Presentation to:

Presented by:

Date:

Burden of Tobacco Use in Georgia:Surveillance Update

Tobacco Advisory & Coalition BoardAlina Chung, MPH, EpidemiologistJuly 22, 2015

OUTLINE

GOAL AREA

1. PREVENTING TOBACCO USE INITIATION AMONG YOUTH AND YOUNG ADULTS

2. PROMOTE TOBACCO CESSATION

3. ELIMINATE EXPOSURE TO SECONDHAND SMOKE AND CREATE TOBACCO-FREE PLACES

4. ELIMINATE THE DISPARITIES ASSOCIATED WITH TOBACCO USE AND EXPOSURE

Goal Area 1: Preventing Tobacco Use Initiation

among Youth and Young Adults

Percent of middle school students who used any tobacco product, by

sex, GA, 2003-2013

2003 2005 2007 2009 2011 20130

5

10

15

20

14.513.2 12.4

13.7 13.1

9.59.67.4 7.7

5.97.9

6

Male Female

Year

Perc

en

t (%

)

Data Source: Youth Risk Factor Surveillance System (YRBS)

Obj. by 2020:

↓ youth tobacco

use to 8%

Percent of middle school students who used any tobacco product,

by race/ethnicity , GA, 2003-2013

2003 2005 2007 2009 2011 20130

5

10

15

20

8.4 8.1

7.9 7.4

7.1 7.4

11.112.1

7.5 7

9.79

15.1

11.6

12.0 12.113.7

7.9

NH Black Hispanic NH White

Year

Perc

e n

t (%

)

Obj. by 2020:

↓ youth tobacco use to

8%

Data Source: Youth Risk Factor Surveillance System (YRBS)

Percent of high school students who used any tobacco product, by sex,

GA, 2003-2013

Data Source: Youth Risk Factor Surveillance System (YRBS)

2003 2005 2007 2009 2011 20130

10

20

30

40

31.729.0

31.128.3 27.1

22.820.619.2

21.419.0 18.3

16.1

Male Female

Year

Perc

en

t

Obj. by 2020:

↓ youth tobacco use to

8%

Percent of high school students who used any tobacco product, by

race/ethnicity, GA, 2003-2013

2003 2005 2007 2009 2011 20130

10

20

30

40

12.616.7

17.8

16.814.9

11.5

23.8

18.8 19.4 18.3

34.8

30.032.6

30.3 30.126.0

NH Black Hispanic NH White

Year

Perc

en

t (%

)

Data Source: Youth Risk Factor Surveillance System (YRBS)

Obj. by 2020:

↓ youth tobacco use to

8%

Percent of youth who smoked a whole cigarette, by age, GA, 2013

Middle School

Male Female High School

Male Female0.0

5.0

10.0

15.0

20.0

3.5 4.32.7

10.3 9.3

13.7

Perc

en

t (%

)

Data Source: Youth Risk Factor Surveillance System (YRBS)

Before

age of 11

Before

age of 13

Percent of high school students who smoked a whole cigarette, by race/ethnicity, GA, 2013

Mid

dle

Scho

ol

NH Bla

ck

NH Whi

te

Hispan

ics

High

Scho

ol

NH Bla

ck

NH Whi

te

Hispan

ics

0.0

5.0

10.0

15.0

20.0

3.5 3.5 4.4 3.0

10.3 9.5 10.313.4

Perc

en

t (%

)

Data Source: Youth Risk Factor Surveillance System (YRBS)

Before

age of 11

Before

age of 13

How Much Did We Do?

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

0 1 515

35

53

7280

91 96 101 102

Year Model Policy Adopted

Cumulative Number of Model Policies Adopted by School Districts in Georgia

Currently, 102 (56%) out of 181 school districts have adopted the model policy.

Obj. by 2020: ↑ # of 100% TFS policy

100% (total 181)

1,319,358youth and thousands

of employees from 1,737 schools

are covered

N = 102

Obj. by 2020: ↑ # of 100% TFS policy

100% (total 181)

How Much Did We Do?

5 6 7 7 9

20 20

46

0102030405060708090

100

≤2007 2008 2009 2010 2011 2012 2013 2014

Co

lleg

es

& U

niv

ers

itie

s

Year 100% Tobacco Free* Policy Adopted

Cumulative Number of 100% Tobacco Free* Policies Adopted by Colleges & Universities in Georgia

374,018+students and

thousands of employeesare covered

*No forms of tobacco products allowed indoors and outdoors (ANR- Americans for Non-Smokers’ Rights)

Obj. by 2020: ↑ # of 100% TFS policy

100% (total 128)

Obj. by 2020: ↑ # of 100% TFS policy

100% (total 128)

How Much Did We Do?Cumulative Number of 100% Tobacco-free & Smoke-free Policies

Adopted by Park and Recreation Facilities in Georgia

Out of 203 parks and recreation association facilities, 19 (9%) have adopted 100% Tobacco-free model policies and

8 (4%) Smoke-free policies

2,505,368+youth and adults

are now free from the dangers of secondhand

smoke in parks and recreation facilities

*Kennesaw City and **Troup County smoke-free policies became tobacco-free; currently 27 total facilities are exclusively

100% tobacco-free or smoke-free

1 1

Obj. by 2020: ↑ # of 100% TF policy

100% (total 203)

Obj. by 2020: ↑ # of 100% TF policy

100% (total 203)

Goal Area 2: Promote Tobacco Cessation

Percent of high school students who tried to quit smoking cigarettes,

GA, 2003-2013

2003 2005 2007 2009 2011 20130

20

40

60

80

100

59.4 57.3 58 56.348.6

54

Year

Perc

en

t (%

)

Obj. by 2020: ↑ # of quit attempts by youth to 60%

Data Source: Youth Risk Factor Surveillance System (YRBS)

