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?