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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 aged 18 years and older adults aged 18 years and older who responded negatively on the Behavioral Risk Factor Surveillance System (BRFSS) to question of "Have you smoked at least 100 cigarettes in your entire life?" or, if the response was positive, they responded "not at all" to the question of "Do you now smoke cigarettes every day, some days, or not at all?"

Numerator

Weighted number of adults (18+) who responded negatively on the BRFSS to question of "Have you smoked at least 100 cigarettes in your entire life?" or, if the response was positive, they responded "not at all" to the question of "Do you now smoke cigarettes every day, some days, or not at all?"

Denominator

Weighted number of adults (18+) who provided valid responses to the BRFSS question of "Have you smoked at least 100 cigarettes in your entire life?" and, if positive, 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. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. 2. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004. 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) .[http://apps.nccd.cdc.gov/sammec/ Smoking-Attributable Mortality, Morbidity, and Economic Costs Application, updated with 2008 medical consumer price index]. }}

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?

Alaska Native adults (18+) have a very high smoking rate of 39.2% resulting in a significantly lower rate of not smoking cigarettes (60.8%) than other races in 2012-2014. The highest rates of not smoking cigarettes are found among those 65 years of age and older, Asians, those with higher incomes, those not in the workforce, college graduates, those who are 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, and poverty status) are limited to 2010 and later to allow for ease of assessing recent trends. 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 6 Alaska Public Health Regions, 2) three-year averages by the 7 Metropolitan and Micropolitan Statistics 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 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 promote 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 Services Clinical Guidelines 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 System Clinical Practice Guidelines 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 Practice Guidelines 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

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confidence limits

Alaska ComparisonsYearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 80
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
Alaska Natives199160.9%53.9%67.4%195320
Alaska Natives199250.0%41.0%59.0%153277
Alaska Natives199361.0%53.2%68.3%194325
Alaska Natives199460.1%52.2%67.6%171291
Alaska Natives199563.0%55.1%70.2%186312
Alaska Natives199652.7%44.1%61.1%178317
Alaska Natives199758.9%51.1%66.4%197317
Alaska Natives199860.2%53.8%66.3%206361
Alaska Natives199957.9%50.7%64.7%235417
Alaska Natives200057.1%49.6%64.3%228389
Alaska Natives200157.3%51.3%63.2%359624
Alaska Natives200255.3%48.7%61.7%339588
Alaska Natives200354.8%48.6%60.8%324574
Alaska Natives200457.2%52.7%61.5%6301,098
Alaska Natives200559.5%55.4%63.4%7151,205
Alaska Natives200657.3%52.3%62.1%513893
Alaska Natives200759.6%54.6%64.4%6961,113
Alaska Natives200855.6%50.6%60.6%6071,042
Alaska Natives200960.9%55.5%66.1%604931
Alaska Natives201061.4%54.2%68.1%384605
Alaska Natives201164.9%60.4%69.1%7601,177
Alaska Natives201261.8%57.6%65.8%1,1281,772
Alaska Natives201359.4%55.3%63.5%9841,539
Alaska Natives201461.2%57.3%65.0%9561,405
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%
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 Sources

  • Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 18
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
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
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 33
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
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
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
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
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
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)60.8%58.5%63.2%3,0684,716
Asian (non-Hispanic)89.6%84.7%93.1%359405
Black (non-Hispanic)75.4%67.5%81.9%226293
Native Hawaiian/Other Pacific Islander (non-Hispanic)75.4%62.9%84.7%81106
White (non-Hispanic)82.5%81.5%83.4%16,23819,046
Multiracial/Other (non-Hispanic)82.3%76.4%86.9%368452
Hispanic (alone or multi)79.5%74.4%83.8%536645
Healthy Alaskans Goal83.0%

Data Notes

Alaska Native (any mention) consists of individuals identifying as American Indian or Alaska Native alone or in combination with other races and of any ethnicity. Hispanic includes all individuals identifying themselves as Hispanic or Latino except for those with Alaska Native ancestry.

