Tobacco Prevention and Control, 10th Annual Report

8/8/2019 Tobacco Prevention and Control, 10th Annual Report

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Tobacco Prevention and Control in UtahTenth Annual Report, August 2010

Utah Department of Health

Tobacco Prevention and Control Program

The Tobacco Prevention and Control Program protects Utahs citizens from the harmful effects of cigarettesmoking and new tobacco products that perpetuate nicotine addiction. A sample of these products is showabove along with candy in similar packaging. For trademarks see back cover


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TPCP Update

The Tobacco Prevention and Control Program (TPCP) at the UtahDepartment of Health and its partners use comprehensive strategies toreduce tobacco use and tobacco-related disease and death. Major programoutcomes are listed below:

Helping Tobacco Users Quit

With an age-adjusted adult smoking rate of 9.5% (2009), Utah continues to beWith an age-adjusted adult smoking rate of 9.5% (2009), Utah continues to bethe only state that has reached the national Healthy People 2010 objective ofthe only state that has reached the national Healthy People 2010 objective ofreducing smoking to less than 12%.reducing smoking to less than 12%.11 Still, more than 200,000 youth and adultStill, more than 200,000 youth and adultUtahns smoke and need help quitting.Utahns smoke and need help quitting.

The TRUTH campaign continued to reach adults with messages that encouragedquit attempts and informed about quit services. In 2010, 96% of Utah adult smokers

reported seeing anti-tobacco ads at least once a month during the past six months.2

Ninety-four percent were aware of the Utah Tobacco Quit Line and 65% knew aboutthe online quit service, Utah QuitNet. Adult smokers who were exposed to anti-tobacco ads were more likely to know about quit services or be in the process ofquitting than smokers who were not exposed (combined data 2006-2010).2

During FY2010, nearly 11,000 Utahns used TPCP-funded tobacco cessationservices. Tailored services were offered for adults, teens, and pregnant women.These quit services greatly increased tobacco users quit success.Since the Utah Tobacco Quit Line began in 2001, more than 58,000 Utahns haveregistered for services. In FY2010, the Quit Line served an average of 525 Utahnsper month with free counseling and tailored quit information.In FY2010, nearly 700 Utah youth tobacco users participated in the Utah-

developed teen cessation class, Ending Nicotine Dependence. Nearly 16% ofparticipants reported quitting tobacco by the last class and an additional 44%reported reducing their tobacco use.

Preventing Youth From Starting to Use Tobacco

In 2009, 8.5% of Utah high school students (grades 9-12) reported that they hadIn 2009, 8.5% of Utah high school students (grades 9-12) reported that they hadsmoked in the past month.smoked in the past month. Utahs youth smoking rate is less than half the nationalUtahs youth smoking rate is less than half the nationalrate of 19.5%.rate of 19.5%.33In 2010, 93% of Utah youth ages 13 to 17 reported that they saw or heard

anti-tobacco ads at least once a month during the past six months, and 90%said the TV ads made them think of the negative effects of tobacco use.2

Since 2002, 19 of Utahs 41 school districts worked with TPCP and local healthdepartments to strengthen school tobacco-free policies, tobacco education, and policyenforcement. These districts serve more than 216,000 students in 361 schools.Since 2001, illegal tobacco sales to underage youth during compliance checksdeclined by 61%. At 6.2%, the rate of non-compliance is at its lowest recorded level.To decrease the rate of non-compliance, local health departments educated nearly1,000 Utah retail clerks about Utahs tobacco access laws.The Phoenix Alliance, Utahs statewide youth anti-tobacco advocacy group, educatedUtahns about new tobacco products and their packaging that is similar to candy.

2010 Highlights for TPCP Goals

eferences:Utah Department of Health. Behavioral Risk FactorSurveillance System (BRFSS).1989-2009. Salt LakeCity: Utah Department of Health. Center for HealthData. (Note: These BRFSS data may underestimateadult smoking prevalence because the samples did notinclude mobile phone numbers.)

West, DR et al. (2009).2009-2010 Evaluation ofUtahs Tobacco Prevention and Control Program.

