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TPC 2017-2019 Capacity Building RFA Resource Guide 1
Tobacco Prevention and Cessation Commission (TPC) 2017-2019 Capacity Building Request for Applications (RFA)
Resource Guide
Contents Page
Work Plan Resources
TPC Community Indicators by Priority Area ....................................................................... 2
Writing SMART Objectives .................................................................................................. 3
Sample Work Plans ............................................................................................................. 4
Communication Resources
Recommended Communication Outreach Frequency and Topic Suggestions .................. 6
Coalition Resources
Recommended Coalition Maintenance Activities .............................................................. 8
American Cancer Society – Communities of Excellence: Steps to Coalition Building ........ 9
American Cancer Society – Communities of Excellence: Developing the Team .............. 10
Key Informant Interview Guide for Prospective Coalition Members ............................... 13
Online Resource List
Tobacco and Health Data .................................................................................................. 16
Tobacco Control Best Practices ........................................................................................ 16
Online Resources by TPC Indicator ................................................................................... 17
County-level Tobacco Data
Population, Adult Smoking, and Smoking-related Illnesses and Deaths .......................... 19
Smoking during Pregnancy and Secondhand Smoke ........................................................ 22
Data Sources and Methodology ....................................................................................... 26
TPC 2017-2019 Capacity Building RFA Resource Guide 2
TPC Community Indicators by Priority Area – Capacity Building Grant
TPC 2017-2019 Capacity Building RFA Resource Guide 3
Writing SMART Objectives
SMART OBJECTIVES are statements that describe the results to be achieved and the manner in which the results will be achieved. Developing SMART Work Plans
• Specific
• Measurable
• Achievable
• Relevant
• Timebound
Specific-identifies a specific event or action that takes place
What is expected to change?
Where will change occur?
Measurable-quantifies the amount of change to be achieved
How much change?
How does the change compare to baseline?
Achievable-is realistic given available resources and plans for implementation
With a reasonable amount of effort and application, can the objective be achieved? Are you attempting too much?
Relevant-is logical and relate to program and goals
Is the objective important or worthwhile to the stakeholders?
When in doubt, refer to the TPC Priority areas, Community Indicators, and contract deliverables (and CDC’s Best Practices)!
Time-bound-specifies a time by which it will be achieved
When will change occur? Is there a time limit? When will this objective be accomplished?
SAMPLES:
Electronically embed the Indiana Tobacco Quitline fax referral into EMR/EHR of one healthcare system
in Prince Edward County by June 30, 2019.
Pass and implement a comprehensive smoke-free indoor air policy within two local market rate multi-
unit housing complexes by June 30, 2019.
4
Priority Area: Decrease youth tobacco use rates Point-of-Sale (Indicator #3) - Extent of broad-based community support for tobacco Point-of-Sale (POS) strategies at the local level
Expected Outcome: Educate the community on tobacco Point-of-Sale advertising SMART Objective for indicator:
Describe vision to meet deliverables (below) for 2017-2019
Deliverables
1. Participate in Standardized Tobacco Assessment of Retail Settings (STARS) annual survey to collect county-level data ontobacco products and point-of-sale advertising in retail establishments.
2. Conduct youth and adult-focused presentations on how tobacco products are priced and marketed to target teens. Appro-priate audiences may include youth ages 12-18 years, youth-serving organizations, internal and external partners including coalition members and lead agencies, and key decision makers in the community.
3. Provide education to the coalition regarding tobacco related Point-of-Sale strategies.
5
Priority Area: Decrease adult smoking rates Quitline (Indicator #11) - Extent of utilization of the Indiana Tobacco Quitline (ITQL) throughout the community
Expected Outcome: Build a network of healthcare providers that routinely refer tobacco users to the Indiana Tobacco Quitline SMART Objective for indicator:
Describe vision to meet deliverables (below) for 2017-2019
Deliverables
1.. Manage the Quit Now Indiana Preferred Provider Network list by conductin ALL of the following on-going activities:
• Outreach with all new contacts on the Quit Now Indiana Preferred Provider Network list to determine interest leveland intensity of follow up needed (new contacts provided monthly)
• Intense outreach to Quit Now Indiana Preferred Provider Network members with a high interest level throughon-going follow-up (by phone or in person)
• Track outreach to Quit Now Indiana Preferred Provider Network and quitline referrals from providers contacted
Recommended Communication Outreach Frequency and Topic Suggestions
TPC 2017-2019 Capacity Building RFA Resource Guide 6
Recommended Communication Outreach Frequency:
Letter to the editor (LTE) submissions: At least once per month (refer below to recommended
topics and timing)
o TPC provides at least one LTE sample per month for partners to distribute
Social media postings: At least once per week, per registered social media channel (Facebook,
Twitter, Instagram)
o TPC provides social media topics and some draft postings
Guest article in local/business/company newsletter (online or print), blog, newspaper: At least 2
times per year
o Reach out to coalition member networks and see what local media distributions exist
o TPC can assist with brainstorming and drafting guest articles submissions
Point of Sale Indicator:
Topics
o General point of sale/retail environment
o Youth targeting (price, flavor, marketing)
o Other tobacco products (chew/spit tobacco, e-cigarettes, hookah, little cigars, etc.)
