45-64201177.7%75.2%80.1%2,1282,688
45-64201279.4%76.9%81.7%2,7643,478
45-64201378.1%75.8%80.3%3,1173,903
45-64201478.7%76.5%80.7%3,1523,854
45-64201581.2%79.0%83.2%2,9053,508
65+201089.7%84.2%93.4%492550
65+201188.4%85.7%90.7%9591,107
65+201290.0%86.7%92.5%1,3451,504
65+201390.1%87.6%92.1%1,5971,773
65+201490.0%87.8%91.9%1,8102,002
65+201590.7%88.2%92.7%1,8372,029
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Respondents are asked, "What is your age?", which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by race/ethnicity, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)61.6%59.3%63.8%2,9644,441
Asian (non-Hispanic)90.8%87.1%93.5%411470
Black (non-Hispanic)73.3%66.1%79.5%266345
Native Hawaiian/Other Pacific Islander (non-Hispanic)79.5%68.0%87.6%99122
White (non-Hispanic)82.9%81.9%83.8%16,53919,282
Multiracial/Other (non-Hispanic)75.8%65.0%84.0%112147
Hispanic (alone or multi)82.0%77.1%86.0%521622
Healthy Alaskans Goal83.0%

Data Notes

Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enumerated above. Responses of Don't Know/Not Sure or Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by ethnicity, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Hispanic/Latino201082.4%63.4%92.7%6172
Hispanic/Latino201183.4%74.5%89.7%137170
Hispanic/Latino201278.2%69.7%84.9%199249
Hispanic/Latino201372.0%63.0%79.5%205263
Hispanic/Latino201485.2%77.2%90.8%209242
Hispanic/Latino201585.3%77.5%90.7%188224
Not Hispanic/Latino201077.5%74.7%80.0%2,4783,097
Not Hispanic/Latino201177.1%75.3%78.8%4,6305,853
Not Hispanic/Latino201279.1%77.4%80.6%6,3697,939
Not Hispanic/Latino201378.5%76.9%80.0%7,0118,666
Not Hispanic/Latino201479.3%77.8%80.7%7,0008,430
Not Hispanic/Latino201580.5%78.9%82.0%6,4557,768
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by marital status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Marital StatusYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
Married201084.6%81.7%87.1%1,5741,834
Married201184.9%83.1%86.6%2,8573,341
Married201286.5%84.5%88.2%3,8324,437
Married201385.4%83.6%87.0%4,2604,898
Married201486.0%84.3%87.4%4,3524,923
Married201586.7%84.9%88.2%3,9804,462
Widowed201075.2%62.4%84.6%192240
Widowed201178.3%71.5%83.8%345435
Widowed201277.5%70.8%83.0%507616
Widowed201378.8%72.6%83.9%557672
Widowed201481.8%76.6%86.0%582685
Widowed201580.7%75.1%85.3%564676
Divorced/Separated201070.8%63.8%77.0%359512
Divorced/Separated201165.1%60.1%69.8%7491,068
Divorced/Separated201267.5%62.7%71.9%9801,363
Divorced/Separated201366.6%62.2%70.8%1,0731,514
Divorced/Separated201470.0%65.9%73.7%1,0741,458
Divorced/Separated201574.0%69.4%78.2%9541,255
Never Married201068.3%60.5%75.2%339477
Never Married201170.1%65.1%74.7%647922
Never Married201270.2%66.4%73.7%9871,417
Never Married201371.8%67.8%75.5%1,0861,492
Never Married201474.3%70.6%77.7%1,0131,326
Never Married201575.2%71.3%78.7%9401,286
Living with a Partner201068.1%53.1%80.1%82116
Living with a Partner201164.3%54.7%72.9%173255
Living with a Partner201270.6%62.1%77.8%255348
Living with a Partner201362.9%54.8%70.4%277399
Living with a Partner201467.1%58.3%74.8%250345
Living with a Partner201570.4%62.3%77.3%230334
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (25+) who currently do not smoke cigarettes, crude rate, by education, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Edu Level: < HS, HS, Some Coll, Coll GradYearPercentage of Adults 25+Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 32
< HS201054.1%43.7%64.1%122208
< HS201162.5%54.8%69.6%241389
< HS201262.9%55.3%69.9%344527
< HS201348.1%40.9%55.3%247447
< HS201458.8%52.0%65.3%255441
< HS201554.3%46.5%61.9%230385
HS201067.2%61.0%72.9%606845
HS201169.5%65.9%72.8%1,1081,579
HS201272.2%68.6%75.6%1,4202,019
HS201368.9%65.4%72.2%1,4722,132
HS201471.8%68.6%74.8%1,4451,967
HS201571.5%67.8%74.8%1,3881,902
Some Coll201082.1%78.1%85.6%716895
Some Coll201178.1%75.0%80.9%1,2351,599
Some Coll201280.5%77.6%83.1%1,7992,253
Some Coll201381.4%78.8%83.8%2,0362,502
Some Coll201479.5%76.6%82.1%1,9402,366
Some Coll201582.3%79.8%84.6%1,8882,289
Coll Grad201090.8%86.6%93.7%9881,075
Coll Grad201191.7%89.2%93.7%1,8982,060
Coll Grad201293.0%91.2%94.4%2,5552,752
Coll Grad201393.7%92.3%95.0%2,9693,203
Coll Grad201493.1%91.7%94.2%3,1493,387
Coll Grad201595.1%93.9%96.1%2,8082,990
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by employment status, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: EmploymentYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 32
Employed201079.1%75.7%82.1%1,6602,036
Employed201179.1%76.8%81.1%3,0013,697
Employed201280.9%78.9%82.7%4,1115,018
Employed201380.7%78.8%82.4%4,4605,421
Employed201480.4%78.5%82.1%4,4155,234
Employed201581.5%79.6%83.3%3,9324,698
Unemployed201060.7%50.2%70.3%128219
Unemployed201156.5%49.2%63.6%263458
Unemployed201256.7%49.5%63.5%345596
Unemployed201349.6%42.9%56.3%352608
Unemployed201465.6%59.0%71.6%301470
Unemployed201561.8%55.0%68.2%299486
Not In Work Force201084.4%78.4%89.0%680779
Not In Work Force201187.9%85.6%89.9%1,3521,579
Not In Work Force201285.9%83.2%88.2%1,8822,162
Not In Work Force201384.1%81.3%86.6%2,1742,497
Not In Work Force201485.7%83.2%87.8%2,2822,604
Not In Work Force201588.8%86.3%90.9%2,1352,386
Unable to Work201057.2%45.1%68.5%86154
Unable to Work201151.7%42.6%60.8%176313
Unable to Work201256.4%48.7%63.8%247428
Unable to Work201359.7%51.3%67.6%268439
Unable to Work201462.4%55.0%69.2%283436
Unable to Work201561.4%53.2%69.0%261395
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by income, all Alaskans, 2010-2020

