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Tobacco Use
TU-1 Reduce tobacco use by adults
Baseline:
20.6 percent of adults aged 18 years and older were current cigarette smokers in 2008 (age adjusted to the year 2000 standard population)
Target:
12.0 percent
Target-Setting Method:
Retain Healthy People 2010 target of 12 percent
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Baseline:
2.3 percent of adults aged 18 years and older were current users of snuff or chewing tobacco products in 2005 (age adjusted to the year 2000 standard population)
Target:
0.3 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Baseline:
2.2 percent of adults aged 18 years and older were current cigar smokers in 2005 (age adjusted to the year 2000 standard population)
Target:
0.2 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
TU-2 Reduce tobacco use by adolescents
Baseline:
26.0 percent of adolescents in grades 9 through 12 used cigarettes, chewing tobacco, snuff, or cigars in the past 30 days in 2009
Target:
21.0 percent
Target-Setting Method:
Retain Healthy People 2010 target
Data Source:
Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
More Information:
Baseline:
19.5 percent of adolescents in grades 9 through 12 smoked cigarettes in the past 30Â days in 2009
Target:
16.0 percent
Target-Setting Method:
Retain Healthy People 2010 target of 16 percent
Data Source:
Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
More Information:
Baseline:
8.9 percent of adolescents in grades 9 through 12 used smokeless (chewing tobacco or snuff) tobacco products in the past 30 days in 2009
Target:
6.9 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
More Information:
Baseline:
14.0 percent of adolescents in grades 9 through 12 smoked cigars in the past 30 days in 2009
Target:
8.0 percent
Target-Setting Method:
Retain Healthy People 2010 target of 8 percent
Data Source:
Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
More Information:
TU-3 Reduce the initiation of tobacco use among children, adolescents, and young adults
Baseline:
7.7 percent of children and adolescents aged 12 to 17 years who had not previously used tobacco products in their lifetime first used tobacco products in the past 12 months in 2008
Target:
5.7 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
6.2 percent of children and adolescents aged 12 to 17 years who had not previously smoked cigarettes in their lifetime first smoked cigarettes in the past 12 months in 2008
Target:
4.2 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
2.5 percent of children and adolescents aged 12 to 17 years who had not previously used smokeless tobacco in their lifetime first used smokeless tobacco in the previous 12 months in 2008
Target:
0.5 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
4.8 percent of children and adolescents aged 12 to 17 years who had not previously smoked cigars in their lifetime first smoked cigars in the previous 12 months in 2008
Target:
2.8 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
10.8 percent of young adults aged 18 to 25 years who had not previously used tobacco products in their lifetime first used tobacco products in the past 12 months in 2008
Target:
8.8 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
8.3 percent of young adults aged 18 to 25 years who had not previously smoked cigarettes in their lifetime first smoked cigarettes in the past 12 months in 2008
Target:
6.3 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
2.2 percent of young adults aged 18 to 25 years who had not previously used smokeless tobacco in their lifetime first used smokeless tobacco products in the previous 12Â months in 2008
Target:
0.2 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
Baseline:
6.1 percent of young adults aged 18 to 25 years who had not previously smoked cigars in their lifetime first smoked cigars in the previous 12 months in 2008
Target:
4.1 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Survey on Drug Use and Health (NSDUH), SAMHSA
More Information:
TU-4 Increase smoking cessation attempts by adult smokers
Baseline:
48.3 percent of adult smokers aged 18 years and older attempted to stop smoking in the past 12 months in 2008 (age adjusted to the year 2000 standard population)
Target:
80.0 percent
Target-Setting Method:
Retain Healthy People 2010 target of 80 percent
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Potential Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
TU-5 Increase recent smoking cessation success by adult smokers
Baseline:
6.0 percent of adult smokers aged 18 years and older last smoked 6 months to 1 year ago in 2008 (age adjusted to the year 2000 standard population)
Target:
8.0 percent
Target-Setting Method:
2 percentage point improvement
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Potential Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Baseline:
