Complete Indicator Profile - Tobacco Use - Adults (18+) - Not Cigarette Smoking (HA2020 Leading Health Indicator: 3)

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State of Alaska

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

Definition

Number of adults aged 18 years and older who have smoked at least 100 cigarettes in their lifetime and who now report smoking cigarettes every day or some days.

Numerator

Number of adults aged 18 years and older who responded positively to "Have you smoked at least 100 cigarettes in your entire life?" and then responded "every day" or "some days" to the question of "Do you now smoke cigarettes every day, some days, or not at all?'

Denominator

Number of adults aged 18 years and older who provided valid responses to the first question and also to the second question if they had every smoked at least 100 cigarettes.

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]

References
1. U.S. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007.
2. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.
3. U.S. Centers for Disease Control and Prevention (CDC). Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses-United States 2000-2004. Morbidity and Mortality Weekly Report (MMWR) 2008;57(45):1226-1228.
4. U.S. Centers for Disease Control and Prevention (CDC). Cigarette smoking-attributable morbidity-United States, 2000. Morbidity and Mortality Weekly Report (MMWR) 2003; 52(35):842-844.
5. U.S. Centers for Disease Control and Prevention (CDC) Smoking-Attributable Mortality, Morbidity, and Economic Costs Application, updated with 2008 medical consumer price index. Available at http://apps.nccd.cdc.gov/sammec/.

Healthy People Objective TU-1.1:

Reduce tobacco use by adults: Cigarette smoking
U.S. Target: 12.0 percent
State Target: Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Other Objectives

The Healthy Alaskans 2010 target for adults not smoking cigarettes of 86% was not met.

How Are We Doing?

The Healthy Alaskans 2010 target for adult smoking prevalence was 14% or lower. Since the baseline measurement of 27% in 1999, the adult smoking rate moved in the right direction, but did not meet the Healthy Alaskans 2010 target. The Healthy Alaskans 2010 target of 14% was not met.

Alaska Native adults (41%) are approximately twice as likely as their non-Native counterparts (17%) in Alaska to smoke. Residents of rural region of the state (35%), Alaskans with relatively little income or education (32%), and young adults between the ages of 18 and 29 (32%) are also significantly more likely than their peers to be smokers. (Source: 2010 BRFSS)

How Do We Compare With U.S.?

The Alaska adult smoking rate has somewhat paralleled, but been consistently above the US rate.

What Is Being Done?

In collaboration with partners statewide, the Alaska Tobacco Prevention and Control (TPC) program provides leadership, coordinates resources, and promote efforts that support Alaskans in living healthy and tobacco-free lives. Specifically, the Alaska TPC provides funding and technical assistance for community- based, school-based based and tobacco use cessation 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.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan 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. Below are the strategies identified for enhancing adolescent support systems.*

Strategy 1:
Introduce and implement statewide or community comprehensive smoke-free workplace laws.

Evidence Base:
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:
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:
Several Surgeon General's reports, CDC Best Practices, The Community Guide, and U.S. Public Health Services Clinical Guidelines all list tobacco-free or smoke-free campus policies as an effective, evidence-based method to reduce tobacco use. Young adults are particularly vulnerable to transitioning from trying smoking to lifelong smoking depending on their environments. Post-secondary campus policies help establish a community context where young adults can be tobacco-free and prepare for the workforce with a smoke-free/tobacco-free policy. Worksites and healthcare campuses that establish a culture of health support their employees who are trying to quit through smoke-free or tobacco-free policies. In addition. healthcare campuses that are tobacco-free promote health and wellbeing before, during, and after illness. Healthcare campuses should include clinical practice guidelines and provide Nicotine Replacement Therapies to in-patients. Smoke-free multi-unit housing policies protect adults and youth from exposure to secondhand smoke in their homes, support adults to quit tobacco, and prevent youth from starting.

Strategy 3:
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:
The U.S. Public Health System Clinical Practice Guidelines for Treating Tobacco Use and Dependence is a step by step tool to promote comprehensive, evidence-based strategies to reduce tobacco use among adults. Several Surgeon General's reports, the Community Guide, and CDC Best Practice Guidelines also note these evidence-based strategies to support individuals who use tobacco in their quit attempts.

