Cuyahoga County Partnership for Tobacco Reduction:
1
Cuyahoga County Partnership for Tobacco Reduction: Results from the 2003-2005 Adult Tobacco Surveillance Survey E. Borawski E. Borawski 1 1 , S. Zelenskiy , S. Zelenskiy 1 1 , E. Trapl , E. Trapl 1 1 , N. Shine , N. Shine 2 2 , M. Peak , M. Peak 2 2 , N. Colabianchi , N. Colabianchi 1 1 1 Center for Health Promotion Research, Dept of Epidemiology and Biostatistics, CASE 2 Division of Community Health Services, Cuyahoga County Board of Health As part of the Cuyahoga County Partnership for Tobacco Reduction initiative, an annual surveillance of adult (age 18+) tobacco use, cessation and tobacco-related health is conducted via a telephone survey, using random digit dialing phone methodology. An enhanced version of the Ohio Behavioral Risk Factor Surveillance Survey (BRFSS), the survey includes questions on tobacco product (cigarettes, cigars, pipe, chew, little cigars) use, cessation efforts, rules about smoking at home and work, knowledge about secondhand smoke, opinions about smoke-free policies, and tobacco- related health issues. This poster highlights the trends in the results collected annually from 2003-2005, involving 3,788 Cuyahoga County residents. In nearly all of the tobacco-related questions, a positive trend is observed across the three years of data. Examples of these trends include a reduction in reported cigarette use from 26.7% in 2003 to 24.0% in 2005. Reported cessation attempts increased from 45.5% to 55.6% among smokers. The percentage of residents who reported that smoking is prohibited in their home increased from 57% to 69% over the 3 year period. With regard to smoke-free policies, support for a ban in restaurants and bars increased from 45% to 54%. In addition to more examples of trend changes, geographic distributions of tobacco product use for six regions of the county will be displayed: Cleveland (east); Cleveland (west); Inner Ring (east); Inner Ring (west); Outer Ring (east); Outer Ring (west). These results provide valuable information regarding tobacco use among county residents to be used for the development of targeted interventions. It also provides some evidence of success for the county-wide prevention and reduction efforts provided by the Partnership and its many participating community organizations and agencies. ABSTRACT SURVEY METHODOLOGY TRENDS IN TOBACCO USE AND OPINIONS ON TOBACCO-RELATED ISSUES AMONG CUYAHOGA COUNTY ADULTS RESIDENTS (2003-2005) Tobacco Use Across Cuyahoga County Each year, 1200-1500 Cuyahoga County adult residents are randomly telephoned on behalf of the Partnership and asked a broad range of questions regarding tobacco use and cessation, attitudes and awareness and tobacco-related health correlates and outcomes. The survey is an adaptation of the Behavioral Risk Factor Surveillance Survey, which is a comprehensive health behavior survey developed by the Centers for Disease Control and Prevention (CDC) and administered annually in every state in the US. For the past three summers (2003, 2004, 2005), ORC Macro has conducted the Cuyahoga County BRFSS on behalf of the Partnership. The annual data is then weighted to the county population estimates and results are extrapolated to represent all adults (aged 18+) living in Cuyahoga County, based on 2000 Census data. O R-W IR -W C-W C-E IR -E O R-E 34.3% 24.1% 39.1% 36.3% 28.3% 17.8% >35% 30-35% 25-30% 20-25% >20% Prevalence ofC urrentTobacco U se 1 Am ong C uyahoga C ounty A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 Tobacco U se includes cigarettes,pipes, sm okeless tobacco,cigars and little cigars 2 REG IO NS C -E=C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – East; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est O R-W IR -W C-W C-E IR -E O R-E 34.3% 24.1% 39.1% 36.3% 28.3% 17.8% >35% 30-35% 25-30% 20-25% >20% >35% 30-35% 25-30% 20-25% >20% >35% 30-35% 25-30% 