• textsize: A A A

Health Reports & Data

Tobacco Use

Goal

Reduce illness, disability, and death related to tobacco use and secondhand smoke exposure.

Overview

Scientific knowledge about the health effects of tobacco use has increased greatly since the first Surgeon General’s report on tobacco was released in 1964.1,2,3

Tobacco use causes:

  • Cancer
  • Heart disease
  • Lung diseases (including emphysema, bronchitis, and chronic airway obstruction)3
  • Premature birth, low birth weight, stillbirth, and infant death

There is no risk-free level of exposure to secondhand smoke. Secondhand smoke causes heart disease and lung cancer in adults and a number of health problems in infants and children, including:

  • Severe asthma attacks
  • Respiratory infections
  • Ear infections
  • Sudden infant death syndrome (SIDS)4

Smokeless tobacco causes a number of serious oral health problems, including cancer of the mouth and gums, periodontitis, and tooth loss. Cigar use causes cancer of the larynx, mouth, esophagus, and lung.1,3

Why is Preventing Tobacco Use Important?

Tobacco use is the single most preventable cause of death and disease in the United States.5 Each year, approximately 443,000 Americans die from tobacco-related illnesses. For every person who dies from tobacco use, 20 more people suffer with at least 1 serious tobacco-related illness.5,6 In addition, tobacco use costs the
U.S. $193 billion annually in direct medical expenses and lost productivity.

Healthy People 2020: A Framework for Ending the Tobacco Use Epidemic

Healthy People 2020 provides a framework for action to reduce tobacco use to the point that it is no longer a public health problem for the Nation. Research has identified a number of effective strategies that will contribute to ending the tobacco use epidemic.7,8,9,10,11,12 Based on more than 45 years of evidence, it is clear that the toll tobacco use takes on families and communities can be significantly reduced by:

  • Fully funding tobacco control programs.
  • Increasing the price of tobacco products.
  • Enacting comprehensive smoke-free policies.
  • Controlling access to tobacco products.
  • Reducing tobacco advertising and promotion.
  • Implementing anti-tobacco media campaigns.
  • Encouraging and assisting tobacco users to quit.

The Healthy People 2020 Tobacco Use objectives are organized into 3 key areas:

  1. Tobacco Use Prevalence: Implementing policies to reduce tobacco use and initiation among youth and adults.
  2. Health System Changes: Adopting policies and strategies to increase access, affordability, and use of smoking cessation services and treatments.
  3. Social and Environmental Changes: Establishing policies to reduce exposure to secondhand smoke, increase the cost of tobacco, restrict tobacco advertising, and reduce illegal sales to minors.

Additional Resources:

HP2020’s National Objectives for Tobacco Use
HHDW Reports on Tobacco Use

References

  1. Centers for Disease Control and Prevention (CDC), Office on Smoking and Health. Reducing the health consequences of smoking: 25 years of progress: A report of the Surgeon General. Atlanta: CDC; 1989.
  2. Centers for Disease Control and Prevention (CDC), Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The health benefits of smoking cessation: A report of the Surgeon General. Atlanta: CDC; 1990.
  3. US Department of Health and Human Services (HHS), Public Health Service, Office of the Surgeon General. The health consequences of smoking: A report of the Surgeon General. Rockville, MD: HHS; 2004. Available from:
    http://www.cdc.gov/tobacco/data_statistics/sgr/2004/index.htm
  4. Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta: CDC; 2006. Available from: http://www.cdc.gov/tobacco/data_statistics/sgr/2006/index.htm
  5. Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. MMWR. 2002;51(14):300-3 [cited 2009 Aug 18].
  6. Centers for Disease Control and Prevention. Cigarette smoking among adults and trends in smoking cessation—United States, 2008. MMWR. 2009;58(44):1227-32 [cited 2009 Nov 16].
  7. Institute of Medicine. Ending the tobacco problem: A blueprint for the nation. Washington: National Academies Press; 2007.
  8. World Health Organization (WHO). WHO report on the global tobacco epidemic, 2008: The MPOWER package. Geneva, Switzerland: WHO; 2008. Available from: http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf
  9. Centers for Disease Control and Prevention (CDC), Office on Smoking and Health. Best practices for comprehensive tobacco control programs—2014. Atlanta: CDC; 2014. Available from: http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm
  10. Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Reducing tobacco use: A report of the Surgeon General. Atlanta: CDC; 2000. Available from: http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2000/index.htm
  11. National Institutes of Health, National Cancer Institute (NCI). The role of the media in promoting and reducing tobacco use. Tobacco Control Monograph No. 19. Bethesda, MD: NCI; 2008 Jun.
  12. Fiore MC, Jaen CR, Baker TB, et al. Clinical practice guideline: Treating tobacco use and dependence—2008 update. Rockville, MD: US Department of Health and Human Services. Public Health Service; 2008 May.
ID
OBJECTIVES AND SUB-OBJECTIVES
TU-1
Reduce tobacco use by adults
State Indicator Definition:
Percentage of adults aged 18 years and over who have smoked at least 100 cigarettes in their life and who report smoking some days or every day. The national indicator is defined in exactly the same way.