Denver: University of Colorado Denver, Department

of Family Medicine.YRBSS: Youth Risk Behavior Surveillance System.Youth Online: Comprehensive Results. RetrievedAugust 2, 2010, from http://apps.nccd.cdc.gov/yrbss/.Utah Department of Health. Utah Health Care AccessSurvey, 2001-2008. Salt Lake City: Utah Department ofHealth. Center for Health Data.Utah Birth Certificate Database. Retrieved July 29,2010 from Utah Department of Health, Center forHealth Data, Indicator-Based Information System for

Public Healthweb site: http://ibis.health.utah.gov.These smoking rates are based on pregnancies that ledto live births.

Since Master Settlement

Agreement (MSA)

funds were allocated

to the TPCP in 1999,

Utahs smoking ratesamong adults, youth,

and pregnant women

have declined by

approximately one

third.1,3,5

Childrens exposure

to secondhand smoke

in their homes has

declined by two thirds

since 2001.4

At 5% in 2008, the

smoking rate among

pregnant women is

at its lowest recorded

level since 1989.5


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TPCP Updat

Protecting Utahns From Secondhand Smoke

More than 93% of Utahns have established rules against smoking in theirMore than 93% of Utahns have established rules against smoking in theirhomes, and 98% of Utah children live in smoke-free homes (2008).homes, and 98% of Utah children live in smoke-free homes (2008).1,41,4In FY2010, TPCPs partners assisted 22 worksites, nine health care entities,17 outdoor recreation venues, and two school districts with passing policiesthat protect Utahns from secondhand smoke exposure.In the last year, the number of smoke-free apartment and condominium unitsin TPCPs Smoke-free Apartment and Condominium Statewide Directory grewby 19% to nearly 16,000 in 11 Utah counties.In addition to these private properties, two public housing authorities wentsmoke-free this year, encompassing 22 housing communities in Davis andUtah Counties.

Eliminating Tobacco-related Disparities

Utahns of lower socioeconomic status and in certain racial and ethnicUtahns of lower socioeconomic status and in certain racial and ethnicpopulations smoke cigarettes at higher rates than the general population.populations smoke cigarettes at higher rates than the general population.For example, Utahns (age 25 and older) with less than a high schoolFor example, Utahns (age 25 and older) with less than a high schooleducation were nearly 10 times more likely to report cigarette smoking thaneducation were nearly 10 times more likely to report cigarette smoking thanUtahns with a college degree.Utahns with a college degree.11More than 1,500 low-income, uninsured, or Medicaid-insured Utahns,including 1,200 pregnant women, received free counseling and prescriptionsfor medications to help them quit using tobacco in FY2010. More than 27%of participants in the TPCP-funded Medicaid program for pregnant women quit

using tobacco and 24% reduced their tobacco use.TPCP promoted tobacco cessation counseling and medications to Medicaidclients. Since 2006, the number of Medicaid clients who sought help quittingtripled, and totaled more than 3,000 in FY2010.The four TPCP-funded Ethnic Tobacco and Health Networks worked ontobacco prevention with unique strategies addressing the health, spiritual, andsocial implications of tobacco use in their populations.

Despite many successes, more must be done to help those at greatest risk fortobacco-related disease and death, and to combat new tobacco products thatthreaten public health.

TPCP has partnered with the State Division of Substance Abuse and MentalHealth to develop policies that will help Utahns with mental health andsubstance abuse problems to quit tobacco.TPCP has launched efforts to educate the public about new tobacco andnicotine products that may lead to increased tobacco use among youth andperpetuate nicotine addiction among those who want to quit smoking.TPCP and its partners will continue to assist community-based agencies toprevent and control tobacco use among racial, ethnic and sexual minorities in

Utah, as well as the disabled population.

Looking Ahead to FY2011: TPCP Efforts Continue

Dear Me television advertisementfrom The TRUTH campaign motivatUtah smokers to quit through real

life stories of the struggles andsuccesses with overcoming nicotineaddiction. In addition, the ads inforUtahns about local resources to quismoking. The Dear Me campaignwas developed by the WashingtonState Department of Health TobaccoPrevention and Control Program. Areviewing Washingtons research ondevelopment and effectiveness of thDear Me campaign, the Utah TPCformed a collaborative agreement wWashington State to obtain the ads minimal cost.