Ideal LTE distribution times (2 LTEs per year)
o Back to school season (end of July to September)
o Halloween (flavored products)
Social media accounts to follow:
o Counter Tobacco, Counter Tools, Voice, Campaign for Tobacco Free Kids, Truth Initiative,
Truth, Fresh Empire, American Academy of Pediatrics
Tobacco-Free Worksite Indicator:
Topics
o Dangers of secondhand smoke
o Benefits of comprehensive smoke-free air laws/local authority
o Worker protection
o Economic impact of secondhand smoke/Business leader perspective
Ideal LTE distribution times (At least 3 LTEs per year; more if working on local campaign)
o Before and during any local campaign work
Social media accounts to follow:
o Americans for Nonsmokers Rights, Tobacco Free Indiana
Tobacco-free Schools
Topics
o Gary Sandifer Award
This award is given to schools who implement comprehensive smoke-free
campus policy.
TPC has sample press releases and LTEs on this subject
o Importance of comprehensive tobacco-free campuses, including e-cigarettes
Recommended Communication Outreach Frequency and Topic Suggestions
TPC 2017-2019 Capacity Building RFA Resource Guide 7
Multi-Unit Housing Indicator:
Topics
o Benefits of smoke-free MUH (resident health, economical for property owners)
o Legality of smoke-free MUH
At least 1 LTE per year
Social media accounts to follow:
o Smoke-Free Housing Indiana
Quitline Indicator:
Topics
o Cessation
o Health observances (i.e. American Heart Month, Lung Cancer Awareness Month, Great
American Smokeout)
o “Talk to your doctor”
o Quitline services (eQuit, Text2Quit)
Ideal LTE distribution
o During health observances (TPC sends notifications on upcoming observances)
o At least 3 LTEs per year
Social media accounts to follow
o CDC Tobacco Free, America Lung Association, American Heart Association, American
Cancer Society, American Medical Association, American
Employers Indicator:
Topics
o Tobacco-free workplaces/employee health
o Tobacco use costs for employers
o Employer provided tobacco cessation benefits
Ideal LTE distribution (At least 1 LTE per year)
o Open enrollment (October to November)
Priority Populations Indicator:
Topics:
o Medicaid tobacco use rates/Quitline services
o Mental health population tobacco use rates/cessation benefits
o LGBT tobacco use rates/cessation benefits
o Women of child bearing age/pregnant women tobacco use rates/Quitline services
At least 2 LTES per year
Social media accounts to follow:
o LGBT HealthLink, Indiana Latino Institute, Indiana Black Expo, SAHMSA
TPC 2017-2019 Capacity Building RFA Resource Guide 8
Recommended Coalition Maintenance Activities
Develop leadership structure and decision making processes (bylaws) within the coalition.
Schedule meetings at a regular time and place each month.
Send coalition meeting notices and reminders in advance of the meeting each month.
Share coalition meeting details (location, time) on coalition social media channels. Create Facebook events for upcoming coalition meetings.
Prepare agendas and record minutes for each coalition meeting. Share minutes with members within one week of meeting.
Ensure each meeting results in action items for coalition members to complete.
Provide training to the coalition on topics relevant to the workplan and evidence-based tobacco control practices. (Reference CDC Best Practices.) This can include sharing news items, fact sheets, or other relevant pieces at each meeting that help educate the coalition on various aspects of tobacco control.
Share the workplan with the coalition, discuss progress, and ask for their input and assistance on deliverables that interest them.
Survey any new members to determine interests, skills and possible networks for outreach.
Develop a coalition brochure or other coalition recruitment tool for prospective coalition members and partners.
Develop a coalition newsletter and distribute among appropriate communication channels. Newsletters can include recent coalition activity, current events in tobacco control, outlining goals for the year, guest article submissions, coalition member highlights, etc.
Recommended Resources
Coalition Roles & Job Descriptions
Coalition Bylaws
Coalition Meeting Checkup
Coalition Member Survey
Steps to Coalition Building & Developing the Team
American Cancer Society’s Communities of Excellence in Tobacco Control: A Community Planning Guide
TPC 2017-2019 Capacity Building RFA Resource Guide 9
Steps to Coalition Building
1. Identify the core group of tobacco control ‘champions’ in your community. These are the
people who are known to be passionate and committed to tobacco control and put aside their
own agendas for the greater good.
2. Including non-traditional partners will help make your planning effort more representative as
well as enlarge your base of support. Non-traditional partners will vary with each community
and may include: youth, seniors, business leaders, people from different neighborhoods and
population groups, and religious leaders.
3. Ask each person/group what they think they can bring to the effort – that is, what skill,
perspectives and resources they have to contribute. Learn how they want to be involved and
how they will not/cannot be involved (e.g., some people cannot be part of any policy work).
4. Develop leadership structure and decision making processes (bylaws) within the coalition.
Steps to Coalition Building & Developing the Team
American Cancer Society’s Communities of Excellence in Tobacco Control: A Community Planning Guide
TPC 2017-2019 Capacity Building RFA Resource Guide 10
Increasing the Diversity of Our Tobacco Control Team
Who else will help to make your planning efforts more representative of your community?