State Baseline:
16.8% (2011)

Most Recent State Value:
14.1% (2015)

HP2020 Target:
National: 12.0%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of adults aged 18 years and older who report they use chewing tobacco, snuff, or snus some days or every day. The national indicator requires respondents to have used smokeless tobacco products at least 20 times in their life and report using them some days or every day.

State Baseline:
1.9% (2011)

Most Recent State Value:
2.3% (2015)

HP2020 Target:
National: 0.2%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
Hawaii-IBIS
HHM Report

TU-2
Reduce tobacco use by adolescents
State Indicator Definition:
Percentage of public school students in grades 9-12 who used any form of tobacco (cigarettes, cigars, smokeless tobacco products, pipes, or bidis) on at least one of the previous 30 days. The national indicator does not ask about pipe and bidi smoking, but is otherwise defined the same way.

State Baseline:
11.8% (2011)

Most Recent State Value:
11.0% (2015)

HP2020 Target:
National: 21%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of public school students in grades 9-12 who smoked cigarettes on at least one of the previous 30 days. The national indicator is defined in exactly the same way.

State Baseline:
10.1% (2011)

Most Recent State Value:
9.7% (2015)

HP2020 Target:
National: 16.0%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of public school students in grades 9-12 who used smokeless tobacco products on at least one of the previous 30 days. The national indicator is defined in much the same way, however it does not mention dip as an example of a smokeless tobacco product.

State Baseline:
3.2% (2009)

Most Recent State Value:
3.1% (2015)

HP2020 Target:
National: 6.9 %

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of public school students in grades 9-12 who smoked a cigar on at least one of the previous 30 days. The national indicator is defined in exactly the same way.

State Baseline:
6.6% (2009)

Most Recent State Value:
3.1% (2015)

HP2020 Target:
National: 8.0%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
HHM Report

TU-3
Reduce the initiation of tobacco use among children, adolescents, and young adults
State Indicator Definition:
Percentage of adolescents aged 12 to 17 years who used cigarettes for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
5.2% (2010-2011)

Most Recent State Value:
2.8% (2012-2013)

HP2020 Target:
National: 4.3%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of adolescents aged 12 to 17 years who used smokeless tobacco (chewing tobacco or snuff) for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
0.5% (2010-2011)

Most Recent State Value:
0.9% (2012-2013)

HP2020 Target:
National: 0.6%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of adolescents aged 12 to 17 years who used cigars for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
2.5% (2010-2011)

Most Recent State Value:
1.7% (2012-2013)

HP2020 Target:
National: 2.9%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of young adults aged 18 to 25 years who used cigarettes for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
3.7% (2010-2011)

Most Recent State Value:
2.9% (2012-2013)

HP2020 Target:
National: 6.4%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of young adults aged 18 to 25 years who used smokeless tobacco (chewing tobacco or snuff) for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
2.1% (2010-2011)

Most Recent State Value:
0.9% (2012-2013)

HP2020 Target:
National: 0.2%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of young adults aged 18 to 25 years who used cigars for the first time in the past 12 months. The national indicator is defined in exactly the same way.

State Baseline:
3.3% (2010-2011)

Most Recent State Value:
3.4% (2012-2013)

HP2020 Target:
National: 4.3%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report

TU-4
Increase smoking cessation attempts by adult smokers
State Indicator Definition:
Percentage of current cigarette smokers aged 18 years and older who quit smoking for 1 day or longer during the 12 months prior to the survey. The national indicator also includes former smokers abstinent for less than 365 days.

