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 IssuesThe 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 ObjectivesCurrently, 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 PracticesEvidence-based practices for smoking cessation include individual, group, and telephone counseling and use of FDA-approved nicotine replacement therapies and medications.
Health Program InformationVape 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.