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Surveillance and Evaluation Data Resources for
Comprehensive Tobacco Control ProgramsNovember 2001
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention
Suggested citation: Yee SL, Schooley M. Surveillance and Evaluation Data Resources for Comprehensive Tobacco Control Programs. Atlanta (GA): Centers for Disease Control and Prevention; 2001.
Surveillance and Evaluation Data Resources for
Comprehensive Tobacco Control Programs November 2001
Sue Lin Yee, M.A., M.P.H. Michael Schooley, M.P.H.
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention
National Center for Chronic Disease and Health Promotion Office on Smoking and Health
National Tobacco Control Program
Acknowledgments
We thank the following people from the Office on Smoking and Health for their assistance in coordinating, reviewing, and producing this document: Jeffrey Fellows, Lawrence Green, Corinne Husten, Goldie MacDonald, Lisa Petersen, Terry Pechacek, Eric Pevzner, Sheila Porter, Heather Ryan, Donald Sharp, Gabrielle Starr, Eric Wiesen, and Pascale Wortley.
We give special thanks to Claudia Bohner, Utah Department of Health and Julie Doetsch, Illinois Department of Public Health for their reviews of an earlier draft of this document.
To order a copy of this book, contact —
OSH PublicationsMail Stop K-50
Centers for Disease Control and Prevention4770 Buford Highway NEAtlanta, GA 30341-3717
For more information on CDC activities related to tobacco control, visit our Web site:
www.cdc.gov/tobacco
Contents
Preface — 1
About this Book — 3
1. National and State Surveys and Tools — 5
2. Registries and Vital Statistics — 14
3. Topic-Specific Tools: Health Systems and Clinical Settings — 15
4. Topic-Specific Tools: Sales Data — 17
5. Topic-Specific Tools: National, State, and Local Policy Tracking — 19
6. Topic-Specific Tools: Pro-Tobacco Advertising and Promotions — 20
7. Topic-Specific Tools: Advertising Tracking and Outcomes Measurement — 21
8. Topic-Specific Tools: Community — 22
Preface
Surveillance of tobacco use and evaluation of tobacco control programs are two keys to the success in reducing the prevalence of smoking since the U.S. Surgeon General first publicized the adverse consequences of tobacco use in a 1964 report.
In many areas of health promotion and disease prevention, the behavior of populations has been difficult to track. However, trends in tobacco use have been known since the beginning of the 20th century. Tobacco use rose inexorably from 1900 to 1965, declining only during the early years of the great depression and other economic downturns. These declines gave the first clue that pricing and taxing could significantly affect tobacco use. But price is not the only factor that affects tobacco use. The nonsmokers’ rights movement and the Surgeon General’s Report on the health hazards associated with secondhand tobacco smoke—as well as a doubling in the federal cigarette tax—all contributed to a decline in tobacco use that began in the mid-1970s.
In recent years, monitoring and evaluation of tobacco control activities in California, Massachusetts, and Oregon have shown that aggressive and comprehensive tobacco control programs are effective in reducing cigarette smoking. For example, California was the first state to implement a comprehensive tobacco control program and is now seeing changes in long-term health outcomes, notably a 4.8% decline in lung cancer rates among men and women from 1988 to 1997, while rates in other regions increased by 13.2%. In Oregon, the smoking prevalence among 8th graders declined for the first time in recent history (from 21% in 1998 to 15% in 1999) after the state implemented a comprehensive tobacco control program that included hard-hitting media messages, innovative cessation programs, and widespread efforts to promote smoke-free workplaces. Massachusetts established a comprehensive tobacco control program in 1993 and saw a 30% decline in per capita cigarette purchases from 1992 to 1998. These and other findings led to the development of CDC’s Best Practices for Comprehensive Tobacco Control Programs, which stipulates
1
Surveillance and Evaluation Data Resources
that surveillance and evaluation, along with eight other elements are necessary to ensure that tobacco control programs achieve their goals.