* Sources for strategies can be found at http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS3_Tobacco-Adults.pdf

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 alaskaquitline.com.

Other Program Information

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



Related Indicators

Related Relevant Population Characteristics Indicator Profiles:


Related Health Care System Factors Indicator Profiles:


Related Risk Factors Indicator Profiles:


Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska Comparisons Year Percentage who do not smoke cigarettes Lower Limit Upper Limit
Record Count: 50
All Alaskans 2000 75.0% 72.1% 77.6%
All Alaskans 2001 73.8% 71.3% 76.2%
All Alaskans 2002 70.7% 67.8% 73.3%
All Alaskans 2003 73.8% 71.3% 76.1%
All Alaskans 2004 75.7% 74.0% 77.4%
All Alaskans 2005 75.2% 73.4% 76.8%
All Alaskans 2006 76.0% 74.0% 77.9%
All Alaskans 2007 75.6% 73.6% 77.6%
All Alaskans 2008 76.2% 74.2% 78.1%
All Alaskans 2009 78.5% 76.5% 80.4%
All Alaskans 2010 77.8% 75.1% 80.3%
All Alaskans 2011 77.4% 75.6% 79.1%
All Alaskans 2012 79.0% 77.4% 80.5%
All Alaskans 2013 78.2% 76.6% 79.6%
Alaska Natives 2000 57.1% 49.6% 64.3%
Alaska Natives 2001 57.3% 51.3% 63.2%
Alaska Natives 2002 55.3% 48.7% 61.7%
Alaska Natives 2003 54.8% 48.6% 60.8%
Alaska Natives 2004 57.2% 52.7% 61.5%
Alaska Natives 2005 59.5% 55.4% 63.4%
Alaska Natives 2006 57.3% 52.3% 62.1%
Alaska Natives 2007 59.6% 54.6% 64.4%
Alaska Natives 2008 55.6% 50.6% 60.6%
Alaska Natives 2009 60.9% 55.5% 66.1%
Alaska Natives 2010 61.4% 54.2% 68.1%
Alaska Natives 2011 64.9% 60.4% 69.1%
Alaska Natives 2012 61.8% 57.6% 65.8%
Alaska Natives 2013 59.4% 55.3% 63.5%
U.S. 2000 76.8%
U.S. 2001 77.2%
U.S. 2002 77.0%
U.S. 2003 78.0%
U.S. 2004 79.2%
U.S. 2005 79.5%
U.S. 2006 80.0%
U.S. 2007 80.3%
U.S. 2008 81.7%
U.S. 2009 82.1%
U.S. 2010 82.7%
U.S. 2011 78.8%
U.S. 2012 80.4%
U.S. 2013 81.0%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

  • Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)



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

::chart - missing::

HA: Males vs. Females Year Percentage of Adults Lower Limit Upper Limit
Record Count: 16
Males 2010 76.5% 72.3% 80.2%
Males 2011 76.0% 73.3% 78.4%
Males 2012 77.8% 75.6% 79.9%
Males 2013 76.1% 73.8% 78.2%
Females 2010 79.2% 75.7% 82.3%
Females 2011 78.9% 76.5% 81.1%
Females 2012 80.3% 78.0% 82.5%
Females 2013 80.4% 78.3% 82.3%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::

HA: Age Group: 18-24,25-34,35-44,45-64,65+ Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
18-24 2010 76.8% 66.7% 84.6%
18-24 2011 75.3% 68.6% 81.0%
18-24 2012 71.9% 66.6% 76.6%
18-24 2013 76.5% 71.4% 81.0%
25-34 2010 65.4% 57.1% 72.9%
25-34 2011 71.6% 66.6% 76.0%
25-34 2012 76.2% 72.1% 79.8%
25-34 2013 74.0% 70.0% 77.7%
35-44 2010 80.0% 74.3% 84.6%
35-44 2011 78.1% 74.3% 81.5%
35-44 2012 79.0% 74.8% 82.7%
35-44 2013 75.3% 71.1% 79.1%
45-64 2010 80.3% 77.2% 83.0%
45-64 2011 77.7% 75.2% 80.1%
45-64 2012 79.4% 76.9% 81.7%
45-64 2013 78.1% 75.8% 80.3%
65+ 2010 89.7% 84.2% 93.4%
65+ 2011 88.4% 85.7% 90.7%
65+ 2012 90.0% 86.7% 92.5%
65+ 2013 90.1% 87.6% 92.1%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::