::chart - missing::
confidence limits

HA: Income: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 38
<$15,000201070.5%60.4%77.8%129215
<$15,000201156.7%48.7%64.3%263453
<$15,000201255.9%49.4%62.2%385662
<$15,000201356.1%49.1%62.9%413703
<$15,000201463.8%57.9%69.3%386625
<$15,000201557.5%50.3%64.4%331556
$15,000 - $24,999201067.1%58.4%74.8%205301
$15,000 - $24,999201160.1%53.6%66.3%422658
$15,000 - $24,999201267.2%61.7%72.3%671971
$15,000 - $24,999201365.3%60.0%70.3%7031,011
$15,000 - $24,999201469.3%64.2%74.1%684932
$15,000 - $24,999201563.6%57.6%69.2%622876
$25,000 - $49,999201076.1%70.0%81.3%476614
$25,000 - $49,999201175.9%71.4%79.8%9041,154
$25,000 - $49,999201276.1%72.1%79.7%1,2511,602
$25,000 - $49,999201375.1%71.3%78.6%1,3611,726
$25,000 - $49,999201476.2%72.6%79.5%1,3041,635
$25,000 - $49,999201577.9%73.9%81.5%1,1641,439
$50,000 - $74,999201079.7%71.6%85.9%465540
$50,000 - $74,999201182.9%78.9%86.4%829977
$50,000 - $74,999201280.9%76.4%84.7%1,0891,294
$50,000 - $74,999201379.3%75.7%82.5%1,2231,507
$50,000 - $74,999201481.0%77.1%84.4%1,1881,374
$50,000 - $74,999201585.0%81.6%87.8%1,0581,235
$75,000+201084.1%79.1%88.1%9531,085
$75,000+201187.2%84.8%89.3%1,7612,008
$75,000+201289.5%87.2%91.3%2,3442,617
$75,000+201386.7%84.4%88.7%2,9163,248
$75,000+201487.5%85.6%89.2%3,0133,366
$75,000+201588.8%86.8%90.5%2,7913,082
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by poverty threshold, all Alaskans, 2010-2020