Adult Cigarette Smoking Quit Ratio*,

by sex and race/ethnicity, GA, 2013

Total Male Female NH Black NH WhiteHispanics0

20

40

60

80

100

52.3 52.1 52.645.7

55.247.1

Perc

en

t (%

)

Data Source: Behavioral Risk Factor Surveillance System (BRFSS)*Quit Ratio= % of adult former smokers among ever smokers

Adult Cigarette Smoking Quit Ratio*,

by age groups, GA, 2013

18-24 25-34 35-44 45-54 55-64 65+0

20

40

60

80

100

26.9

35.743.9 46.6

62

81.6

Perc

en

t (%

)

Obj. by 2020: ↑ # of quit at-tempts by young adults to 70%

Data Source: Behavioral Risk Factor Surveillance System (BRFSS)*Quit Ratio= % of adult former smokers among ever smokers

Adult Cigarette Smoking Quit Ratio*,

by education level, GA, 2013

Less

than

HS HS

Som

e Col

lege

Colle

ge G

radu

ated

0

20

40

60

80

100

36.948.7 53.2

73.3

Perc

en

t (%

)

Data Source: Behavioral Risk Factor Surveillance System (BRFSS)*Quit Ratio= % of adult former smokers among ever smokers

Goal Area 3: Eliminate Exposure to Secondhand

Smoke and Create Tobacco-Free Places

Percent of youth who were exposed to secondhand smoke in the past

week, by location, Georgia, 2013

Any SHS Home Car School Public place

0

20

40

60

80

100

40

19 1813

26

49

24 26 2531

Middle School High School

Perc

en

t (%

)

Data Source: Youth Tobacco Survey (YTS)

Obj. by 2020: ↓ in

public place to 22% & ↑

smoke-free home to

100%

Percent of middle school students who exposed to secondhand smoke,

by location and race/ethnicity, GA, 2013

Vehicle Home Public Place0

20

40

60

80

100

17 19 2119 19

31

17 1927

Black White Hispanics

Perc

en

t (%

)

Obj. by 2020: ↓ in

public place to 22% & ↑

smoke-free home to

100%

Data Source: Youth Tobacco Survey (YTS)

Percent of high school students who exposed to secondhand smoke,

by location and race/ethnicity, GA, 2013

Vehicle Home Public Place0

20

40

60

80

100

21 1824

3328

37

21 20

39

Black White Hispanics

Perc

en

t (%

)

Obj. by 2020: ↓ in

public place to 22% & ↑ smoke-

free home to 100%

Data Source: Youth Tobacco Survey (YTS)

Percent of youth who live with a smoker,

by smoking status, GA, 2013

Middle School High School0

20

40

60

80

100

59

43

30 28

Smoker Non-Smoker

Perc

en

t (%

)

Obj. by 2020: ↑ % of individuals who report living in a

smoke-free home to

100%

Data Source: Youth Tobacco Survey (YTS)

Percent of adults exposed to secondhand smoke in the past 7

days, by location, GA, 2014

Any Place Public Place

Work Vehicle Home0

20

40

60

80

100

43

30

17 168

Perc

en

t (%

)

Obj. by 2020: ↓ in

public place to 22% & ↑ smoke-

free home to 100%

Data Source: Adult Tobacco Survey (ATS)

Percent of adults supporting smoke-free policies, by smoking status,

GA, 2014

Indoor Workplace

Outdoor Workplace

Indoor in restaurant

Indoor in bar,

casino, or club

At park0

20

40

60

80

100

69

10

71

2127

88

33

84

55 54

Smoker Non-Smoker

Perc

en

t (%

)

Obj. by 2020: ↓ in

public place to 22% & ↑ smoke-

free home to 100%

Data Source: Adult Tobacco Survey (ATS)

Percent of adults who work in smoke-free* workplaces, by sex and

smoking status, GA, 2014

Smoker Non-Smoker0

20

40

60

80

10088

939196

Male Female

Perc

en

t (%

)

Obj. by 2020:

↓ % of pop-ulation re-porting ex-posure to SHS in the workplace

to 22%

Data Source: Adult Tobacco Survey (ATS)*smoking never allowed indoor areas at the workplace

Percent of adults who live in smoke-free* homes by sex and smoking

status, GA, 2014

Smoker Non-Smoker0

20

40

60

80

100

68

90

53

95

Male Female

Perc

en

t (%

)

Obj. by 2020: ↑ % of individuals who report living in a

smoke-free home to

100%

Data Source: Adult Tobacco Survey (ATS)*smoking never allowed inside the home

Goal Area 4: Eliminate the Disparities

Associated with Tobacco Use and Exposure

Youth Summary

Highest tobacco use Hispanic males among MS NH White males among HS Youth who live with adult smokers at home Highest smoking initiation NH White males for MS before age of 11 Hispanic females for HS before age of 13Highest secondhand smoke exposure NH White in vehicle, home, and public places

Adult SummaryHighest cigarette use NH White males 25-34 age group Less than HSHighest smokeless tobacco use NH White males 18-24 age group Less than HSHighest quit ratio NH White females 65+ age group college graduatedHighest secondhand smoke exposure Male smoker at workplace Female smoker at home

Data Availability

Georgia Tobacco Use Surveillancehttp://dph.georgia.gov/georgia-tobacco-use-surveillance

OASIS on YRBS and BRFSS (most updated 2013)https://oasis.state.ga.us/oasis/yrbs/https://oasis.state.ga.us/oasis/brfss/qryBRFSS.aspx

CDC Smoking and Tobacco Usehttp://www.cdc.gov/tobacco/index.htm

Trends of Youth and Adult Smoking Data on Handouts

THANK YOU!

QUESTIONS?