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State of Alaska

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

Definition

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

Numerator

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

Denominator

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

Data Interpretation Issues

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

Why Is This Important?

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

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

U.S. Target: 12.0 percent

Other Objectives

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

How Are We Doing?

Over 80% of Alaskan adults (18+) did not smoke cigarettes in 2016. Alaska Native adults (18+) had a smoking rate of 37.9%, resulting in a significantly lower rate of not smoking cigarettes (62.1%) than other races in 2014-2016. The highest rates of not smoking cigarettes were found among those 65 years of age and older, Asians, those with higher incomes, those not in the workforce, college graduates, those who were married, and urban residents. The prevalence rates for not smoking cigarettes from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, poverty status, and weight status) are limited to 2010 and later to allow for ease of assessing recent trends. Crosstabulations of not smoking cigarettes by body mass index (BMI), sexual orientation, and disability were conducted for the 3-year average of 2014-2016. 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 2015, the median for the United States was 82.5% compared to the 80.8% 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: 85
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
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
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%
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: 22
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
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
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: 43
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
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
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
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
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
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Alaska Native (any mention)62.1%59.7%64.5%2,8634,190
Asian (non-Hispanic)88.2%83.1%91.9%374431
Black (non-Hispanic)79.4%72.3%85.0%262323
Native Hawaiian/Other Pacific Islander (non-Hispanic)83.0%71.3%90.6%91107
White (non-Hispanic)83.4%82.5%84.4%15,41717,827
Multiracial/Other (non-Hisp.)80.3%70.0%87.6%136165
Hispanic (alone or multi)81.7%76.0%86.3%489581
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: 22
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
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
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: 43
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
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
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
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
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
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: 36
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
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
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
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
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: 36
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
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
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
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
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: 43
<$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
$15,000 - $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
$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
$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
$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
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: 29
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
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
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
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Weight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Neither Overweight nor Obese77.1%75.5%78.7%5,8197,304
Overweight81.4%80.0%82.9%7,0998,422
Obese81.7%80.0%83.3%5,9396,994
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Heterosexual80.8%79.9%81.7%18,18921,754
Gay, Lesbian, or Bisexual68.5%62.3%74.1%489664
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Disability Present70.6%63.7%76.6%375514
Disability Absent83.2%80.6%85.5%1,8752,250
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, 2016

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage84.1%80.6%87.0%1,1711,325
All AlaskansGulf Coast79.7%75.6%83.3%9141,074
All AlaskansInterior79.3%75.6%82.6%1,3321,589
All AlaskansMat-Su80.8%77.3%83.8%9761,180
All AlaskansNorthern54.4%44.7%63.7%201312
All AlaskansSoutheast78.5%74.3%82.2%9321,106
All AlaskansSouthwest74.4%66.5%81.0%527681
Alaska Native peopleAnchorage66.4%53.7%77.1%95122
Alaska Native peopleGulf Coast68.8%55.4%79.7%98124
Alaska Native peopleInterior64.8%54.6%73.8%164240
Alaska Native peopleMat-Su64.2%51.5%75.1%77107
Alaska Native peopleNorthern47.4%36.3%58.9%95184
Alaska Native peopleSoutheast64.3%52.5%74.6%110153
Alaska Native peopleSouthwest61.0%50.1%70.9%244359
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 11
All AlaskansAnchorage MSA83.0%81.6%84.2%7,3008,523
All AlaskansFairbanks North Star MSA80.7%78.6%82.6%3,3003,839
All AlaskansJuneau MicroSA78.4%74.6%81.7%1,3171,538
All AlaskansKetchikan Gateway MicroSA76.6%71.9%80.8%610768
All AlaskansRural (non-Metro/MicroSA)74.9%73.4%76.3%7,6079,527
Alaska Native peopleAnchorage MSA65.3%60.1%70.2%572781
Alaska Native peopleFairbanks North Star MSA73.6%66.7%79.5%275355
Alaska Native peopleJuneau MicroSA62.4%51.5%72.1%121175
Alaska Native peopleKetchikan Gateway MicroSA65.8%53.6%76.2%89122
Alaska Native peopleRural (non-Metro/MicroSA)58.5%55.5%61.4%1,8062,758
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, 2016