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0 5 10 15 20 25 30 35 40

Ben Lomond (5)Downtown Ogden (7)

Roy/Hooper (9)South Ogden (8)

Riverdale (10)Morgan/East Weber Co. (6)

Weber-Morgan HD

Wasatch County HD (52)North Orem (44)Provo South (48)

Springville/Spanish Fork (49)Utah Co. South (50)

Pleasant Grove/Lindon (43)West Orem (45)

Lehi/Cedar Valley (41)American Fork/Alpine (42)

Provo/BYU (47)East Orem (46)

Utah County HDTriCounty HD (53)

Tooele County HD (40)Summit County HD (51)

Cedar City (60)Other Southwest District (61)

St. George (58)Other Washington County

Southwest Utah HDCarbon/Emery Co. (56)

Grand/San Juan Co. (57)Southeastern Utah HD

Magna (20)Rose Park (17)

West Valley East (23)South Salt Lake (25)

Glendale (21)Taylorsville (30)

West Valley West (22)Midvale (32)

Kearns (29)Murray (31)

Downtown Salt Lake (24)Sandy Center (36)

West Jordan North (33)Avenues (18)

Cottonwood (28)Millcreek (26)

Sandy, Northeast (37)Holladay (27)

West Jordan/Copperton (34)Riverton/Draper (39)

Foothill/U of U (19)South Jordan (35)

Sandy, Southeast (38)Salt Lake Valley HD

Clearfield/Hill AFB (11)Layton (12)

Woods Cross/North SL (15)Bountiful (16)

Syracuse/Kaysville (13)Farmington/Centerville (14)

Davis County HDSevier/Piute/Wayne Co. (55)

Juab/Millard/Sanpete Co. (54)Central Utah HDBrigham City (1)

Other Cache/Rich Co. (4)Logan (3)

Other Box Elder Co. (2)

Bear River HD

Local Health District

Small Area

Tobacco Use in UtaSmoking Rates by Local Health Districts and Small Areas

As shown in Figure 5, Utahs adultsmoking rates vary considerably bysmall area and local health district.The small area with the highest rate ofcigarette smoking was Magna (25.6%);Farmington/Centerville had the lowest

rate at 1.6%. Small area data are used to

identify and reach out to areas that are athigher risk for tobacco use. For example,in Salt Lake Valley Health District(overall prevalence 11.3%), the smallarea rates range from a low of 2.6% inSoutheast Sandy to a high of 25.6% in

Magna.1

Figure 5.Current Cigarette Smoking by Local Health District, Small Area, Utah, and U.S. Adults,

2006-2009, (Aggregate Data, Age-adjusted)

Reference:1Utah Department of Health. Behavioral Risk FactorSurveillance System (BRFSS).2006-2009. Salt Lake CUtah Department of Health. Center for Health Data(Note: These BRFSS data may underestimate adultsmoking prevalence because the samples did not incmobile phone numbers.)

Note: Local health districts are representedtan bars. The green bars beneath indicate sareas within that district. For more details asmall area definitions, see the Utah BehavioRisk Factor Surveillance System Small AreaReport 20012005, Appendix C: Small AreDefinitions and Key Maps. The horizontal lextending from the bars indicate 95% confid

intervals. Confidence intervals are used to sthe reliability of an estimate. A 95% confideinterval means that 95% of the time, the givinterval will contain the true parameter valu*These estimates have relative standard errof >30% and do not meet UDOH standardsreliability.**The estimates for Provo/BYU, and East aWest Orem have been suppressed because relative standard error was greater than 50%or the relative standard error could not bedetermined. The combined adult smoking rfor Provo/BYU, and East and West Orem (aadjusted, 2006-2009) was 2.4%.

Utah State Rate 9.75% U.S. Rate 19.04%

****

**

**

*

*

*

**

*

**


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Use of Funds FY201Use of Funds FY201State TPCP FundingUtah Tobacco Settlement Account: $3,997,400Utah Cigarette Tax Restricted Account: $3,131,700

Draw Down of Federal Funds Through TPCP Activities

Federal and private revenues depend on matches with state funds.TPCPs work with retailers to prevent underage tobacco sales protects $6.8 millionin Synar block grant funding for Utahs Division of Substance Abuse and MentalHealth. The Synar amendment regulates youth access to tobacco products.TPCP state funds allow the program to secure $1,215,000 in funding from theCenters for Disease Control and Prevention.The TRUTH marketing campaign draws down $1,540,942 in federal Medicaidmatch.