::chart - missing::
confidence limits

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]
HA: Poverty ThresholdYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 26
Poor201070.4%59.7%79.2%112185
Poor201158.3%50.4%65.7%239408
Poor201256.7%50.2%63.0%372671
Poor201358.8%52.1%65.3%368639
Poor201464.2%58.3%69.8%345570
Poor201560.3%52.5%67.6%262444
Near Poor201069.7%62.4%76.1%289422
Near Poor201168.6%63.5%73.3%483737
Near Poor201266.8%61.7%71.6%8121,167
Near Poor201365.2%60.4%69.7%8741,274
Near Poor201468.3%63.4%72.9%7781,080
Near Poor201564.2%58.2%69.7%598844
Middle/High201081.2%77.7%84.3%1,8272,148
Middle/High201184.2%82.3%85.9%3,2513,822
Middle/High201284.7%82.9%86.3%4,5555,307
Middle/High201383.0%81.2%84.5%5,3746,282
Middle/High201483.7%82.1%85.1%5,4516,281
Middle/High201585.5%83.7%87.2%4,2964,907
Healthy Alaskans Goal201383.0%
Healthy Alaskans Goal201483.0%
Healthy Alaskans Goal201583.0%
Healthy Alaskans Goal201683.0%
Healthy Alaskans Goal201783.0%
Healthy Alaskans Goal201883.0%
Healthy Alaskans Goal201983.0%
Healthy Alaskans Goal202083.0%

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by body mass index, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Weight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Neither Overweight nor Obese77.2%75.7%78.7%6,4108,063
Overweight80.1%78.6%81.5%7,5849,146
Obese80.9%79.2%82.4%6,2107,384
Healthy Alaskans Goal83.0%

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by sexual orientation, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Heterosexual80.3%79.5%81.2%19,35023,350
Gay, Lesbian, or Bisexual64.7%58.5%70.4%494685
Healthy Alaskans Goal83.0%

Data Notes

Sexual orientation is assess by the question: "Now I'm going to ask you a question about sexual orientation. Do you think of yourself as A. Gay or lesbian, B. Straight, that is, not lesbian or gay, C. Bisexual, or D. something else?" Responses of "Straight, that is not lesbian or gay" are contrasted with the combined responses to"Gay or lesbian" and "Bisexual". Responses of "Something else", "Don't Know / Not sure", or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by disability, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Disability Present66.2%62.7%69.5%1,5652,182
Disability Absent81.9%80.7%83.0%8,2619,918
Healthy Alaskans Goal83.0%

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by adverse childhood experience score, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
086.7%84.9%88.3%3,4553,957
182.9%80.4%85.1%1,9892,362
2-376.0%73.0%78.6%2,0632,585
4+69.3%65.9%72.4%1,3361,887
Healthy Alaskans Goal83.0%