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 23
All AlaskansAnchorage Muncipality84.1%80.6%87.0%1,1711,325
All AlaskansFairbanks North Star Borough79.9%75.8%83.4%1,0191,199
All AlaskansCity and Borough of Juneau77.3%69.8%83.3%377444
All AlaskansKenai Peninsula Borough80.3%75.4%84.3%660774
All AlaskansMatanuska-Susitna Borough80.8%77.3%83.8%9761,180
All AlaskansNorthwest Region54.4%44.7%63.7%201312
All AlaskansOther Interior Region75.3%68.2%81.3%444549
All AlaskansOther SE - Northern84.3%77.7%89.3%307351
All AlaskansOther SE - Southern74.7%66.9%81.2%248311
All AlaskansY-K Delta Region61.2%48.7%72.4%227296
All AlaskansSouthwest Region82.4%75.6%87.6%423526
Alaska Native peopleAnchorage Muncipality66.4%53.7%77.1%95122
Alaska Native peopleFairbanks North Star Borough70.1%58.6%79.5%87121
Alaska Native peopleCity and Borough of Juneau**48
Alaska Native peopleKenai Peninsula Borough68.1%50.7%81.6%5875
Alaska Native peopleMatanuska-Susitna Borough64.2%51.5%75.1%77107
Alaska Native peopleNorthwest Region47.4%36.3%58.9%95184
Alaska Native peopleOther Interior Region57.7%43.1%71.0%92139
Alaska Native peopleOther SE - Northern77.0%57.6%89.2%4150
Alaska Native peopleOther SE - Southern73.0%55.7%85.4%4255
Alaska Native peopleY-K Delta Region50.7%37.1%64.2%132191
Alaska Native peopleSouthwest Region76.8%66.7%84.5%137197
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, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 59
All AlaskansAleutians East Borough66.7%54.0%77.4%131192
All AlaskansAleutians West CA86.2%77.5%91.8%241284
All AlaskansAnchorage Municipality83.8%82.0%85.4%4,1504,743
All AlaskansBethel CA67.2%60.0%73.6%560718
All AlaskansBristol Bay Borough74.8%64.6%82.9%147185
All AlaskansDenali Borough81.7%72.1%88.6%167198
All AlaskansDillingham CA63.6%54.6%71.6%273380
All AlaskansFairbanks North Star Borough80.7%78.6%82.6%3,3003,839
All AlaskansHaines Borough80.9%71.8%87.6%181215
All AlaskansHoonah-Angoon CA80.3%68.3%88.6%107121
All AlaskansJuneau City and Borough78.4%74.6%81.7%1,3171,538
All AlaskansKenai Peninsula Borough79.1%76.6%81.4%2,2132,657
All AlaskansKetchikan Gateway Borough76.6%71.9%80.8%610768
All AlaskansKodiak Island Borough82.5%76.8%87.1%436509
All AlaskansKusilvak CA61.5%52.0%70.2%182273
All AlaskansLake and Peninsula Borough78.7%68.5%86.3%135187
All AlaskansMatanuska-Susitna Borough80.4%78.5%82.2%3,1503,780
All AlaskansNome CA60.2%51.7%68.1%308445
All AlaskansNorth Slope Borough60.8%51.5%69.3%175253
All AlaskansNorthwest Arctic Borough62.4%53.3%70.8%178257
All AlaskansPetersburg Borough81.3%66.3%90.5%165188
All AlaskansPrince of Wales-Hyder CA75.3%66.9%82.2%201247
All AlaskansSitka City and Borough83.2%77.5%87.8%328387
All AlaskansSkagway Municipality91.1%73.1%97.5%4852
All AlaskansSoutheast Fairbanks CA81.0%74.6%86.1%537627
All AlaskansValdez-Cordova CA81.0%75.5%85.5%423510
All AlaskansWrangell City and Borough84.7%70.8%92.7%113132
All AlaskansYakutat City and Borough69.5%47.1%85.4%3342
All AlaskansYukon-Koyukuk CA61.3%54.2%68.0%325468
Alaska Native peopleAleutians East Borough44.5%31.6%58.1%62102
Alaska Native peopleAleutians West CA77.2%60.7%88.1%6187
Alaska Native peopleAnchorage Municipality65.2%58.8%71.1%334459
Alaska Native peopleBethel CA58.1%49.6%66.2%285420
