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TU-1.3 Data Details

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TU-1.3 Reduce use of cigars, cigarillos, and little filtered cigars 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: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
2.3 (2015)
Target: 
0.3
Target-Setting Method: 
2 percentage point improvement
Target-Setting Method Justification: 
According to the Centers for Disease Control and Prevention’s (CDC’s) Adult and Child Health Smoking-Attributable Mortality, Morbidity, and Economic Cost (SAMMEC) software, during 2000–04, an estimated 443,000 persons in the United States die prematurely each year from smoking or exposure to secondhand smoke.
Numerator: 

Number of adults 18 years and older who report having smoked at least 50 regular cigars, cigarillos, or little filtered cigars in lifetime and now smoke cigars, cigarillos, or little filtered cigars every day or some days.

Denominator: 

Number of adults aged 18 years and over

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

    From the 2015 National Health Interview Survey:

    [NUMERATOR:]

    Have you ever smoked a regular cigar, cigarillo, or a little filtered cigar EVEN ONE TIME?

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

    [If yes:]

    Have you smoked at least 50 cigars, cigarillos, or little filtered cigars in your entire life?

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

    Do you now smoke regular cigars, cigarillos, or little filtered cigars every day, some days, or not at all?

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

    Persons are classified as smoking cigars if they answer “yes” to smoking 50 cigars, cigarillos, or little filtered cigars in their lifetime, and report smoking cigars, cigarillos, or little filtered cigars “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: 
In 2017 the measure was revised due to changes to the survey questions and was no longer considered trendable with the previous measure. Please see revision history for more information.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
This measure was revised in 2017. At the launch of Healthy People 2020, the questions used were, "Have you ever smoked a cigar EVEN ONE TIME?"/ "Have you smoked at least 50 cigars in your entire life?” and,"Do you now smoke cigars everyday, some days, or not at all?". Beginning with the 2015 data year, these questions were revised to: " Have you ever smoked a regular cigar, cigarillo, or a little filtered cigar EVEN ONE TIME??" /" Have you smoked at least 50 cigars, cigarillos, or little filtered cigars in your entire life? " / " Do you now smoke regular cigars, cigarillos, or little filtered cigars every day, some days, or not at all?". As a result of these changes, the numerator text was revised from: " Number of persons 18 years and older who report having smoked at least 50 cigars in lifetime and now smoke cigars everyday or some days." to " Number of adults 18 years and older who report having smoked at least 50 regular cigars, cigarillos, or little filtered cigars in lifetime and now smoke cigars, cigarillos, or little filtered cigars every day or some days.". The baseline was revised from 2.2% in 2005 to 2.3% in 2015, and the target was adjusted from 0.2% to 0.3% based on the original target setting method of '2 percentage point improvement'.

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.