Consider including people/organizations that you may not usually include in your planning
efforts and programs. Including others will help to enlarge your base of support and bring
additional resources to your tobacco control efforts. Use this chart to help you identify
additional people and organizations and what each has to offer to your community’s tobacco
control efforts.
Name/Organization What they have to offer to the
tobacco control efforts
Youth-led groups
Youth Advocacy Organizations (ie: PTOs, PTAs, Boys Clubs, Girls Clubs)
Ethnic Specific Community Groups
Seniors
Business leaders
Religious leaders
Environmental groups
Drug prevention organizations
Steps to Coalition Building & Developing the Team
American Cancer Society’s Communities of Excellence in Tobacco Control: A Community Planning Guide
TPC 2017-2019 Capacity Building RFA Resource Guide 11
Name/Organization What they have to offer to the
tobacco control efforts
Survivor support groups
Labor/employee unions
Restaurant owners
Neighborhood associations
Hospitals that serve the area
Local health departments
County nursing services
Local medical associations
Local dental associations
Other health care professionals
Law enforcement
Steps to Coalition Building & Developing the Team
American Cancer Society’s Communities of Excellence in Tobacco Control: A Community Planning Guide
TPC 2017-2019 Capacity Building RFA Resource Guide 12
Name/Organization What they have to offer to the
tobacco control efforts
Schools, including colleges and universities
Media
Parent groups
Former tobacco users
Others
Key Informant Interview Guide
Prospective Coalition Member
TPC 2017-2019 Capacity Building RFA Resource Guide 13
Purpose of the Interview: Engage a prospective coalition member(s) in the community to come together and work on a comprehensive tobacco control effort. Process for Setting up Interviews: Contact the potential interviewee and request a one-hour meeting to complete the interview. At the time the interview is being scheduled, provide the interviewee with the following information:
Name and explanation of your organization
Describe your partnership with TPC
Explain that the interviewee is seen as a prospective coalition member in the community and you believe they can provide valuable information related to comprehensive tobacco control.
Tell the interviewee that the interview will take approximately 45 minutes
Explain that specific answers will not be attributed to interviewees so they are comfortable that the information they share will be confidential
Ask if they have any questions at this time Preparing for the Interview:
Bring state and local data on smoking
Bring copies of basic fact sheets on burden of tobacco use
Bring a coalition information page that includes: o Contact Information o Meeting Schedule o Coalition goals / strategic plan
Key Informant Interview Guide
Prospective Coalition Member
TPC 2017-2019 Capacity Building RFA Resource Guide 14
What sector of the community does the prospective coalition member represent? (ie. faith-based, school, business, medical) Name of Interviewee: Position/Title: Date Interviewed: Interviewer: I represent__________________________________ and we work with Indiana Tobacco Prevention and Cessation (ITPC) on tobacco control issues in our community. As I explained on the phone, we think that this is an excellent opportunity for us to gain a better understanding of your thoughts and ideas related to tobacco use prevention and cessation in our community. As a key public health leader, we value your input. We greatly appreciate you taking the time to meet with us. [As you may know, smoking in our state/community is a critical problem (provide data). We are working to do everything we can to help Hoosiers quit smoking.]
1. What is your knowledge of the issue of tobacco in our community? (ie. smoking rates,
local ordinances, school policies)
2. Is the issue relevant to you? How so?
Key Informant Interview Guide
Prospective Coalition Member
TPC 2017-2019 Capacity Building RFA Resource Guide 15
3. Have you had any personal experiences with tobacco or tobacco control? What are they?
4. Have you heard about or participated in community events sponsored by our tobacco control coalition?
5. Are you interested in joining our coalition and its efforts? What are you willing to do? Is there anything you are unable to do? (ie. legal restrictions)
6. Do you know anyone else who might be interested in participating in the coalition?
7. Other comments or suggestions??
Thank you for taking time for this interview. If you have additional questions or concerns, I can be reached at ____________________________________.
Online Resource List
TPC 2017-2019 Capacity Building RFA Resource Guide 16
Tobacco and Health Data – County, State, and National Resources
County-level health data:
Indiana INdicators (http://www.indianaindicators.org/) Access county-level data through the “Community Dashboards”
County Health Rankings (www.countyhealthrankings.org) From the United States map on the homepage, click on Indiana. From there, select your county
for a table of health indicators and rankings for your county. Indiana Birth Reports (Natality) (http://www.in.gov/isdh/19095.htm)
From the home page, select the year of the report you would like to view. From the report title page, click the “Table of Contents” link. Scroll down and select “Table 32. Outcome Indicator Percentages by County of Residence and Race/Ethnicity of Mother” for county-level smoking during pregnancy data. (Note: Data for different races/ethnicities may be accessed by clicking the links for the white, black, and Hispanic populations at the top of Table 32.)