20-25% >20% Prevalence ofC urrentTobacco U se 1 Am ong C uyahoga C ounty A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 Tobacco U se includes cigarettes,pipes, sm okeless tobacco,cigars and little cigars 2 REG IO NS C -E=C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – East; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est O R-W IR -W C-W C-E IR -E O R-E 30.9% 19.8% 36.5% 32.0% 24.1% 15.1% >35% 30-35% 25-30% 20-25% >20% Prevalence ofC urrentC igarette U se 1 Am ong Cuyahoga County A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 C urrentcigarette use is defined as anyone w ho reports sm oking cigarettes “everyday” or“som e days”in the past30 days. 2 REG IO NS C -E =C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – East; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est O R-W IR -W C-W C-E IR -E O R-E 30.9% 19.8% 36.5% 32.0% 24.1% 15.1% >35% 30-35% 25-30% 20-25% >20% >35% 30-35% 25-30% 20-25% >20% >35% 30-35% 25-30% 20-25% >20% Prevalence ofC urrentC igarette U se 1 Am ong Cuyahoga County A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 C urrentcigarette use is defined as anyone w ho reports sm oking cigarettes “everyday” or“som e days”in the past30 days. 2 REG IO NS C -E =C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – East; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est O R-W IR -W C-W C-E IR -E O R-E 2.8% 1.7% 4.4% 8.6% 4.1% 0.06% >5% % 3-5% >0-3% Prevalence ofC urrentLittle C igar 1 Am ong C uyahoga C ounty A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 C urrentcigarette use is defined as anyone w ho reports sm oking little cigars (like Black & M ilds)“everyday”or“som e days” in the past30 days. 2 REG IO NS C -E=C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – E ast; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est O R-W IR -W C-W C-E IR -E O R-E 2.8% 1.7% 4.4% 8.6% 4.1% 0.06% >5% % 3-5% >0-3% >5% % 3-5% >0-3% Prevalence ofC urrentLittle C igar 1 Am ong C uyahoga C ounty A dults by D em ographic R egion 2 Source:2003-2005 C uyahoga C ounty BRFSS 1 C urrentcigarette use is defined as anyone w ho reports sm oking little cigars (like Black & M ilds)“everyday”or“som e days” in the past30 days. 2 REG IO NS C -E=C leveland (eastside); C-W = C leveland (w estside) IR -E = InnerR ing – E ast; IR -W = InnerR ing – W est; O R -E = O uterR ing – East; O R-W = O uterR ing -W est 0% 10% 20% 30% 40% 50% Sm oked 100 cigarettes in lifetim e C urrentC igarette Sm oker 2003 2004 2005 Trends in Prevalence ofE ver and C urrentC igarette U sage:C uyahoga C ounty B R FSS 2003-2005 0% 10% 20% 30% 40% 50% Sm oked 100 cigarettes in lifetim e C urrentC igarette Sm oker 2003 2004 2005 Trends in Prevalence ofE ver and C urrentC igarette U sage:C uyahoga C ounty B R FSS 2003-2005 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% C igars Lil' C igars P ipe C hew 2003 2004 2005 Trends in Prevalence ofC igar,Little C igar,P ipe and Sm okeless Tobacco Products: C uyahoga C ounty B R FSS 2003-2005 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% C igars Lil' C igars P ipe C hew 2003 2004 2005 Trends in Prevalence ofC igar,Little C igar,P ipe and Sm okeless Tobacco Products: C uyahoga C ounty B R FSS 2003-2005 0% 10% 20% 30% 40% 50% 60% 2003 2004 2005 Trends in Prevalence ofQ uitA ttem pts A m ong C igarette Sm okers:C uyahoga C ounty B R FSS 2003-2005 Stopped Sm oking forO ne D ay O rM ore in PastY ear 0% 10% 20% 30% 40% 50% 60% 2003 2004 2005 Trends in Prevalence ofQ uitA ttem pts A m ong C igarette Sm okers:C uyahoga C ounty B R FSS 2003-2005 Stopped Sm oking forO ne D ay O rM ore in PastY ear 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In H om e AtW ork: Com m on A reas AtW ork:W ork A reas 2003 2004 2005 Trends in R ules A boutSm oking:Percentage thatR eportthat Sm oking is N O T A llow ed: C uyahoga C ounty B R FSS 2003-2005 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In