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TU-1.2 Data Details

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TU-1.2 Reduce use of smokeless tobacco products by adults

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
No
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
2.3 (2005)
Target: 
0.3
Target-Setting Method: 
2 percentage point improvement
Target-Setting Method Justification: 
According to the International Agency for Research on Cancer and the National Cancer Institute, smokeless tobacco contains 28 cancer-causing agents (carcinogens). Furthermore, it is a known cause of human cancer, as it increases the risk of developing cancer of the oral cavity. From 2005 to 2010, smokeless tobacco use among adults increased by 0.4 percent, moving away from the HP2020 target.
Numerator: 

Number of persons aged 18 years and over who report using snuff or chewing tobacco at least 20 times in their lifetime and now use it every day or some days

Denominator: 

Number of persons aged 18 years and over

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2005 National Health Interview Survey:

    [NUMERATOR:]

    Have you used snuff such as Skoal, Skoal Bandits, or Copenhagen at least 20 times in your entire life?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    [If yes:] Do you now use snuff everyday, some days, or not at all?

    1. Everyday
    2. Some days
    3. Not at all
    4. Refused
    5. Don't know

    Have you ever used chewing tobacco such as Redman, Levi Garrett, or Beechnut at least 20 times in your entire life?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    [If yes:] Do you now use chewing tobacco everyday, some days, or not at all?

    1. Everyday
    2. Some days
    3. Not at all
    4. Refused
    5. Don't know
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Persons are classified as using either snuff or chewing tobacco if they answer “yes” to either use of snuff or use of chewing tobacco, and they report using the snuff or chewing tobacco “everyday” or “some days.”

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-24, 25-34, 35-44, 45-64, 65+
    • Sex: 18-24, 25-34, 35-44, 45-64, 65+
    • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
    • Educational Attainment: 25-34, 35-44, 45-64, 65+
    • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
    • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
    • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
    • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
    • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
    • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
    • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
Changes Between HP2010 and HP2020: 
The title of this objective was revised from 'Reduce the use of spit tobacco' in Healthy People 2010 (objective 27-01b) to 'Reduce the use of smokeless tobacco products'. This modification resulted from the introduction of new tobacco products that no longer require the act of spitting. Although the objective language has changed, the measure used to assess progress toward the Healthy People 2020 objective target is identical to the Healthy People 2010 measure.

References

Additional resources about the objective

  1. CDC. Cigarette smoking among adults---United States, 2007. MMWR 2008; 57:1221-1226.
  2. CDC. State-specific smoking-attributable mortality and years of potential life lost---United States, 2000—2004. MMWR 2009; 58:29-33.