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Complete Health Indicator Report of Cigarette Smoking Among Adults

Definition

Percentage of adults aged 18 years and older who smoke cigarettes every day or some days

Numerator

Number of adults aged 18 years and older who have smoked at least 100 cigarettes in their lifetime and who now report smoking cigarettes every day or some days

Denominator

Number of adults aged 18 years and older

Data Interpretation Issues

Starting in 2011, BRFSS protocol requires that the NJBRFS incorporate a fixed quota of interviews from cell phone respondents along with a new weighting methodology called iterative proportional fitting or "raking". The new weighting methodology incorporates additional demographic information (such as education, race, and marital status) in the weighting process. These methodological changes were implemented to account for the underrepresentation of certain demographic groups in the land line sample (which resulted in part from the increasing number of U.S. households without land line phones). Comparisons between 2011 and prior years should therefore be made with caution. (More details about these changes can be found at [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6122a3.htm].) As with all telephone surveys, data may be subject to error resulting from non-coverage (e.g., non-coverage of some low socio-economic status populations and other households not using a land line), non-response (e.g., refusal to participate in the survey or answer specific questions), or measurement (e.g. social desirability or recall bias). Interviewer training and monitoring and strict adherence to good survey research protocols reduces error from these sources.

Why Is This Important?

Smoking is the leading cause of preventable death, leads to disease and disability, and harms nearly every organ of the body.[https://www.cdc.gov/tobacco/data_statistics/fact_sheets/index.htm ^1^]

Healthy People Objective: Reduce tobacco use by adults: Cigarette smoking

U.S. Target: 12.0 percent (age-adjusted)
State Target: 12.4 percent (age-adjusted)

Other Objectives

'''Revised Healthy New Jersey 2020 Objective TU-1a''': Reduce the proportion of the population who are current smokers (any use in past 30 days) adults aged 18+ years to 12.4% for the total population, 13.5% among Whites, 16.7% among Blacks, 9.6% among Hispanics, and 4.0% among Asians. '''Original Healthy New Jersey 2020 Objective TU-1a''': Reduce the proportion of the population who are current smokers (any use in past 30 days) adults aged 18+ years to 15.4% for the total population, 16.9% among Whites, 18.7% among Blacks, 12.2% among Hispanics, and 7.3% among Asians.

How Are We Doing?

Although New Jersey's smoking rates have decreased since its Master Settlement Agreement-funded programs were initiated, more than one million New Jersey adults continue to smoke. People with fewer years of formal education report higher rates of tobacco use compared to the general population. Comprehensive and free quitting services are needed to help New Jersey smokers quit and ensure a decline in tobacco use rates among all population groups.

How Do We Compare With the U.S.?

In 2017, New Jersey's adult estimated smoking rate was 14.1% compared to the national rate of 16.8%. (Rates are age-adjusted to the U.S. 2000 standard population.)

What Is Being Done?

The [http://www.nj.gov/health/fhs/tobacco/ Office of Tobacco Control] at the New Jersey Department of Health and its partners use comprehensive programs to prevent the initiation of tobacco use among young people, to help tobacco users quit, to eliminate nonsmokers' exposure to secondhand smoke, and to reduce tobacco-related disparities. These programs include free quitting services, school- and community-based prevention programs and education regarding the [http://www.njleg.state.nj.us/2004/Bills/PL05/383_.HTM New Jersey Smoke-Free Air Act].

Available Services

The New Jersey Quitline and New Jersey's online quitting program New Jersey QuitNet offer assistance in quitting tobacco use to New Jersey adults and teens. Referrals can also be made to New Jersey Quitcenters (low-cost face-to-face counseling clinics). For services and information call the New Jersey Quitline at 1-866-NJ-STOPS or visit New Jersey's online tobacco cessation support program at http://www.nj.quitnet.com.

Health Program Information

To receive more information about tobacco prevention and control programs in New Jersey, call the Office of Tobacco Control at (609) 984-3317. For information on quitting smoking, call the New Jersey Quitline at 1-866-NJ-STOPS or visit New Jersey's online tobacco cessation support program at [http://www.njquitline.org/].


Related Indicators

Relevant Population Characteristics

The IOM^1^ has concluded that the effectiveness of '''cigarette excise tax increases''' in reducing smoking-related death and disease can be increased when combined with other evidence-based interventions of a comprehensive tobacco control program, including '''smoke-free policies''' and '''media campaigns'''. The New Jersey '''Smoke-Free Air Act'''^2^ has generally prohibited smoking in any indoor public place or work place since 2006. New Jersey's '''excise tax''' of $2.70 per pack of cigarettes currently ranks 11th in the nation^3^. 1. [https://www.nap.edu/catalog/11795/ending-the-tobacco-problem-a-blueprint-for-the-nation Institute of Medicine, 2007. Ending the tobacco problem: A blueprint for the nation. Washington, DC: The National Academies Press.] [[br]] 2. P. L. 2005, Chapter 383, N.J.S. 26:3D-55 et seq.[[br]] 3. [https://www.lung.org/our-initiatives/tobacco/reports-resources/slati/appendix-c.html American Lung Association: Current State Cigarette Tax Rates.] [last accessed on 1/28/20]