H om e AtW ork: Com m on A reas AtW ork:W ork A reas 2003 2004 2005 Trends in R ules A boutSm oking:Percentage thatR eportthat Sm oking is N O T A llow ed: C uyahoga C ounty B R FSS 2003-2005 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% N otIncluding B ars Including B ars 2003 2004 2005 Trends in S upportforSm oking B ans in P ublic A reas:Excluding and Including B ars:C uyahoga C ounty B R FSS 2003-2005 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% N otIncluding B ars Including B ars 2003 2004 2005 Trends in S upportforSm oking B ans in P ublic A reas:Excluding and Including B ars:C uyahoga C ounty B R FSS 2003-2005 SIX GEOGRAPHIC REGIONS IN CUYAHOGA COUNTY Cleveland – east side (C-E) Cleveland – west side (C-W) Inner Ring – east side (IR-E) Euclid, East Cleveland, Cleveland Heights, South Euclid, Lyndhurst, University Heights, Shaker Heights, Warrensville Township, Warrensville Heights, North Randall, Maple Heights, Garfield Heights, Cuyahoga Heights, Newburgh Heights Inner Ring – west side (IR-W) Lakewood, Fairview Park, Linndale, Brooklyn, Parma Heights, Parma, Brooklyn Heights, Outer Ring – east side (OR-E) Richmond Heights, Highland Heights, Mayfield Village, Mayfield Heights, Gates Mills, Beachwood, Pepper Pike, Hunting Valley, Woodmere Township Outer Ring - west side (OR-W)** Bay Village, Rocky River, Westlake, North Olmsted, Olmsted Township, Olmsted Falls, Berea, Brookpark,, Middleburgh Heights, Strongsville, North Royalton, Broadview Heights, Seven Hills, Independence, Brecksville, Valley View ** Inner-ring suburbs are considered outer ring if they share a school district with an outer ring suburb. SUMMARY NO SMOKING IN THIS HOME Since the launching of the Partnership, our local surveillance of tobacco product use reveals a small, but consistent decline in cigarette and cigar use, the two most common tobacco products used by adults in Cuyahoga County. In 2003, the local prevalence rate of cigarette use was higher than the state average (26.7% vs. 25.4%). In 2004, the state average remained nearly the same (25.8%), while the rate in Cuyahoga County dropped to 25.0%. The trend continues in 2005, where the local prevalence rate was 24.0% (the state BRFSS data is not yet available). While these trends are extremely promising, the fact remains that a quarter of adults in the county smoke and engage in a risk behavior that is highly associated with debilitating disease and death. Of particular concern are the multiple product users. The data also reveal that public opinion regarding tobacco use in the home and in public is changing in Cuyahoga County. There was a significant increase in the number of households that ban tobacco altogether, increasing from 57% to 69% during the 3 year period. Similarly, an increasing number of residents support tobacco bans, even those including restaurants and bars. In 2005, the percentage of supporters for such a ban reached a majority (54%). The Cuyahoga County Behavioral Risk Factor Surveillance System is supported with funds from the Ohio Tobacco Use Prevention and Control Foundation and the Community Vision Council Health and Caring for All Community Vision Council All Products Local, State and National Comparisons % of current cigarette smokers 1 2003 2004 2005 Cuyahoga County 26.7 25.0 24.0 State of Ohio 25.2 25.8 NA 2 Nationwide 3 21.7 20.9 NA 2 1 Adults (18-98) who report smoking cigarettes every day or some days. 2 2005 BRFSS data for Ohio and nation not yet available. 3 The BRFSS is a state-based system and therefore does not provide a national estimate. However, as suggested by the CDC, the median prevalence across the 50 state can be used. Little Cigar Facts 71% of little cigar smokers are male 61% are African-American 79% of those who smoke little cigars also smoke cigarettes or regular cigars -- smoking, on average, a half pack of cigarettes, and one regular cigar a day .