Comprehensive tobacco use prevention and control programs use the research data and strategies described in CDC’s Best Practices, the 2000 Surgeon General’s Report Reducing Tobacco Use, and the Task Force on Community Preventive Services’ tobacco-related recommendations. Using these three publications in conjunction with data from the sources listed in this publication will create a strong foundation for generating action at the state level and achieving the Healthy People 2010 tobacco objectives within the next decade.
2
About this Book
Surveillance and Evaluation Data Resources is an at-a-glance compilation of sources of data useful for tobacco control programs that are conducting surveillance or evaluation. Our objective is to provide basic information on each data source to assist state tobacco control programs identify data that are relevant to planning, monitoring, and evaluation. The data sources listed here provide a wide variety of tobacco-related information. For example, the NTCP Chronicle and local program monitoring have useful data on programmatic activities; restaurant and work-site surveys, key informant surveys, and third-party payer surveys have data on environmental policies and indicators; the Youth Tobacco Survey, Adult Tobacco Survey, and media evaluation surveys have data on individual knowledge, attitudes, and behaviors; and the cancer registries and hospital discharge records have data on health outcomes.
Data sources checked as “used frequently and comparable across states” are often used to help states develop tobacco program objectives. Data from these sources can be used to compare program impact and outcomes with those of other states and the nation as a whole.
The data sources are organized under major categories: national and state surveys and tools, registries and vital statistics, and topic-specific tools. The columns in each table provide the following information:
Column 1: Data Source ■ Name of the data source.
■ General description of the data source.
Column 2: Tobacco-Related Indicators ■ Topics on which information is available. For example,
environmental tobacco smoke, tobacco-related policies, brand preferences, type of tobacco product (cigarette, cigar, pipe, smokeless tobacco, kretek, or bidi).
3
Surveillance and Evaluation Data Resources
■ The range in the number of tobacco-related questions included in the survey instrument, or—if applicable— within the core instrument, modules, or supplements.
Column 3: Sampling Frame ■ The level of information available: national, state, community,
or local.
■ Details on target or study population (e.g., adults, pregnant women) or factors that were studied (e.g., media campaigns, number of telephone calls, hospital records).
Column 4: Methodology (a); Frequency (b); Years Completed (c) ■ (a) Study design and data collection mode (e.g., random
sample, telephone survey; convenience sample, unannounced interviews).
■ (b) How often surveys are conducted (e.g., annually, periodically).
■ (c) The years when data were collected.
Column 5: Comments ■ Additional useful information.
Column 6: Contact ■ Phone number or Internet address of the organization
where you can obtain more information.
Not all of the data sources are available in every state. Consequently, some states may consider investing funds to develop systems to address gaps in data. New data collection systems should be directly relevant to state programmatic goals, objectives, and activities. However, prior to choosing data sources or investing resources to develop new data systems, programs should consider some of the following issues: timeliness, frequency, comparability, credibility, and available resources. For more information on these considerations, please see CDC’s 2001 publication An Introduction to Evaluation: Planning, Implementation and Use, or contact the CDC’s Office on Smoking and Health’s State Surveillance and Evaluation Team (telephone: 770-488-5703).
4
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Toba
cco-
Rela
ted
Sam
plin
g Fr
eque
ncy
(b),
Dat
a So
urce
In
dica
tors
Fr
ame
Year
s Com
plet
ed (c
) C
omm
ents
C
onta
ct
✔ A
dult
Toba
cco
Surv
ey (A
TS)
■
Prov
ides
dat
a on
adu
lt to
bacc
o us
e,
know
ledg
e, a
ttitu
des a
nd to
bacc
o us
e pr
even
tion
and
cont
rol p
olic
ies.
■
Indi
vidu
al st
ate
ATSs
hav
e be
en
cond
ucte
d in
15
stat
es si
nce
1986
.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, b
idi,
kret
ek, a
nd
smok
eles
s tob
acco
use
.
