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 $170 billion each year in direct medical expenses and another $156 billion per year in lost productivity;^3^ Alaska's share of these costs are approximately $575 million in direct medical expenses and $285 million in lost productivity 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. Xu X, Bishop EE, Kennedy SM, Simpson SA, Pechacek TF. Annual Healthcare Spending Attributable to Cigarette Smoking: An Update. American Journal of Preventive Medicine 2014; 48(3): 326-33. Accessed January 15, 2019. 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. 2017 Update. [http://dhss.alaska.gov/dph/Chronic/Documents/Tobacco/PDF/2017_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 83.4% in 2017, above the Healthy Alaskans 2020 goal of 80%. Not all subgroups of adolescents have met the 80% goal. Those adolescents still at risk for this indicator in 2017 are Alaska Native students (70.9%) and students receiving less than As and Bs (74.4%). 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 (62.6%), Other Interior (73.3%), and Y-K Delta (46.6%) Behavioral Health Systems regions. 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 2017, national average for not using tobacco was 86.0%, slightly higher than Alaska adolescents (81.6%).

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 Relevant Population Characteristics 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 Native adolescents, and U.S., 2003-2019

::chart - missing::
confidence limits

Alaska ComparisonsYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
All Alaskans200372.9%69.9%75.6%1,0651,437
All Alaskans2005**
All Alaskans200773.7%71.0%76.2%9621,263
All Alaskans200972.0%68.4%75.3%9691,298
All Alaskans201177.1%72.9%80.9%1,0081,272
All Alaskans201380.7%76.4%84.5%9761,191
All Alaskans201579.5%76.3%82.3%1,1111,365
All Alaskans201783.4%80.8%85.7%1,0841,274
Alaska Native people200345.6%39.4%51.9%151318
Alaska Native people2005**
Alaska Native people200759.2%53.8%64.4%155243
Alaska Native people200956.8%47.4%65.8%170281
Alaska Native people201164.1%52.2%74.6%194286
Alaska Native people201366.7%56.0%75.9%183270
Alaska Native people201563.8%57.2%70.0%229334
Alaska Native people201770.9%65.2%76.0%241325
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%
U.S.201786.0%
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
  • [https://www.cdc.gov/healthyyouth/data/yrbs/index.htm Youth Risk Behavior Surveillance System (YRBSS)], Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC


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, 2003-2019

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Males200370.1%66.5%73.5%523733
Males2005**
Males200772.8%69.4%76.0%468630
Males200967.9%62.8%72.6%428612
Males201173.8%69.8%77.5%470623
Males201376.6%71.5%81.0%449577
Males201574.1%70.6%77.4%517676
Males201781.6%77.5%85.1%535642
Females200376.0%72.0%79.5%537694
Females2005**
Females200774.8%70.5%78.7%490626
Females200976.8%72.9%80.4%537676
Females201180.8%74.4%85.9%536644
Females201385.8%80.5%89.8%526608
Females201585.6%81.7%88.8%592682
Females201785.5%82.5%88.0%546627
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, 2003-2019

::chart - missing::
confidence limits

HA: Adolescent Age GroupsYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 44
14 or Younger200378.9%68.0%86.9%117148
14 or Younger2005**
14 or Younger200787.8%80.4%92.7%127142
14 or Younger200983.0%75.4%88.6%113135
14 or Younger201185.6%79.4%90.2%138161
14 or Younger201390.3%82.7%94.8%127141
14 or Younger201586.6%75.4%93.2%125142
14 or Younger201786.4%78.7%91.6%164190
15200381.3%77.2%84.9%341417
152005**
15200778.7%72.4%83.9%264332
15200979.6%75.0%83.6%289353
15201186.1%81.1%90.0%319367
15201383.5%77.6%88.1%279328
15201584.1%78.4%88.5%298349
15201787.4%83.2%90.8%313353
16200369.5%63.9%74.6%235333
162005**
16200771.1%64.7%76.8%204284
16200971.6%64.6%77.7%252340
16201174.5%67.8%80.2%261342
16201383.1%76.9%88.0%236281
16201580.4%74.5%85.2%316382
16201784.3%79.0%88.5%263306
17200366.8%59.9%73.1%214315
172005**
17200771.7%65.2%77.3%227309
17200968.3%60.8%75.1%199283
17201174.9%69.6%79.6%192256
17201377.6%70.7%83.2%207265
17201577.7%73.0%81.8%249314
17201782.6%77.0%87.0%239285
18 or Older200369.9%60.6%77.9%158221
18 or Older2005**
18 or Older200766.1%57.7%73.5%138193
18 or Older200960.5%50.7%69.4%116184
18 or Older201164.0%54.0%72.9%98146
18 or Older201370.4%58.6%80.0%126175
18 or Older201567.6%59.8%74.6%120172
18 or Older201775.2%65.5%82.9%102135
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, 2003-2019