Health Care System Factors

Since September 2015, the USPSTF^1^ has recommended that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide '''behavioral interventions''' and '''approved pharmacotherapy for cessation''' to adults who use tobacco. 1. [https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions1 United States Preventive Services Task Force. Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions. Final Summary.] [last accessed 1/28/20]

Risk Factors

Note: [https://www-doh.state.nj.us/doh-shad/query/builder/njbrfs/SmokeCurrent/SmokeCurrentAA11_.html Custom data views] of the prevalence of cigarette smoking among New Jersey adults by selected '''sociodemographic and other characteristics''' can be generated using the New Jersey Behavioral Risk Factor Survey interactive query module.

Related Risk Factors Indicators:


Health Status Outcomes

According to the CDC^1^, cigarette smoking increases the risk of many types of '''cancer''', '''coronary heart disease''', '''stroke''', '''diabetes''', and '''chronic obstructive pulmonary disease''' (which includes '''emphysema''' and '''chronic bronchitis'''). Cigarette smoking also increases risk for '''tuberculosis''', '''certain eye diseases''', and '''problems of the immune system''', including '''rheumatoid arthritis'''. Cigarette smoking during pregnancy increases the risk for '''pregnancy complications'''. 1. [https://www.cdc.gov/tobacco/basic_information/health_effects/index.htm Centers for Disease Control and Prevention. Smoking & Tobacco Use: Health Effects.] [Last accessed on 1/28/20]

Related Health Status Outcomes Indicators:



Data Tables


Percentage of Adults Who Reported Current Cigarette Smoking, by Year, Adults Aged 18 and Older, New Jersey and U.S., 2011-2017 (HNJ2020)

US/NJYearEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 14
US201120.420.120.6
US201219.218.919.4
US201318.418.218.7
US201417.717.518.0
US201517.116.917.4
US201616.716.517.0
US201716.816.617.0
NJ201117.116.118.1
NJ201217.716.718.7
NJ201315.914.916.9
NJ201415.614.616.8
NJ201513.812.715.0
NJ201614.212.815.7
NJ201714.112.915.3

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population. Prevalence estimates for 2011 and forward are consistent with those used to track the corresponding Healthy New Jersey 2020 objective (TU-1a) and are for adults aged 18 and over.

Data Sources

  • Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]
  • U.S Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/brfss/index.html]


Percentage of Adults Who Reported Current Cigarette Smoking, by Year, Adults Aged 18 and Older, New Jersey and U.S., 2000-2010

US/NJYearEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 22
US200022.6%22.1%22.7%
US200123.0%22.7%23.3%
US200222.6%22.3%22.9%
US200322.4%22.1%22.7%
US200420.9%20.6%21.2%
US200520.6%20.3%20.9%
US200619.7%19.4%20.0%
US200719.6%19.3%19.8%
US200818.6%18.3%18.8%
US200918.3%18.0%18.5%
US201017.3%17.1%17.6%
NJ200021.1%19.6%22.7%
NJ200121.6%20.2%23.0%
NJ200219.2%17.1%21.4%
NJ200319.7%18.8%20.7%
NJ200419.1%18.2%20.1%
NJ200518.4%17.4%19.4%
NJ200618.3%17.3%19.4%
NJ200717.1%15.7%18.5%
NJ200814.8%13.7%15.8%
NJ200915.8%14.7%16.9%
NJ201014.5%13.5%15.6%

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population. Prevalence estimates for 2001-2010 are consistent with those used to track the corresponding Healthy New Jersey 2010 objective (3F-5a) and are for adults aged 18 and over.

Data Sources

  • Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]
  • U.S Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/brfss/index.html]


Percentage of Adults Who Reported Current Cigarette Smoking by Race/Ethnicity, New Jersey Adults Aged 18 and Older, 2011-2017 (HNJ2020)

Race/EthnicityYearEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 28
White201118.817.520.3
White201219.217.820.7
White201317.816.419.2
White201417.315.818.9
White201515.013.516.6
White201615.813.718.1
White201715.914.117.7
Black201120.818.023.9
Black201222.719.726.0
Black201317.214.720.2
Black201417.915.121.0
Black201518.615.522.3
Black201621.817.327.0
Black201715.312.518.6
Hispanic201113.611.616.0
Hispanic201215.113.017.5
Hispanic201312.710.814.9
Hispanic201413.111.015.6
Hispanic201510.78.613.2
Hispanic201611.08.514.0
Hispanic201713.310.616.5
Asian20118.15.112.6
Asian20127.95.411.3
Asian20139.36.113.8
Asian20148.35.312.6
Asian20159.45.017.1
Asian20164.41.99.8
Asian20176.84.011.2