11.3 percent of women aged 18 to 49 years (who reported having a live birth in the past 5 years and smoking at any time during their pregnancy with their last child), stopped smoking during the first trimester of their pregnancy and stayed off cigarettes for the rest of their pregnancy in 2005
Target:
30.0 percent
Target-Setting Method:
Retain Healthy People 2010 target
Data Source:
National Health Interview Survey (NHIS), CDC, NCHS
More Information:
Baseline:
58.5 percent of adolescent smokers in grades 9 through 12 tried to stop smoking in the past 12 months in 2009
Target:
64.0 percent
Target-Setting Method:
Retain Healthy People 2010 target of 64 percent
Data Source:
Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
More Information:
Health Systems Changes
Baseline:
6 states had comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in 2007
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Medicaid Coverage Survey for Tobacco-Dependence Treatments, CDC
More Information:
TU-9 Increase tobacco screening in health care settings
Baseline:
62.4 percent of office-based ambulatory care setting visits among patients aged 18 years and older had tobacco screening in 2007
Target:
68.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Ambulatory Medical Care Survey (NAMCS), NCHS
More Information:
Baseline:
60.2 percent of hospital ambulatory care setting visits among patients aged 18 years and older had tobacco screening in 2007
Target:
66.2 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Hospital Ambulatory Medical Care Survey (NHAMCS), NCHS
More Information:
Potential Data Source:
American Dental Association’s Survey of Dental Practice
More Information:
Potential Data Source:
National Survey of Substance Abuse Treatment Services
More Information:
TU-10 Increase tobacco cessation counseling in health care settings
Baseline:
19.2 percent of visits to an office-based ambulatory care setting among current tobacco users aged 18 years and older had tobacco cessation counseling ordered or provided during that visit in 2007
Target:
21.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Ambulatory Medical Care Survey (NAMCS), NCHS
More Information:
Baseline:
22.6 percent of visits to a hospital ambulatory care setting among current tobacco users aged 18 years and older had tobacco cessation counseling ordered or provided during that visit in 2007
Target:
24.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Hospital Ambulatory Medical Care Survey (NHAMCS), NCHS
More Information:
Potential Data Source:
American Dental Association’s Survey of Dental Practice
More Information:
Potential Data Source:
Survey of Substance Abuse Treatment Services
More Information:
Social and Environmental Changes
TU-11 Reduce the proportion of nonsmokers exposed to secondhand smoke
Baseline:
52.2 percent of children aged 3 to 11 years were exposed to secondhand smoke in 2005–08
Target:
47.0 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
45.5 percent of nonsmoking adolescents aged 12-17 years and older were exposed to secondhand smoke in 2005–08
Target:
41.0 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
37.6 percent of nonsmoking adults aged 18 years and older were exposed to secondhand smoke in 2005–08 (age adjusted to the year 2000 standard population)
Target:
33.8 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
75.3 percent of the employed population aged 18 years and older (who worked in indoor public workplaces) were covered by indoor worksite policies that prohibited smoking in 2006–07
Target:
100 percent
Target-Setting Method:
Projected trend data
Data Sources:
Tobacco Use Supplement to the Current Population Survey (TUS-CPS), U.S. Bureau of the Census and BLS
More Information:
TU-13 Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksites
Baseline:
30 (29 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in private workplaces in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
34 (33 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in public workplaces in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
28 (27 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in restaurants in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
22 (21 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in bars in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
38 (37 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in commercial daycare centers in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
37 (36 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in home-based daycare centers in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
38 (37 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in public transportation in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
Zero States or the District of Columbia had smoke-free indoor air laws that prohibit smoking in hotels and motels in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
Zero States or the District of Columbia had smoke-free indoor air laws that prohibit smoking in multiunit housing in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
