TPCP Annual Report - Utah Tobacco Prevention and Control Program

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Tobacco Use in UtahFigure 2.Percent of Adults Who Reported CurrentCigarette Smoking, Utah 1999-2010(Age-adjusted)PercentageSource: Utah BRFSS 1Figure 3.Percent of High School Students WhoReported Current Cigarette Smoking,Utah 1999-2009 (Odd Years)PercentagePercentageSource: Utah YRBS 2Figure 4.Percent of Pregnant Women WhoReported Cigarette Smoking, Utah1999-200925Source: Utah Birth Certificates 3Figure 5.Age-adjusted Cancer Incidence Rates forLung and Bronchus Cancer, Incidence per100,000 Population, Utah 1999-2007Percentage20151050Source: Utah Cancer Registry 442520151050252015105060504030201008.2199913.512.513.012.511.910.111.29.511.29.19.58.8199911.919998.134.6199920017.6200128.07.120036.520032005Year6.3Year200720098.3 7.3 7.4 7.9 8.5200131.12001200329.0Year31.32003Year20055.95.95.85.46.5200528.82007200730.1200528.32009200926.22007Smoking Rates and Health ConsequencesAdult Smoking• At 8.8%, Utah’s 2010 age-adjustedadult smoking rate is at its lowestrecorded level (Figure 2). 1 Due tochallenges in surveying smokersby telephone, this rate mayunderrepresent adult smokingprevalence. Updates to the BRFSSmethodology are expected to lead toimproved estimates. 5• Smoking disproportionately impactsUtahns with lower incomes. In 2010,16% of Utah adults with a householdincome of less than $25,000 reportedcurrent smoking. 1 In comparison, only4% of Utah adults with a householdincome of $75,000 or higher reportedcurrent smoking. 1Youth Smoking• Since 1999, the percentage of Utahhigh school students who had ever triedcigarette smoking declined by 40%. 3• The percentage of high school studentswho reported current smokingdecreased from 12% in 1999 to 8% in2001. Since 2001, it has remained inthe range of 7.3% to 8.5% (Figure 3). 2Smoking Among Pregnant Women• Since 1999, smoking among pregnantwomen has decreased by 21% (Figure4). In 2009, 6.5% of pregnant womenreported that they smoked during theirpregnancies. 3References:• Pregnant women in their teens andpregnant women with a high schooleducation or less continue to reportsmoking rates of 13% or higher. 3Exposure to Secondhand Smoke• In 2010, 1.9% (or 16,600) Utahchildren age 17 and younger wereexposed to secondhand smoke insidethe home. 1 The percentage of Utahchildren who live in homes wherepeople smoke indoors has declinedsignificantly since 2001.• Since 1999, the percentage of Utahadults who have a rule against smokingin their homes has increased from 87%to 93%. 1Tobacco-related Disease and Death• Smoking is the leading cause of lungcancer death in men and women.Other diseases caused by smokinginclude esophageal, laryngeal, oral, andthroat cancers; cervical, bladder, kidney,pancreatic, and stomach cancers; acutemyeloid leukemia; pneumonia; chroniclung disease; cataracts; periodontitis;aortic aneurysm; and coronary heartand cardiovascular disease.• Utah’s lung and bronchus cancerincidence has decreased significantlysince 1999 (Figure 5). 4• Despite this progress, more than 1,200Utahns age 35 or older die each yearas a result of tobacco use. 61 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 1999-2010. Salt Lake City: Utah Department of Health.Center for Health Data.2 YRBSS: Youth Risk Behavior Surveillance System. Youth Online: Comprehensive Results. Retrieved August 2, 2011, from http://apps.nccd.cdc.gov/YouthOnline/App/Default.aspx3 Utah Birth Certificate Database. Retrieved July 25, 2011 from Utah Department of Health, Center for Health Data, Indicator-BasedInformation System for Public Health at http://ibis.health.utah.gov. These smoking rates are based on pregnancies that led to livebirths.4 Utah Cancer Registry. Retrieved July 25, 2011 from Utah Department of Health, Center for Health Data, Indicator-Based InformationSystem for Public Health web site: http://ibis.health.utah.gov.5 Office of Public Health Assessment. Utah Behavioral Risk Factor Surveillance System. New Behavioral Risk Factor Surveillance System(BRFSS) Weighting Methodology. Utah Department of Health. Retrieved August 3, 2011 from http://health.utah.gov/opha/OPHA_BRFSS.htm.6 National Center for Chronic Disease Prevention and Health Promotion. (2010). Tobacco Control State Highlights 2010. Atlanta,GA: U.S. Department of Health and Human Services. Retrieved August 16, 2011 from http://www.cdc.gov/tobacco/data_statistics/state_data/state_highlights/2010/states/utah/index.htm.
