Kansas Tobacco-Related Data Kansas Tobacco-Related Data Resources and Performance Resources and Performance

MeasuresMeasures

Harlen Hays, MPHHarlen Hays, MPH

Office of Health Promotion, KDHEOffice of Health Promotion, KDHE

Four Programs GoalsFour Programs GoalsNational, State and LocalNational, State and Local

1.1. Preventing the initiation of tobacco use among young Preventing the initiation of tobacco use among young people.people.

2.2. Promoting quitting among young people and adults.Promoting quitting among young people and adults.

3.3. Eliminating nonsmokers' exposure to environmental Eliminating nonsmokers' exposure to environmental tobacco smoke (ETS).tobacco smoke (ETS).

4.4. Identifying and eliminating the disparities related to Identifying and eliminating the disparities related to tobacco use and its effects among different population tobacco use and its effects among different population groups.groups.

Leading Underlying Causes of Leading Underlying Causes of Death in the U.S. 2000Death in the U.S. 2000

0% 5% 10% 15% 20%

Tobacco Use

Physical Inactivity and Poor Diet

Alcohol Consumption

Microbial Agents

Toxic Agents

Motor Vehicle Crashes

Firearms

Sexual Behavior

Illicit Drug Use

Long Term Planning…Long Term Planning…

……With Short term indicatorsWith Short term indicatorsDeath and disease are the ultimate Death and disease are the ultimate

outcomes tobacco prevention is trying to outcomes tobacco prevention is trying to reducereduceHowever interventions are not immediately However interventions are not immediately

apparent in tobacco preventionapparent in tobacco preventionMultiple points exist prior to death or Multiple points exist prior to death or

disability that will predict reductionsdisability that will predict reductionsNearly an infinite amount actuallyNearly an infinite amount actually

Types of DataTypes of Data QualitativeQualitative

Provides information in a more narrative format on Provides information in a more narrative format on individual thoughts and feelingsindividual thoughts and feelings

Attempts to answer the How and WhyAttempts to answer the How and Why Small intimate data collection methodSmall intimate data collection method

QuantitativeQuantitative Provides information on the number of units within the Provides information on the number of units within the

sampling framesampling frame Attempts to answer the What, When, and Where of Attempts to answer the What, When, and Where of

situationssituations Larger removed data collection methodLarger removed data collection method

Methods Exist to convert Qualitative information into a more Qualitative Presentation

Qualitative SourcesQualitative Sources

InformalInformalSuccess StoriesSuccess StoriesAnecdotal Anecdotal Blogs or JournalsBlogs or Journals

FormalFormalKey Informant InterviewsKey Informant InterviewsFocus GroupsFocus GroupsSharing SessionsSharing Sessions

Quantitative SourcesQuantitative Sources

SurveysSurveys Information is interpreted differently based on the Information is interpreted differently based on the

sampling framesampling frame RegistriesRegistries

Provides information on incidenceProvides information on incidence Vital StatisticsVital Statistics

Provides comprehensive information on major life Provides comprehensive information on major life events (Birth, Pregnancy, Death)events (Birth, Pregnancy, Death)

OtherOther Topic Specific Data SourcesTopic Specific Data Sources

SurveysSurveys

Sampling FrameSampling Frame The sampling frame of a survey is the pool of The sampling frame of a survey is the pool of

potential subjects from which the survey participants potential subjects from which the survey participants are sampled. Examples include the Kansas are sampled. Examples include the Kansas population, all youth in specific grades, Business population, all youth in specific grades, Business owners, Physicians, and citiesowners, Physicians, and cities

The information collected has a different interpretation The information collected has a different interpretation based on who is sampled and what questions are based on who is sampled and what questions are being asked of them. Asking someone about their being asked of them. Asking someone about their personal habits is different than asking a business personal habits is different than asking a business owner about their workplace policyowner about their workplace policy

Surveys – Adult KansansSurveys – Adult Kansans

Kansas Adult Tobacco SurveyKansas Adult Tobacco SurveyPeriodically conductedPeriodically conductedGeneralizable information to the State of Generalizable information to the State of

Kansas and some sub-state analysisKansas and some sub-state analysisBehavioral Risk Factor Surveillance Behavioral Risk Factor Surveillance

SystemSystemConducted annuallyConducted annuallyCore used to produce prevalence estimatesCore used to produce prevalence estimatesState Added or Optional Modules availableState Added or Optional Modules available

Surveys – Adult KansansSurveys – Adult Kansans

National Survey on Drug Use and HealthNational Survey on Drug Use and HealthConducted annuallyConducted annuallyState estimates released over 2 year periodState estimates released over 2 year periodCollects information on individuals aged 12 Collects information on individuals aged 12

and olderand olderCurrent Population SurveyCurrent Population Survey

Conducted periodicallyConducted periodicallyLast tobacco questions asked in 2003Last tobacco questions asked in 2003