In-kind Revenue: Marketing Campaign Added ValueMedia vendors donate approximately $2 for every $1 spent by TPCPon media.

Donated airing of ads, news specials, and other media events: $5,254,526

Figure 6.Estimated Annual Cost of Smoking in Utah, Cigarette and Tobacco Tax Revenue,

Tobacco Industry Marketing Expenditures in Utah, Utah Tobacco Settlement Payment,

and CDC Recommended and Actual Annual Investment in Tobacco Prevention and

Control, Latest Available Data

Tobacco-related ExpendituresTobacco use costs the Utah economy an estimated $663 million annually in smoking-related medical costs and lost productivity.1 The tobacco industry spends nearly $60million every year to market tobacco products in Utah and recruit new tobacco users.2Net cigarette and tobacco tax revenue to Utah is estimated at $60 million annually.Utahs FY2010 estimated tobacco settlement payment was $45.7 million. The Centersfor Disease Control and Prevention recommends that Utah spend $23.6 millionannually to reduce tobacco use.3 At $8.3 million, the TPCP was funded at 36% of therecommended level (Figure 6).

Members of TPCP-funded localorganizations discuss best practicesto reduce tobacco use in theircommunities. In FY2010, theTPCP funded more than 70 local

partners to oversee and conducttobacco prevention and controlinitiatives. The TPCPs partnersincluded local health departments,school districts, businesses, andcommunity organizations.

References:National Center for Chronic Disease Preventio1Health Promotion. (2010). State Tobacco ActiviTracking and Evaluation (STATE) System.AtlantU.S. Department of Health and Human ServiceRetrieved August 9, 2010 from http://apps.nccdgov/statesystem/DetailedReport/DetailedReportaspx.Campaign for Tobacco-Free Kids. (2008).2 Theof Tobacco in Utah. Retrieved August 9, 2010 http://www.tobaccofreekids.org/reports/settlemtoll.php?StateID=UT.National Center for Chronic Disease Preventio3and Health Promotion. (2007). Best Practices fComprehensive Tobacco Control Programs - 200Atlanta, GA: U.S. Department of Health and HServices. Retrieved August 9, 2010 from http://cdc.gov/tobacco/stateandcommunity/best_practindex.htm.

369.0

293.6

60.0 58.7 45.723.6

8.3

0

100

200

300

400

AnnualDirectMedicalExpenses

DuetoSmokinginUtah(2004)

AnnualLostProductivityDueto

SmokinginUtah(2000-2

004)

FY10UtahCigaretteandTobacco

TaxRevenue

EstimatedAnnualUtahTobacco

IndustryMarketingExpenditure

FY10EstimatedUtahMSA

Payment

CDCRecommendedTPCP

InvestmentinUtah

FY10TPCPBudget

Doanmio


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Bear River Health Department (BRHD)

Bear River Tobacco-related Trends

Since the late 1990s, the estimated age-adjusted adult smoking rate in Bear RiverHealth District has decreased by 27%.1

Birth certificates indicate that since1999, smoking during pregnancy hasdecreased by 36%.2

The estimated rate of children exposedto secondhand smoke in their homes was2.8% in 2001 and 1.2%* in 2004-08(combined data).3

During State Fiscal Year 2010, 7.2%of Bear River stores sold tobacco tounderage youth during compliancechecks. Since 2001, the illegal sales ratehas decreased by 35%.4

Tobacco Statistics

BRHD State

Adult Cigarette Smoking (2009)1 7.0% 9.5%

Youth Cigarette Smoking in Grades 8, 10, 12(2009)5

4.9% 6.4%

Pregnant Women Smoking (2008)2

3.8% 5.4%Homes with No Smoking Rule (2006-08)1 94.4% 92.1%

Number of Quit Line Registrations (FY2010) 269 6,305

Number of QuitNet Registrations (FY2010) 105 2,290

Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2010)

180 689

Anti-tobacco Ad Recall in the Past Month (2009)1 83.2%83.2% 88.1%88.1%

ear River Health District Counties: Boxlder, Cache, Rich

Madison Budge, 4th grade studentom Providence Elementary, wonear River Health Districts local Truthrom Youth Anti-tobacco Advertising

Contest. Her school principal, 4thrade teacher, the PTA Health andafety Commissioner, and staff fromhe health department are shownresenting her award. The Truthom Youth Anti-tobacco Advertising

Contest educates 4th and 5th gradetudents across the state aboutobacco-related risks and encourageshem to create effective anti-tobacco

messages for themselves and theireers.