Alaska Native peopleBristol Bay Borough72.4%56.7%84.1%5271
Alaska Native peopleDenali Borough**13
Alaska Native peopleDillingham CA51.0%39.6%62.3%113195
Alaska Native peopleFairbanks North Star Borough73.6%66.7%79.5%275355
Alaska Native peopleHaines Borough**31
Alaska Native peopleHoonah-Angoon CA**35
Alaska Native peopleJuneau City and Borough62.4%51.5%72.1%121175
Alaska Native peopleKenai Peninsula Borough67.9%58.7%75.9%161225
Alaska Native peopleKetchikan Gateway Borough65.8%53.6%76.2%89122
Alaska Native peopleKodiak Island Borough73.5%59.1%84.2%7189
Alaska Native peopleKusilvak CA59.3%49.3%68.6%153237
Alaska Native peopleLake and Peninsula Borough64.5%52.3%75.0%66105
Alaska Native peopleMatanuska-Susitna Borough65.7%58.5%72.1%238322
Alaska Native peopleNome CA51.7%41.8%61.6%146257
Alaska Native peopleNorth Slope Borough43.8%32.7%55.5%74130
Alaska Native peopleNorthwest Arctic Borough57.0%46.4%67.0%97166
Alaska Native peoplePetersburg Borough**17
Alaska Native peoplePrince of Wales-Hyder CA64.3%47.9%77.9%4964
Alaska Native peopleSitka City and Borough65.9%48.2%80.1%4363
Alaska Native peopleSkagway Municipality**1
Alaska Native peopleSoutheast Fairbanks CA60.1%39.8%77.4%6282
Alaska Native peopleValdez-Cordova CA65.0%46.5%79.9%4560
Alaska Native peopleWrangell City and Borough**24
Alaska Native peopleYakutat City and Borough**14
Alaska Native peopleYukon-Koyukuk CA56.9%48.4%65.0%165270
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, 2012-2016 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All AlaskansAleutians and Pribilofs77.5%71.9%82.4%623802
All AlaskansAnchorage/Mat-Su82.0%80.9%83.0%12,03414,226
All AlaskansArctic Slope60.6%52.9%67.9%275427
All AlaskansBristol Bay69.5%64.8%73.9%9711,329
All AlaskansCopper R/Prince William Snd.82.5%78.7%85.7%784950
All AlaskansInterior78.4%76.9%79.8%7,2788,781
All AlaskansKenai Peninsula79.2%77.3%81.0%3,6934,462
All AlaskansKodiak Area81.5%77.3%85.1%733876
All AlaskansNorthwest Arctic60.4%53.5%67.0%355537
All AlaskansNorton Sound60.1%53.8%66.0%559826
All AlaskansSoutheast79.4%77.7%80.9%5,3276,354
All AlaskansYukon-Kuskokwim66.0%61.9%69.9%1,4221,906
Alaska Native peopleAleutians and Pribilofs64.7%54.9%73.4%197297
Alaska Native peopleAnchorage/Mat-Su64.1%60.1%67.9%9341,317
Alaska Native peopleArctic Slope43.3%33.4%53.8%106227
Alaska Native peopleBristol Bay53.9%47.5%60.1%393662
Alaska Native peopleCopper R/Prince William Snd.67.5%53.8%78.7%86123
Alaska Native peopleInterior63.8%59.5%67.9%8291,208
Alaska Native peopleKenai Peninsula64.6%57.2%71.3%260383
Alaska Native peopleKodiak Area70.1%58.8%79.4%123161
Alaska Native peopleNorthwest Arctic53.3%45.2%61.2%205367
Alaska Native peopleNorton Sound52.2%44.6%59.7%273494
Alaska Native peopleSoutheast65.4%60.9%69.6%680961
Alaska Native peopleYukon-Kuskokwim61.4%56.7%65.9%8891,302
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 08/10/2017, Published on 09/21/2017
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 Mon, 20 November 2017 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, 21 Sep 2017 10:40:42 AKDT
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 Mon, 20 November 2017 8:28:01 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: Thu, 21 Sep 2017 10:40:42 AKDT