Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Complete Health Indicator Report of Tobacco Use - Adolescents (Grades 9-12) - No Use (HA2020 Leading Health Indicator: 2)

Definition

The percentage of adolescents (students in grades 9-12) who responded 0 days" on the [http://www.cdc.gov/healthyyouth/data/yrbs/index.htm Youth Risk Behavior Survey (YRBS)] to the following three questions: (1) "During the past 30 days, on how many days did you smoke cigarettes?"; (2) "During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen?"; and (3) "During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?"

Numerator

Weighted number of adolescents (grades 9-12) who responded on the YRBS with "0 days" to the following three questions: (1) "During the past 30 days, on how many days did you smoke cigarettes?"; (2) "During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen?"; and (3) "During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?"

Denominator

Weighted number of adolescents (grades 9-12) surveyed on the YRBS with complete and valid responses to all three questions.

Data Interpretation Issues

Alaska has conducted a statewide Youth Risk Behavior Survey in 1995 and biennially from 2003. Weighted data were not obtained in 2005 and therefore no statewide estimates are available for that year. A YRBS survey conducted in 1999 did not include the Anchorage School District and therefore was not considered a valid statewide estimate. No YRBS survey was conducted in Alaska in 1997 and 2001. Traditional high schools are sometimes called comprehensive high schools. They are public high schools that are distinct from alternative high schools, which serve students at risk of not graduating, charter schools, correspondence schools, and students enrolled in high school in correctional facilities. Responses are weighted to reflect youth attending public traditional high schools in Alaska. The three questions on tobacco use have been asked on the Alaska YRBS since 2003.

Why Is This Important?

Tobacco use is the leading cause of preventable disease and death in the United States.^1^ There have been over 20 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^ One in 3 cancer deaths, 1 in 3 cardiovascular deaths, and 8 in 10 chronic obstructive pulmonary disease deaths are due to smoking.^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 $601 million annually.^5^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. 2. U.S. Department of Health and Human Services. 2014 Surgeon General's Report: The Health Consequences of Smoking - 50 Years of Progress. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 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. Alaska Department of Health and Social Services. Alaska Tobacco Facts. 2015 Update. [http://dhss.alaska.gov/dph/Chronic/Documents/Tobacco/PDF/2015_AKTobaccoFacts.pdf]. }}

Healthy People Objective: Reduce tobacco use by adolescents: Tobacco products (past month)

U.S. Target: 21.0%

Other Objectives

Healthy Alaskans 2020 Leading Health Indicator 2: Increase the percentage of adolescents (high school students in grades 9-12) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days to 80% by 2020.

How Are We Doing?

The prevalence of not using tobacco products among Alaska adolescents (grade 9-12) was 81.6%, maintaining a level above the Healthy Alaskans 2020 goal of 80% since 2011. Not all subgroups of adolescents have met the 80% goal. Those adolescents still at risk for this indicator in 2015 are Alaska Native students (66.5%), males (76.8%), students in the 12th grade (74.3%), and students receiving less than As and Bs (71.4%). The Healthy Alaskans 2020 goal of having 80% of adolescents not currently using tobacco products has been meet in most areas of the state except in the Northwest, Other Interior, and Y-K Delta in the Behavioral Health Systems regions and the Northern and Southwest areas of the Alaska Economic Regions. Among Alaska Native students, the goal was only met by those high school students in the Anchorage Municipality and Other Southeast regions of the Behavioral Health Systems regions and the Anchorage-Matanuska Susitna and Southeast regions of the Alaska Economic Regions. Data for the Fairbanks North Star Borough were unavailable. Prevalence rates for not using tobacco products from the YRBS are initially presented for all Alaska high school students, Alaska Native students, and the mean of the national YRBS. Subsequent analyses display not using tobacco products by demographic subpopulations (i.e., sex, age, use before age 13, race/ethnicity, ethnicity, grade level, and academic achievement) and regions.

How Do We Compare With the U.S.?

In 2015, Alaska adolescents (grades 9-12) had the same rate of not using tobacco products at 81.6% as the national average of 81.5%.

What Is Being Done?