References:Utah Department of Health.1 Behavioral Risk Factor Surveillance System (BRFSS).1997-2009. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: These BRFSS data may underestimate adult smokingprevalence because the samples did not include mobile phone numbers. Data from the late 1990s refer tocombined BRFSS data from 1997-1999.)Utah Birth Certificate Database. Retrieved July 29, 2010 from Utah Department of Health, Center for Health Data,2Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.Utah Department of Health.3 Utah Healthcare Access Survey, 2001-2008. Salt Lake City: Utah Department ofHealth. Center for Health Data.Tobacco Prevention and Control Program. (2010).4 Tobacco Compliance Check summary data, SFY2001-2010,(provisional data). Salt Lake City: Utah Department of Health.Tobacco Prevention and Control Program.5 Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City:Utah Department of Health.

*This estimate has a relative standard error of >30% and does not meet UDOH standards for reliability.


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Central Utah Public Health Department (CUPHDCentral Utah Public Health Department (CUPHDSince the late 1990s, the estimated age-adjusted adult smoking rate in CentralUtah Public Health District has decreased

by 32%.1Birth certificates indicate that since1999, smoking during pregnancy hasremained unchanged.2

The estimated rate of children exposedto secondhand smoke in their homesdecreased from 7.4% in 2001 to 5.4%in 2006-08 (combined data).3

During State Fiscal Year 2010, 3.5%of Central Utah stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal sales ratehas decreased by 75%.4

Central Utah Tobacco-related Trends

Tobacco Statistics

CUPHD State



7.8% 6.4%






2 689


Central Utah Public Health DistrictCounties: Juab, Millard, Piute, SanpeteSevier, Wayne

Sheryse Linton won the 2010 Trufrom Youth Anti-Tobacco AdvertisContest at Mona Elementary Schin Juab School District. The Truth

from Youth Anti-tobacco AdvertisContest educates 4th and 5th grastudents across the state abouttobacco-related risks and encourthem to create effective anti-tobamessages for themselves and theipeers.



10/2010

Davis County Health Department (DCHD)

Since the late 1990s, the estimatedage-adjusted adult smoking rate inDavis County has decreased by 49%.1

Birth certificates indicate that since1999, smoking during pregnancy hasdecreased by 40%.2

The estimated rate of children exposedto secondhand smoke in their homeshas decreased from 4.2% in 2001 to1.5% in 2006-08 (combined data).3

During State Fiscal Year 2010, 9.2%of Davis County stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 44%.4

Davis County Tobacco-related Trends

Tobacco Statistics

DCHD State



4.2% 6.4%

Pregnant Women Smoking (2008)

2





111 689


aura York, mother of seven andrandmother of seven, smoked for 25ears before quitting earlier this year.n charge of raising her five-year-oldranddaughter, Laura determined, Iad to make sure I did everything in myower to be there for her. She believes

n me.

As a volunteer for her granddaughtersHead Start preschool class, Lauraearned about a Davis County Headtart program that helps families reduce

econdhand smoke exposure and quitobacco use.

n August, Laura celebrated beingmoke-free for nine months. With theelp and support of both Head Startnd the Utah Tobacco Quit Line, I quitmoking within about three months and

my husband quit five days later! Withoutheir help, support and encouragement,may have never quit.

aura is offering help to Head Startarents who use tobacco and want to

quit. She says, Now I am part of aealthier, happier, smoke-free life. Myfe is also a little wealthier! With the

money we are saving, we were able touy a new car!