description
NO SMOKING IN THIS HOME. Cuyahoga County Partnership for Tobacco Reduction: Results from the 2003-2005 Adult Tobacco Surveillance Survey E. Borawski 1 , S. Zelenskiy 1 , E. Trapl 1 , N. Shine 2 , M. Peak 2 , N. Colabianchi 1 - PowerPoint PPT Presentation
Transcript of Cuyahoga County Partnership for Tobacco Reduction:
Cuyahoga County Partnership for Tobacco Reduction: Results from the 2003-2005 Adult Tobacco Surveillance Survey
E. BorawskiE. Borawski11, S. Zelenskiy, S. Zelenskiy11, E. Trapl, E. Trapl11, N. Shine, N. Shine22, M. Peak, M. Peak22, N. Colabianchi, N. Colabianchi11
1Center for Health Promotion Research, Dept of Epidemiology and Biostatistics, CASE2Division of Community Health Services, Cuyahoga County Board of Health
As part of the Cuyahoga County Partnership for Tobacco Reduction initiative, an annual surveillance of adult (age 18+) tobacco use, cessation and tobacco-related health is conducted via a telephone survey, using random digit dialing phone methodology. An enhanced version of the Ohio Behavioral Risk Factor Surveillance Survey (BRFSS), the survey includes questions on tobacco product (cigarettes, cigars, pipe, chew, little cigars) use, cessation efforts, rules about smoking at home and work, knowledge about secondhand smoke, opinions about smoke-free policies, and tobacco-related health issues. This poster highlights the trends in the results collected annually from 2003-2005, involving 3,788 Cuyahoga County residents.
In nearly all of the tobacco-related questions, a positive trend is observed across the three years of data. Examples of these trends include a reduction in reported cigarette use from 26.7% in 2003 to 24.0% in 2005. Reported cessation attempts increased from 45.5% to 55.6% among smokers. The percentage of residents who reported that smoking is prohibited in their home increased from 57% to 69% over the 3 year period. With regard to smoke-free policies, support for a ban in restaurants and bars increased from 45% to 54%. In addition to more examples of trend changes, geographic distributions of tobacco product use for six regions of the county will be displayed: Cleveland (east); Cleveland (west); Inner Ring (east); Inner Ring (west); Outer Ring (east); Outer Ring (west).
These results provide valuable information regarding tobacco use among county residents to be used for the development of targeted interventions. It also provides some evidence of success for the county-wide prevention and reduction efforts provided by the Partnership and its many participating community organizations and agencies.
ABSTRACT
SURVEY METHODOLOGY
TRENDS IN TOBACCO USE AND OPINIONS ON TOBACCO-RELATED ISSUES AMONG CUYAHOGA COUNTY ADULTS RESIDENTS (2003-2005)
Tobacco Use Across Cuyahoga County
Each year, 1200-1500 Cuyahoga County adult residents are randomly telephoned on behalf of the Partnership and asked a broad range of questions regarding tobacco use and cessation, attitudes and awareness and tobacco-related health correlates and outcomes. The survey is an adaptation of the Behavioral Risk Factor Surveillance Survey, which is a comprehensive health behavior survey developed by the Centers for Disease Control and Prevention (CDC) and administered annually in every state in the US. For the past three summers (2003, 2004, 2005), ORC Macro has conducted the Cuyahoga County BRFSS on behalf of the Partnership. The annual data is then weighted to the county population estimates and results are extrapolated to represent all adults (aged 18+) living in Cuyahoga County, based on 2000 Census data.