In collaboration with partners statewide, the Alaska Tobacco Prevention and Control (TPC) program provides leadership, coordinates resources, and promote efforts that support Alaskans in living healthy and tobacco-free lives. Specifically, the Alaska TPC provides funding and technical assistance for regional tobacco prevention and control programs; provides media and other counter-marketing communications statewide; operates a tobacco quit-line that provides cessation counseling and nicotine replacement therapy (NRT) free of charge; ensures the ongoing surveillance of tobacco use trends in Alaska and the evaluation of program efforts; and supports tobacco-free partnership projects in Alaska. Additional information on current tobacco prevention efforts in Alaska is available at: [http://www.hss.state.ak.us/dph/chronic/tobacco/default.htm] or [http://www.tobaccofree.alaska.gov]. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_2_Tobacco_Youth.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. '''Strategy 1:''' [[br]]Work with K-12 School Districts to implement Gold Standard Tobacco-Free Campus policies. Policies should apply to all staff, students and visitors at all times, and include emerging tobacco products. Evidence Base: The Community Guide, Surgeon General's Report on Youth and Young Adults, and Centers for Disease Control and Prevention (CDC) Best Practices all list comprehensive tobacco-free campuses as an evidence-based strategy to change social norms and create positive environments for young people. '''Sources:''' [http://www.thecommunityguide.org/index.html The Community Guide] US Department of Health and Human Services. [http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General]. Atlanta, GA: Centers for Disease Control and Prevention. 2012. CDC - [http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm Best Practices for Comprehensive Tobacco Control Programs] '''Strategy 2:''' Increase the price of all tobacco products to an amount proven to impact consumption and prevent youth initiation. Policies include local and statewide tax increases. '''Evidence Base:''' CDC Best Practices, The Community Guide, and Surgeon General's Report on Youth and Young Adults all list increasing tobacco prices by more than 10% and creating parity between tobacco products as an effective method to prevent youth initiation. Kids are extremely price sensitive and are greatly impacted by increases in price. Every 10% increase in price reduces youth smoking by about 7% and total cigarette consumption by about 4%. '''Sources:''' [http://www.cdc.gov/tobacco/stateandcommunity/comguide/index.htm The Guide to Community Preventive Services] [http://www.thecommunityguide.org/tobacco/index.html The Community Guide] US Department of Health and Human Services. [http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General]. Atlanta, GA: Centers for Disease Control and Prevention. 2012. CDC - [http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm Best Practices for Comprehensive Tobacco Control Programs] '''Strategy 3:''' Conduct a media campaign based on social marketing principles. '''Evidence Base:''' CDC Best Practices, The Community Guide, and the Surgeon General's Report on Youth and Young Adults all list mass-reach health communication interventions as an effective strategy to prevent initiation, promote cessation and shape social norms about tobacco use. These interventions are effective in countering pro-tobacco messages by the Tobacco Industry. Research has shown youth are impacted by adult-targeted media. Social marketing techniques should be employed to most effectively promote behavior change. '''Sources:''' [http://www.cdc.gov/tobacco/stateandcommunity/comguide/index.htm The Guide to Community Preventive Services] [http://www.thecommunityguide.org/tobacco/index.html The Community Guide] US Department of Health and Human Services. [http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General]. Atlanta, GA: Centers for Disease Control and Prevention. 2012. CDC - Best Practices for Comprehensive Tobacco Control Programs. [http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm]. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/EBS-2.htm].


Related Indicators

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, all Alaskans, Alaska Natives, and U.S., 2003-2019

::chart - missing::
confidence limits

Alaska ComparisonsYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 25
All Alaskans200375.2%72.2%78.0%1,0651,392
All Alaskans2005**
All Alaskans200775.9%73.3%78.3%9621,231
All Alaskans200974.8%71.1%78.2%9691,248
All Alaskans201180.0%75.5%83.9%1,0081,232
All Alaskans201382.9%78.5%86.6%9781,161
All Alaskans201581.6%78.3%84.4%1,1141,334
Alaska Natives200346.8%39.7%54.0%126263
Alaska Natives2005**
Alaska Natives200762.4%57.2%67.4%155232
Alaska Natives200959.2%49.3%68.4%170267
Alaska Natives201168.2%53.5%80.0%194271
Alaska Natives201369.8%59.3%78.6%184258
Alaska Natives201566.5%58.9%73.3%232325
U.S.200372.5%70.0%74.9%
U.S.200571.6%68.7%74.3%
U.S.200774.3%71.3%77.2%
U.S.200974.0%71.7%76.2%
U.S.201176.6%74.9%78.2%
U.S.201377.6%75.0%80.1%
U.S.201581.5%
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Notes