Data Notes

The presence of one or more Adverse Childhood Experiences (ACEs) is assessed using either the 10 domains that are grouped into: [[br]] '''Abuse:'''[[br]] 1) Verbal Abuse[[br]] 2) Physical Abuse[[br]] 3) Sexual Abuse][[br]] '''Dysfunctional Households:'''[[br]] 4) Substance Abuse[[br]] 5) Mental Illness[[br]] 6) Domestic Violence[[br]] 7) Separation/Divorce[[br]] 8) Incarceration among household members[[br]] '''Neglect:'''[[br]] 9) Emotional Neglect[[br]] 10) Physical Neglect[[br]] The presence of an Adverse Childhood Experience have grouped into scores of 0 (no exposure), 1 (single exposure to an ACE), 2-3 (exposure to 2 or 3 ACEs), and 4+ (exposure to 4 or more different ACEs) The questions associated with each type of ACEs is described in the [http://ibis.dhss.alaska.gov/indicator/index/Alphabetical.html respective reports]. A summary ACEs score is computed for those with valid responses to all domains. Respondents with refusals to one or more of the ACEs questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, Alaska Public Health Regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage84.9%81.8%87.6%1,1561,312
All AlaskansGulf Coast79.8%76.5%82.8%1,0461,249
All AlaskansInterior76.7%73.5%79.7%1,4561,761
All AlaskansMat-Su83.3%80.4%85.9%1,0651,242
All AlaskansNorthern69.3%62.7%75.2%280376
All AlaskansSoutheast78.9%75.4%82.0%1,0701,279
All AlaskansSouthwest66.3%61.0%71.3%671894
Alaska Native peopleAnchorage67.0%55.0%77.2%91126
Alaska Native peopleGulf Coast67.7%56.1%77.6%86116
Alaska Native peopleInterior69.7%62.3%76.3%186263
Alaska Native peopleMat-Su64.5%51.4%75.7%6488
Alaska Native peopleNorthern58.2%50.0%66.1%130205
Alaska Native peopleSoutheast66.0%56.8%74.1%142193
Alaska Native peopleSouthwest57.7%51.2%63.9%325506
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by metropolitan/micropolitan statistical areas, all Alaskans and Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
All AlaskansAnchorage MSA82.0%80.7%83.3%7,6338,981
All AlaskansFairbanks North Star MSA79.6%77.6%81.5%3,5524,187
All AlaskansJuneau MicroSA81.0%77.6%84.0%1,4751,705
All AlaskansKetchikan Gateway MicroSA78.8%74.7%82.5%674852
All AlaskansRural (non-Metro/MicroSA)74.2%72.9%75.6%8,05410,244
Alaska Native peopleAnchorage MSA63.5%58.4%68.2%598840
Alaska Native peopleFairbanks North Star MSA70.4%63.0%76.9%272354
Alaska Native peopleJuneau MicroSA69.3%59.8%77.5%130178
Alaska Native peopleKetchikan Gateway MicroSA62.3%50.7%72.6%97138
Alaska Native peopleRural (non-Metro/MicroSA)58.5%55.8%61.2%1,8672,931
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by behavioral health systems regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality84.9%81.8%87.6%1,1561,312
All AlaskansFairbanks North Star Borough78.2%74.5%81.4%1,0421,227
All AlaskansCity and Borough of Juneau79.2%73.5%84.0%469547
All AlaskansKenai Peninsula Borough78.6%74.5%82.3%756904
All AlaskansMatanuska-Susitna Borough83.3%80.4%85.9%1,0651,242
All AlaskansNorthwest Region69.3%62.7%75.2%280376
All AlaskansOther Interior Region74.5%69.5%79.0%554698
All AlaskansOther Southeast Region78.6%74.1%82.5%601732
All AlaskansY-K Delta Region64.3%56.6%71.3%295395
All AlaskansSouthwest Region74.6%69.1%79.5%526680
Alaska Native peopleAnchorage Muncipality67.0%55.0%77.2%91126
Alaska Native peopleFairbanks North Star Borough77.4%66.3%85.6%90111
Alaska Native peopleCity and Borough of Juneau63.4%47.9%76.5%4262
Alaska Native peopleKenai Peninsula Borough73.3%58.3%84.3%5570
Alaska Native peopleMatanuska-Susitna Borough64.5%51.4%75.7%6488
Alaska Native peopleNorthwest Region58.2%50.0%66.1%130205