Laura York, Participant in DavisCounty Head Start Initiative to Reduce

Secondhand Smoke Exposure

References:

Utah Department of Health.1 Behavioral Risk Factor Surveillance System (BRFSS).1997-2009. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: These BRFSS data may underestimate adult smokingprevalence because the samples did not include mobile phone numbers. Data from the late 1990s refer tocombined BRFSS data from 1997-1999.)Utah Birth Certificate Database. Retrieved July 29, 2010 from Utah Department of Health, Center for Health Data,2Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.Utah Department of Health.3 Utah Healthcare Access Survey, 2001-2008. Salt Lake City: Utah Department ofHealth. Center for Health Data.Tobacco Prevention and Control Program. (2010).4 Tobacco Compliance Check summary data, SFY2001-2010,(provisional data). Salt Lake City: Utah Department of Health.Tobacco Prevention and Control Program.5 Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City:Utah Department of Health.


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12/2012

Southeastern Utah District Health Department (SEUDH

Since the late 1990s, the estimatedage-adjusted adult smoking rate inSoutheastern Utah Health District has

decreased by 17%.1

Birth certificates indicate that since 1999,smoking during pregnancy has decreasedby 17%.2

The estimated rate of children exposedto secondhand smoke in their homes hasdecreased from 17.6% in 2001 to 7.1%in 2006-08 (combined data).3

During State Fiscal Year 2010, 7.2% ofSoutheastern Utah stores sold tobacco

to underage youth during compliancechecks. Since 2001, the illegal sales ratehas decreased by 42%.4

Southeastern Utah Tobacco-related Trends

Tobacco Statistics

SEUDHD State



8.3% 6.4%


2





24 689


outheastern Utah Health District Counties:arbon, Emery, Grand, San Juan

Thanks to the great efforts ofEUDHD, Emery County Sheriff,nd Four Corners Behavior Health

Center, we have drastically reduced

he illegal sale of tobacco productso underage youth in Emery County

haun Bell,heriff Deputy, Emery County

References:



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Southwest Utah Public Health Department (SWUPHDSouthwest Utah Public Health Department (SWUPHSince the late 1990s, the estimated age-adjusted adult smoking rate in SouthwestUtah Public Health District has remained

unchanged.1Birth certificates indicate that since1999, smoking during pregnancy hasdecreased by 26%.2

The estimated rate of children exposedto secondhand smoke in their homesdecreased from 3.5% in 2001 to1.9% in2006-08 (combined data).3

During State Fiscal Year 2010, 6.8%of Southwest Utah stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 71%.4

Southwest Utah Public Health DistrictCounties: Beaver, Garfield, Iron, KaneWashington

Southwest Utah Tobacco-related Trends

Tobacco Statistics

SWUPHD State



6.6% 6.4%


2





82 689


SWUPHD has been working withlocal healthcare providers to add

tobacco use with their patients.After participating in tobaccopolicy-related assessments andtraining, Enterprise Valley MedicClinic (shown below) is workingon improving its tobacco cessatiopolicies to ensure that patients wsmoke have easy access to quitcounseling and medications.

References:

Utah Department of Health.1 Behavioral Risk Factor Surveillance System (BRFSS).1997-2009. Salt Lake City: Utah Department of Health. Center for Health Data. (Note: TheseBRFSS data may underestimate adult smoking prevalence because the samples did notinclude mobile phone numbers. Data from the late 1990s refer to combined BRFSS datafrom 1997-1999.)Utah Birth Certificate Database. Retrieved July 29, 2010 from Utah Department of2Health, Center for Health Data, Indicator-Based Information System for Public Healthweb site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. Thesesmoking rates are based on pregnancies that led to live births.Utah Department of Health.3 Utah Healthcare Access Survey, 2001-2008. Salt Lake City:Utah Department of Health. Center for Health Data.Tobacco Prevention and Control Program. (2010).4 Tobacco Compliance Check summarydata, SFY2001-2010, (provisional data). Salt Lake City: Utah Department of Health.Tobacco Prevention and Control Program.5 Prevention Needs Assessment TobaccoQuestions, 2009. Salt Lake City: Utah Department of Health.