** = Data not available.

Data Sources

  • [http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • Youth Risk Behavior Surveillance System, Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by sex, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
Males201178.1%74.0%81.6%470593
Males201379.0%73.8%83.4%450559
Males201576.8%73.4%79.9%518653
Females201182.1%75.4%87.2%536635
Females201387.3%82.0%91.3%527599
Females201586.7%82.6%90.0%594676
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by age, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Adolescent Age GroupsYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 19
14 or Younger201188.1%82.9%91.9%138157
14 or Younger201392.5%86.2%96.0%127137
14 or Younger201588.8%76.9%95.0%125138
15201189.1%84.8%92.2%319357
15201386.1%81.0%90.0%279319
15201586.4%80.9%90.5%300343
16201176.7%70.2%82.1%261334
16201384.4%78.5%89.0%237277
16201582.4%76.5%87.2%316373
17201177.1%71.7%81.8%192248
17201379.1%71.6%85.1%208261
17201579.2%74.4%83.3%249308
18 or Older201168.9%56.4%79.1%98136
18 or Older201374.1%62.2%83.2%126166
18 or Older201570.1%61.9%77.2%121167
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by race, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Race: White, AK Native, OtherYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 13
White201183.1%79.0%86.5%531632
White201386.0%81.9%89.2%492572
White201587.0%83.4%89.9%574656
Alaska Native201168.2%53.5%80.0%194271
Alaska Native201369.8%59.3%78.6%184258
Alaska Native201566.5%58.9%73.3%232325
Other races201186.7%81.7%90.5%257297
Other races201393.2%89.2%95.8%276296
Other races201590.7%86.8%93.5%274305
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by ethnicity, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
Hispanic/Latino201181.0%72.7%87.3%104129
Hispanic/Latino201390.5%82.4%95.1%104115
Hispanic/Latino201581.4%73.2%87.6%105127
Not Hispanic/Latino201179.8%74.8%84.0%8901,087
Not Hispanic/Latino201382.8%78.3%86.6%8601,024
Not Hispanic/Latino201582.0%78.6%85.0%9911,179
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by grade level, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Grade LevelYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 16
9th201187.5%82.4%91.3%341387
9th201388.7%83.7%92.4%298331
9th201586.6%79.4%91.6%273311
10th201180.5%72.4%86.6%271328
10th201382.6%76.4%87.5%254300
10th201581.9%75.9%86.6%347410
11th201176.9%71.6%81.4%230299
11th201382.7%75.1%88.3%223269
11th201583.4%79.1%87.0%283336
12th201173.9%66.7%80.1%161211
12th201377.6%69.2%84.3%198251
12th201574.3%67.7%80.0%204265
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by academic performance, all Alaskans, 2011-2019

::chart - missing::
confidence limits

HA: Academic PerformanceYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
Mostly As and Bs201184.7%81.1%87.7%724840
Mostly As and Bs201387.4%82.6%91.1%738836
Mostly As and Bs201586.0%82.6%88.9%815928
Not mostly As and Bs201169.6%60.5%77.3%280388
Not mostly As and Bs201371.4%64.5%77.5%232315
Not mostly As and Bs201571.9%67.0%76.2%291394
Healthy Alaskans Goal201380.0%
Healthy Alaskans Goal201580.0%
Healthy Alaskans Goal201780.0%
Healthy Alaskans Goal201980.0%

