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Complete Health Indicator Report of Electronic Cigarettes / Vape Products

Definition

__Youth experimentation with electronic cigarettes:__ percentage of students in grades 8, 10, 12 who have used electronic cigarettes in their lifetime. __Current use of electronic cigarettes among youth:__ percentage of students in grades 8, 10, 12 who have used electronic cigarettes in the past 30 days. __Current use of electronic cigarettes among adults:__ percentage of adults (age 18+) who currently use electronic cigarettes every day or some days.

Numerator

__Youth experimentation with electronic cigarettes:__ number of students in grades 8, 10, and 12 who have used electronic cigarettes in their lifetime. __Current use of electronic cigarettes among youth:__ number of students in grades 8, 10, and 12 who have used electronic cigarettes in the past 30 days. __Current use of electronic cigarettes among adults:__ number of adults (age 18+) who currently use electronic cigarettes every day or some days.

Denominator

__Experimentation and current use of electronic cigarettes among youth:__ number of all students in grades 8, 10, and 12 surveyed. __Current use of electronic cigarettes among adults:__ number of adults (age 18+)

Data Interpretation Issues

The Prevention Needs Assessment (PNA) is conducted in odd years with Utah students in grades 6, 8, 10, and 12. The Behavioral Risk Factor Surveillance System (BRFSS) survey is conducted with a representative sample of non-institutionalized Utah adults living in households with a landline telephone. In 2010, the BRFSS added cell phone interviews to the survey protocol and introduced a new weighting methodology that better represents populations of low socioeconomic status. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]. Due to these changes survey results from the years before 2010 are not comparable to results observed in 2010 or later. The 2010 estimated adult smoking rate was higher compared to rates from previous years that were based on post-stratification by age, sex, and local health district. As with all telephone surveys, data may be subject to error as resulting from non-coverage (e.g., lower telephone coverage among some low SES populations), 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?

Electronic cigarettes are battery-powered devices that turn liquids into an aerosol. They are marketed under a variety of different names, but are most commonly referred to as electronic cigarettes, e-cigarettes, vape pens, mods, or tanks. The liquids frequently contain nicotine and flavors. Since 2011, Utah has seen a sharp increase in e-cigarette experimentation and use among youth. Given the uncertain public health impact of e-cigarettes and the potential for increasing nicotine addiction among young people, monitoring the use of e-cigarette products and enforcing and strengthening policies that regulate youth access are public health priorities for Utah.

Other Objectives

Currently, Healthy People 2020 does not list a specific objective related to electronic cigarettes. TU-3 focuses on reducing the initiation of tobacco use among children, adolescents, and young adults.

How Are We Doing?

From 2011 to 2017, Utah's youth e-cigarette use rate continued to increase to a high of 11.1%. In comparison, 4.6% of Utah adults reported e-cigarette use in 2016 (age-adjusted rate).

How Do We Compare With the U.S.?

In 2017, 11.1% of Utah students in grades 8, 10 and 12 reported that they had used e-cigarettes or vape products in the past 30 days (Utah 2017 Prevention Needs Assessment). In comparison, the 2014 National Youth Tobacco Survey (NYTS) reported a rate of current e-cigarette use of 13.4% for U.S. high school students.

What Is Being Done?

Utah has seen recent progress in regulating electronic cigarettes. Retailers are required to be licensed through the Utah Tax Commission to sell electronic cigarettes. The sale of electronic cigarettes to those younger than 19 years is prohibited. Since electronic cigarettes are included in the Utah Indoor Clean Air Act, vaping in indoor public places is also prohibited. Each of these measures are aimed at reducing youth access and exposure to these products.

Evidence-based Practices

Evidence-based practices for smoking cessation include individual, group, and telephone counseling and use of FDA-approved nicotine replacement therapies and medications.

Available Services

For services and information on tobacco use and quitting, visit Utah's online tobacco cessation website, [http://waytoquit.org waytoquit.org], or call the Utah Tobacco Quit Line at 1-800-QUIT-NOW.

Health Program Information

Vape industry claims that e-cigarettes are effective smoking cessation tools have not been verified by studies. For information on quitting tobacco use with proven methods, visit [http://waytoquit.org waytoquit.org] or call the Utah Tobacco Quit Line at 1-800-QUIT-NOW. To receive more information about tobacco prevention and control programs in Utah, call the Tobacco Free Resource Line at 1-877-220-3466.


