Complete Indicator Profile of Tobacco Use - Adults (18+) - Not Cigarette Smoking (HA2020 Leading Health Indicator: 3)
DefinitionNumber 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.
NumeratorNumber 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?'
DenominatorNumber 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. 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. And smoking kills more than just those who choose to smoke. Exposure to secondhand smoke kills approximately 50,000 Americans every year. 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. For every one person who dies from tobacco use, another 20 suffer reduced quality of life from tobacco-related illness. 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; Alaska's share of these costs are approximately $546 million annually.
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 ObjectivesThe 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.
Available ServicesThe 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 InformationFor 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 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
Data NotesHealthy 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.
References and Community ResourcesMore 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 LinksAlaska 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 11/30/2013, Published on 11/30/2013