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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 cigarette smoking have been asked on the standard BRFSS (1991 onward) as well as the supplemental BRFSS survey since its inception in 2004. Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more information on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

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?

In 2017 79.8% of Alaskan adults (18+) did not smoke cigarettes. Alaska Native adults (18+) had a smoking rate of 36.4%, resulting in a significantly lower rate of not smoking cigarettes (63.6%) than other races in 2015-2017. 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, and those living in regions of Alaska other than the Northern region. 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, and disability were conducted for the 3-year average of 2015-2017. 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. In 2016, the median for the United States was 83.0% compared to the 80.1% among all Alaska adults.

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: 89
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
All Alaskans201680.1%78.4%81.8%6,0537,267
All Alaskans201779.8%78.0%81.5%5,7636,900
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
Alaska Native people201661.1%56.3%65.7%8831,289
Alaska Native people201765.2%59.8%70.2%8331,204
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.201582.5%
U.S.201683.0%
U.S.201782.9%
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.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: 24
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
Males201677.9%75.4%80.2%2,6933,324
Males201776.4%73.6%78.9%2,7133,341
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
Females201682.5%80.0%84.8%3,3603,943
Females201783.5%81.0%85.7%3,0503,559
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: 48
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
18-24201683.0%77.5%87.4%321391
18-24201779.9%73.6%85.0%348424
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
25-34201674.8%69.9%79.1%567744
25-34201776.2%71.4%80.5%606782
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
35-44201677.6%72.7%81.7%726897
35-44201777.6%72.8%81.8%724887
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
45-64201678.6%75.8%81.1%2,4983,085
45-64201779.1%76.1%81.8%2,2972,791
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
65+201690.7%88.4%92.6%1,8022,000
65+201789.5%87.0%91.6%1,6761,881
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)63.6%60.8%66.2%2,7403,989
Asian (non-Hispanic)88.3%82.8%92.2%333382
Black (non-Hispanic)76.7%68.7%83.2%237296
Native Hawaiian/Other Pacific Islander (non-Hispanic)82.2%69.5%90.3%7995
White (non-Hispanic)83.9%82.9%84.8%14,09616,241
Multiracial/Other (non-Hisp.)81.4%70.2%89.0%132157
Hispanic (alone or multi)80.6%74.7%85.4%482576
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: 24
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
Hispanic/Latino201672.2%60.7%81.3%174222
Hispanic/Latino201782.6%72.2%89.7%185213
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
Not Hispanic/Latino201680.6%78.8%82.2%5,7866,931
Not Hispanic/Latino201779.8%77.6%81.5%5,5016,589
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: 48
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
Married201686.5%84.5%88.3%3,6114,062
Married201787.0%84.7%89.0%3,3553,747
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
Widowed201684.9%79.7%89.0%539635
Widowed201784.4%78.9%88.6%493594
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
Divorced/Separated201674.3%69.5%78.6%8221,112
Divorced/Separated201768.2%63.4%72.7%7811,073
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
Never Married201672.3%67.8%76.3%8281,111
Never Married201774.3%69.9%78.3%8441,109
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
Living with a Partner201669.9%60.0%78.3%188262