4 States had smoke-free indoor air laws that prohibit smoking in vehicles with children in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
8 States had smoke-free indoor air laws that prohibit smoking in prisons and correctional facilities in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Total coverage
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
79.1 percent of adults aged 18 years and older reported that no smoking is allowed in their home in 2006–07
Target:
87.0 percent
Target-Setting Method:
10 percent improvement
Data Sources:
Tobacco Use Supplement to the Current Population Survey (TUS-CPS), U.S. Bureau of the Census and BLS
More Information:
TU-15 Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school events
Baseline:
65.4 percent of junior high schools had tobacco-free environments, including all school facilities, property, vehicles, and school events, in 2006
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
More Information:
Baseline:
58.7 percent of middle schools had tobacco-free environments, including all school facilities, property, vehicles, and school events, in 2006
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
More Information:
Baseline:
66.1 percent of high schools had tobacco-free environments, including all school facilities, property, vehicles, and school events in 2006
Target:
100 percent
Target-Setting Method:
Total coverage
Data Source:
School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
More Information:
Potential Data Source:
To be determined
More Information:
TU-16 Eliminate State laws that preempt stronger local tobacco control laws
Baseline:
12 States preempted stronger local tobacco control laws on smoke-free indoor air in 2009
Target:
Zero States and the District of Columbia
Target-Setting Method:
Total elimination
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
18 States preempted stronger local tobacco control laws in advertising in 2009
Target:
Zero States and the District of Columbia
Target-Setting Method:
Total elimination
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
22 States preempted stronger local tobacco control laws on youth access to tobacco products in 2009
Target:
Zero States and the District of Columbia
Target-Setting Method:
Total elimination
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
TU-17 Increase the Federal and State tax on tobacco products
Baseline:
Zero States increased tax on cigarettes by $1.50 over the tracking decade in 2010 (States, the District of Columbia, and the Federal Government)
Target:
52 (50 States, the District of Columbia, and the Federal Government)
Target-Setting Method:
Consistency with national programs and policies
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Baseline:
Zero States increased tax on smokeless tobacco products by $1.50 over the tracking decade in 2010 (States, the District of Columbia, and the Federal Government)
Target:
52 (50 States, the District of Columbia, and the Federal Government)
Target-Setting Method:
Consistency with national programs and policies
Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
TU-18 Reduce the proportion of adolescents and young adults grades 6 through 12 who are exposed to tobacco advertising and promotion
Baseline:
36.8 percent of adolescents and young adults in grades 6 through 12 were exposed to tobacco advertising and promotion on the Internet in 2009
Target:
33.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Youth Tobacco Survey (NYTS), CDC
More Information:
Baseline:
48.6 percent of adolescents and young adults in grades 6 through 12 were exposed to tobacco advertising and promotion in magazines and newspapers in 2009
Target:
19.3 percent
Target-Setting Method:
Projected trend data
Data Source:
National Youth Tobacco Survey (NYTS), CDC
More Information:
Potential Data Source:
To be determined
More Information:
Potential Data Source:
To be determined
More Information:
TU-19 Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors
Baseline:
5 States reported an illegal sales rate to minors of 5 percent or less in compliance checks in 2009
Target:
51 (50 States and the District of Columbia)
Target-Setting Method:
Retain the Healthy People 2010 target of total coverage
Data Source:
State Synar Enforcement Reporting, SAMHSA, CSAP
More Information:
Baseline:
1 Territory reported an illegal sales rate to minors of 5 percent or less in compliance checks in 2009
Target:
8 Territories
Target-Setting Method:
Retain the Healthy People 2010 target of total coverage
Data Source:
State Synar Enforcement Reporting, SAMHSA, CSAP
More Information:
TU-20 (Developmental) Increase the number of States and the District of Columbia, Territories, and Tribes with sustainable and comprehensive evidence-based tobacco control programs.
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
Potential Data Source:
State Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
More Information:
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