Data Notes

This is Healthy New Jersey 2020 (HNJ2020) Objective TU-1a. All prevalence estimates are age-adjusted to the U.S. 2000 standard population.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]


Percentage of Adults Who Reported Current Cigarette Smoking by Race/Ethnicity, New Jersey Adults Aged 18 and Older, 2001-2010

Race/EthnicityYearEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 40
White200123.5%21.6%25.4%
White200221.8%19.1%24.7%
White200320.9%19.7%22.1%
White200420.8%19.7%22.0%
White200519.3%18.1%20.6%
White200619.4%18.1%20.8%
White200718.3%16.5%20.2%
White200816.5%15.0%18.1%
White200917.3%15.8%18.8%
White201016.8%15.2%18.4%
Black200120.8%17.4%24.7%
Black200218.0%12.6%25.0%
Black200320.4%17.6%23.5%
Black200419.8%17.0%23.0%
Black200517.2%14.7%19.9%
Black200621.7%18.4%25.5%
Black200720.9%16.5%26.0%
Black200816.3%13.6%19.4%
Black200918.0%14.4%22.3%
Black201015.4%13.0%18.1%
Hispanic200118.4%15.6%21.7%
Hispanic200214.7%9.6%22.0%
Hispanic200316.6%14.1%19.5%
Hispanic200417.6%15.1%20.4%
Hispanic200518.2%15.5%21.2%
Hispanic200616.6%14.0%19.6%
Hispanic200715.1%11.2%20.0%
Hispanic200811.7%9.5%14.4%
Hispanic200913.7%11.3%16.6%
Hispanic201011.6%9.5%14.3%
Asian20017.2%4.3%11.9%
Asian200212.4%6.0%23.9%
Asian200311.7%8.3%16.4%
Asian20048.4%5.3%13.0%
Asian20055.7%3.4%9.5%
Asian20067.4%5.0%11.0%
Asian20075.2%2.8%9.7%
Asian20086.0%3.7%9.6%
Asian20098.7%4.9%15.1%
Asian20104.5%2.5%8.0%

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.


Percentage of Adults Who Reported Current Cigarette Smoking by Race/Ethnicity, New Jersey Adults Aged 18 and Older, 2017

Race/EthnicityEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 6
White15.914.117.7
Black15.312.518.6
Hispanic13.310.616.5
Asian6.84.011.2
New Jersey14.112.915.3
United States16.816.617.0

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]


Percentage of Adults Who Reported Current Cigarette Smoking by Sex, New Jersey Adults Aged 18 and Older, 2015-2017

SexEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 3
Male16.015.017.2
Female12.111.213.0
Both Genders14.113.414.8

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]


Percentage of Adults Who Reported Current Cigarette Smoking by Age Group, Adults Aged 18 and Older, New Jersey, 2015-2017

Age GroupEstimated PercentLower LimitUpper Limit
Record Count: 4
18-3414.9%13.4%16.5%
35-4915.3%14.0%16.8%
50-6415.7%14.5%16.9%
65+8.0%7.1%9.0%


Percentage of Adults Who Reported Current Cigarette Smoking by Education, Adults Aged 18 and Older, New Jersey, 2015-2017

Education LevelEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 4
Less than high school20.617.823.7
High school or G.E.D19.818.221.6
Some college or tech school15.714.417.2
College graduate or higher7.26.38.3

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]


Percentage of Adults who Reported Current Cigarette Smoking by County of Residence, Adults Aged 18 and Older, New Jersey, 2015-2017

CountyEstimated Percent (Age-adjusted)Lower LimitUpper Limit
Record Count: 22
Atlantic19.316.123.0
Bergen10.88.713.4
Burlington12.49.815.5
Camden18.715.422.4
Cape May20.016.024.6
Cumberland18.815.522.5
Essex13.211.215.6
Gloucester21.517.626.1
Hudson16.013.518.9
Hunterdon14.410.819.1
Mercer14.611.718.0
Middlesex11.79.414.4
Monmouth15.112.218.6
Morris10.17.713.2
Ocean18.014.821.7
Passaic12.710.315.6
Salem19.916.623.7
Somerset9.56.813.1
Sussex14.911.918.6
Union12.810.116.2
Warren15.512.618.8
New Jersey14.113.414.8

Data Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]

References and Community Resources

1. [https://www.cdc.gov/tobacco/data_statistics/fact_sheets/index.htm Smoking and Tobacco Use Fast Facts] NJDOH Office of Tobacco Control: [http://www.nj.gov/health/fhs/tobacco/] More information on the New Jersey Behavioral Risk Factor Survey is available at [http://www.state.nj.us/health/chs/njbrfs/]

Page Content Updated On 08/15/2018, Published on 01/29/2020
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