Living with a Partner201768.6%60.3%75.8%241321
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: LT High School, High School, Some College, College GradYearPercentage of Adults 25+Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 40
LT High School201054.1%43.7%64.1%122208
LT High School201162.5%54.8%69.6%241389
LT High School201262.9%55.3%69.9%344527
LT High School201348.1%40.9%55.3%247447
LT High School201458.8%52.0%65.3%255441
LT High School201554.3%46.5%61.9%230385
LT High School201654.0%44.8%62.9%194313
LT High School201761.9%52.7%70.3%215335
High School201067.2%61.0%72.9%606845
High School201169.5%65.9%72.8%1,1081,579
High School201272.2%68.6%75.6%1,4202,019
High School201368.9%65.4%72.2%1,4722,132
High School201471.8%68.6%74.8%1,4451,967
High School201571.5%67.8%74.8%1,3881,902
High School201673.8%69.9%77.3%1,2621,714
High School201768.3%63.9%72.4%1,1561,595
Some College201082.1%78.1%85.6%716895
Some College201178.1%75.0%80.9%1,2351,599
Some College201280.5%77.6%83.1%1,7992,253
Some College201381.4%78.8%83.8%2,0362,502
Some College201479.5%76.6%82.1%1,9402,366
Some College201582.3%79.8%84.6%1,8882,289
Some College201680.9%77.8%83.6%1,6512,019
Some College201780.9%77.7%83.8%1,5501,884
College Graduate201090.8%86.6%93.7%9881,075
College Graduate201191.7%89.2%93.7%1,8982,060
College Graduate201293.0%91.2%94.4%2,5552,752
College Graduate201393.7%92.3%95.0%2,9693,203
College Graduate201493.1%91.7%94.2%3,1493,387
College Graduate201595.1%93.9%96.1%2,8082,990
College Graduate201691.9%89.6%93.7%2,5482,736
College Graduate201793.9%92.2%95.2%2,4342,595
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: 40
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
Employed201682.0%79.7%84.0%3,4084,034
Employed201781.0%78.7%83.1%3,3253,941
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
Unemployed201660.7%52.6%68.2%271415
Unemployed201765.5%56.7%73.3%249378
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
Not In Work Force201687.5%84.7%89.8%2,0452,315
Not In Work Force201787.1%83.6%89.9%1,8592,091
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
Unable to Work201653.9%44.8%62.7%221364
Unable to Work201756.1%47.0%64.8%229360
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: LT $15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of AdultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 48
<$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
<$15,000201655.2%46.8%63.3%296497
<$15,000201753.3%45.5%61.0%313511
$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
$15,000 - $24,999201667.5%61.0%73.3%527740
$15,000 - $24,999201769.3%62.8%75.2%580783
$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
$25,000 - $49,999201679.6%75.4%83.2%1,0841,321
$25,000 - $49,999201776.5%71.9%80.5%9691,230
$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
$50,000 - $74,999201681.8%77.3%85.5%9341,101
$50,000 - $74,999201781.7%77.2%85.5%8751,027
$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
$75,000+201688.4%86.1%90.4%2,5552,834
$75,000+201789.4%87.1%91.4%2,4322,646
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: 32
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
Poor201648.8%38.8%59.0%197348
Poor201757.9%49.6%65.9%266436
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
Near Poor201673.1%67.0%78.5%487682
Near Poor201766.9%61.2%72.2%7481,022
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
Middle/High201684.6%82.5%86.6%3,9294,492
Middle/High201785.7%83.8%87.4%4,0154,559
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Weight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Neither Overweight nor Obese76.8%74.9%78.6%5,2636,619
Overweight81.4%79.8%82.9%6,4497,643
Obese82.3%80.5%84.0%5,5766,538
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Heterosexual80.8%79.8%81.8%16,56219,784
Gay, Lesbian, or Bisexual70.3%63.8%76.1%494656
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Disability Present68.8%63.9%73.3%9711,298