■
ETS
expo
sure
and
pol
icie
s.
■
Ces
satio
n be
havi
ors.
■
Hea
lth a
nd so
cial
influ
ence
s, pa
rent
al
invo
lvem
ent,
med
ia e
xpos
ure,
and
ot
her p
olic
y iss
ues.
Num
ber o
f que
stio
ns: F
rom
64
to 1
68.
Stat
e le
vel.
Subj
ects
:Ad
ults
age
d 18
or
old
er.
a) R
ando
m d
esig
n,
tele
phon
e su
rvey
.
b) P
erio
dic.
Stat
e to
bacc
o pr
ogra
ms s
houl
d O
ffice
on
Smok
ing
and
Hea
lth, C
ente
rs fo
r D
iseas
e C
ontr
ol a
nd
Prev
entio
n.(7
70) 4
88-5
703.
Stat
e he
alth
dep
artm
ents
.
wor
k w
ith B
RFSS
coo
rdin
ator
s to
des
ign
and
impl
emen
t an
ATS.
Cen
ters
for D
iseas
e C
ontr
ol
and
Prev
entio
n (C
DC
), O
ffice
on
Sm
okin
g an
d H
ealth
has
de
velo
ped
a st
anda
rdiz
ed
inst
rum
ent a
nd o
ptio
nal
ques
tions
for s
tate
use
.
Adul
t Use
of T
obac
co S
urve
y (A
UTS
)
■
Prov
ides
des
crip
tive
info
rmat
ion
on
know
ledg
e, a
ttitu
des,
and
beha
vior
s re
late
d to
toba
cco
use
prev
entio
n an
d co
ntro
l.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, sm
okel
ess t
obac
co
use
.
■
Age
of i
nitia
tion.
■
Expo
sure
to E
TS.
■
Bran
d pr
efer
ence
.
■
Ces
satio
n be
havi
or.
■
Kno
wle
dge
and
attit
udes
.
Nat
iona
l lev
el.
Subj
ects
:Ad
ults
age
d 18
or
old
er.
Mos
t rec
ent s
urve
y w
as
com
plet
ed in
198
6.
Nat
iona
l Tec
hnic
al
Info
rmat
ion
Serv
ice.
(7
03) 6
05-6
585.
ww
w.n
tis.g
ov
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
a) R
ando
m d
esig
n,
tele
phon
e su
rvey
.
b) P
erio
dic.
c) 1
964,
196
6, 1
970,
19
86.
✔ B
ehav
iora
l Ris
k Fa
ctor
Sur
veil
lanc
e Sy
stem
(BRF
SS)
■
Prov
ides
des
crip
tive
data
on
heal
thri
sk b
ehav
iors
, inc
ludi
ng to
bacc
o us
e an
d pr
even
tive
heal
th m
easu
res i
n ge
nera
l.
■
The
surv
ey b
egan
in 1
984
with
15
stat
es p
artic
ipat
ing.
Sin
ce 1
996,
all
50
stat
es h
ave
part
icip
ated
.
Topi
cs:
they
wer
e—
■
pipe
, and
bid
i use
.
■
Age
of i
nitia
tion.
■
Ces
satio
n be
havi
ors.
■
ETS
polic
ies a
nd r
ules
.
Num
ber o
f que
stio
ns: F
rom
5 to
17.
a) R
ando
m d
esig
n,
tele
phon
e su
rvey
.
b) A
nnua
l.
c) 1
984–
pres
ent.
1996
: CD
C c
hang
ed it
s def
ini
tion
of a
cig
aret
te sm
oker
.
1998
: tob
acco
topi
cs a
dded
to
the
optio
nal m
odul
es, i
n ad
di
tion
to th
ose
in th
e co
re q
ues
tionn
aire
.
Stat
e to
bacc
o pr
ogra
ms s
houl
d w
ork
with
BRF
SS c
oord
inat
ors
to h
ave
toba
cco-
rela
ted
ques
tio
ns a
dded
to st
ate
surv
ey.