State Baseline:
53.9% (2011)

Most Recent State Value:
60.2% (2015)

HP2020 Target:
National: 80.0%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
Hawaii-IBIS
HHM Report

TU-5
Increase recent smoking cessation success by adult smokers
State Indicator Definition:
Percentage of adults aged 18 years and older who have smoked at least 100 cigarettes, who do not smoke now, and who last smoked six months to one year ago. The national indicator is defined similarly except that it includes current smokers who initiated at least two years ago in the denominator, while the state indicator includes all current smokers regardless of time since initiation.

State Baseline:
7.3% (2011)

Most Recent State Value:
11.7% (2015)

HP2020 Target:
National: 8.0%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of women with a recent live birth who reported smoking cigarettes in the three months prior to becoming pregnant but not smoking in the last 3 months of their pregnancy. The national indicator is defined differently as the percent of females aged 18 to 49 years who had a live birth in the past 5 years, smoked at any time during their pregnancy with their last child, stopped smoking during the first trimester of their pregnancy, and stayed off cigarettes for the rest of the pregnancy.

State Baseline:
73.9% (2011)

Most Recent State Value:
69.4% (2014)

HP2020 Target:
National: 30.0%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Pregnancy Risk Assessment Monitoring System

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of public school students in grades 9-12 who currently smoke and tried to stop smoking at least 1 time in the previous 12 months. The national indicator is defined in exactly the same way.

State Baseline:
61.9% (2011)

Most Recent State Value:
68.4% (2015)

HP2020 Target:
National: 64.0%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state provides the recommended full coverage of all tobacco-dependence treatments (FDA-approved medications and counseling) to help smokers quit. The recommended full coverage of all tobacco-dependence treatments (FDA-approved medications and counseling) is defined as coverage of all of the following: • Medication coverage: Gum, Patch, Nasal spray, Inhaler, Lozenge, Varenicline , Bupropion hydrochloride • Counseling coverage: Group, Individual, Telephone.. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
State Medicaid insurance does not cover cessation counseling services (2015)

HP2020 Target:
National: 50 States and the District of Columbia

National Data Source:
State Medicaid Coverage Survey for Tobacco-Dependence Treatments

State Data Source:
State Medicaid Coverage Survey for Tobacco-Dependence Treatments

Data Reports:
HHM Report

TU-10
Increase tobacco cessation counseling in health care settings
State Indicator Definition:
Percentage of adult tobacco users who have been advised to quit smoking or using tobacco products by a health care professional in the past 12 months. The national indicator is defined differently as the percent of visits to office-based ambulatory care by current tobacco users where tobacco use/exposure health education was ordered/provided.

State Baseline:
65.5% (2013)

Most Recent State Value:
64.1% (2015)

HP2020 Target:
National: 21.1%

National Data Source:
National Ambulatory Medical Care Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHM Report

TU-11
Reduce the proportion of nonsmokers exposed to secondhand smoke
State Indicator Definition:
Percentage of public school students in grades 6-12 who do not use tobacco products but were exposed to secondhand smoke at work, at home, or in a car in the past 7 days. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is defined differently as the proportion of adolescents aged 12-17 years who do not use tobacco but have a serum cotinine level greater than or equal to 0.05 ng/ml.

State Baseline:
Grades 6-8, 38.3% (2007)
Grades 9-12, 36.9% (2007)

Most Recent State Value:
Grades 6-8, 21.2% (2015)
Grades 9-12, 22.8% (2015)

HP2020 Target:
National: 41.0%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
HHM Report – Grades 6-8
HHM Report – Grades 9-12

State Indicator Definition:
Percentage of adults who do not use tobacco products but were exposed to secondhand smoke at home or in a car in the past 7 days. The national indicator is defined differently as the proportion of adults who do not use tobacco but have a serum cotinine level greater than or equal to 0.05 ng/ml.

State Baseline:
13.8% (2012)

HP2020 Target:
National: 33.8%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHM Report

State Indicator Definition:
Percentage of the employed population aged 18 years and over who work indoors and are covered by indoor worksite policies that prohibit smoking. The national indicator is defined in exactly the same way.