Disability Absent82.8%80.8%84.6%3,7814,494
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, 2017

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage82.2%78.5%85.3%1,0301,182
All AlaskansGulf Coast76.9%71.5%81.6%810962
All AlaskansInterior81.3%78.2%84.1%1,4041,673
All AlaskansMat-Su80.8%77.5%83.7%9131,102
All AlaskansNorthern54.9%42.7%66.5%215307
All AlaskansSoutheast79.2%75.1%82.7%8941,062
All AlaskansSouthwest76.5%66.6%84.1%497612
Alaska Native peopleAnchorage70.2%57.1%80.6%86112
Alaska Native peopleGulf Coast53.9%36.3%70.7%5886
Alaska Native peopleInterior70.5%60.7%78.6%191275
Alaska Native peopleMat-Su82.3%72.1%89.3%82105
Alaska Native peopleNorthern47.2%33.1%61.8%99179
Alaska Native peopleSoutheast64.8%53.5%74.7%97137
Alaska Native peopleSouthwest66.7%52.5%78.4%220310
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
All AlaskansAnchorage MSA83.2%81.7%84.6%6,3107,342
All AlaskansFairbanks North Star MSA79.9%77.7%81.8%2,9833,496
All AlaskansJuneau MicroSA78.0%74.4%81.3%1,2081,421
All AlaskansKetchikan Gateway MicroSA75.7%70.7%80.1%578724
All AlaskansRural (non-Metro/MicroSA)75.0%73.3%76.6%7,4819,297
Alaska Native peopleAnchorage MSA69.1%63.4%74.3%495660
Alaska Native peopleFairbanks North Star MSA72.6%65.5%78.7%253331
Alaska Native peopleJuneau MicroSA58.2%47.6%68.1%100156
Alaska Native peopleKetchikan Gateway MicroSA66.1%51.8%78.0%77105
Alaska Native peopleRural (non-Metro/MicroSA)59.0%55.4%62.5%1,8152,737
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, 2017

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 23
All AlaskansAnchorage Muncipality82.2%78.5%85.3%1,0301,182
All AlaskansFairbanks North Star Borough81.5%78.0%84.7%9221,070
All AlaskansCity and Borough of Juneau77.5%71.1%82.9%362430
All AlaskansKenai Peninsula Borough73.0%66.2%78.8%591712
All AlaskansMatanuska-Susitna Borough80.8%77.5%83.7%9131,102
All AlaskansNorthwest Region54.9%42.7%66.5%215307
All AlaskansOther Interior Region80.5%75.2%84.9%591727
All AlaskansOther SE - Northern82.5%75.1%88.0%290337
All AlaskansOther SE - Southern78.7%70.4%85.2%242295
All AlaskansY-K Delta Region75.7%60.2%86.5%188232
All AlaskansSouthwest Region81.4%72.8%87.7%419506
Alaska Native peopleAnchorage Muncipality70.2%57.1%80.6%86112
Alaska Native peopleFairbanks North Star Borough69.9%56.6%80.6%7699
Alaska Native peopleCity and Borough of Juneau**46
Alaska Native peopleKenai Peninsula Borough41.8%22.9%63.3%3454
Alaska Native peopleMatanuska-Susitna Borough82.3%72.1%89.3%82105
Alaska Native peopleNorthwest Region47.2%33.1%61.8%99179
Alaska Native peopleOther Interior Region70.9%59.3%80.3%127191
Alaska Native peopleOther SE - Northern**46
Alaska Native peopleOther SE - Southern**45
Alaska Native peopleY-K Delta Region70.5%52.6%83.7%110152
Alaska Native peopleSouthwest Region68.2%49.3%82.5%122175
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, 2015-2017 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough77.3%64.0%86.7%126170
All AlaskansAleutians West CA84.9%76.0%90.9%267315
All AlaskansAnchorage Municipality83.7%81.8%85.5%3,3563,818
All AlaskansBethel CA70.7%63.3%77.1%547684
All AlaskansBristol Bay Borough88.9%81.7%93.4%160189
All AlaskansDenali Borough85.9%77.6%91.4%189219
All AlaskansDillingham CA64.4%52.2%75.0%295399
All AlaskansFairbanks North Star Borough79.9%77.7%81.8%2,9833,496
All AlaskansHaines Borough79.3%68.5%87.2%167197
All AlaskansHoonah-Angoon CA78.5%64.3%88.1%98110
All AlaskansJuneau City and Borough78.0%74.4%81.3%1,2081,421
All AlaskansKenai Peninsula Borough77.3%74.2%80.1%2,0072,390
All AlaskansKetchikan Gateway Borough75.7%70.7%80.1%578724
All AlaskansKodiak Island Borough82.8%76.3%87.8%383448
All AlaskansKusilvak CA57.8%46.1%68.6%163239
All AlaskansLake and Peninsula Borough78.0%68.7%85.1%138192
All AlaskansMatanuska-Susitna Borough81.6%79.8%83.3%2,9543,524
All AlaskansNome CA56.8%47.9%65.3%315453
All AlaskansNorth Slope Borough61.7%51.9%70.7%185267
All AlaskansNorthwest Arctic Borough61.0%50.1%70.9%196275