Indiana Tobacco Data and Information:
TPC Fact Sheets (http://www.in.gov/isdh/tpc/2341.htm) TPC Smoke-free communities maps and resources (http://www.in.gov/isdh/tpc/2333.htm) Campaign for Tobacco-Free Kids – The Toll of Tobacco in Indiana
(http://www.tobaccofreekids.org/facts_issues/toll_us/indiana)
General Tobacco-related Information and Statistics:
Centers for Disease Control and Prevention (CDC), Office on Smoking and Health (https://www.cdc.gov/tobacco/)
Tobacco Control Best Practices
CDC – Best Practices for Comprehensive Tobacco Control Programs, 2014
(https://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2014/comprehensive.pdf)
Tobacco Control Network (TCN) (http://tobaccocontrolnetwork.org/)
TCN - 2016 Policy Recommendations Guide (http://tobaccocontrolnetwork.org/resources/)
Online Resource List – By Indicator
TPC 2017-2019 Capacity Building RFA Resource Guide 17
Priority Area: Decrease youth tobacco use rates
Indicator 3 – Point-of-Sale
Campaign for Tobacco-Free Kids - Tobacco Marketing to Kids Fact Sheets
(https://www.tobaccofreekids.org/facts_issues/fact_sheets/toll/tobacco_kids/marketing/)
CounterTobacco.org (www.countertobacco.org)
TPC – Results from the 2014 Indiana Youth Tobacco Survey (see especially Section 5 – Youth
Access and Purchasing and Section 8 – Tobacco Marketing)
(http://www.in.gov/isdh/tpc/files/2014_Indiana_YTS_Report__FINAL_3-2-2016.pdf)
Priority Area: Increase proportion of Hoosiers not exposed to
secondhand smoke
Indicators 7 & 8 – Tobacco-Free Schools & Multi-Unit Housing
TPC – Local Community Smoke Free Air Policy (maps and fact sheets)
(http://www.in.gov/isdh/tpc/2333.htm)
TPC – Fact Sheets (See specifically Secondhand Smoke fact sheets.)
(http://www.in.gov/isdh/tpc/2341.htm)
Americans for Nonsmokers’ Rights (http://www.no-smoke.org/)
Smoke-Free Housing Indiana (http://insmokefreehousing.com/)
U.S. Department of Housing and Urban Development (HUD) – Smoke-Free Housing Toolkits
(https://portal.hud.gov/hudportal/HUD?src=/smokefreetoolkits1)
Tobacco-free Campus (http://tobaccofreecampus.org/)
Priority Area: Decrease Indiana adult smoking rates
Indicator 11 – Quitline
Indiana State Department of Health Quitline Website (general information)
(www.in.gov/quitline)
Quit Now Indiana (Quitline website) (www.quitnowindiana.com)
CDC – Best Practices for Comprehensive Tobacco Control Programs (see Section III: Cessation
Interventions)
(https://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2014/comprehensive.
pdf)
North American Quitline Consortium (http://www.naquitline.org/?page=whatisquitline)
Online Resource List – By Indicator
TPC 2017-2019 Capacity Building RFA Resource Guide 18
Priority Area: Maintain a state and local infrastructure
necessary to lower tobacco use rates
Indicator 14 – Coalition
CDC – Coalitions: State and Community Interventions
(ftp://ftp.cdc.gov/pub/fda/fda/user_guide.pdf)
Community Tool Box – Coalition Building I: Starting a Coalition (http://ctb.ku.edu/en/table-of-
contents/assessment/promotion-strategies/start-a-coaltion/main)
Community Tool Box – Coalition Building II: Maintaining a Coalition (http://ctb.ku.edu/en/table-
of-contents/assessment/promotion-strategies/maintain-a-coalition/main)
See also Recommended Coalition Maintenance Activities (page 8)
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 19
Table 1. Population Adult Smoking Smoking-related illnesses and deaths
County
Total population
(2010 census)
Population under 18 years old
Population 18 years old and
older
Estimated adult smoking
prevalence, 2011-2015
Estimated number of adult
smokers
Estimated number of people living with a
smoking-related illness
Estimated annual number of deaths
due to smoking
Adams 34,387 10,714 23,673 19% 4,586 1,617 54
Allen 355,329 95,958 259,371 23% 58,785 17,715 591
Bartholomew 76,794 19,360 57,434 21% 12,084 3,923 131
Benton 8,854 2,284 6,570 ** ** 449 15