Surveys - YouthSurveys - Youth

Kansas Youth Tobacco SurveyKansas Youth Tobacco SurveyConducted every two yearsConducted every two yearsRandom sample of youth in grades 6-12Random sample of youth in grades 6-12

Kansas Communities That CareKansas Communities That CareConducted annuallyConducted annually Invitation extended to all youth in Kansas in Invitation extended to all youth in Kansas in

grades 6, 8, 10, and 12grades 6, 8, 10, and 12

Surveys - YouthSurveys - Youth

Kansas Youth Risk Behavior SurveyKansas Youth Risk Behavior SurveyConducted every two yearsConducted every two yearsRandom sample of youth in grades 9-12Random sample of youth in grades 9-12

Registries and Vital StatisticsRegistries and Vital Statistics

Kansas Information for Communities (KIC)Kansas Information for Communities (KIC)Birth Certificate DataBirth Certificate DataPregnancy DataPregnancy DataDeath RecordsDeath RecordsCancer RegistryCancer RegistryPopulation EstimatesPopulation EstimatesHospital Discharge DataHospital Discharge Datahttp://kic.kdhe.state.ks.us/kic/index.htmlhttp://kic.kdhe.state.ks.us/kic/index.html

Topic Specific Data SourcesTopic Specific Data Sources

Kansas Tobacco QuitlineKansas Tobacco QuitlineMonthly datasets of current callersMonthly datasets of current callers Includes those who receive counseling, ask Includes those who receive counseling, ask

for information, and the number of health care for information, and the number of health care providers that callproviders that call

Insurance DatabasesInsurance DatabasesReimbursement for NRTReimbursement for NRTMedicaid and MedicareMedicaid and Medicare

Topic Specific Data SourcesTopic Specific Data Sources

Department of RevenueDepartment of RevenueNumber of licensed tobacco retailersNumber of licensed tobacco retailersNumber of Enforcement checks conductedNumber of Enforcement checks conductedTax revenueTax revenue

CigarettesCigarettesOther Tobacco ProductsOther Tobacco Products

Reward and Reminder/ BARS ProgramReward and Reminder/ BARS ProgramNon-enforcement inspectionsNon-enforcement inspections

Topic Specific Data SourcesTopic Specific Data Sources

State Synar Compliance ReportState Synar Compliance ReportRandom sample of retailers throughout Random sample of retailers throughout

KansasKansasConducted in same format as EnforcementConducted in same format as Enforcement

Media Clipping ServicesMedia Clipping ServicesFrequency of tobacco topicsFrequency of tobacco topicsCan be separated for pro- and anti-tobacco Can be separated for pro- and anti-tobacco

slantslantTypically, Print is the easiest to acquireTypically, Print is the easiest to acquire

Topic Specific Data SourcesTopic Specific Data Sources

Public Opinion PollsPublic Opinion PollsShort, infrequent surveys on specific issuesShort, infrequent surveys on specific issuesMay be done at state or local levelMay be done at state or local level

Provider DatabasesProvider DatabasesEMR on tobacco status or cessation billingEMR on tobacco status or cessation billingNo centralized databaseNo centralized database

Policy DatabasesPolicy DatabasesSchoolsSchoolsOrdinancesOrdinances

OthersOthers

What are your data sources?What are your data sources?How frequently is the information How frequently is the information

collected?collected?How often is the information reported?How often is the information reported? Is the information available to the public?Is the information available to the public?

Tools of the TradeTools of the Trade

CDC’s STATE systemCDC’s STATE systemState Tobacco Activities Tracking and State Tobacco Activities Tracking and

Evaluation Evaluation Detailed state analysisDetailed state analysisTrend informationTrend informationState-to-state comparisonsState-to-state comparisonshttp://apps.nccd.cdc.gov/statesystem/http://apps.nccd.cdc.gov/statesystem/

Tools of the TradeTools of the Trade

Survey Questionnaire Design ResourceSurvey Questionnaire Design ResourceTobacco related questionsTobacco related questionshttp://apps.nccd.cdc.gov/sqdr/QuickSearch.ashttp://apps.nccd.cdc.gov/sqdr/QuickSearch.as

pxpxKansas Communities That CareKansas Communities That Care

http://beta.ctcdata.org/http://beta.ctcdata.org/Kansas Information for CommunitiesKansas Information for Communities

http://kic.kdhe.state.ks.us/kic/index.htmlhttp://kic.kdhe.state.ks.us/kic/index.html

Questions?Questions?