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Tobacco Use

Tobacco Use

TU-1     Reduce tobacco use by adults
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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: Retention of Healthy People 2010 target
Data Source: National Health Interview Survey (NHIS), CDC, NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 27-1a. View on DATA2010
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-1b. View on DATA2010
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-1c. View on DATA2010
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TU-2     Reduce tobacco use by adolescents
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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: Retention of Healthy People 2010 target
Data Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-2a. View on DATA2010
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Baseline: 19.5 percent of adolescents in grades 9 through 12 smoked cigarettes in the past 30 days in 2009
Target: 16.0 percent
Target-Setting Method: Retention of Healthy People 2010 target
Data Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-2b. View on DATA2010
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-2c. View on DATA2010
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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: Retention of Healthy People 2010 target
Data Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-2d. View on DATA2010
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TU-3     Reduce the initiation of tobacco use among children, adolescents, and young adults
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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
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-3a. View on DATA2010
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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
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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
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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
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-3b. View on DATA2010
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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 12 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
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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
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TU-4     Increase smoking cessation attempts by adult smokers
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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: Retention of Healthy People 2010 target
Data Source: National Health Interview Survey (NHIS), CDC, NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 27-5. View on DATA2010
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TU-5     Increase recent smoking cessation success by adult smokers
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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
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Baseline: 11.3 percent of females 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: Retention of Healthy People 2010 target
Data Source: National Health Interview Survey (NHIS), CDC, NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 27-6. View on DATA2010
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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: Retention of Healthy People 2010 target
Data Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-7. View on DATA2010
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Health Systems Changes

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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, Berkeley, Center for Health and Public Policy Studies (CHPPS)
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TU-9     Increase tobacco screening in health care settings
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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), CDC, NCHS
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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), CDC, NCHS
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TU-10     Increase tobacco cessation counseling in health care settings
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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), CDC, NCHS
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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), CDC, NCHS
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Social and Environmental Changes

TU-11     Reduce the proportion of nonsmokers exposed to secondhand smoke
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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
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Baseline: 45.5 percent of nonsmoking adolescents aged 12 to 17 years 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
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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
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Baseline: 75.3 percent of employed persons aged 18 years and older (who worked in indoor public worksites) were covered by indoor worksite policies that prohibited smoking in 2006–07
Target: 100 percent
Target-Setting Method: Projection/trend analysis
Data Sources: Tobacco Use Supplement to the Current Population Survey (TUS–CPS), U.S. Census Bureau; DOL, BLS
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Healthy People 2010 The HP2010 objective with the same definition was 27-12. View on DATA2010
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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
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Baseline: 30  had smoke-free indoor air laws that prohibit smoking in private worksites 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, CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-13a. View on DATA2010
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Baseline: 34  had smoke-free indoor air laws that prohibit smoking in public worksites 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, CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-13b. View on DATA2010
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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, CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-13c. View on DATA2010
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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, CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-13i. View on DATA2010
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Baseline: 20 States had smoke-free indoor air laws prohibiting smoking in gaming halls in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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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, CDC, NCCDPHP
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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, CDC, NCCDPHP
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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, CDC, NCCDPHP
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Healthy People 2010 The HP2010 objective with the same definition was 27-13d. View on DATA2010
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Baseline: 0 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, CDC, NCCDPHP
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Baseline: 0 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, CDC, NCCDPHP
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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, CDC, NCCDPHP
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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, CDC, NCCDPHP
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Baseline: 9 States had smoke-free indoor air laws prohibiting smoking in substance abuse treatment facilities in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 9 States had smoke-free indoor air laws prohibiting smoking in mental health treatment facilities in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 1 State had a smoke-free indoor air law prohibiting smoking in entrances and exits of restaurants, bars, private worksites, and government worksites in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 0 States and the District of Columbia had smoke-free indoor air laws prohibiting smoking on hospital campuses in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 1 State had a smoke-free indoor air law prohibiting smoking on college and university campuses in 2009
Target: 51 (50 States and the District of Columbia)
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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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. Census Bureau; DOL, BLS
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TU-15     Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school events
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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 Practices Study (SHPPS), CDC, NCCDPHP
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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 Practices Study (SHPPS), CDC, NCCDPHP
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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 Practices Study (SHPPS), CDC, NCCDPHP
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TU-16     Eliminate State laws that preempt stronger local tobacco control laws
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Baseline: 12 States preempted stronger local tobacco control laws on smoke-free indoor air in 2009
Target: 0 States and the District of Columbia 
Target-Setting Method: Total elimination
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 18 States preempted stronger local tobacco control laws on advertising in 2009
Target: 0 States and the District of Columbia 
Target-Setting Method: Total elimination
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 22 States preempted stronger local tobacco control laws on youth access to tobacco products in 2009
Target: 0 States and the District of Columbia 
Target-Setting Method: Total elimination
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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TU-17     Increase the Federal and State tax on tobacco products
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Baseline: 0 States, the District of Columbia, and the Federal Government increased tax on cigarettes by $1.50 over the tracking period beginning in 2010
Target: 52 (50 States, the District of Columbia, and the Federal Government)
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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Baseline: 0 States, the District of Columbia, and the Federal Government increased tax on smokeless tobacco products by $1.50 over the tracking period beginning in 2010
Target: 52 (50 States, the District of Columbia, and the Federal Government)
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: State Tobacco Activities Tracking and Evaluation System, CDC, NCCDPHP
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TU-18     Reduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco advertising and promotion
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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
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Healthy People 2010 The HP2010 objective with the same definition was 27-16a. View on DATA2010
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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: Projection/trend analysis
Data Source: National Youth Tobacco Survey (NYTS), CDC
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Healthy People 2010 The HP2010 objective with the same definition was 27-16b. View on DATA2010
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TU-19     Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors
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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: Total coverage
Data Source: State Synar Enforcement Reporting, SAMHSA, CSAP
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Healthy People 2010 The HP2010 objective with the same definition was 27-14a. View on DATA2010
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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: Total coverage
Data Source: State Synar Enforcement Reporting, SAMHSA, CSAP
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Healthy People 2010 The HP2010 objective with the same definition was 27-14b. View on DATA2010
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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.

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