Blackford 12,766 2,914 9,852 25% 2,431 673 22
Boone 56,640 15,917 40,723 15% 6,302 2,781 93
Brown 15,242 3,172 12,070 20% 2,419 824 27
Carroll 20,155 4,957 15,198 25% 3,765 1,038 35
Cass 38,966 10,093 28,873 ** ** 1,972 66
Clark 110,232 26,109 84,123 24% 20,165 5,746 192
Clay 26,890 6,441 20,449 21% 4,299 1,397 47
Clinton 33,224 8,849 24,375 27% 6,598 1,665 55
Crawford 10,713 2,495 8,218 ** ** 561 19
Daviess 31,648 9,120 22,528 16% 3,626 1,539 51
Dearborn 50,047 12,515 37,532 19% 7,234 2,563 85
Decatur 25,740 6,560 19,180 14% 2,639 1,310 44
DeKalb 42,223 11,136 31,087 28% 8,743 2,123 71
Delaware 117,671 23,573 94,098 24% 22,894 6,427 214
Dubois 41,889 10,669 31,220 14% 4,474 2,132 71
Elkhart 197,559 56,175 141,384 21% 29,096 9,657 322
Fayette 24,277 5,818 18,459 32% 5,937 1,261 42
Floyd 74,578 17,931 56,647 18% 9,941 3,869 129
Fountain 17,240 4,174 13,066 27% 3,534 892 30
Franklin 23,087 6,033 17,054 26% 4,472 1,165 39
Fulton 20,836 5,163 15,673 17% 2,652 1,070 36
Gibson 33,503 8,145 25,358 14% 3,465 1,732 58
Grant 70,061 15,169 54,892 32% 17,456 3,749 125
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 20
Table 1. Population Adult Smoking Smoking-related illnesses and deaths
County
Total population
(2010 census)
Population under 18 years old
Population 18 years old and
older
Estimated adult smoking
prevalence, 2011-2015
Estimated number of adult
smokers
Estimated number of people living with a
smoking-related illness
Estimated annual number of deaths
due to smoking
Greene 33,165 7,883 25,282 32% 7,985 1,727 58
Hamilton 274,569 82,938 191,631 12% 22,373 13,089 436
Hancock 70,002 18,338 51,664 23% 11,913 3,529 118
Harrison 39,364 9,307 30,057 20% 5,883 2,053 68
Hendricks 145,448 39,908 105,540 14% 14,652 7,208 240
Henry 49,462 11,044 38,418 28% 10,856 2,624 87
Howard 82,752 19,585 63,167 24% 15,194 4,314 144
Huntington 37,124 8,795 28,329 29% 8,154 1,935 64
Jackson 42,376 10,416 31,960 20% 6,278 2,183 73
Jasper 33,478 8,594 24,884 22% 5,532 1,700 57
Jay 21,253 5,644 15,609 20% 3,195 1,066 36
Jefferson 32,428 7,334 25,094 33% 8,393 1,714 57
Jennings 28,525 7,530 20,995 30% 6,357 1,434 48
Johnson 139,654 36,900 102,754 23% 23,956 7,018 234
Knox 38,440 8,192 30,248 22% 6,563 2,066 69
Kosciusko 77,358 19,817 57,541 27% 15,760 3,930 131
LaGrange 37,128 12,806 24,322 23% 5,489 1,661 55
Lake 496,005 127,273 368,732 26% 94,794 25,185 839
LaPorte 111,467 25,382 86,085 28% 23,963 5,880 196
Lawrence 46,134 10,872 35,262 30% 10,713 2,408 80
Madison 131,636 30,389 101,247 28% 28,069 6,915 231
Marion 903,393 226,505 676,888 25% 169,834 46,232 1,541
Marshall 47,051 12,649 34,402 23% 7,976 2,350 78
Martin 10,334 2,481 7,853 23% 1,821 536 18
Miami 36,903 8,393 28,510 30% 8,657 1,947 65
Monroe 137,974 22,471 115,503 20% 22,673 7,889 263
Montgomery 38,124 9,139 28,985 19% 5,468 1,980 66
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 21
Table 1. Population Adult Smoking Smoking-related illnesses and deaths
County
Total population
(2010 census)
Population under 18 years old
Population 18 years old and
older
Estimated adult smoking
prevalence, 2011-2015
Estimated number of adult
smokers
Estimated number of people living with a
smoking-related illness
Estimated annual number of deaths
due to smoking
Morgan 68,894 17,328 51,566 24% 12,453 3,522 117
Newton 14,244 3,279 10,965 ** ** 749 25
Noble 47,536 12,850 34,686 23% 7,833 2,369 79
Ohio 6,128 1,300 4,828 ** ** 330 11
Orange 19,840 4,887 14,953 ** ** 1,021 34
Owen 21,575 5,011 16,564 ** ** 1,131 38
Parke 17,339 3,713 13,626 31% 4,224 931 31
Perry 19,338 4,143 15,195 ** ** 1,038 35
Pike 12,845 2,880 9,965 ** ** 681 23
Porter 164,343 39,921 124,422 19% 23,493 8,498 283
Posey 25,910 6,138 19,772 ** ** 1,350 45
Pulaski 13,402 3,198 10,204 ** ** 697 23
Putnam 37,963 7,996 29,967 33% 9,932 2,047 68
Randolph 26,171 6,383 19,788 18% 3,503 1,352 45
Ripley 28,818 7,590 21,228 27% 5,749 1,450 48
Rush 17,392 4,307 13,085 ** ** 894 30
