Healthy Trends: Tobacco

National Data

Healthy People 2010 identifies national health objectives for the year 2010.

Data 2010 finds the latest data for each objective. Search Data 2010 by objective number, e.g., 27-13, where the first number refers to one of 28 chapters or “focus areas” and the second refers to the objective number within the focus area.

Examples of tobacco-related data from these sources:

Measure Population Goals for Obj #
2001† 2010‡
Current smokers Adults aged 18 and over 32% 12% 27-01
American Indian or Alaskan Native 30%
Family Income Near Poor 29%
Family Income Poor 33%
Use of a tobacco product in the past month Students in grades 9 through 12 34% 21% 27-02
9th grade 28%
10th grade 33%
11th grade 36%
12th grade 41%
Smoking cessation attempt Adult smokers aged 18 and over 42% 75% 27-05
Smoking cessation attempt Ever-daily smokers in grades 9 through 12 61% 84% 27-07
Females 66%
Males 57%

†2001 data taken from Data 2010.
‡2010 goals taken from Healthy People 2010.

State Data

CDC’s Behavioral Risk Factor Surveillance System (BRFSS) is the world’s largest telephone survey. It provides state-level data on adult health behaviors, including tobacco use.

Example of data from this source:

In 2000, 21.0% of adults in Colorado had ever used smokeless tobacco. Of these, 19.7% were current users.

CDC’s Youth Risk Behavior Surveillance System (YRBSS) provides data from a combination of national, state, and local school-based surveys that track tobacco use and other health behaviors among students in grades 9 through 12.

Example of data from this source:

In 2001, 63% of high school students in New Jersey reported ever having smoke cigarettes.

CDC’s State Tobacco Activities Tracking and Evaluation (STATE) System integrates historical and current state-level data from many sources. Topics include behaviors, demographics, economics, tobacco control funding, health issues, and legislation.

Example of data from this source:

In 1999, Nevada had 408 smoking-related deaths per 100,000 population.

Health Plan Data

HEDIS or the Health Plan Employer Data and Information Set (HEDIS) measures the the performance of more than 500 commercial, Medicaid, and Medicare managed care organizations (MCOs) to allow consumers to compare MCOs. The National Committee for Quality Assurance’s annual State of Health Care Quality report provides an overview of MCOs performance. Data on delivery of smoking cessation advice from this report is provided below.

Advice to quit smoking

Advising Smokers to Quit
Commercial Rates, 1999-2002
Year Average
2002 67.7
2001 NA
2000 66.3
1999 65.3


Advising Smokers to Quit
Medicaid and Medicare Rates, 1999-2002
Year Medicaid Medicare
2002 63.6 61.5
2001 NA 60.8
2000 64.2 59.7


Measure definition: Percent of members age 18 and older who were either current smokers or recent smokers, were seen by a practitioner and received advice to quit smoking in the past year.

Adjuncts to quit advice

Beginning in 2003, the “Medical Assistance with Smoking Cessation” measure includes two new rates:

  • Discussing smoking cessation medications (bupropion SR or nicotine gum, patch, nasal spray, or inhaler).
  • Discussing smoking cessation strategies other than medications.

Results for these measures will not be publicly reported until 2005.