Martin

							    Expanding Our Reach



A Deeper Look at Youth Tobacco Survey (YTS)

    HWTF Annual Conference
               October 13, 2010

    Jim D. Martin, Director of Policy & Programs
       Tobacco Prevention and Control Branch       1
       Analysis and Trends of NC Youth
            Tobacco Survey (YTS)
► Smoking rates among middle and high school students have
  significantly decreased from 1999-2009.
► Smokeless tobacco use has not significantly changed over this time
  period.
► New smokeless products (snus, orbs, strips) are viewed by
  students as less risky alternatives to regular smokeless
  tobacco use. (CDC says they are not a safe substitute).
► The dangers of smoking and secondhand smoke are
  widely known among students.
► Students reporting positive beliefs about smoking as an enhancer
  of “coolness” and friendship remains a problem.
                                                                       2
      Analysis and Trends of NC YTS
                 (Cont.)

► Substantial differences exist in brand preferences by
  race/ethnicity.
► Students who are more susceptible to tobacco use
  report similar characteristics.
► Data show that middle and high school youth report
  broad support for indoor and outdoor smoke-free
  policies.
► Young adults (18-24 year old) have higher smoking rates
  than high school students and adults overall.

                                                     3
Cigarette Use in NC High Schools and Middle Schools




Source: NC YTS 1999-2009                        4
               By 2010, decrease overall teen tobacco use in
                   North Carolina from 38.3% to 19.1%.
45



40         38.3

                           35.8

35                                         33.7


                                                                 Overall Tobacco Use (HS)
30                                                        28.5
                                                                            26.6
                                                                                            25.8

25

                  Vision 2010 Goal
20
        19.1                                                                                       19.1

           18.4
15                         17.4

                                           14.3
10
                           Overall Tobacco Use (MS)       10.5                              10.5
                                                                            9.1
 5



 0
           1999            2001            2003           2005             2007             2009

     Source: North Carolina Youth Tobacco Survey 1999, 2001, 2003, 2005, 2007, 2009
                                                                                                          5
Smokeless Tobacco Use in NC High Schools and Middle Schools




  Source: North Carolina Youth Tobacco Survey 1999, 2001, 2003, 2005, 2007, 2009   6
Perceptions of Risk and Awareness of New Smokeless
Tobacco Products Among NC Teens in High School and
                    Middle School




Source: North Carolina Youth Tobacco Survey 2009   7
Belief that Secondhand Smoke is Harmful Among NC Students




  Source: North Carolina Youth Tobacco Survey 2009    8
          Belief that Smoking for Only a Year or Two
                  Is Not Safe Among NC Teens




Source: North Carolina Youth Tobacco Survey 2009       9
Belief About Smokers Among NC Teens




Source: North Carolina Youth Tobacco Survey 2009   10
Ethnic Preferences for the Three Leading Brands
  Among NC Teens Who Are Current Smokers




Source: North Carolina Youth Tobacco Survey 2009   11
     Students Who are Susceptible Over Time to
                   Tobacco Use
    (e.g. report the possibility of trying tobacco in the next year)

Characteristics that increase susceptibility:

► Willingness to use or wear tobacco industry
  promotional items
► Have friends who use tobacco

► Exposure to smoking environments and

  depictions of tobacco use in media
Source: UNC Tobacco Prevention and Evaluation, YTS Analysis 1999-2009
                                                                        12
    Support of Smoke-Free Policies for Indoor and
       Outdoor Public Places among NC Teens




Source: North Carolina Youth Tobacco Survey 2009   13
By 2010, decrease the prevalence of adults who
   smoke in North Carolina from 25% to 12%




        Adults




         Vision 2010 Goal




                                             14
                  By 2010, reduce the use of spit tobacco
               products among 18-24 year-old young adults
                   in North Carolina from 5.0% to 3.8%.
  7


                                             SLT use rates among 18-24 yr. olds     6.5
  6



  5
                                                                   5.2
        5.0
                  4.8
                                                                            4.5
  4

        3.8
                                                         3.7
                                                                 Vision 2010 Goal          3.8

  3                         3.4
                                     3.1
                                               2.7
  2



  1



  0
        1999      2000     2001      2002      2003     2004      2006      2008    2009   2010


Source: NC Behavioral Risk Factor Surveillance System (BRFSS) 1999-2009                    15
  By 2020, decrease the percent of high school
 youth currently using any tobacco from 25.8%
                    to 15.0%




Source: North Carolina Youth Tobacco Survey 2009   16
  Key Evidence-Based Interventions
Promoting Behavior Change Over Time
  ► Price (10% price increase minimum)
  ► Tobacco-free and Smoke-free Policies

  ► Media (TRU and Truth) (especially when

   combined with local interventions)
  ► Youth Advocacy for evidenced-based

    policies
  ► Treatment that is low cost or no cost



                                             17
            For more information on
                 NC YTS Data:
See:
http://www.tobaccopreventionandcontrol.ncdhhs.gov/
  data/yts/index.htm


                    Or contact:
Molly Aldridge
molly.aldridge@dhhs.nc.gov
(919)707-5412
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