Scott 24,181 5,812 18,369 28% 5,090 1,255 42
Shelby 44,436 10,845 33,591 25% 8,531 2,294 76
Spencer 20,952 5,063 15,889 18% 2,914 1,085 36
St. Joseph 266,931 65,851 201,080 23% 45,517 13,734 458
Starke 23,363 5,696 17,667 31% 5,515 1,207 40
Steuben 34,185 7,835 26,350 21% 5,495 1,800 60
Sullivan 21,475 4,590 16,885 25% 4,138 1,153 38
Switzerland 10,613 2,722 7,891 ** ** 539 18
Tippecanoe 172,780 35,717 137,063 20% 26,981 9,361 312
Tipton 15,936 3,703 12,233 ** ** 836 28
Union 7,516 1,885 5,631 ** ** 385 13
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 22
Table 1. Population Adult Smoking Smoking-related illnesses and deaths
County
Total population
(2010 census)
Population under 18 years old
Population 18 years old and
older
Estimated adult smoking
prevalence, 2011-2015
Estimated number of adult
smokers
Estimated number of people living with a
smoking-related illness
Estimated annual number of deaths
due to smoking
Vanderburgh 179,703 39,896 139,807 22% 31,432 9,549 318
Vermillion 16,212 3,744 12,468 ** ** 852 28
Vigo 107,848 23,049 84,799 26% 22,343 5,792 193
Wabash 32,888 7,459 25,429 18% 4,679 1,737 58
Warren 8,508 1,996 6,512 ** ** 445 15
Warrick 59,689 15,431 44,258 14% 6,278 3,023 101
Washington 28,262 7,126 21,136 23% 4,835 1,444 48
Wayne 68,917 15,883 53,034 28% 14,704 3,622 121
Wells 27,636 6,899 20,737 21% 4,362 1,416 47
White 24,643 5,960 18,683 21% 3,934 1,276 43
Whitley 33,292 8,183 25,109 22% 5,597 1,715 57
Indiana 6,483,802 1,608,298 4,875,504 20.6%* 1,004,354 333,000 11,100
*The statewide adult smoking prevalence estimate is for 2015 only and is not directly comparable to county-level estimates. See the data source page for additional information. ** Unstable estimate. Data not shown.
Table 2. Smoking during Pregnancy Secondhand Smoke (SHS)
County Number of live
births, 2015
Percentage of live births to mothers
who smoked during pregnancy, 2015
Estimated number of births affected by smoking, 2015
Estimated cost of smoking-affected
births, 2015
Estimated number of deaths due to
SHS, 2014
Estimated cost of SHS due to medical costs and
premature death, 2014
Adams 662 8.0% 53 $ 71,920 7 $11.5 Million
Allen 5,270 9.8% 516 $ 701,353 73 $118.7 Million
Bartholomew 1,096 16.2% 178 $ 241,116 16 $25.7 Million
Benton 107 24.3% 26 $ 35,309 2 $3 Million
Blackford 121 25.6% 31 $ 42,065 3 $4.3 Million
Boone 773 10.0% 77 $ 104,973 12 $18.9 Million
Brown 120 21.7% 26 $ 35,362 3 $5.1 Million
Carroll 195 21.0% 41 $ 55,610 4 $6.7 Million
Cass 495 17.8% 88 $ 119,653 8 $13 Million
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 23
Table 2. Smoking during Pregnancy Secondhand Smoke (SHS)
County Number of live
births, 2015
Percentage of live births to mothers
who smoked during pregnancy, 2015
Estimated number of births affected by smoking, 2015
Estimated cost of smoking-affected
births, 2015
Estimated number of deaths due to
SHS, 2014
Estimated cost of SHS due to medical costs and
premature death, 2014
Clark 1,487 13.2% 196 $ 266,554 23 $36.8 Million
Clay 346 22.8% 79 $ 107,130 6 $9 Million
Clinton 465 17.2% 80 $ 108,613 7 $11.1 Million
Crawford 118 26.3% 31 $ 42,144 2 $3.6 Million
Daviess 519 13.1% 68 $ 92,329 7 $10.6 Million
Dearborn 536 21.1% 113 $ 153,584 10 $16.7 Million
Decatur 352 23.6% 83 $ 112,812 5 $8.6 Million
DeKalb 530 20.8% 110 $ 149,706 9 $14.1 Million
Delaware 1,188 22.8% 271 $ 367,833 24 $39.3 Million
Dubois 572 11.2% 64 $ 86,999 9 $14 Million
Elkhart 3,188 10.6% 338 $ 458,906 41 $66 Million
Fayette 248 27.8% 69 $ 93,626 5 $8.1 Million
Floyd 909 15.2% 138 $ 187,632 15 $24.9 Million
Fountain 200 21.5% 43 $ 58,394 4 $5.8 Million
Franklin 226 18.6% 42 $ 57,085 5 $7.7 Million
Fulton 260 23.1% 60 $ 81,561 4 $7 Million
Gibson 388 17.3% 67 $ 91,154 7 $11.2 Million
Grant 757 36.1% 273 $ 371,110 14 $23.4 Million
Greene 337 24.0% 81 $ 109,835 7 $11.1 Million
Hamilton 3,902 2.0% 78 $ 105,978 57 $91.7 Million