Smoking Rates by Local Health Districts and Small AreasFigure 6. Current Cigarette Smoking by Local Health District, Small Area, Utah, andU.S. Adults, 2009-2010, (Aggregate Data, Age-adjusted)Tobacco Use in UtahBear River LHD*Other Cache/Rich County (4)*Other Box Elder County (2)Logan (3)Brigham City (1)Central Utah LHDJuab/Millard/Sanpete Counties (54)Sevier/Piute/Wayne Counties (55)Davis County LHD*Syracuse/Kaysville (13)*Farmington/Centerville (14)*Woods Cross/North Salt Lake (15)Layton (12)Bountiful (16)Clearfield/Hill Air Force Base (11)Salt Lake Valley LHD*Northeast Sandy (37)*South Jordan (35)*Southeast Sandy (38)Holladay (27)W. Jordan West, Copperton (34.2)*Foothill/U of U (19)Millcreek (26)Riverton/Draper (39)W. Jordan Southeast (34.1)Cottonwood (28)*Avenues (18)Sandy Center (36)Taylorsville (30)Magna (20)Murray (31)W. Jordan Northeast (33)West Valley West (22)Downtown Salt Lake (24)Kearns (29)Glendale (21)West Valley East (23)Midvale (32)South Salt Lake (25)Rose Park (17)Southeastern Utah LHDGrand/San Juan Counties (57)Carbon/Emery Counties (56)Southwest Utah LHDOther Washington County (59)Cedar City (60)St. George (58)Other Southwest Dist. (61)Summit County LHDTooele County LHDTriCounty LHDUtah County LHD**East Orem (46)**Provo/BYU (47)**West Orem (45)*Lehi/Cedar Valley (41)*American Fork/Alpine (42)Springville/Spanish Fork (49)*North Orem (44)*South Utah County (50)Provo South (48)Pleasant Grove/Lindon (43)Wasatch County LHDWeber-Morgan LHD*Riverdale (10)Morgan/East Weber County (6)South Ogden (8)Downtown Ogden (7)Roy/Hooper (9)Ben Lomond (5)******Utah StateRate 9.1%Utah’s adult smoking rates varyconsiderably by small area and local healthdistrict. The small area with the highestrate of cigarette smoking was Rose Park(27.2%); Syracuse/Kaysville had the lowestrate at 1.9%. Small area data are used toUS Rate17.8%Local Health DistrictSmall Area0.0% 10.0% 20.0% 30.0% 40.0%identify and reach areas that are at higherrisk for tobacco use. For example, inSalt Lake Valley Health District (overallprevalence 10.6%), small area rates rangefrom a low of 2.3% in Northeast Sandy toa high of 27.2% in Rose Park. 1Note: Local health districts are represented byyellow bars. The blue bars beneath indicatesmall areas within that district. For more detailsabout small area definitions, see the UtahBehavioral Risk Factor Surveillance SystemSmall Area Report 2001-2005, Appendix C:Small Area Definitions and Key Maps. Thehorizontal lines extending from the bars indicate95% confidence intervals. Confidence intervalsare used to show the reliability of an estimate.A 95% confidence interval means that 95% ofthe time, the given interval will contain the trueparameter value.*These estimates have relative standard errorsof >30% and do not meet UDOH standards forreliability.**The estimates for Provo/BYU, and East andWest Orem have been suppressed because therelative standard error was greater than 50%or the relative standard error could not bedetermined.Reference:1Utah Department of Health. Behavioral Risk FactorSurveillance System (BRFSS). 2009-2010. Salt Lake City:Utah Department of Health. Center for Health Data.(Note: Due to challenges in surveying smokers bytelephone, these rates may underrepresent adult smokingprevalence. Updates to the BRFSS methodology areexpected to lead to improved estimates.)5
Page 1 and 2: Tobacco Prevention and Control in U
Page 6 and 7: Capacity and InfrastructureThe TPCP
Page 8 and 9: Bear River Health Department (BRHD)
Page 10 and 11: Davis County Health Department (DCH
Page 12 and 13: Southeastern Utah District Health D
Page 14 and 15: Summit County Public Health Departm
Page 16 and 17: TriCounty Health Department (TRCHD)
Page 18 and 19: Wasatch County Health Department (W
Page 20: AcknowledgmentsThe Utah Department

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