Alaska Native peopleOther Interior Region59.1%49.4%68.2%106168
Alaska Native peopleOther Southeast Region67.4%55.8%77.2%100131
Alaska Native peopleY-K Delta Region58.8%50.1%66.9%172265
Alaska Native peopleSouthwest Region57.3%48.5%65.7%174271
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, Boroughs and Census Areas, all Alaskans and Alaska Natives, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough59.7%47.8%70.6%122183
All AlaskansAleutians West CA75.6%65.3%83.6%243298
All AlaskansAnchorage Municipality82.7%81.0%84.3%4,4415,124
All AlaskansBethel CA70.6%64.2%76.3%591761
All AlaskansBristol Bay Borough68.5%55.4%79.1%150192
All AlaskansDenali Borough75.0%64.5%83.3%159194
All AlaskansDillingham CA62.8%53.8%70.9%284393
All AlaskansFairbanks North Star Borough79.6%77.6%81.4%3,5724,212
All AlaskansHaines Borough80.5%70.1%87.9%172208
All AlaskansHoonah-Angoon CA74.5%61.9%84.0%93114
All AlaskansJuneau City and Borough81.0%77.6%84.0%1,4751,705
All AlaskansKenai Peninsula Borough78.4%76.1%80.6%2,3802,907
All AlaskansKetchikan Gateway Borough78.8%74.7%82.5%674852
All AlaskansKodiak Island Borough82.4%77.4%86.4%480569
All AlaskansKusilvak CA61.1%52.6%68.9%195292
All AlaskansLake and Peninsula Borough74.2%63.6%82.6%131186
All AlaskansMatanuska-Susitna Borough79.8%77.7%81.7%3,1923,857
All AlaskansNome CA64.6%57.8%70.9%318462
All AlaskansNorth Slope Borough62.1%52.6%70.9%182266
All AlaskansNorthwest Arctic Borough61.0%52.0%69.2%195283
All AlaskansPetersburg Borough77.9%65.4%86.8%189220
All AlaskansPrince of Wales-Hyder CA71.5%63.3%78.5%225283
All AlaskansSitka City and Borough82.2%76.4%86.9%382454
All AlaskansSkagway Municipality87.1%71.3%94.8%4956
All AlaskansSoutheast Fairbanks CA80.8%75.6%85.1%536642
All AlaskansValdez-Cordova CA82.8%78.1%86.7%465569
All AlaskansWrangell City and Borough78.9%66.0%87.8%118142
All AlaskansYakutat City and Borough**49
All AlaskansYukon-Koyukuk CA59.7%52.7%66.3%342496
Alaska Native peopleAleutians East Borough45.5%32.0%59.7%59100
Alaska Native peopleAleutians West CA67.5%50.7%80.7%5784
Alaska Native peopleAnchorage Municipality63.2%57.2%68.8%364525
Alaska Native peopleBethel CA63.9%56.2%70.9%310454
Alaska Native peopleBristol Bay Borough62.8%45.4%77.5%5072
Alaska Native peopleDenali Borough**9
Alaska Native peopleDillingham CA38.6%29.2%48.9%108191
Alaska Native peopleFairbanks North Star Borough70.2%62.8%76.7%273356
Alaska Native peopleHaines Borough**31
Alaska Native peopleHoonah-Angoon CA**32
Alaska Native peopleJuneau City and Borough69.3%59.8%77.5%130178
Alaska Native peopleKenai Peninsula Borough65.0%56.6%72.6%159244
Alaska Native peopleKetchikan Gateway Borough62.3%50.7%72.6%97138
Alaska Native peopleKodiak Island Borough70.9%57.8%81.2%7293
Alaska Native peopleKusilvak CA61.6%52.7%69.9%167256
Alaska Native peopleLake and Peninsula Borough59.9%47.3%71.3%62106
Alaska Native peopleMatanuska-Susitna Borough64.7%57.2%71.6%234315
Alaska Native peopleNome CA56.6%47.9%65.0%152270
Alaska Native peopleNorth Slope Borough44.5%33.2%56.5%75137
Alaska Native peopleNorthwest Arctic Borough52.8%42.5%62.9%103182
Alaska Native peoplePetersburg Borough**20
Alaska Native peoplePrince of Wales-Hyder CA67.0%54.0%77.8%78102
Alaska Native peopleSitka City and Borough62.4%45.4%76.8%4772
Alaska Native peopleSkagway Municipality**3
Alaska Native peopleSoutheast Fairbanks CA70.0%53.9%82.4%6185
Alaska Native peopleValdez-Cordova CA68.7%52.8%81.1%4668
Alaska Native peopleWrangell City and Borough70.3%43.7%87.8%1321
Alaska Native peopleYakutat City and Borough**23
Alaska Native peopleYukon-Koyukuk CA54.9%46.2%63.4%166274
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