All AlaskansPetersburg Borough89.3%81.6%94.0%148167
All AlaskansPrince of Wales-Hyder CA79.0%70.3%85.7%186227
All AlaskansSitka City and Borough83.6%77.8%88.1%332390
All AlaskansSkagway Municipality**49
All AlaskansSoutheast Fairbanks CA78.0%71.8%83.2%616738
All AlaskansValdez-Cordova CA80.6%74.6%85.4%380447
All AlaskansWrangell City and Borough85.2%71.4%93.0%110127
All AlaskansYakutat City and Borough**35
All AlaskansYukon-Koyukuk CA67.0%60.4%73.0%404570
Alaska Native peopleAleutians East Borough55.3%37.7%71.7%5782
Alaska Native peopleAleutians West CA79.3%64.7%88.9%6090
Alaska Native peopleAnchorage Municipality68.1%60.9%74.5%272360
Alaska Native peopleBethel CA62.6%53.7%70.6%278399
Alaska Native peopleBristol Bay Borough80.3%64.0%90.3%5067
Alaska Native peopleDenali Borough**10
Alaska Native peopleDillingham CA56.5%40.9%71.0%133212
Alaska Native peopleFairbanks North Star Borough72.6%65.5%78.7%253331
Alaska Native peopleHaines Borough**28
Alaska Native peopleHoonah-Angoon CA**34
Alaska Native peopleJuneau City and Borough58.2%47.6%68.1%100156
Alaska Native peopleKenai Peninsula Borough55.2%42.0%67.7%147199
Alaska Native peopleKetchikan Gateway Borough66.1%51.8%78.0%77105
Alaska Native peopleKodiak Island Borough74.7%52.5%88.8%5876
Alaska Native peopleKusilvak CA54.2%42.3%65.7%136209
Alaska Native peopleLake and Peninsula Borough64.7%53.9%74.1%75116
Alaska Native peopleMatanuska-Susitna Borough72.6%65.8%78.5%223300
Alaska Native peopleNome CA48.3%38.0%58.8%143254
Alaska Native peopleNorth Slope Borough47.4%34.2%60.9%76138
Alaska Native peopleNorthwest Arctic Borough57.5%45.8%68.4%105175
Alaska Native peoplePetersburg Borough**9
Alaska Native peoplePrince of Wales-Hyder CA64.8%47.0%79.3%4357
Alaska Native peopleSitka City and Borough72.8%55.4%85.2%4458
Alaska Native peopleSkagway Municipality**3
Alaska Native peopleSoutheast Fairbanks CA59.8%39.8%77.0%6390
Alaska Native peopleValdez-Cordova CA55.1%35.7%73.0%3751
Alaska Native peopleWrangell City and Borough**20
Alaska Native peopleYakutat City and Borough**13
Alaska Native peopleYukon-Koyukuk CA61.9%53.9%69.3%216347
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, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs77.9%72.2%82.8%613778
All AlaskansAnchorage/Mat-Su82.2%81.1%83.3%11,72113,767
All AlaskansArctic Slope60.6%52.3%68.2%261387
All AlaskansBristol Bay69.6%63.9%74.8%9371,256
All AlaskansCopper R/Prince William Snd.81.0%77.0%84.5%751907
All AlaskansInterior79.2%77.8%80.5%7,2838,721
All AlaskansKenai Peninsula77.7%75.5%79.7%3,6314,393
All AlaskansKodiak Area82.7%78.0%86.6%713836
All AlaskansNorthwest Arctic59.6%51.7%66.9%325472
All AlaskansNorton Sound58.4%51.7%64.7%514756
All AlaskansSoutheast79.2%77.5%80.8%5,2366,251
All AlaskansYukon-Kuskokwim66.9%62.4%71.1%1,2191,612
Alaska Native peopleAleutians and Pribilofs64.4%54.2%73.4%183279
Alaska Native peopleAnchorage/Mat-Su66.3%62.2%70.2%9381,286
Alaska Native peopleArctic Slope45.1%34.4%56.2%105203
Alaska Native peopleBristol Bay55.0%46.8%62.9%380610
Alaska Native peopleCopper R/Prince William Snd.62.4%48.9%74.2%81113
Alaska Native peopleInterior66.6%62.3%70.5%8421,205
Alaska Native peopleKenai Peninsula57.0%47.0%66.4%251373
Alaska Native peopleKodiak Area74.9%57.6%86.7%109139
Alaska Native peopleNorthwest Arctic53.7%44.9%62.3%175304
Alaska Native peopleNorton Sound50.4%42.5%58.4%239435
Alaska Native peopleSoutheast65.1%60.7%69.3%646910
Alaska Native peopleYukon-Kuskokwim61.8%56.6%66.7%7311,076
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 10/01/2018, Published on 01/14/2019
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, 22 August 2019 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: Mon, 14 Jan 2019 14:02:23 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics 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, 22 August 2019 1:23:18 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 14 Jan 2019 14:02:23 AKST