Hancock 824 10.1% 83 $ 113,018 14 $23.4 Million
Harrison 452 20.6% 93 $ 126,446 8 $13.1 Million
Hendricks 1,761 7.6% 134 $ 181,749 30 $48.6 Million
Henry 476 21.2% 101 $ 137,038 10 $16.5 Million
Howard 978 22.6% 221 $ 300,156 17 $27.6 Million
Huntington 434 17.5% 76 $ 103,140 8 $12.4 Million
Jackson 576 17.7% 102 $ 138,451 9 $14.2 Million
Jasper 382 21.5% 82 $ 111,533 7 $11.2 Million
Jay 306 18.3% 56 $ 76,045 4 $7.1 Million
Jefferson 371 31.3% 116 $ 157,695 7 $10.8 Million
Jennings 314 27.1% 85 $ 115,558 6 $9.5 Million
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 24
Table 2. Smoking during Pregnancy Secondhand Smoke (SHS)
County Number of live
births, 2015
Percentage of live births to mothers
who smoked during pregnancy, 2015
Estimated number of births affected by smoking, 2015
Estimated cost of smoking-affected
births, 2015
Estimated number of deaths due to
SHS, 2014
Estimated cost of SHS due to medical costs and
premature death, 2014
Johnson 1,883 13.7% 258 $ 350,325 29 $46.6 Million
Knox 431 25.8% 111 $ 151,007 8 $12.8 Million
Kosciusko 1,027 13.4% 138 $ 186,885 16 $25.8 Million
LaGrange 753 6.9% 52 $ 70,558 8 $12.4 Million
Lake 5,910 9.1% 538 $ 730,346 102 $165.7 Million
LaPorte 1,340 22.8% 306 $ 414,896 23 $37.2 Million
Lawrence 497 30.4% 151 $ 205,178 10 $15.4 Million
Madison 1,510 22.1% 334 $ 453,178 27 $44 Million
Marion 14,432 10.9% 1,573 $ 2,136,254 186 $301.8 Million
Marshall 608 16.4% 100 $ 135,409 10 $15.7 Million
Martin 130 20.0% 26 $ 35,308 2 $3.5 Million
Miami 374 19.3% 72 $ 98,023 8 $12.3 Million
Monroe 1,353 14.9% 202 $ 273,769 28 $46.1 Million
Montgomery 473 21.6% 102 $ 138,744 8 $12.7 Million
Morgan 776 25.8% 200 $ 271,882 14 $23 Million
Newton 171 26.9% 46 $ 62,467 3 $4.8 Million
Noble 654 18.5% 121 $ 164,304 10 $15.9 Million
Ohio 54 14.8%* 8 $ 10,853 1 $2 Million
Orange 240 27.5% 66 $ 89,628 4 $6.6 Million
Owen 228 30.3% 69 $ 93,816 4 $7.2 Million
Parke 228 14.9% 34 $ 46,134 4 $5.8 Million
Perry 235 24.7% 58 $ 78,825 4 $6.5 Million
Pike 137 23.4% 32 $ 43,535 3 $4.3 Million
Porter 1,714 9.6% 165 $ 223,451 34 $54.9 Million
Posey 285 15.4% 44 $ 59,603 5 $8.7 Million
Pulaski 135 23.7% 32 $ 43,449 3 $4.5 Million
Putnam 362 20.2% 73 $ 99,302 8 $12.7 Million
Randolph 301 19.6% 59 $ 80,117 5 $8.7 Million
Ripley 324 22.5% 73 $ 98,998 6 $9.6 Million
Rush 188 19.1% 36 $ 48,763 4 $5.8 Million
Scott 300 28.0% 84 $ 114,072 5 $8.1 Million
County-level Tobacco Data
TPC 2017-2019 Capacity Building RFA Resource Guide 25
Table 2. Smoking during Pregnancy Secondhand Smoke (SHS)
County Number of live
births, 2015
Percentage of live births to mothers
who smoked during pregnancy, 2015
Estimated number of births affected by smoking, 2015
Estimated cost of smoking-affected
births, 2015
Estimated number of deaths due to
SHS, 2014
Estimated cost of SHS due to medical costs and
premature death, 2014
Shelby 495 21.4% 106 $ 143,853 9 $14.8 Million
Spencer 191 14.7% 28 $ 38,129 4 $7 Million
St. Joseph 3,480 11.4% 397 $ 538,746 55 $89.2 Million
Starke 263 29.7% 78 $ 106,075 5 $7.8 Million
Steuben 416 27.2% 113 $ 153,660 7 $11.4 Million
Sullivan 206 18.9% 39 $ 52,872 4 $7.2 Million
Switzerland 126 28.6% 36 $ 48,937 2 $3.5 Million
Tippecanoe 2,388 11.4% 272 $ 369,691 36 $57.7 Million
Tipton 144 12.5%* 18 $ 24,444 3 $5.3 Million
Union 69 26.1%* 18 $ 24,456 2 $2.5 Million
Vanderburgh 2,222 17.4% 387 $ 525,041 37 $60 Million
Vermillion 169 27.2% 46 $ 62,425 3 $5.4 Million
Vigo 1,285 20.1% 258 $ 350,751 22 $36 Million
Wabash 338 22.5% 76 $ 103,276 7 $11 Million
Warren 79 21.5%* 17 $ 23,066 2 $2.8 Million
Warrick 683 9.5% 65 $ 88,114 12 $19.9 Million
Washington 332 17.2% 57 $ 77,547 6 $9.4 Million
Wayne 788 22.1% 174 $ 236,493 14 $23 Million
Wells 339 16.8% 57 $ 77,341 6 $9.2 Million
White 303 23.1% 70 $ 95,050 5 $8.2 Million
Whitley 398 18.6% 74 $ 100,530 7 $11.1 Million
Indiana 84,008 14.3% 12,014 $ 16,315,012 1,337 $2.1 Billion
*Unstable rate.
