Transcript Tobacco Free School Policies

Tobacco Use Data
Disparities
www.otpf.org
Icilda Dickerson, MSA
Assistant Director
March 15, 2007
Tobacco Use: African American
Communities
• Over 70% of African-American adults and
90% of African-American youth prefer
menthol cigarettes.
• Ohio African-American males have higher
rates of lung and bronchus cancer
incidence and mortality than Ohioans in
general.
American Indians/Native Americans
• 3 out of 5 deaths in Native American and
American Indian communities can be
attributed to tobacco use.
• CDC 2005 estimates: 43.2% AI/NA adults
smoke.
• Ceremonial use of tobacco.
Amish Communities
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24,100 Amish in Ohio
Tobacco use is a masked behavior
Difficult to outreach
Use of snuff or chew among males
• 10.8% of 18-34 year olds
• 13.0% of 35-54 year olds
• 11.1% of 55-64 year olds
Regional Tobacco Use Disparity
Tobacco Use: Asian Americans
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40% Cambodian
32% Laotian
29% Hmong
23% Korean
Tobacco Use: Deaf and Hard of Hearing
• 18.4% adults smoke cigarettes; 1.3%
smoke cigars; approx. 1% use dip (snuff)
or chew tobacco.
• Of those who smoke; 10% reported
smoking regularly.
Hispanic/Latino Communities
• 26% of Ohio’s Hispanic households reported
someone smoking cigarettes, cigars, or pipes
inside their homes.
• Higher rates of menthol cigarette use.
Immigrant/Refugee (Somalis)
• 40,000 + Somalis in Ohio; most reside in
Central Ohio.
• Lack of tobacco use prevalence data.
• Anecdotally 60% or more adults smoke.
• In Somalia, 16% of youth smoke.
• Adults/youth chew dried Khat (Qat), a
harmful narcotic substance.
LGBT Population
• Nationally, the LGBT community is
estimated to have a smoking rate of up to
50% for adults ad 60% for youth.
• OTPF funded LGBT Pilot Study (’04-’05)
found targeted advertising, hard-to-resist
free cigarettes at bars, ineffective
channels for outreach as main barriers for
tobacco control.
Medicaid Population
• Ohio’s Medicaid population has a smoking
rate of 50.1 percent, and Ohio’s uninsured
smoke at a rate of 55 percent.
• Smoking among pregnant women on
Medicaid ranged from 24% - 40%.
• Of all infants born with low birth weight,
25% were born to tobacco users.
Chemically Dependent and Severe
Mental Illness
• Ohio Dept. of Alcohol and Drug Addiction
Services (ODADAS) estimates 70% - 90%
tobacco use prevalence among individuals
with alcohol and drug use disorders.
• The smoking rate for people with both
physical and mental illness is 33% higher
than those without.
• Smoking rates are as high as 90% among
individuals with severe mental illness.
Policy Implications
• Significant and improved understanding of
the need to reach out to address diverse
tobacco use disparities.
• Low SES could be one cross-cutting
approach to address the multiple diverse
populations.
• OTPF is addressing tobacco use
disparities by funding various grantees
reaching diverse communities.