State Baseline:
69.8% (2010-2011)

HP2020 Target:
National: 100%

National Data Source:
Tobacco Use Supplement to the Current Population Survey

State Data Source:
Tobacco Use Supplement to the Current Population Survey

Data Reports:
HHM Report

TU-13
Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksites
State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in private workplaces. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in private workplaces (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in public workplaces. The
national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in public workplaces (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in restaurants. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in restaurants (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in bars. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in bars (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in commercial daycare centers. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in commercial daycare centers (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in home-based daycare centers. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in home-based daycare centers (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in public transportation. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in public transportation (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in hotels and motels. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in hotels and motels (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in the lobbies/common areas and the living spaces of government and private multiunit housing. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in the lobbies/common areas of government and private multiunit housing; No provision for
smoking in the living areas of government and private multiunit housing (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in vehicles with children. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
No provision for restricting smoking in vehicles with children (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in prisons and correctional facilities. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking is allowed in designated areas of prisons and correctional facilities (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in substance abuse treatment facilities. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited in substance abuse treatment facilities (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking in mental health treatment facilities. The national indicator is developmental and has yet to be defined.

State Baseline:
Smoking prohibited in mental health treatment facilities (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking within 25 feet of entrances/exits for restaurants, bars, private workplaces, and public workplaces. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited only within 20 feet of entrances/exits (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking on hospital campuses. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
Smoking prohibited on hospital campuses (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state has tobacco control laws prohibiting smoking on college and university campuses. The national indicator is developmental and has yet to be defined.

State Baseline:
No provision for restricting smoking on college and university campuses (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
Percentage of adults aged 18 years and over who reported that no smoking is allowed anywhere in their home. The national indicator is defined in exactly the same way.

State Baseline:
80.6% (2012)

Most Recent State Value:
90.1% (2014)

HP2020 Target:
National: 87.0%

National Data Source:
Tobacco Use Supplement to the Current Population Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
Hawaii-IBIS
HHM Report

TU-15
Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school events
State Indicator Definition:
Percentage of public junior high schools that do not allow tobacco use by students, staff, or visitors on school facilities, property, vehicles, and school events. The national indicator includes private junior high schools.

State Baseline:
60.0% (2010)

HP2020 Target:
National: 100%

National Data Source:
School Health Policies and Practices Study

State Data Source:
School Health Profiles

Data Reports:
HHM Report

State Indicator Definition:
Percentage of public middle schools that do not allow tobacco use by students, staff, or visitors on school facilities, property, vehicles, and school events. The national indicator includes private middle schools.

State Baseline:
82.4% (2010)

HP2020 Target:
National: 100%

National Data Source:
School Health Policies and Practices Study

State Data Source:
School Health Profiles

Data Reports:
HHM Report

State Indicator Definition:
Percentage of public high schools that do not allow tobacco use by students, staff, or visitors on school facilities, property, vehicles, and school events. The national indicator includes private high schools.

State Baseline:
76.0% (2010)

Most Recent State Value:
79.0% (2012)

HP2020 Target:
National: 100%

National Data Source:
School Health Policies and Practices Study

State Data Source:
School Health Profiles

Data Reports:
HHM Report

TU-16
Eliminate state laws that preempt stronger local tobacco control laws
State Indicator Definition:
The target is met if the state does not have laws that preempt stronger local tobacco control laws on smoke-free indoor air. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
No preemptive laws on smoke-free indoor air (2015)

HP2020 Target:
National: 100%

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state does not have laws that preempt stronger local tobacco control laws on advertising. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
No preemptive laws on tobacco advertising (2015)

HP2020 Target:
National: Zero states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state does not have laws that preempt stronger local tobacco control laws on youth access. The national indicator includes all 50 states and the District of Columbia.

State Baseline:
No preemptive laws on youth access to tobacco (2015)

HP2020 Target:
National: Zero states and the District of Columbia

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

TU-17
Increase the Federal and State tax on tobacco products
State Indicator Definition:
The target is met if the state increases tax on cigarettes by $0.075 per stick ($1.50 per pack) by 2020. The national indicator is the number of states and the District of Columbia that successfully fulfill this goal. The objective requires the Federal government to achieve the same goal.

State Baseline:
Hawaii Cigarette Tax: $0.13 per stick ($2.60 per pack; 2010)

Most Recent State Value:
Hawaii Cigarette Tax: $0.16 per stick ($3.20 per pack; 2015)

HP2020 Target:
National: 50 states, the District of Columbia, and the Federal government

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
HHM Report

State Indicator Definition:
The target is met if the state increases tax on smokeless tobacco products by $1.50 by 2020. The national indicator is the number of states and the District of Columbia that successfully fulfill this goal. The objective requires the Federal government to achieve the same goal.

