Tobacco Use
TU-1 Reduce tobacco use by adults
| 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)
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| Target: |
12.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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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)
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| Target: |
0.3 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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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)
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| Target: |
0.2 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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TU-2 Reduce tobacco use by adolescents
| 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
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| Target: |
21.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
19.5 percent of adolescents in grades 9 through 12 smoked cigarettes in the past 30 days in 2009
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| Target: |
16.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
6.9 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
14.0 percent of adolescents in grades 9 through 12 smoked cigars in the past 30 days in 2009
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| Target: |
8.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP |
| More Information: |
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TU-3 Reduce the initiation of tobacco use among children, adolescents, and young adults
| 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
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| Target: |
5.7 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
4.2 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
0.5 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
2.8 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
8.8 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
6.3 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
0.2 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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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
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| Target: |
4.1 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Survey on Drug Use and Health (NSDUH), SAMHSA |
| More Information: |
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TU-4 Increase smoking cessation attempts by adult smokers
| 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)
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| Target: |
80.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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| Potential Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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TU-5 Increase recent smoking cessation success by adult smokers
| 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)
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| Target: |
8.0 percent |
| Target-Setting Method: |
2 percentage point improvement |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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| Potential Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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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
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| Target: |
30.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
National Health Interview Survey (NHIS), CDC/NCHS |
| More Information: |
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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
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| Target: |
64.0 percent |
| Target-Setting Method: |
Retention of Healthy People 2010 target |
| Data Source: |
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCCDPHP |
| More Information: |
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Health Systems Changes
| Baseline: |
6 States had comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in 2007
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Medicaid Coverage for Tobacco-Dependence Treatments, CDC/NCCPHP/OSH and Berkley, CHPPS |
| More Information: |
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TU-9 Increase tobacco screening in health care settings
| Baseline: |
62.4 percent of office-based ambulatory care setting visits among patients aged 18 years and older had tobacco screening in 2007
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| Target: |
68.6 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
| More Information: |
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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
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| Target: |
66.2 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS |
| More Information: |
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| Potential Data Source: |
Survey of Dental Practice, American Dental Association (ADA) |
| More Information: |
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| Potential Data Source: |
National Survey of Substance Abuse Treatment Services (N-SSATS), SAMHSA |
| More Information: |
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TU-10 Increase tobacco cessation counseling in health care settings
| 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
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| Target: |
21.1 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
| More Information: |
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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
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| Target: |
24.9 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS |
| More Information: |
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| Potential Data Source: |
Survey of Dental Practice, American Dental Association (ADA) |
| More Information: |
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| Potential Data Source: |
National Survey of Substance Abuse Treatment Services (N-SSATS), SAMHSA |
| More Information: |
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Social and Environmental Changes
TU-11 Reduce the proportion of nonsmokers exposed to secondhand smoke
| Baseline: |
52.2 percent of children aged 3 to 11 years were exposed to secondhand smoke in 2005–08
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| Target: |
47.0 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| More Information: |
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| Baseline: |
45.5 percent of nonsmoking adolescents aged 12 to 17 years were exposed to secondhand smoke in 2005–08
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| Target: |
41.0 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| More Information: |
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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)
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| Target: |
33.8 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| More Information: |
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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
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| Target: |
100 percent |
| Target-Setting Method: |
Projection/trend analysis |
| Data Source: |
Current Population Survey (CPS), Census and DOL/BLS |
| More Information: |
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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
| Baseline: |
30 had smoke-free indoor air laws that prohibit smoking in private worksites in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
34 had smoke-free indoor air laws that prohibit smoking in public worksites in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
23 States had smoke-free indoor air laws prohibiting smoking in gaming halls in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
4 States had smoke-free indoor air laws that prohibit smoking in vehicles with children in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
8 States had smoke-free indoor air laws that prohibit smoking in prisons and correctional facilities in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
9 States had smoke-free indoor air laws prohibiting smoking in substance abuse treatment facilities in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
9 States had smoke-free indoor air laws prohibiting smoking in mental health treatment facilities in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
1 State had a smoke-free indoor air law prohibiting smoking on college and university campuses in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
87.0 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
Current Population Survey (CPS), Census and DOL/BLS |
| More Information: |
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TU-15 Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school events
| Baseline: |
65.4 percent of junior high schools had tobacco-free environments, including all school facilities, property, vehicles, and school events, in 2006
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| Target: |
100 percent |
| Target-Setting Method: |
Total coverage |
| Data Source: |
School Health Policies and Practices Study (SHPPS), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
100 percent |
| Target-Setting Method: |
Total coverage |
| Data Source: |
School Health Policies and Practices Study (SHPPS), CDC/NCCDPHP |
| More Information: |
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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
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| Target: |
100 percent |
| Target-Setting Method: |
Total coverage |
| Data Source: |
School Health Policies and Practices Study (SHPPS), CDC/NCCDPHP |
| More Information: |
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| Potential Data Source: |
To be determined |
| More Information: |
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TU-16 Eliminate State laws that preempt stronger local tobacco control laws
| Baseline: |
12 States preempted stronger local tobacco control laws on smoke-free indoor air in 2009
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| Target: |
0 States and the District of Columbia |
| Target-Setting Method: |
Total elimination |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
18 States preempted stronger local tobacco control laws on advertising in 2009
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| Target: |
0 States and the District of Columbia |
| Target-Setting Method: |
Total elimination |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Baseline: |
22 States preempted stronger local tobacco control laws on youth access to tobacco products in 2009
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| Target: |
0 States and the District of Columbia |
| Target-Setting Method: |
Total elimination |
| Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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TU-17 Increase the Federal and State tax on tobacco products
| 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
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| 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 (STATE), CDC/NCCDPHP |
| More Information: |
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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
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| 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 (STATE), CDC/NCCDPHP |
| More Information: |
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| Potential Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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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
| 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
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| Target: |
33.1 percent |
| Target-Setting Method: |
10 percent improvement |
| Data Source: |
National Youth Tobacco Survey (NYTS), CDC/NCCDPHP/OSH |
| More Information: |
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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
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| Target: |
19.3 percent |
| Target-Setting Method: |
Projection/trend analysis |
| Data Source: |
National Youth Tobacco Survey (NYTS), CDC/NCCDPHP/OSH |
| More Information: |
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| Potential Data Source: |
To be determined |
| More Information: |
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| Potential Data Source: |
To be determined |
| More Information: |
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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
| Baseline: |
5 States reported an illegal sales rate to minors of 5 percent or less in compliance checks in 2009
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| Target: |
51 (50 States and the District of Columbia) |
| Target-Setting Method: |
Total coverage |
| Data Source: |
Synar Program, SAMHSA/CSAP |
| More Information: |
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| Baseline: |
1 Territory reported an illegal sales rate to minors of 5 percent or less in compliance checks in 2009
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| Target: |
8 Territories |
| Target-Setting Method: |
Total coverage |
| Data Source: |
Synar Program, SAMHSA/CSAP |
| More Information: |
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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.
| Potential Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Potential Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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| Potential Data Source: |
State Tobacco Activities Tracking and Evaluation System (STATE), CDC/NCCDPHP |
| More Information: |
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