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

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State of Alaska

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

Definition

The percentage of adolescents (grades 9-12) who did not use tobacco products including smokeless tobacco during the past 30 days.

Numerator

Weighted number of students grades 9-12 who responded with 0 days to all of 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 students in grades 9-12 surveyed with complete and valid responses to all three questions.

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]

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-2:

Reduce tobacco use by adolescents
U.S. Target: Not applicable, see subobjectives in this category
State Target: Healthy Alaskans 2020 Target: 80%.

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.

Strategy 1:
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:
The Community Guide: http://www.thecommunityguide.org/index.html
US Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention. 2012. Retrieved from http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html
CDC - Best Practices for Comprehensive Tobacco Control Programs:
http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm

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:
The Guide to Community Preventive Services:
http://www.cdc.gov/tobacco/stateandcommunity/comguide/index.htm
The Community Guide:
http://www.thecommunityguide.org/tobacco/index.html
US Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention. 2012. Retrieved from http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html
CDC - Best Practices for Comprehensive Tobacco Control Programs:
http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm

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:
The Community Guide:
http://www.thecommunityguide.org/tobacco/index.html
US Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention. 2012. Retrieved from http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html
CDC - Best Practices for Comprehensive Tobacco Control Programs:
http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm



Related Indicators

Related Risk Factors Indicator Profiles:


Related Health Status Outcomes Indicator Profiles:




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., 2001-2019

::chart - missing::

Alaska Comparisons Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 25
All Alaskans 2001 **
All Alaskans 2003 75.2% 72.2% 78.0%
All Alaskans 2005 **
All Alaskans 2007 75.9% 73.3% 78.3%
All Alaskans 2009 74.8% 71.1% 78.2%
All Alaskans 2011 80.0% 75.5% 83.9%
All Alaskans 2013 82.9% 78.5% 86.6%
Alaska Natives 2001 **
Alaska Natives 2003 46.8% 39.7% 54.0%
Alaska Natives 2005 **
Alaska Natives 2007 62.4% 57.2% 67.4%
Alaska Natives 2009 59.2% 49.3% 68.4%
Alaska Natives 2011 68.2% 53.5% 80.0%
Alaska Natives 2013 69.8% 59.3% 78.6%
U.S. 2001 66.1% 63.9% 68.2%
U.S. 2003 72.5% 70.0% 74.9%
U.S. 2005 71.6% 68.7% 74.3%
U.S. 2007 74.3% 71.3% 77.2%
U.S. 2009 74.0% 71.7% 76.2%
U.S. 2011 76.6% 74.9% 78.2%
U.S. 2013 77.6% 75.0% 80.1%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2019 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%.   Traditional high schools are public high schools that are distinct from correspondence schools, alternative high schools, which serve students at risk of not graduating, and students enrolled in high school in correctional facilities. Healthy Alaskans 2020 goals were established using results from traditional high school students.

** Data Not Available

Data Sources

  • 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, School Health and YRBS Program
  • Youth Risk Behavior Surveillance System, National Center for 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 sex, all Alaskans, 2011-2020

::chart - missing::

HA: Males vs. Females Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Males 2011 78.1% 74.0% 81.6%
Males 2013 79.0% 73.8% 83.4%
Females 2011 82.1% 75.4% 87.2%
Females 2013 87.3% 82.0% 91.3%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%



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, 2011-2020

::chart - missing::

HA: Adolescent Age Groups Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 18
14 or Younger 2011 88.1% 82.9% 91.9%
14 or Younger 2013 92.5% 86.2% 96.0%
15 2011 89.1% 84.8% 92.2%
15 2013 86.1% 81.0% 90.0%
16 2011 76.7% 70.2% 82.1%
16 2013 84.4% 78.5% 89.0%
17 2011 77.1% 71.7% 81.8%
17 2013 79.1% 71.6% 85.1%
18 or Older 2011 68.9% 56.4% 79.1%
18 or Older 2013 74.1% 62.2% 83.2%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%



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, 2011-2020

::chart - missing::

HA: Race: white, AK Native, other Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 14
white 2011 83.1% 79.0% 86.5%
white 2013 86.0% 81.9% 89.2%
Alaska Native 2011 68.2% 53.5% 80.0%
Alaska Native 2013 69.8% 59.3% 78.6%
other races 2011 86.3% 81.8% 89.9%
other races 2013 90.4% 85.1% 94.0%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%



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 Hispanic, all Alaskans, 2011-2020

::chart - missing::

HA: Ethnicity - Hispanic/Latino Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Hispanic/Latino 2011 81.0% 72.7% 87.3%
Hispanic/Latino 2013 90.5% 82.4% 95.1%
Not Hispanic/Latino 2011 79.8% 74.8% 84.0%
Not Hispanic/Latino 2013 82.8% 78.3% 86.6%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%



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, 2011-2020

::chart - missing::

HA: Grade Level Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 16
9th 2011 87.5% 82.4% 91.3%
9th 2013 88.7% 83.7% 92.4%
10th 2011 80.5% 72.4% 86.6%
10th 2013 82.6% 76.4% 87.5%
11th 2011 76.9% 71.6% 81.4%
11th 2013 82.7% 75.1% 88.3%
12th 2011 73.9% 66.7% 80.1%
12th 2013 77.6% 69.2% 84.3%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%



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, 2011-2020

::chart - missing::

HA: Academic Performance Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Mostly As and Bs 2011 84.7% 81.1% 87.7%
Mostly As and Bs 2013 87.4% 82.6% 91.1%
Not mostly As and Bs 2011 69.6% 60.5% 77.3%
Not mostly As and Bs 2013 71.4% 64.5% 77.5%
Healthy Alaskans Goal 2013 80.0%
Healthy Alaskans Goal 2014 80.0%
Healthy Alaskans Goal 2015 80.0%
Healthy Alaskans Goal 2016 80.0%
Healthy Alaskans Goal 2017 80.0%
Healthy Alaskans Goal 2018 80.0%
Healthy Alaskans Goal 2019 80.0%
Healthy Alaskans Goal 2020 80.0%

Data Notes

Healthy Alaskans 2020 Target: 80%


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 06/30/2015, Published on 08/07/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Mon, 31 August 2015 9:40:40 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: Fri, 7 Aug 2015 10:00:13 AKDT