OR-W
IR-W
C-WC-E IR-E
OR-E
34.3%
24.1%
39.1%
36.3%28.3%
17.8%
>35%
30-35%
25-30%
20-25%
>20%
Prevalence of Current Tobacco Use1 Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Tobacco Use includes cigarettes, pipes, smokeless tobacco, cigars and little cigars
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
OR-W
IR-W
C-WC-E IR-E
OR-E
34.3%
24.1%
39.1%
36.3%28.3%
17.8%
>35%
30-35%
25-30%
20-25%
>20%
>35%
30-35%
25-30%
20-25%
>20%
>35%
30-35%
25-30%
20-25%
>20%
Prevalence of Current Tobacco Use1 Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Tobacco Use includes cigarettes, pipes, smokeless tobacco, cigars and little cigars
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
OR-W
IR-W
C-WC-E IR-E
OR-E
30.9%
19.8%
36.5%
32.0%24.1%
15.1%
>35%
30-35%
25-30%
20-25%
>20%
Prevalence of Current Cigarette Use1 Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Current cigarette use is defined as anyone who reports smoking cigarettes “everyday”or “some days” in the past 30 days.
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
OR-W
IR-W
C-WC-E IR-E
OR-E
30.9%
19.8%
36.5%
32.0%24.1%
15.1%
>35%
30-35%
25-30%
20-25%
>20%
>35%
30-35%
25-30%
20-25%
>20%
>35%
30-35%
25-30%
20-25%
>20%
Prevalence of Current Cigarette Use1 Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Current cigarette use is defined as anyone who reports smoking cigarettes “everyday”or “some days” in the past 30 days.
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
OR-W
IR-W
C-W
C-E IR-E
OR-E
2.8%
1.7%
4.4%
8.6%4.1%
0.06%
>5%%
3-5%
>0-3%
Prevalence of Current Little Cigar1
Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Current cigarette use is defined as anyone who reports smoking little cigars (like Black & Milds) “everyday” or “some days”in the past 30 days.
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
OR-W
IR-W
C-W
C-E IR-E
OR-E
2.8%
1.7%
4.4%
8.6%4.1%
0.06%
>5%%
3-5%
>0-3%
>5%%
3-5%
>0-3%
Prevalence of Current Little Cigar1
Among Cuyahoga County Adults by Demographic Region2
Source: 2003-2005 Cuyahoga County
BRFSS
1 Current cigarette use is defined as anyone who reports smoking little cigars (like Black & Milds) “everyday” or “some days”in the past 30 days.
2 REGIONS C-E=Cleveland (eastside); C-W = Cleveland (westside) IR-E = Inner Ring – East; IR-W = Inner Ring – West; OR-E = Outer Ring – East; OR-W = Outer Ring - West
0%
10%
20%
30%
40%
50%
Smoked 100 cigarettes in lifetime
Current Cigarette Smoker
2003
2004
2005
Trends in Prevalence of Ever and Current Cigarette Usage: Cuyahoga County BRFSS 2003-2005
0%
10%
20%
30%
40%
50%
Smoked 100 cigarettes in lifetime
Current Cigarette Smoker
2003
2004
2005
Trends in Prevalence of Ever and Current Cigarette Usage: Cuyahoga County BRFSS 2003-2005
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
Cigars Lil' Cigars Pipe Chew
2003
2004
2005
Trends in Prevalence of Cigar, Little Cigar, Pipe and Smokeless Tobacco Products: Cuyahoga County BRFSS 2003-2005
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
Cigars Lil' Cigars Pipe Chew
2003
2004
2005
Trends in Prevalence of Cigar, Little Cigar, Pipe and Smokeless Tobacco Products: Cuyahoga County BRFSS 2003-2005
0%
10%
20%
30%
40%
50%
60%
2003
2004
2005
Trends in Prevalence of Quit Attempts Among Cigarette Smokers: Cuyahoga County BRFSS 2003-2005
Stopped Smoking for One Day Or More in Past Year
0%
10%
20%
30%
40%
50%
60%
2003
2004
2005
Trends in Prevalence of Quit Attempts Among Cigarette Smokers: Cuyahoga County BRFSS 2003-2005
Stopped Smoking for One Day Or More in Past Year
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
In Home At Work:Common Areas
At Work: WorkAreas
2003
2004
2005
Trends in Rules About Smoking: Percentage that Report that Smoking is NOT Allowed: Cuyahoga County BRFSS 2003-2005
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
In Home At Work:Common Areas