::chart - missing::
confidence limits

HA: Race: White, AK Native, OtherYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
White200381.0%77.7%83.9%717880
White2005**
White200777.5%73.7%80.9%571728
White200976.0%71.3%80.1%457594
White201182.1%77.9%85.7%531639
White201384.8%81.0%87.9%491578
White201586.2%82.7%89.1%574661
White201787.7%83.3%91.1%492557
Alaska Native people200345.6%39.4%51.9%151318
Alaska Native people2005**
Alaska Native people200759.2%53.8%64.4%155243
Alaska Native people200956.8%47.4%65.8%170281
Alaska Native people201164.1%52.2%74.6%194286
Alaska Native people201366.7%56.0%75.9%183270
Alaska Native people201563.8%57.2%70.0%229334
Alaska Native people201770.9%65.2%76.0%241325
Other races200383.7%76.5%89.0%187226
Other races2005**
Other races200785.6%81.7%88.8%218262
Other races200986.5%82.0%90.0%276319
Other races201183.4%78.2%87.5%257308
Other races201389.9%85.7%92.9%276307
Other races201588.0%84.5%90.8%274315
Other races201792.0%88.8%94.4%322352
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, 2003-2019

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Hispanic/Latino2003**59
Hispanic/Latino2005**
Hispanic/Latino2007**98
Hispanic/Latino200972.7%61.1%81.9%96125
Hispanic/Latino201177.0%67.9%84.2%104135
Hispanic/Latino201383.8%75.6%89.6%104124
Hispanic/Latino201578.4%70.4%84.7%105132
Hispanic/Latino201785.5%78.9%90.3%121142
Not Hispanic/Latino200372.4%69.2%75.3%1,0041,365
Not Hispanic/Latino2005**
Not Hispanic/Latino200773.6%70.8%76.3%8811,154
Not Hispanic/Latino200972.2%68.3%75.7%8651,156
Not Hispanic/Latino201177.5%73.0%81.3%8901,115
Not Hispanic/Latino201381.0%76.4%84.8%8581,044
Not Hispanic/Latino201580.2%76.9%83.2%9881,200
Not Hispanic/Latino201783.7%81.2%86.0%9401,098
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, 2003-2019

::chart - missing::
confidence limits

HA: Grade LevelYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 36
9th200381.8%77.2%85.7%402491
9th2005**
9th200778.4%72.0%83.6%325399
9th200977.4%70.1%83.4%296369
9th201184.7%78.7%89.2%341397
9th201387.1%81.6%91.1%298338
9th201583.4%76.3%88.7%271322
9th201787.0%82.3%90.5%356410
10th200368.3%61.5%74.4%216307
10th2005**
10th200772.6%65.5%78.7%178244
10th200974.3%67.3%80.2%242316
10th201178.5%70.9%84.6%271335
10th201378.7%72.1%84.0%253311
10th201580.8%75.1%85.5%347415
10th201786.6%82.3%90.0%307350
11th200368.6%61.1%75.3%244354
11th2005**
11th200772.7%65.1%79.1%241324
11th200971.7%65.6%77.1%254345
11th201174.6%69.1%79.3%230309
11th201381.9%74.3%87.7%222272
11th201580.4%75.6%84.4%283348
11th201782.8%77.1%87.3%249295
12th200372.0%64.5%78.5%194264
12th2005**
12th200770.0%63.7%75.6%205278
12th200964.7%56.4%72.1%157235
12th201169.5%62.1%76.0%161224
12th201375.4%67.0%82.2%198259
12th201573.3%66.8%78.9%203267
12th201777.2%70.5%82.7%165208
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, 2003-2019

::chart - missing::
confidence limits

HA: Academic PerformanceYearPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Mostly As and Bs200380.9%77.6%83.8%805987
Mostly As and Bs2005**
Mostly As and Bs200778.0%74.4%81.2%689850
Mostly As and Bs200979.4%75.3%82.9%712872
Mostly As and Bs201183.1%79.2%86.3%724853
Mostly As and Bs201386.2%81.9%89.6%737847
Mostly As and Bs201585.0%81.6%87.8%812936
Mostly As and Bs201788.0%85.4%90.2%765851
Not mostly As and Bs200355.6%50.4%60.7%249433
Not mostly As and Bs2005**
Not mostly As and Bs200765.8%60.2%70.9%270407
Not mostly As and Bs200956.9%50.8%62.9%254422
Not mostly As and Bs201165.0%57.5%71.8%280413
Not mostly As and Bs201367.8%61.2%73.9%231331
Not mostly As and Bs201568.1%63.3%72.5%291416
Not mostly As and Bs201774.4%68.0%80.0%290382
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 high schools (traditional, alternative, or correctional)) 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 Native adolescents, 2015-2017