14/2014

Summit County Public Health Department (SCPHD)

Since the late 1990s, the estimated age-adjusted adult smoking rate in SummitCounty Health District has decreased by

22%.1Birth certificates indicate that since1999, smoking during pregnancy hasdeclined by 40%.2

The estimated rate of children exposedto secondhand smoke in their homes hasdecreased from 7.5% in 2001 to 2.4% in2006-08 (combined data).3

During State Fiscal Year 2010, 3.2%of Summit County stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 87%.4

Summit County Tobacco-related Trends

Tobacco Statistics

SCPHD State



10.4% 6.4%


2

2.2%* 5.4%Homes with No Smoking Rule (2006-08)1 92.1% 92.1%




- 689


The Summit County HealthDepartment and South Summit Peereaders raised awareness of the

armful effects of tobacco throughschool-wide campaign at Southummit High School. Outlines ofodies were placed throughout thechool to represent the number ofeople who die from tobacco usevery hour in the United States. Theylso placed 1,200 brightly coloredawn flags in the grass at the front ofhe school to show how many peopleie each day.

1 OF 50

This body represents one of the 50

people who

DIE EVERY HOUR

from tobacco use!

Dont be 1 of the 50!




15/20 1

Tooele County Health Department (TCHDTooele County Health Department (TCHDSince the late 1990s, the estimated age-adjusted adult smoking rate in TooeleCounty has decreased by 39%.1

Birth certificates indicate that since 1999,smoking during pregnancy has remainedunchanged.2


During State Fiscal Year 2010, 2.3%of Tooele County stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal sales ratehas decreased by 90%.4

Tooele County Tobacco-related Trends

Tobacco Statistics

TCHD State



11.3% 6.4%






76 689


The TRUTH Fairy (Gayle Parker)showed up during prom week atTooele, Grantsville, and StansbuHigh Schools. The TRUTH Fairystood outside the schools andeducated students about therisks of tobacco use by askingthem tobacco-related questions.

Prevention education is part ofthe Tooele school districts effortto reduce tobacco use througha comprehensive, district-widetobacco-free policy.



16/2016

TriCounty Health Department (TRCHD)

Since the late 1990s, the estimated age-adjusted adult smoking rate in TriCountyhas increased by 11%.1

Birth certificates indicate that since 1999,smoking during pregnancy has remainedunchanged.2


During State Fiscal Year 2009, 12.7%of TriCounty stores sold tobacco tounderage youth during compliancechecks. Since 2001, the illegal sales ratehas decreased by 31%.4

riCounty Health District Counties:Daggett, Duchesne, Uintah

TriCounty Tobacco-related Trends

Tobacco Statistics

TRCHD State



6.2% 6.4%


2





22 689


Sarah Howell from NaplesElementary School was chosenas the second place winner inthe statewide billboard categoryof the Truth from Youth Anti-

Tobacco Advertising Contest.The Truth from Youth Anti-tobacco Advertising Contesteducates 4th and 5th gradestudents across the state abouttobacco-related risks andencourages them to create anti-tobacco messages for themselvesand their peers.



17/20 1

Utah County Health Department (UCHDUtah County Health Department (UCHDSince the late 1990s, the estimatedage-adjusted adult smoking rate in UtahCounty Health District has decreased by

9%.1 Utah Countys smoking rate is thelowest in the state.1

Birth certificates indicate that since1999, smoking during pregnancy hasdeclined by 26%.2

The estimated rate of children exposedto secondhand smoke in their homes was1.1% in 2006-08 (combined data).3

During State Fiscal Year 2010, 4.3%of Utah County stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 60%.4

Utah County Tobacco-related Trends

Tobacco Statistics

UCHD State



3.1% 6.4%


2





72 689


Youth from OUTRAGE, an anti-tobacco youth group from UtahCounty, educated the public abodissolvable tobacco products as of their Kick Butts Day activities

Orem, Utah.



18/2018

Wasatch County Health Department (WCHD)

Since the late 1990s, the estimated age-adjusted adult smoking rate in WasatchCounty has decreased by 33%.1

Birth certificates indicate that since 1999,smoking during pregnancy has decreasedby 11%.2

The estimated rate of children exposedto secondhand smoke in their homes hasdecreased from 4.2% in 2001 to 1.9% in2006-08 (combined data).3

During State Fiscal Year 2010, noWasatch County stores sold tobaccoto underage youth during compliancechecks. In FY2001, the illegal sales ratewas 14%.4

Wasatch County Tobacco-related Trends

Tobacco Statistics

WCHD State

Adult Cigarette Smoking (2009)1 8.6%* 9.5%


9.2% 6.4%

Pregnant Women Smoking (2008)2 5.6% 5.4%

Homes with No Smoking Rule (2006-08)1 90.4% 92.1%




12 689


As a recipient of a The TRUTH

High School Rodeo Scholarship,Janessa Potter will share anti-tobaccomessages with students and will bea role model for youth training tobecome rodeo athletes.