HA: Ethnicity - Hispanic/Latino Year Percentage of Adults Lower Limit Upper Limit
Record Count: 16
Hispanic/Latino 2010 82.4% 63.4% 92.7%
Hispanic/Latino 2011 83.4% 74.5% 89.7%
Hispanic/Latino 2012 78.2% 69.7% 84.9%
Hispanic/Latino 2013 72.0% 63.0% 79.5%
Not Hispanic/Latino 2010 77.5% 74.7% 80.0%
Not Hispanic/Latino 2011 77.1% 75.3% 78.8%
Not Hispanic/Latino 2012 79.1% 77.4% 80.6%
Not Hispanic/Latino 2013 78.5% 76.9% 80.0%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::

HA: Marital Status Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
Married 2010 84.6% 81.7% 87.1%
Married 2011 84.9% 83.1% 86.6%
Married 2012 86.5% 84.5% 88.2%
Married 2013 85.4% 83.6% 87.0%
Widowed 2010 75.2% 62.4% 84.6%
Widowed 2011 78.3% 71.5% 83.8%
Widowed 2012 77.5% 70.8% 83.0%
Widowed 2013 78.8% 72.6% 83.9%
Divorced/Separated 2010 70.8% 63.8% 77.0%
Divorced/Separated 2011 65.1% 60.1% 69.8%
Divorced/Separated 2012 67.5% 62.7% 71.9%
Divorced/Separated 2013 66.6% 62.2% 70.8%
Never Married 2010 68.3% 60.5% 75.2%
Never Married 2011 70.1% 65.1% 74.7%
Never Married 2012 70.2% 66.4% 73.7%
Never Married 2013 71.8% 67.8% 75.5%
Living with a Partner 2010 68.1% 53.1% 80.1%
Living with a Partner 2011 64.3% 54.7% 72.9%
Living with a Partner 2012 70.6% 62.1% 77.8%
Living with a Partner 2013 62.9% 54.8% 70.4%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.



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

::chart - missing::

HA: Edu Level: < HS, HS, Some Coll, Coll Grad Year Percentage of Adults 25+ Lower Limit Upper Limit
Record Count: 24
< HS 2010 54.1% 43.7% 64.1%
< HS 2011 62.5% 54.8% 69.6%
< HS 2012 62.9% 55.3% 69.9%
< HS 2013 48.1% 40.9% 55.3%
HS 2010 67.2% 61.0% 72.9%
HS 2011 69.5% 65.9% 72.8%
HS 2012 72.2% 68.6% 75.6%
HS 2013 68.9% 65.4% 72.2%
Some Coll 2010 82.1% 78.1% 85.6%
Some Coll 2011 78.1% 75.0% 80.9%
Some Coll 2012 80.5% 77.6% 83.1%
Some Coll 2013 81.4% 78.8% 83.8%
Coll Grad 2010 90.8% 86.6% 93.7%
Coll Grad 2011 91.7% 89.2% 93.7%
Coll Grad 2012 93.0% 91.2% 94.4%
Coll Grad 2013 93.7% 92.3% 95.0%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::

HA: Employment Year Percentage of Adults Lower Limit Upper Limit
Record Count: 24
Employed 2010 79.1% 75.7% 82.1%
Employed 2011 79.1% 76.8% 81.1%
Employed 2012 80.9% 78.9% 82.7%
Employed 2013 80.7% 78.8% 82.4%
Unemployed 2010 60.7% 50.2% 70.3%
Unemployed 2011 56.5% 49.2% 63.6%
Unemployed 2012 56.7% 49.5% 63.5%
Unemployed 2013 49.6% 42.9% 56.3%
Not In Work Force 2010 84.4% 78.4% 89.0%
Not In Work Force 2011 87.9% 85.6% 89.9%
Not In Work Force 2012 85.9% 83.2% 88.2%
Not In Work Force 2013 84.1% 81.3% 86.6%
Unable to Work 2010 57.2% 45.1% 68.5%
Unable to Work 2011 51.7% 42.6% 60.8%
Unable to Work 2012 56.4% 48.7% 63.8%
Unable to Work 2013 59.7% 51.3% 67.6%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.