At Work: WorkAreas
2003
2004
2005
Trends in Rules About Smoking: Percentage that Report that Smoking is NOT Allowed: Cuyahoga County BRFSS 2003-2005
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Not Including Bars Including Bars
2003
2004
2005
Trends in Support for Smoking Bans in Public Areas: Excluding and Including Bars: Cuyahoga County BRFSS 2003-2005
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Not Including Bars Including Bars
2003
2004
2005
Trends in Support for Smoking Bans in Public Areas: Excluding and Including Bars: Cuyahoga County BRFSS 2003-2005
SIX GEOGRAPHIC REGIONS IN CUYAHOGA COUNTY
Cleveland – east side (C-E)Cleveland – west side (C-W)Inner Ring – east side (IR-E)
Euclid, East Cleveland, Cleveland Heights, South Euclid, Lyndhurst, University Heights, Shaker Heights, Warrensville Township, Warrensville Heights, North Randall, Maple Heights, Garfield Heights, Cuyahoga Heights, Newburgh Heights
Inner Ring – west side (IR-W)Lakewood, Fairview Park, Linndale, Brooklyn, Parma Heights, Parma, Brooklyn Heights,
Outer Ring – east side (OR-E)Richmond Heights, Highland Heights, Mayfield Village, Mayfield Heights, Gates Mills, Beachwood, Pepper Pike, Hunting Valley, Woodmere Township
Outer Ring - west side (OR-W)**Bay Village, Rocky River, Westlake, North Olmsted, Olmsted Township, Olmsted Falls, Berea, Brookpark,, Middleburgh Heights, Strongsville, North Royalton, Broadview Heights, Seven Hills, Independence, Brecksville, Valley View
** Inner-ring suburbs are considered outer ring if they share a school district with an outer ring suburb.
SUMMARY
NO
SMOKING IN
THIS HOME
Since the launching of the Partnership, our local surveillance of tobacco product use reveals a small, but consistent decline in cigarette and cigar use, the two most common tobacco products used by adults in Cuyahoga County. In 2003, the local prevalence rate of cigarette use was higher than the state average (26.7% vs. 25.4%). In 2004, the state average remained nearly the same (25.8%), while the rate in Cuyahoga County dropped to 25.0%. The trend continues in 2005, where the local prevalence rate was 24.0% (the state BRFSS data is not yet available). While these trends are extremely promising, the fact remains that a quarter of adults in the county smoke and engage in a risk behavior that is highly associated with debilitating disease and death. Of particular concern are the multiple product users.
The data also reveal that public opinion regarding tobacco use in the home and in public is changing in Cuyahoga County. There was a significant increase in the number of households that ban tobacco altogether, increasing from 57% to 69% during the 3 year period. Similarly, an increasing number of residents support tobacco bans, even those including restaurants and bars. In 2005, the percentage of supporters for such a ban reached a majority (54%).
The Cuyahoga County Behavioral Risk Factor Surveillance System is
supported with funds from the Ohio Tobacco Use
Prevention and Control Foundation and the Community Vision
CouncilHealth and Caring for All
Community Vision Council
All
Products
Local, State and National Comparisons
% of current cigarette smokers1
2003 2004 2005
Cuyahoga County 26.7 25.0 24.0
State of Ohio 25.2 25.8 NA2
Nationwide3 21.7 20.9 NA2
1 Adults (18-98) who report smoking cigarettes every day or some days.2 2005 BRFSS data for Ohio and nation not yet available.3 The BRFSS is a state-based system and therefore does not provide a national estimate. However, as suggested by the CDC, the median prevalence across the 50 state can be used.
Little Cigar Facts
71% of little cigar smokers are male
61% are African-American
79% of those who smoke little cigars also smoke cigarettes or regular cigars -- smoking, on average, a half pack of cigarettes, and one regular cigar a day .