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 18
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
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
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.

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 33
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
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
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
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
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
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 28
< 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
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
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
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
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.

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 28
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
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
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
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
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 33
<$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
$15,000 - $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
$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
$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
$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
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 Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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: 23
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
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
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
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.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, Alaska Economic Regions, all Alaskans and Alaska Natives, 2014

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 13
All AlaskansAnchorage - Mat-Su81.0%78.8%83.0%2,9343,466
All AlaskansGulf Coast80.1%76.7%83.2%1,1121,353
All AlaskansInterior82.8%79.6%85.5%1,5411,782
All AlaskansNorthern60.7%51.1%69.6%180268
All AlaskansSoutheast79.0%74.8%82.7%1,1011,305
All AlaskansSouthwest69.1%62.5%74.9%469641
Alaska NativesAnchorage - Mat-Su63.6%56.0%76.5%245338
Alaska NativesGulf Coast69.5%58.2%69.5%93134
Alaska NativesInterior65.8%55.3%74.9%163217
Alaska NativesNorthern51.0%39.7%62.2%92164
Alaska NativesSoutheast64.7%55.1%73.1%140200
Alaska NativesSouthwest58.1%49.8%66.0%223352
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Time series for cigarette smoking status by public health regions are available for single years in the InstantAtlas health profiles at: [http://www.hss.state.ak.us/instantatlas/brfss/sm/cr/phr_1yr/atlas.htm?indicator=I1234].

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage81.5%79.8%83.0%4,6305,426
All AlaskansFairbanks North Star MSA79.7%77.5%81.7%3,5024,161
All AlaskansJuneau MicroSA81.1%77.5%84.3%1,4091,621
All AlaskansKetchikan Gateway MicroSA78.4%73.5%82.5%669846
All AlaskansKodiak Island MicroSA81.9%76.6%86.2%460554
All AlaskansMatanuska-Susitna Borough78.2%75.8%80.4%3,0393,744
All AlaskansRural (non-Metro/MicroSA)74.2%72.7%75.6%7,5489,744
Alaska NativesAnchorage62.1%56.4%67.6%384563
Alaska NativesFairbanks North Star MSA65.6%57.4%73.0%248339
Alaska NativesJuneau MicroSA68.5%57.7%77.6%126170
Alaska NativesKetchikan Gateway MicroSA57.2%42.5%70.7%91137
Alaska NativesKodiak Island MicroSA68.6%53.3%80.7%77102
Alaska NativesMatanuska-Susitna Borough65.7%57.5%73.0%223311
Alaska NativesRural (non-Metro/MicroSA)58.2%55.3%61.1%1,9193,094
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Time series for cigarette smoking status by metropolitan/micropolitan statistical areas are available for single years in the InstantAtlas health profiles at: [http://www.hss.state.ak.us/instantatlas/brfss/sm/cr/mmsa_1yr/atlas.htm?indicator=I1057]

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2014

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality82.2%79.6%84.6%1,8252,109
All AlaskansFairbanks North Star Borough84.0%80.6%87.0%1,2391,413
All AlaskansCity and Borough of Juneau78.6%71.4%84.3%471547
All AlaskansKenai Peninsula Borough78.4%74.2%82.1%797979
All AlaskansMatanuska-Susitna Borough77.1%73.3%80.4%1,1091,357
All AlaskansNorthwest Region60.7%51.1%69.6%180268
All AlaskansOther Interior Region78.5%72.5%83.5%454556
All AlaskansOther Southeast Region79.3%74.1%83.7%630758
All AlaskansY-K Delta Region69.0%59.3%77.3%220300
All AlaskansSouthwest Region76.2%69.8%81.5%412528
Alaska NativesAnchorage Muncipality62.3%53.2%70.6%148211
Alaska NativesFairbanks North Star Borough71.9%57.9%82.7%98123
Alaska NativesCity and Borough of Juneau78.8%62.6%89.2%5265
Alaska NativesKenai Peninsula Borough62.4%47.3%75.4%4880
Alaska NativesMatanuska-Susitna Borough68.2%56.4%78.1%97127
Alaska NativesNorthwest Region51.0%39.7%62.2%92164
Alaska NativesOther Interior Region62.5%48.3%74.9%85118
Alaska NativesOther Southeast Region57.9%46.3%68.8%88135
Alaska NativesY-K Delta Region63.8%52.4%73.7%134201
Alaska NativesSouthwest Region50.8%40.5%61.0%114181
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Time series for cigarette smoking status by behavioral health systems regions are available for single years in the InstantAtlas health profiles at: [http://www.hss.state.ak.us/instantatlas/brfss/sm/cr/bhs_1yr/atlas.htm?indicator=I1057]