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

::chart - missing::

HA: Income: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+ Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
<$15,000 2010 70.5% 60.4% 77.8%
<$15,000 2011 56.7% 48.7% 64.3%
<$15,000 2012 55.9% 49.4% 62.2%
<$15,000 2013 56.1% 49.1% 62.9%
$15,000 - $24,999 2010 67.1% 58.4% 74.8%
$15,000 - $24,999 2011 60.1% 53.6% 66.3%
$15,000 - $24,999 2012 67.2% 61.7% 72.3%
$15,000 - $24,999 2013 65.3% 60.0% 70.3%
$25,000 - $49,999 2010 76.1% 70.0% 81.3%
$25,000 - $49,999 2011 75.9% 71.4% 79.8%
$25,000 - $49,999 2012 76.1% 72.1% 79.7%
$25,000 - $49,999 2013 75.1% 71.3% 78.6%
$50,000 - $74,999 2010 79.7% 71.6% 85.9%
$50,000 - $74,999 2011 82.9% 78.9% 86.4%
$50,000 - $74,999 2012 80.9% 76.4% 84.7%
$50,000 - $74,999 2013 79.3% 75.7% 82.5%
$75,000+ 2010 84.1% 79.1% 88.1%
$75,000+ 2011 87.2% 84.8% 89.3%
$75,000+ 2012 89.5% 87.2% 91.3%
$75,000+ 2013 86.7% 84.4% 88.7%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


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

::chart - missing::

HA: Poverty Threshold Year Percent of Adults Lower Limit Upper Limit
Record Count: 20
Poor 2010 70.4% 59.7% 79.2%
Poor 2011 58.3% 50.4% 65.7%
Poor 2012 56.7% 50.2% 63.0%
Poor 2013 58.8% 52.1% 65.3%
Near Poor 2010 69.7% 62.4% 76.1%
Near Poor 2011 68.6% 63.5% 73.3%
Near Poor 2012 66.8% 61.7% 71.6%
Near Poor 2013 65.2% 60.4% 69.7%
Middle/High 2010 81.2% 77.7% 84.3%
Middle/High 2011 84.2% 82.3% 85.9%
Middle/High 2012 84.7% 82.9% 86.3%
Middle/High 2013 83.0% 81.2% 84.5%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.   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).

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the household composition cannot be determined with accuracy. 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 high 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]



Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, by metropolitan/micropolitan statistical areas, all Alaskans, 2010-2020

::chart - missing::

HA: Metro/Micropolitan Area Year Percentage of Adults Lower Limit Upper Limit
Record Count: 36
Anchorage 2010 83.0% 77.5% 87.4%
Anchorage 2011 80.8% 77.5% 83.8%
Anchorage 2012 81.2% 78.3% 83.7%
Anchorage 2013 81.0% 77.9% 83.7%
Fairbanks North Star MSA 2010 82.2% 77.6% 86.1%
Fairbanks North Star MSA 2011 79.7% 75.4% 83.4%
Fairbanks North Star MSA 2012 78.5% 74.1% 82.4%
Fairbanks North Star MSA 2013 76.6% 73.2% 79.7%
Jeneau MicroSA 2010 78.5% 71.1% 84.4%
Jeneau MicroSA 2011 80.6% 73.6% 86.2%
Jeneau MicroSA 2012 79.4% 72.1% 85.2%
Jeneau MicroSA 2013 85.7% 81.2% 89.3%
Ketchikan Gateway MicroSA 2010 76.4% 64.5% 85.2%
Ketchikan Gateway MicroSA 2011 69.2% 55.2% 80.4%
Ketchikan Gateway MicroSA 2012 76.6% 66.3% 84.6%
Ketchikan Gateway MicroSA 2013 78.2% 71.1% 84.0%
Kodiak Island MicroSA 2010 74.1% 60.4% 84.3%
Kodiak Island MicroSA 2011 77.1% 66.7% 85.0%
Kodiak Island MicroSA 2012 80.9% 70.9% 88.1%
Kodiak Island MicroSA 2013 79.1% 69.6% 86.3%
Matanuska-Susitna 2010 71.0% 60.5% 79.7%
Matanuska-Susitna 2011 77.5% 72.9% 81.5%
Matanuska-Susitna 2012 78.6% 73.6% 82.9%
Matanuska-Susitna 2013 78.8% 74.7% 82.4%
Rural (non-Metro/MicroSA) 2010 70.1% 66.4% 73.5%
Rural (non-Metro/MicroSA) 2011 70.0% 66.9% 72.8%
Rural (non-Metro/MicroSA) 2012 75.8% 73.2% 78.3%
Rural (non-Metro/MicroSA) 2013 72.5% 70.1% 74.9%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.