County-level Tobacco Data Data Sources and Methodology
TPC 2017-2019 Capacity Building RFA Resource Guide 26
Adult smoking prevalence
Indiana prevalence: Indiana Behavioral Risk Factor Surveillance System (BRFSS), 2015.
County-level prevalence: Indiana Behavioral Risk Factor Surveillance System (BRFSS), 2011-2015.
Note: County-level adult smoking prevalence estimates were calculated using combined landline and cell phone
BRFSS data from 2011-2015. The statewide landline and cell phone weight was used to calculate county-level
estimates. Because the statewide weight is based on the demographics of Indiana’s statewide adult population, it
may not reflect the demographics of individual counties. County estimates are suppressed when the relative
standard error is greater than 30%, when the half-width of the 95% confidence interval is greater than 10
percentage points, or when there were fewer than 50 respondents in the county. For 2011-2015, seventeen
counties’ estimates were suppressed. Because the county-level adult smoking prevalence estimates are based on
different years of data (2011-2015) than the state and national estimates (2015 only), the county-level estimates
should not be directly compared to the state or national data.
Estimated number of adult smokers
Calculated using the following formulas:
Indiana: (Indiana 2010 adult population)*(Statewide adult smoking prevalence from 2015 BRFSS)
County-level: (County 2010 adult population)*(County-level adult smoking prevalence from 2011-2015
BRFSS)
Deaths attributable to smoking
Source for statewide data: Centers for Disease Control and Prevention (CDC). Best Practices for Comprehensive Tobacco Control Programs – 2014. Atlanta: U.S. Department of Health and Human services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
Statewide estimated deaths attributable to smoking: 11,100 per year
County-level deaths attributable to smoking represent the county’s pro-rata share of the statewide
smoking-attributable deaths based on the county’s 2010 adult population. Estimates are calculated as
follows: (County 2010 adult population/Indiana 2010 adult population)*11,100
Smoking-related illnesses
Source: Centers for Disease Control and Prevention. Smoking & Tobacco Use: Fast Facts. Accessed
November 16, 2016 from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/.
(Original source: U.S. Department of Health and Human Services. The Health Consequences of
Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health
and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health, 2014.)
According to the Centers for Disease Control and Prevention, for every person who dies because
of smoking, at least 30 people live with a serious smoking-related illness.
Statewide estimated tobacco-related illnesses are calculated by multiplying the statewide
estimated number of tobacco related deaths (11,100) by 30.
County estimates represent the county’s pro-rata share of tobacco-related illnesses based on
the county’s 2010 adult population. Estimates are calculated using the following formula:
(County 2010 adult population/Indiana 2010 adult population)*333,000
County-level Tobacco Data Data Sources and Methodology
TPC 2017-2019 Capacity Building RFA Resource Guide 27
Smoking during pregnancy and births affected by smoking
Indiana State Department of Health. Indiana Natality Report, State and County Data 2015. Published
December 2016. Available from http://www.in.gov/isdh/19095.htm.
Note: Smoking during pregnancy rates are from 2015 birth certificate data. Estimated number of births affected
by smoking are calculated by multiplying the county-level smoking during pregnancy prevalence by the total
number of live births in the county.
Cost of smoking-related births
Miller DP, Villa KF, Hogue SL, Sivapathasundaram D. Birth and first-year costs for mothers and infants
attributable to maternal smoking. Nicotine Tob Res. 2001; 3(1):25-35.
Note: County-level costs of smoking-affected births are estimates based on 2015 birth certificate data. Costs are
calculated by multiplying the estimated number of smoking-affected births by $1,358 (the estimated cost per
smoking-affected birth as calculated by Miller et al., [2001]).
Deaths due to secondhand smoke and economic burden of SHS
Source for statewide data: Lewis CK, Zollinger T. Estimating the economic impact of secondhand smoke
in Indiana in 2014. Cynthia K. Lewis & Associates, LLC. 2016.
Statewide annual estimated deaths attributable to SHS: 1,337
Estimated annual economic costs of SHS in Indiana: $2.1 billion ($2,165,829,356)
Estimates of county-level deaths attributable to SHS represent the county’s pro-rata share of
SHS-related deaths based on the county’s 2010 total population and are calculated as follows:
(County 2010 total population/Indiana 2010 total population)*1,337
Estimates of county-level economic costs due to secondhand smoke represent the county’s pro-
rata share of SHS-related costs based on the county’s 2010 total population are calculated as
follows: (County 2010 total population/Indiana 2010 total population)*$2,165,829,356.
Note: Costs related to secondhand smoke include health care costs and costs due to premature death from
diseases causally linked to secondhand smoke.
Population Data
All population counts used to calculate statewide and county-level estimates are from the 2010 U.S.
Census. Statewide and county-level data are available from
http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_DP_DPDP1
&prodType=table.
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