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2012-2014 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough63.7%51.6%74.2%124181
All AlaskansAleutians West CA80.2%71.3%86.9%233287
All AlaskansAnchorage Municipality81.5%79.8%83.0%4,6305,426
All AlaskansBethel CA70.0%63.4%75.9%651849
All AlaskansBristol Bay Borough70.9%56.2%82.3%137182
All AlaskansDenali Borough79.2%68.2%87.1%157190
All AlaskansDillingham CA64.7%55.4%72.9%285393
All AlaskansFairbanks North Star Borough79.7%77.5%81.7%3,5024,161
All AlaskansHaines Borough79.0%66.8%87.6%160192
All AlaskansHoonah-Angoon CA76.0%63.3%85.3%95117
All AlaskansJuneau City and Borough81.1%77.5%84.3%1,4091,621
All AlaskansKenai Peninsula Borough79.0%76.5%81.3%2,2772,784
All AlaskansKetchikan Gateway Borough78.4%73.5%82.5%669846
All AlaskansKodiak Island Borough81.9%76.6%86.2%460554
All AlaskansKusilvak CA66.0%57.7%73.3%234337
All AlaskansLake and Peninsula Borough73.4%61.9%82.5%126181
All AlaskansMatanuska-Susitna Borough78.2%75.8%80.4%3,0393,744
All AlaskansNome CA60.8%53.5%67.6%339510
All AlaskansNorth Slope Borough60.3%49.6%70.1%180290
All AlaskansNorthwest Arctic Borough57.5%47.8%66.6%200318
All AlaskansPetersburg Borough78.3%65.3%87.4%189219
All AlaskansPrince of Wales-Hyder CA74.9%66.9%81.4%231287
All AlaskansSitka City and Borough86.4%80.7%90.6%387445
All AlaskansSkagway Municipality79.0%58.8%90.9%4857
All AlaskansSoutheast Fairbanks CA78.9%72.7%84.1%522631
All AlaskansValdez-Cordova CA84.6%80.0%88.3%469574
All AlaskansWrangell City and Borough73.1%59.0%83.7%100128
All AlaskansYakutat City and Borough76.2%60.9%86.8%3757
All AlaskansYukon-Koyukuk CA60.7%53.3%67.6%367535
Alaska NativesAleutians East Borough54.1%38.9%68.5%6298
Alaska NativesAleutians West CA72.2%54.1%85.2%4871
Alaska NativesAnchorage Municipality62.1%56.4%67.6%384563
Alaska NativesBethel CA65.5%57.4%72.8%375526
Alaska NativesBristol Bay Borough61.2%43.6%76.3%4573
Alaska NativesDenali Borough**11
Alaska NativesDillingham CA41.2%30.5%52.7%104185
Alaska NativesFairbanks North Star Borough65.6%57.4%73.0%248339
Alaska NativesHaines Borough**23
Alaska NativesHoonah-Angoon CA**32
Alaska NativesJuneau City and Borough68.5%57.7%77.6%126170
Alaska NativesKenai Peninsula Borough60.4%50.7%69.3%147238
Alaska NativesKetchikan Gateway Borough57.2%42.5%70.7%91137
Alaska NativesKodiak Island Borough68.6%53.3%80.7%77102
Alaska NativesKusilvak CA64.6%55.9%72.4%202299
Alaska NativesLake and Peninsula Borough59.3%45.6%71.6%61110
Alaska NativesMatanuska-Susitna Borough65.7%57.5%73.0%223311
Alaska NativesNome CA53.2%44.2%62.0%170313
Alaska NativesNorth Slope Borough46.8%33.2%60.8%80175
Alaska NativesNorthwest Arctic Borough47.5%36.8%58.5%115221
Alaska NativesPetersburg Borough**19
Alaska NativesPrince of Wales-Hyder CA72.8%61.2%82.0%85112
Alaska NativesSitka City and Borough66.6%48.9%80.6%4567
Alaska NativesSkagway Municipality**4
Alaska NativesSoutheast Fairbanks CA53.9%36.5%70.4%5479
Alaska NativesValdez-Cordova CA78.5%64.2%88.2%5276
Alaska NativesWrangell City and Borough**23
Alaska NativesYakutat City and Borough**28
Alaska NativesYukon-Koyukuk CA55.1%45.8%64.1%185311
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Time series for cigarette smoking status by boroughs and census areas are available for 3-year averages in the InstantAtlas health profiles at: [http://www.hss.state.ak.us/instantatlas/brfss/sm/cr/census_3yr/atlas.htm?indicator=I1057]