Percentage of adults (18+) who currently do not smoke cigarettes, crude rate, Alaska Public Health Regions, all Alaskans, 2010-2020

::chart - missing::

HA: Geog PHR Year Percentage of Adults Lower Limit Upper Limit
Record Count: 32
Anchorage-Mat-Su 2010 80.3% 75.6% 84.4%
Anchorage-Mat-Su 2011 80.1% 77.3% 82.5%
Anchorage-Mat-Su 2012 80.6% 78.1% 82.8%
Anchorage-Mat-Su 2013 80.5% 78.0% 82.8%
Gulf Coast 2010 80.9% 76.6% 84.6%
Gulf Coast 2011 74.6% 70.2% 78.6%
Gulf Coast 2012 81.9% 78.0% 85.2%
Gulf Coast 2013 78.9% 75.6% 81.8%
Interior 2010 79.1% 74.6% 82.9%
Interior 2011 77.9% 74.1% 81.3%
Interior 2012 77.1% 73.2% 80.6%
Interior 2013 75.4% 72.4% 78.3%
Northern 2010 53.0% 42.8% 62.9%
Northern 2011 55.1% 47.1% 62.8%
Northern 2012 60.4% 51.6% 68.6%
Northern 2013 57.8% 49.4% 65.8%
Southeast 2010 73.9% 68.4% 78.8%
Southeast 2011 77.4% 72.6% 81.7%
Southeast 2012 80.0% 75.7% 83.6%
Southeast 2013 80.5% 77.3% 83.3%
Southwest 2010 66.4% 58.1% 73.8%
Southwest 2011 64.0% 56.7% 70.8%
Southwest 2012 72.1% 66.3% 77.2%
Southwest 2013 67.8% 61.5% 73.5%
Healthy Alaskans Goal 2013 83.0%
Healthy Alaskans Goal 2014 83.0%
Healthy Alaskans Goal 2015 83.0%
Healthy Alaskans Goal 2016 83.0%
Healthy Alaskans Goal 2017 83.0%
Healthy Alaskans Goal 2018 83.0%
Healthy Alaskans Goal 2019 83.0%
Healthy Alaskans Goal 2020 83.0%

Data Notes

Healthy Alaskans 2020 Target: 83.0% for adults not currently smoking cigarettes.

Alaska data were obtained from the Standard AK BRFSS from 1991-2003, and from the Standard and Supplemental AK BRFSS surveys combined from 2004 onward. The Supplemental BRFSS survey is conducted using identical methodology as the Standard BRFSS and allows a doubling of the BRFSS sample size for those measures included in both surveys.

Post-stratification weights were used for Alaska prior to 2006; raking weights were used from 2007 onward. For more on this methodological change see: http://dhss.alaska.gov/dph/Chronic/Pages/brfss/method.aspx.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

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/

More Resources and Links

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

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

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

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.

Page Content Updated On 12/24/2014, Published on 12/24/2014
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 Sun, 19 April 2015 7:38:35 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: Wed, 31 Dec 2014 16:27:14 AKST