Tobacco Use in Maine

Maine Public Health Association, Tobacco Policy Group

July 11, 2013 Meeting

Timothy Cowan, MSPH, Director, Health Index Initiative, MaineHealth

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Maine- % of HS Students Who Use TobaccoUS- % of HS Students Who Use TobaccoMaine- % of Adults Who Use TobacoUS- Median % of Adults Who Use Tobacco

Smoking Prevalence Decreasing, but still lot of work to do

% Adult Smokers: Maine vs. U.S.- ‘06/07

High Nicotine Dependence in Maine

Current Prevalence of Tobacco Use in Maine2011 Behavioral Risk Factor

Surveillance Surveys

• Next Six Slides Present State Level Data of Tobacco Use- • % Currently Smoking and • % Never Smoked Regularly.

• Include shaded maps- to examine tobacco use by geography• Scatter plots presenting tobacco use by median household

income in the state, to allow for comparison of tobacco use among states with similar economic profiles.

Tobacco Use Prevalence0% 10% 20% 30% 40% 50%

18-4950-64

65+

up to $25,000$25,000-$50,000

$50,000+

HS or lessCollege 1-3College 4+

Commercial <65MaineCare/Medicare <65

Medicare +65Uninsured

Adult Smoking % by Demographic -- Maine (2010 )

= Youth Smoking Rates 19% or higher

Youth Tobacco Use 2011: ME USCigarettes 16% 18%Cigars, little cigars 13% 23%Smokeless 7% 7%

Tobacco Use Varies by Demographics

State: Male FemaleMedian % 23.6 18.8

# States 51 51

% 25.1 20.6

CI (23.4-26.8) (19.3-22.0)

n 982 1237

Nationwide (States and DC)

Maine

State: 18-24 25-34 35-44 45-54 55-64 65+Median % 15.9 19.9 17 18.1 13.9 6.6

# States 50 51 51 51 51 51

% 21.2 29.3 22.9 19.8 12.4 5.7

CI (16.6-25.9) (25.7-32.9) (20.1-25.7) (17.8-21.8) (11.0-13.8) (4.8-6.6)

n 72 229 277 445 390 255

% Adults Smoke Every Day, among all interviewed via BRFSS- 2011

Nationwide (States and DC)

Maine

# of States includes District of Columbia and excludes territories in years >1995% = Percentage, CI = Confidence Interval, n = Cell SizePercentages are weighted to population characteristics.

Tobacco Use Varies by Demographics

State:Less than $15,000

$15,000- 24,999

$25,000- 34,999

$35,000- 49,999 $50,000+

Median % 35.8 29.7 24.4 21 13.4

# States 51 51 51 51 51

% 38.9 30 26.4 21.1 12.5CI (35.3-42.6) (27.1-32.9) (23.1-29.8) (18.4-23.8) (11.1-13.8)

n 514 510 274 277 429

Nationwide (States and DC)

Maine

State:Less than

H.S.H.S. or G.E.D.

Some post-H.S.

College graduate

Median % 35.6 26.1 21 8.8# States 51 51 51 51

% 41.3 28.3 21.5 8.3

CI (36.4-46.3) (26.4-30.2) (19.6-23.4) (7.2-9.4)

n 237 981 635 362

% Adults Smoke Every Day, among all interviewed via BRFSS- 2011

Nationwide (States and DC)

Maine

# of States includes District of Columbia and excludes territories in years >1995% = Percentage, CI = Confidence Interval, n = Cell SizePercentages are weighted to population characteristics.

Maine one of eight states made change: more smokers made quit attempts in 2006/2007

= significant increase in “Ever smokers” who quit 92/93 vs. 06/07

And better success with abstinence

% Ever smokers quit vs. dependence

= significant increase in “Ever smokers” who quit 92/93 vs. 06/07

None of the eight states

from the Appalachian

region

Half of Smokers Making Serious Quit Attempts

Tax Increase = CallsSupportive Culture: Quitters Using HelpLine

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2009Jul-Dec

6-month time periods

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HelpLine Operated 51 hrs per week112

hrs/wk 40 hrs/wk 84 hrs per week

Nov '08-Feb '09: 2124 Callers

Mar: Industry raised pricesApr: Fed Cig Tax $0.62 to $1.01

Mar-Jun 2009: 3875 Callers

July-Aug 2005: 2457 Callers

Sept 2005: State Cig Tax $1.00 to $2.00

Sept-Oct 2005: 4571 Callers

Supportive CultureClinician Support for Quitting

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by Physician by Dentist

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MaineUS Total

Tobacco Use Supplement of Current Population Survey

2006/2007

Among Maine smokers with a clinical visit in the past 12 months…

% who reported clinician advised them to quit 2nd highest in US.

For BOTH Physicians & Dentists

Percents advised in Maine significantly higher than US percents.

Clinician Support for Quitting- 2010

Map presents the % of ALL Adults who reported being a former smoker.

Among Adults Who Ever Smoked Regularly…

% Who Are Now Quit (i.e. Former Smokers)

State:

% Former Among All

Ever Smokers

Rank- % Former Among All

Ever SmokersNationwide (States and DC) 54.3%California 63.7% 1Connecticut 61.9% 2Vermont 61.7% 3Massachusetts 60.9% 4Hawaii 60.5% 5New Jersey 60.4% 6New Hampshire 60.0% 7Colorado 59.8% 8Washington 59.8% 9Florida 59.2% 10Idaho 58.7% 11New York 58.4% 12Oregon 58.1% 13Maine 58.1% 14Rhode Island 57.9% 15Minnesota 57.8% 16Utah 57.6% 17Delaware 56.5% 18Arizona 56.3% 19Wisconsin 55.6% 20

Decrease Cancer Mortality

Getting to the Next Level

1. Reduce tobacco use

2. Reduce obesity

3. Increase screenings • Colorectal cancer

4. Develop MaineHealth Regional Oncology Plan

Comments and Questions

Contacts:

Timothy Cowan, MSPHDirector, Health Index Initiative

cowant@mainehealth.org