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, 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, 2010-2014 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs72.0%65.1%78.0%445590
All AlaskansAnchorage/Mat-Su80.5%79.2%81.7%9,65711,579
All AlaskansArctic Slope56.9%48.3%65.1%242382
All AlaskansBristol Bay67.3%62.0%72.2%7061,001
All AlaskansCopper R/Prince William Snd.81.3%77.3%84.7%700872
All AlaskansInterior78.5%76.9%80.1%6,1617,489
All AlaskansKenai Peninsula78.7%76.6%80.6%3,2574,011
All AlaskansKodiak Area79.4%74.8%83.3%671821
All AlaskansNorthwest Arctic58.3%50.9%65.4%315494
All AlaskansNorton Sound57.6%51.7%63.4%459706
All AlaskansSoutheast78.2%76.2%80.0%4,7955,767
All AlaskansYukon-Kuskokwim66.7%62.3%70.7%1,2301,669
Alaska NativesAleutians and Pribilofs57.5%47.2%67.3%139220
Alaska NativesAnchorage/Mat-Su66.3%61.1%71.0%7591,081
Alaska NativesArctic Slope45.9%35.7%56.5%100217
Alaska NativesBristol Bay53.4%45.8%61.0%285506
Alaska NativesCopper R/Prince William Snd.73.8%60.7%83.6%85124
Alaska NativesInterior59.7%54.7%64.6%641973
Alaska NativesKenai Peninsula64.9%57.2%71.8%236366
Alaska NativesKodiak Area60.1%48.8%70.4%98145
Alaska NativesNorthwest Arctic49.4%40.9%58.0%182347
Alaska NativesNorton Sound51.1%44.0%58.2%237445
Alaska NativesSoutheast65.4%59.4%69.4%626885
Alaska NativesYukon-Kuskokwim63.9%58.9%68.5%8241,189
Healthy Alaskans GoalHealthy Alaskans Goal83.0%

Data Notes

Time series for cigarette smoking status by tribal health organization regions are available for 5-year averages in the InstantAtlas health profiles at: [http://www.hss.state.ak.us/instantatlas/brfss/sm/cr/thr_5yr/atlas.htm?indicator=I1057]

Data Source

Alaska Data: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspxBehavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. 2. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004. 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 Application, updated with 2008 medical consumer price index. Available at [http://apps.nccd.cdc.gov/sammec/]. 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 05/12/2016, Published on 05/12/2016
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 Thu, 25 August 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: Thu, 12 May 2016 07:23:59 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 Thu, 25 August 2016 20:51:34 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 12 May 2016 07:23:59 AKDT