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by Behavioral Health Systems Regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
All AlaskansAnchorage Muncipality89.5%87.2%91.3%9551,159
All AlaskansFairbanks North Star Borough**381
All AlaskansCity and Borough of Juneau89.4%87.0%91.5%398446
All AlaskansKenai Peninsula Borough82.8%80.1%85.3%783943
All AlaskansMatanuska-Susitna Borough78.3%75.1%81.2%7271,025
All AlaskansNorthwest Region60.1%56.5%63.5%430698
All AlaskansOther Interior Region68.7%60.7%75.7%184264
All AlaskansOther Southeast Region89.7%87.3%91.8%758854
All AlaskansY-K Delta Region28.4%21.9%35.9%37125
All AlaskansSouthwest Region82.6%77.9%86.6%382453
Alaska NativesAnchorage Muncipality83.8%77.5%88.6%148209
Alaska NativesFairbanks North Star Borough**67
Alaska NativesCity and Borough of Juneau**70
Alaska NativesKenai Peninsula Borough79.6%74.1%84.3%112141
Alaska NativesMatanuska-Susitna Borough79.0%72.7%84.2%155228
Alaska NativesNorthwest Region56.8%53.0%60.5%337581
Alaska NativesOther Interior Region60.7%51.2%69.4%89147
Alaska NativesOther Southeast Region83.1%78.8%86.6%183226
Alaska NativesY-K Delta Region26.3%19.2%34.9%32115
Alaska NativesSouthwest Region71.5%65.2%77.1%123170
Healthy Alaskans GoalHealthy Alaskans Goal80.0%

Data Notes

** = Data statistically unreliable or suppressed. Data for the Fairbanks North Star Borough were collected by the Fairbanks North Star Borough School District, which has reserved access to the data. Requests for the information should be addressed to the FNSBSD Superintendent, Dr. Karen Gaborik at superintendent@k12northstar.org or (907) 452-2000 x11401. These data are a regional compilation of YRBS surveys conducted for local school districts. They represent a combination of samples representative of the student bodies of districts and others which are only representative of those completing the survey. The representative samples have been weighted to the sex and grade characteristics of their school district. The unrepresentative surveys have a weight of 1. The results of the local YRBS program may not meet the statistical rigor of the statewide estimates and should be viewed with caution. However, the local YRBS program does demonstrate the existence of risk factors.

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adolescents (grades 9-12 in traditional high schools) who have not smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days, by Alaska Economic Regions, all Alaskans and Alaska Natives, 2015

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 13
All AlaskansAnchorage - Mat-Su86.6%84.7%88.3%1,6822,184
All AlaskansGulf Coast83.6%81.1%85.7%1,1241,331
All AlaskansInterior90.0%85.8%93.1%467568
All AlaskansNorthern60.1%56.5%63.5%430698
All AlaskansSoutheast89.6%87.9%91.1%1,1561,300
All AlaskansSouthwest53.8%47.8%59.6%141267
Alaska NativesAnchorage - Mat-Su82.3%77.7%86.1%303437
Alaska NativesGulf Coast79.7%75.3%83.8%169121
Alaska NativesInterior78.9%69.6%85.9%136205
Alaska NativesNorthern56.8%53.0%60.5%337581
Alaska NativesSoutheast85.1%81.0%88.4%243296
Alaska NativesSouthwest48.1%42.7%53.4%106223
Healthy Alaskans GoalHealthy Alaskans Goal80.0%

Data Notes

These data are a regional compilation of YRBS surveys conducted for local school districts. They represent a combination of samples representative of the student bodies of districts and others which are only representative of those completing the survey. The representative samples have been weighted to the sex and grade characteristics of their school district. The unrepresentative surveys have a weight of 1. The results of the local YRBS program may not meet the statistical rigor of the statewide estimates and should be viewed with caution. However, the local YRBS program does demonstrate the existence of risk factors although their exact magnitude may be in question.

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. 2. U.S. Department of Health and Human Services. 2014 Surgeon General's Report: The Health Consequences of Smoking - 50 Years of Progress. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 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. Alaska Department of Health and Social Services. Alaska Tobacco Facts. 2015 Update.[http://dhss.alaska.gov/dph/Chronic/Documents/Tobacco/PDF/2015_AKTobaccoFacts.pdf].

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 07/12/2016, Published on 07/11/2016
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 27 August 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 11 Jul 2016 14:20:02 AKDT
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 27 August 2016 16:23:32 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Mon, 11 Jul 2016 14:20:02 AKDT