Abstract

In the United States each year, tobacco use causes approximately 400,000 deaths and is the single most preventable cause of death and disease. Consequently, state and local public health agencies closely monitor tobacco use and its correlates. In 1996, the prevalence of current cigarette smoking among adults was the first health behavior and the first noninfectious condition added by the Council of State and Territorial Epidemiologists (CSTE) to the list of nationally notifiable conditions reported to CDC. In 1998, per capita sales of cigarettes (along with prevalence among youth of current cigarette smoking and current smokeless tobacco use) was added by CSTE to the list of notifiable conditions reported by states to CDC. This report summarizes state-specific findings for current cigarette and current smokeless tobacco use by adults from the Behavioral Risk Factor Surveillance System (BRFSS) and number of packs of tax-paid cigarettes sold per capita in each state from data compiled annually by The Tobacco Institute. The findings indicate that current adult cigarette smoking prevalence by state ranged from 13.7% to 30.8%, annual per capita tax-paid cigarette sales ranged from 49.1 packs to 186.8 packs, and adult smokeless tobacco use prevalence ranged from 1.4% to 8.8%.

Highlights

  • Of deaths attributed to heart disease.[1]

  • The cause of death is reported by attending physicians, medical examiners, or coroners on death certificates filed in state vital statistics offices

  • Age-adjusted IHD death rates for persons aged $35 years were calculated by the direct method using the

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Summary

Heart Disease Death

Of deaths attributed to heart disease.[1]. Few reports comparing IHD mortality between blacks and whites have presented age-specific rates,[2,3] and none have compared trends over time. CDC Editorial Note: The findings in this report indicate that IHD death rates declined for all age groups during 19811995; these decreases were greater for whites than for blacks, causing an increase in the black:white IHD mortality ratios. Ethnicity, and collection and analysis of population-based data on IHD incidence and treatment should be conducted to monitor the success of public health efforts toreduceIHDmorbidityandmortality.Setting objectives for reductions in IHD mortality among persons aged ,65 years maybeuseful.CDCrecentlyawardedfunds to eight states to develop programs for the prevention of cardiovascular disease, including IHD. These programs will emphasize development of policies and environmental changes to reduce and prevent cardiovascular diseases. These programswilltargetcardiovasculardiseases in minority and low-income populations

Tobacco Use and
Findings
Questions about current adult smokeless tobacco use were included in the
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