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
All AlaskansAnchorage Muncipality87.4%85.7%88.9%2,0332,528
All AlaskansFairbanks North Star Borough91.3%87.6%93.9%774861
All AlaskansCity and Borough of Juneau88.1%86.0%90.0%758880
All AlaskansKenai Peninsula Borough83.0%81.1%84.6%1,9292,324
All AlaskansMatanuska-Susitna Borough81.1%78.7%83.2%1,3771,881
All AlaskansNorthwest Region62.6%59.8%65.2%8771,366
All AlaskansOther Interior Region73.3%68.3%77.8%446609
All AlaskansOther SE - Northern85.5%82.1%88.4%591691
All AlaskansOther SE - Southern87.5%85.1%89.6%704818
All AlaskansY-K Delta Region46.6%43.4%49.8%425903
All AlaskansSouthwest Region84.4%81.9%86.6%8501,003
Alaska Native peopleAnchorage Muncipality78.1%73.3%82.3%309469
Alaska Native peopleFairbanks North Star Borough86.2%74.5%93.0%107129
Alaska Native peopleCity and Borough of Juneau83.5%76.9%88.5%130165
Alaska Native peopleKenai Peninsula Borough80.6%76.9%83.8%343424
Alaska Native peopleMatanuska-Susitna Borough80.6%76.6%84.1%293410
Alaska Native peopleNorthwest Region59.5%56.6%62.4%6971,139
Alaska Native peopleOther Interior Region64.5%58.0%70.5%194307
Alaska Native peopleOther SE - Northern78.8%71.6%84.6%127163
Alaska Native peopleOther SE - Southern81.2%76.7%85.0%187235
Alaska Native peopleY-K Delta Region45.0%41.7%48.4%371812
Alaska Native peopleSouthwest Region74.2%69.4%78.4%227302
Alaska Native peopleOther Southeast Region83.1%78.8%86.6%183226
Healthy Alaskans GoalHealthy Alaskans Goal80.0%

Data Notes

** = Data statistically unreliable or suppressed. These data are a regional compilation of YRBS surveys conducted for local school districts. They consist of both representative (weighted) and unrepresentative (unweighted) samples. The representative samples have been weighted to the sex and grade characteristics of their school district. The unrepresentative surveys have a weight of 1 to signify that the information is not extrapolated to other students. 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 high schools (traditional, alternative, and correctional)) 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 Native adolescents, 2017

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adolescentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All AlaskansAnchorage87.0%84.4%89.2%1,0911,351
All AlaskansGulf Coast85.4%83.4%87.1%1,6761,965
All AlaskansInterior84.1%81.4%86.4%556659
All AlaskansMat-Su85.1%81.7%88.0%633797
All AlaskansNorthern68.0%63.4%72.3%446641
All AlaskansSoutheast86.7%84.2%88.9%8901,053
All AlaskansSouthwest51.0%47.7%54.3%438848
Alaska Native peopleAnchorage75.0%68.0%81.0%163255
Alaska Native peopleGulf Coast81.0%76.8%84.5%310383
Alaska Native peopleInterior72.8%67.9%77.3%139194
Alaska Native peopleMat-Su83.7%78.1%88.1%134170
Alaska Native peopleNorthern65.0%60.0%69.8%359537
Alaska Native peopleSoutheast79.5%73.4%84.5%200260
Alaska Native peopleSouthwest48.6%45.0%52.1%364738
Healthy Alaskans GoalHealthy Alaskans Goal80.0%

Data Notes

These data are a regional compilation of YRBS surveys conducted for local school districts. The responses come from surveys conducted in traditional, alternative, and correctional high schools. They consist of both representative (weighted) and unrepresentative (unweighted) samples. The representative samples have been weighted to the sex and grade characteristics of their school district. The unrepresentative surveys have a weight of 1 to signify that the information is not extrapolated to other students. 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.

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 01/15/2019, Published on 01/17/2019
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 23 April 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Thu, 17 Jan 2019 09:24:25 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 23 April 2019 6:50:10 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, 17 Jan 2019 09:24:25 AKST