"The reputation of the MarlboroMan ends here. Thank you to theWasatch County Health Department,the Utah High School RodeoAssociation and to The TRUTH for

offering anti-tobacco sponsorshipand scholarships to establishtobacco free norms among rodeoathletes and fans.

Janessa Potter,High School Rodeo ScholarshipRecipient, Wasatch County

References:




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Weber-Morgan Health Department (WMHD)Weber-Morgan Health Department (WMHDSince the late 1990s, the estimated age-adjusted adult smoking rate in Weber-Morgan Health District has decreased by

23%.1Birth certificates indicate that since1999, smoking during pregnancy hasdecreased by 38%.3


During State Fiscal Year 2010, 8.7%of Weber-Morgan stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 47%.4

Weber-Morgan Tobacco-related Trends

Tobacco Statistics

WMHD State



6.2% 6.4%

Pregnant Women Smoking (2008)2 8.1% 5.4%

Homes with No Smoking Rule (2006-08)1 92.2% 92.1%




18 689


The Weber Morgan Governing Y

Council, Boys and Girls Club, anRiverdale Elementary Kids AgainTobacco (KAT) participated in KiButts Day this year by creatingeducational displays in various pthroughout the county. The dispserved as a reminder to the citizof Weber County about the counwide outdoor smoking regulation

References:

Utah Department of Health.1 Behavioral Risk Factor Surveillance System (BRFSS).1997-2009. Salt Lake City: Utah Department of Health. Center for Health Data. (Note:These BRFSS data may underestimate adult smoking prevalence because the samplesdid not include mobile phone numbers. Data from the late 1990s refer to combinedBRFSS data from 1997-1999.)Utah Birth Certificate Database. Retrieved July 29, 2010 from Utah Department of2Health, Center for Health Data, Indicator-Based Information System for Public Healthweb site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. Thesesmoking rates are based on pregnancies that led to live births.Utah Department of Health.3 Utah Healthcare Access Survey, 2001-2008. Salt LakeCity: Utah Department of Health. Center for Health Data.Tobacco Prevention and Control Program. (2010).4 Tobacco Compliance Check summarydata, SFY2001-2010, (provisional data). Salt Lake City: Utah Department of Health.Tobacco Prevention and Control Program.5 Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.


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Utah Department of Health

Tobacco Prevention and Control Program

1 (877) 220-3466

www.tobaccofreeutah.org

www.health.utah.gov

To view a copy of the Tenth Annual Tobacco Prevention and Control report online, please go to www.tobaccofreeutah.o

and click on the FY2010 Annual Report link or go directly to www.tobaccofreeutah.org/tpcpfy10report.pdf.

Trademarks (front cover): HersheyTM, MarsTM, Cadbury AdamsTM, Link Snacks, IncTM, AltriaTM, RJ ReynoldsTM, FerreroTM,Perfetti Van MelleTM

Acknowledgments

The Utah Department of Health would like to thank the Tobacco Control Advisory Committee for its support, dedicationand expert advice.

Scott Brown, M.S., American Heart Association of Utah, Committee Chair

Lloyd Berentzen, M.B.A., Bear River Health Department

Heather Borski, M.P.H., Utah Department of Health*

Craig Cutright, American Lung Association of Utah

Gary Edwards, M.S., Salt Lake Valley Health Department

Mary Lou Emerson, M.S., Utah Substance Abuse Advisory Council

Sharon Hansen, M.S., Cornerstone Counseling Center

Brent Kelsey, Utah Division of Substance Abuse and Mental Health

Beverly May, M.P.A., National Campaign for Tobacco-Free Kids

Robert Rolfs, M.D., M.P.H., Utah Department of Health*

Jesse Soriano, M.A., M.S., State Office of Ethnic Affairs

Teresa Theurer, Community Member

Liz Zentner, R.T., Utah Parent Teacher Association

*non-voting member

Documents

Tobacco Prevention and Control, 10th Annual Report