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Tobacco Use

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Cigarette smoking, adults, 1965–2012

Decrease Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 18 and over who were current smokers (smoked at least 100 cigarettes in their lifetime and reported currently smoking every day or on some days), and are age adjusted using the year 2000 standard population. Data prior to 1997 are not strictly comparable with data for later years due to the 1997 questionnaire redesign.

The proportion of adults aged 18 and over who were current smokers (smoked at least 100 cigarettes in their lifetime and reported currently smoking every day or on some days) has continued to decline since 1965. Between 1997 and 2012, the proportion of adults who were current smokers decreased 24.2%, from 24.0% to 18.2% (age adjusted).

Revised: Monday, August 25, 2014

Tobacco use, adolescents, 1991–2013

Decrease Desired

SOURCE: Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP.

NOTES: Data are for the proportion of students in grades 9–12 who used any of the following tobacco products on 1 or more of the 30 days preceding the survey: cigarettes, smokeless tobacco (i.e., chewing tobacco, snuff, or dip), and cigars (including cigarillos or little cigars).

The proportion of students in grades 9–12 who used tobacco products in the past 30 days (including cigarettes, smokeless tobacco products, and cigars) decreased 48.4% between 1997 and 2013, from 43.4% to 22.4%.

Revised: Monday, August 25, 2014

Exposure to secondhand smoke, nonsmokers, 2005–08 and 2009–12

Decrease Desired

SOURCE: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

NOTES: Data are for the proportion of nonsmoker children aged 3–11 years (objective TU-11.1), nonsmoker adolescents aged 12–17 years (objective TU-11.2), and nonsmoker adults aged 18 and over (objective TU-11.3) who were exposed to secondhand smoke, as measured by a serum cotinine level greater than or equal to 0.05 ng/ml but less than or equal to 10 ng/ml. Children aged 3–11 years are considered to be nonsmokers if they have a serum cotinine level less than or equal to 10 ng/ml. Adolescents and adults aged 12 years and over are considered to be nonsmokers if they reported that they did not use any product containing nicotine in the past 5 days and if they have a serum cotinine level less than or equal to 10 ng/ml. Data for adults aged 18 and over are age adjusted using the year 2000 standard population.

confidence interval = 95% confidence interval.

From 2005–08 to 2009–12, the proportions of nonsmoker children aged 3–11 years and nonsmoker adolescents aged 12–17 years who were exposed to secondhand smoke decreased 20.9% and 26.2%, respectively, from 52.2% to 41.3% and from 45.5% to 33.6%, respectively. Similarly, the proportion of nonsmoker adults aged 18 and over who were exposed to secondhand smoke decreased 32.2% from 2005–08 to 2009–12, from 37.6% to 25.5% (age adjusted).

Revised: Monday, August 25, 2014

Comprehensive smoke-free indoor air laws, states and D.C., 1998–2013

Increase Desired

SOURCE: State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP.

NOTE: Data are for the number of states and D.C. with comprehensive laws enacted that banned smoking in private workplaces (objective TU-13.1), restaurants (objective TU-13.3), and bars (objective TU-13.4).

 

Between 2002 and 2013, the number of states and D.C. with comprehensive laws enacted that banned smoking in private workplaces and restaurants increased 17-fold, from 2 to 34. During the same time period, the number of states and D.C. with comprehensive laws enacted that banned smoking in bars increased 28-fold, from 1 to 28.

Revised: Monday, August 25, 2014

Comprehensive smoke-free indoor air laws, 2013

Increase Desired

SOURCE: State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP.

NOTE: Data are for states and D.C. with comprehensive laws enacted that banned smoking in 0, 1, 2, or all 3 of the following types of locations: private workplaces (objective TU-13.1), restaurants (objective TU-13.3), and bars (objective TU-13.4).

*No law; designated areas; or separate ventilation law.

In 2013, D.C. and all but 14 states had comprehensive laws enacted that banned smoking in at least one of the following types of locations: private workplaces, restaurants, or bars.

Revised: Monday, August 25, 2014

National Snapshots Help

HEALTHY PEOPLE 2020 NATIONAL SNAPSHOTS

A User's Guide

  1. National snapshots provide a visual display of progress for selected objectives in each Healthy People 2020 Topic Area, whenever data are available.

  2. The snapshot heading describes the snapshot theme, the population to which the snapshot applies (when needed for clarification), and the data year(s). The snapshot heading is not meant to capture the full scientific scope of the objective(s) that is (are) displayed. The user can find complete technical information about the objective(s) in the Data Details.

  3. The snapshot visual display is generally one of three types: a line graph, a bar chart, or a map. 

  4. The snapshot notes and footnotes indicate any technical information about the data that the user needs to correctly interpret the visual display, together with any key data limitations (when applicable). Although the snapshots are intended to be standalone, the user should consult the objective(s) Data Details for the full range of methodology issues that may impact interpretation.

  5. The snapshot source(s) indicate the data source(s) used to create the visual display.

  6. Age-adjusted data are adjusted using the year 2000 standard population.

  7. Education and income are the primary measures of socioeconomic status in Healthy People 2020. Unless otherwise noted, income is defined as a family’s income before taxes; thus, the terms “income” and “family income” are used interchangeably in the snapshots.

  8. To facilitate comparisons among groups and over time, while adjusting for family size and for inflation, Healthy People 2020 categorizes family income using the Poverty Threshold (PT), sometimes also referred to as the Federal Poverty Level (FPL), developed by the Census Bureau. Unless otherwise overridden by considerations specific to the data system, the five categories of family income primarily used are: 

    1. Below the PT (i.e., less than 100% of the PT) 

    2. At 100%–199% of the PT 

    3. At 200%–399% of the PT 

    4. At 400%–599% of the PT 

    5. At or above 600% of the PT.

  9. A snapshot narrative paragraph highlights some key features of the visual display. The narrative text is not meant to provide an exhaustive analysis of the data displayed. For a more in-depth analysis, the user should refer to the applicable data table(s) and objective(s) Data Details.

  10. The user should keep in mind the following: 

    1. When two rates or proportions are highlighted for comparison (and measures of variability are available), the user may interpret the highlighted difference to be statistically significant at the 0.05 level, unless otherwise stated.

    2. Only selected differences are highlighted in the narrative text. Differences visible in the visual data display but not highlighted in the text still may well be statistically significant.

Revised: Monday, August 25, 2014