State Baseline:
Hawaii Smokeless Tobacco Tax: 70% of wholesale value (2010)

Most Recent State Value:
Hawaii Smokeless Tobacco Tax: 70% of wholesale value (2015)

HP2020 Target:
National: 50 states, the District of Columbia, and the Federal government

National Data Source:
State Tobacco Activities Tracking and Evaluation System

State Data Source:
State Tobacco Activities Tracking and Evaluation System

Data Reports:
Not available at this time

TU-18
Reduce the proportion of adolescents and young adults grades 6 through 12 who are exposed to tobacco advertising and promotion
State Indicator Definition:
Percentage of public school students in grades 6-12 who report they always, most of the time, or sometimes see ads for tobacco products on the internet. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is defined in exactly the same way.

State Baseline:
Grades 6-8, 43.1% (2013)
Grades 9-12, 48.8% (2013)

Most Recent State Value:
Grades 6-8, 45.5% (2015)
Grades 9-12, 44.7% (2015)

HP2020 Target:
National: 33.1%

National Data Source:
National Youth Tobacco Survey

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
Hawaii-IBIS – Grades 6-8
Hawaii-IBIS – Grades 9-12
HHM Report – Grades 6-8
HHM Report – Grades 9-12

State Indicator Definition:
Percentage of public school students in grades 6-12 who report they always, most of the time, or sometimes see ads or promotions for tobacco products when they read magazines or newspapers. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is defined in exactly the same way.

State Baseline:
Grades 6-8, 42.5% (2013)
Grades 9-12, 47.4% (2013)

Most Recent State Value:
Grades 6-8, 41.9% (2015)
Grades 9-12, 45.5% (2015)

HP2020 Target:
National: 19.3%

National Data Source:
National Youth Tobacco Survey

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
Hawaii-IBIS – Grades 6-8
Hawaii-IBIS – Grades 9-12
HHM Report – Grades 6-8
HHM Report – Grades 9-12

State Indicator Definition:
Percentage of public school students in grades 6-12 who report they always, most of the time, or sometimes see actors using tobacco when they watch TV or go to the movies. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is defined in exactly the same way.

State Baseline:
Grades 6-8, 75.6% (2009)
Grades 9-12, 81.2% (2009)

Most Recent State Value:
Grades 6-8, 61.9% (2015)
Grades 9-12, 66.5% (2015)

HP2020 Target:
National: 69.8%

National Data Source:
National Youth Tobacco Survey

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
Hawaii-IBIS – Grades 6-8
Hawaii-IBIS – Grades 9-12
HHM Report – Grades 6-8
HHM Report – Grades 9-12

State Indicator Definition:
Percentage of public school students in grades 6-12 who report they always, most of the time, or sometimes see ads for tobacco products or items that have tobacco company names or picures on them when they go to a convenience store, supermarket, or gas station. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is defined in exactly the same way.

State Baseline:
Grades 6-8, 67.1% (2013)
Grades 9-12, 75.6% (2013)

Most Recent State Value:
Grades 6-8, 63.4% (2015)
Grades 9-12, 70.0% (2015)

HP2020 Target:
National: 77.1%

National Data Source:
National Youth Tobacco Survey

State Data Source:
Hawaii Youth Tobacco Survey

Data Reports:
Hawaii-IBIS – Grades 6-8
Hawaii-IBIS – Grades 9-12
HHM Report – Grades 6-8
HHM Report – Grades 9-12

TU-19
Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors
State Indicator Definition:
The target is met if the state maintains a tobacco sales rate to minors of less than 5% through enforcement of laws prohibiting the sale of tobacco to minors. The national indicator is the number of states and the District of Columbia with a tobacco sales rate to minors of less than 5%.

State Baseline:
Target Not Met: Illegal tobacco sales rate = 6.2% (2010)

Most Recent State Value:
Target Met: Illegal tobacco sales rate = 2.9% (2015)

HP2020 Target:
National: 50 states and the District of Columbia

National Data Source:
State Synar Enforcement Reporting

State Data Source:
State Synar Enforcement Reporting

Data Reports:
HHM Report