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Risk Factors Indicators:




Graphical Data Views

Electronic Cigarettes Experimentation and Current Use by Grade, Utah Students in Grades 8, 10, and 12, 2017

::chart - missing::
confidence limits

Experimentation and Current UseGrade in SchoolPercentage of Students in Grades 8, 10, and 12Lower LimitUpper Limit
Record Count: 6
Experimentation8th12.4%11.0%14.0%
ExperimentationGrade 1025.5%22.8%28.5%
ExperimentationGrade 1232.1%28.9%35.6%
Current Use8th5.7%5.0%6.5%
Current UseGrade 1012.4%11.0%13.9%
Current UseGrade 1215.5%13.4%17.9%

Data Notes

Experimentation is defined as "ever tried"; current use is defined as use in the past 30 days.

Data Source

Prevention Needs Assessment Survey


Electronic Cigarettes Current Use by Age Group, Utah Adults, 2016

::chart - missing::
confidence limits

Age GroupPercentage of AdultsLower LimitUpper LimitNote
Record Count: 6
18-2412.1%9.7%14.9%
25-347.6%6.0%9.5%
35-443.9%2.9%5.3%
45-543.4%2.4%4.8%
55-641.6%1.0%2.5%
65+0.4%0.2%0.7%*

Data Notes

Current use is defined as use in currently using "every day" or "some days."[[br]] ^ ^* For the age group 65+, the estimates has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Electronic Cigarettes Current Use by Local Health District, Utah Students in Grades 8, 10, and 12, 2017

::chart - missing::
confidence limits

Local Health DistrictPercentage of Students in Grades 8, 10, and 12Lower LimitUpper Limit
Record Count: 14
Bear River7.3%5.4%9.9%
Central9.1%7.3%11.4%
Davis County9.5%7.7%11.8%
Salt Lake County13.7%12.0%15.6%
San Juan4.7%1.9%11.2%
Southeast14.0%8.8%21.5%
Southwest10.8%9.2%12.6%
Summit7.4%4.8%11.3%
Tooele10.1%7.6%13.2%
TriCounty13.5%9.5%18.7%
Utah County8.1%6.8%9.7%
Wasatch10.3%7.3%14.4%
Weber-Morgan15.0%12.3%18.1%
State of Utah11.1%10.3%11.9%

Data Notes

Current use is defined as use in the past 30 days.

Data Source

Prevention Needs Assessment Survey


Electronic Cigarettes Current Use by Local Health District, Utah Adults, 2014-2016

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Percentage of AdultsLower LimitUpper LimitNote
Record Count: 14
Bear River3.3%2.3%4.8%
Central3.5%2.2%5.5%
Davis County4.3%3.4%5.5%
Salt Lake County5.5%4.8%6.4%
San Juan****
Southeast6.0%3.7%9.6%
Southwest4.4%3.2%6.0%
Summit1.8%0.8%4.4%*
Tooele5.1%3.4%7.6%
TriCounty4.1%2.6%6.4%
Utah County2.3%1.8%3.0%
Wasatch2.5%1.0%6.2%*
Weber-Morgan8.8%7.0%10.9%
State of Utah4.7%4.3%5.1%

Data Notes

Age-adjusted to U.S. 2000 population.[[br]] ^ ^* For Summit and Wasatch County Health Districts, the estimates have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health standards.[[br]] ^ ^**For San Juan Public Health District, the estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication.[[br]] Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Tobacco Use by Type of Product, Utah Students in Grades 8, 10, and 12, 2017

::chart - missing::
confidence limits

Tobacco Product% of Students Currently Using Tobacco ProductsLower LimitUpper Limit
Record Count: 6
Cigarettes2.9%2.5%3.4%
E-Cigarettes11.1%10.3%11.9%
Cigars, Cigarillos, or Little Cigars1.6%1.4%1.9%
Hookah1.4%1.1%1.6%
Chewing Tobacco0.9%0.7%1.0%
Snus0.3%0.2%0.5%

Data Notes

Current use is defined as use in the past 30 days.

Data Source

Prevention Needs Assessment Survey

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 11/03/2017, Published on 11/29/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 20 April 2018 23:29:44 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 29 Nov 2017 15:29:06 MST