** = Data not available due to fewer than 50 responses in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, tribal health organization regions, all Alaskans and Alaska Natives, 2011-2015 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs72.1%65.6%77.7%563738
All AlaskansAnchorage/Mat-Su81.3%80.3%82.4%11,33213,489
All AlaskansArctic Slope63.4%55.9%70.3%288441
All AlaskansBristol Bay67.1%62.3%71.6%8851,233
All AlaskansCopper R/Prince William Snd.81.8%77.9%85.1%766943
All AlaskansInterior78.1%76.6%79.5%6,9758,472
All AlaskansKenai Peninsula78.0%76.0%79.8%3,6324,449
All AlaskansKodiak Area81.0%77.1%84.5%748904
All AlaskansNorthwest Arctic60.1%53.3%66.4%371559
All AlaskansNorton Sound60.8%55.2%66.2%533790
All AlaskansSoutheast79.2%77.4%80.8%5,3186,371
All AlaskansYukon-Kuskokwim66.2%62.2%69.9%1,4011,896
Alaska Native peopleAleutians and Pribilofs61.5%52.5%69.8%183282
Alaska Native peopleAnchorage/Mat-Su66.3%62.4%70.1%8821,254
Alaska Native peopleArctic Slope48.8%38.9%58.8%113234
Alaska Native peopleBristol Bay51.6%45.2%57.8%367628
Alaska Native peopleCopper R/Prince William Snd.69.2%55.4%80.2%86128
Alaska Native peopleInterior63.4%58.9%67.6%7721,143
Alaska Native peopleKenai Peninsula60.1%52.9%66.9%253387
Alaska Native peopleKodiak Area64.7%53.9%74.2%113160
Alaska Native peopleNorthwest Arctic51.2%43.4%58.9%212383
Alaska Native peopleNorton Sound52.4%45.5%59.1%265478
Alaska Native peopleSoutheast65.1%60.5%69.4%703991
Alaska Native peopleYukon-Kuskokwim63.2%58.8%67.4%9031,322
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention (CDC). Best Practices for Comprehensive Tobacco Control Programs-2014. [http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2014/comprehensive.pdf]. Published 2014. Accessed October 4, 2016. 2. U.S. Department of Health and Human Services. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General, 2014. [http://www.surgeongeneral.gov/library/reports/50-years-of-progress/]. Published 2014. Accessed October 4, 2016. 3. U.S. Centers for Disease Control and Prevention (CDC). Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses-United States 2000-2004. Morbidity and Mortality Weekly Report (MMWR) 2008;57(45):1226-1228. 4. U.S. Centers for Disease Control and Prevention (CDC). Cigarette smoking-attributable morbidity-United States, 2000. Morbidity and Mortality Weekly Report (MMWR) 2003; 52(35):842-844. 5. U.S. Centers for Disease Control and Prevention (CDC). Smoking-Attributable Mortality, Morbidity, and Economic Costs. [https://chronicdata.cdc.gov/Health-Consequences-and-Costs/Smoking-Attributable-Mortality-Morbidity-and-Econo/ezab-8sq5?]. Updated 2009. Accessed October 4, 2016. More information on the Behavioral Risk Factor Surveillance System is available at the website of the Centers for Disease Control and Prevention - [http://www.cdc.gov/brfss/] '''Resources:''' Alaska Tobacco Control Alliance: [http://alaskatca.org/] Alaska Tobacco Prevention and Control Program: [http://dhss.alaska.gov/dph/chronic/pages/tobacco/default.aspx] Alaska Tobacco Quit Line: [http://alaskaquitline.com] American Cancer Society: [http://www.cancer.org/index] American Lung Association: [http://www.lung.org/] Quitday: [https://quitday.org/]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 10/06/2016, Published on 10/06/2016
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 02 December 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 25 Oct 2016 16:12:20 AKDT
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 02 December 2016 19:36:23 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 25 Oct 2016 16:12:20 AKDT