Div
ision
of A
dult
and
Com
mun
ity H
ealth
, C
ente
rs fo
r Dise
ase
Con
trol
and
Pre
vent
ion.
(7
70) 4
88-2
455.
ww
w.c
dc.g
ov/n
ccdp
hp/
BRFS
S
Stat
e he
alth
dep
artm
ents
.
The
toba
cco
topi
cs v
ary
by y
ear.
In 2
001,
Cig
aret
te, c
igar
, sm
okel
ess t
obac
co,
Stat
e le
vel.
Subj
ects
:Ad
ults
age
18
orol
der.
Tabl
e 1
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
5
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Toba
cco-
Rela
ted
Sam
plin
g Fr
eque
ncy
(b),
Dat
a So
urce
In
dica
tors
Fr
ame
Year
s Com
plet
ed (c
) C
omm
ents
C
onta
ct
Can
cer P
reve
ntio
n St
udy
(CPS
II)
■
Prov
ides
dat
a on
age
and
cau
se o
fde
ath
for a
pro
spec
tive
coho
rt o
f 1.
2 m
illio
n pe
ople
nat
ionw
ide
since
19
82.
■
Info
rmat
ion
abou
t tob
acco
use
, m
edic
al h
istor
y, di
etar
y ha
bits
, env
iro
nmen
t, an
d ot
her h
ealth
det
erm
ina
nts a
re re
cord
ed a
nd re
late
d to
ca
uses
of d
eath
.
Topi
cs:
■
Cig
aret
te u
se.
■
Age
of in
itiat
ion.
■
Bran
d pr
efer
ence
.
■
Deg
ree
of in
hala
tion.
Num
ber o
f que
stio
ns:
From
3 to
9.
Nat
iona
l lev
el.
Subj
ects
:Ad
ults
age
d 35
or o
lder
.
a) C
ohor
t stu
dy w
ith
conv
enie
nce
sam
ple,
self-
adm
inist
ered
su
rvey
.
b) B
ienn
ial f
ollo
w-u
p.
c) S
epte
mbe
r198
2–
pres
ent.
Mor
e re
pres
enta
tive
of m
iddl
e A
mer
ican
Can
cer S
ocie
ty.
(404
) 329
-776
2.w
ww
.can
cer.o
rg
clas
s, w
hite
Am
eric
ans (
96%
of
sam
ple)
than
the
natio
nal
popu
latio
n as
a w
hole
.
✔ C
urre
nt P
opul
atio
n Su
rvey
(C
PS)
■
Prov
ides
a c
ompr
ehen
sive
body
of
data
on
the
empl
oym
ent a
nd u
nem
pl
oym
ent e
xper
ienc
e of
the
U.S
. pop
ul
atio
n, c
lass
ified
by
age,
sex,
race
, an
d a
vari
ety
of o
ther
cha
ract
erist
ics.
■
Peri
odic
supp
lem
ents
hav
e in
clud
ed
toba
cco-
rela
ted
mea
sure
s.
Topi
cs:
Peri
odic
mea
sure
s hav
e in
clud
ed—
■
Cig
aret
te, p
ipe,
cig
ar, a
nd
smok
eles
s use
.
■
Age
of in
itiat
ion.
■
ETS
expo
sure
.
■
Ces
satio
n be
havi
or.
Num
ber o
f que
stio
ns:
From
5 to
46.
Sub
Incl
udes
self-
repo
rted
and
pr
oxy-
repo
rted
dat
a, d
ata
from
To
bacc
o U
se S
uppl
emen
t av
aila
ble
1992
–199
3,
1995
–199
6, a
nd 1
998–
1999
.
Nat
iona
l Can
cer I
nstit
ute.
(3
01) 4
35-3
848.
http
://ap
plie
dres
earc
h.
canc
er.g
ov/R
iskFa
ctor
/ to
bacc
o/in
dex.
htm
l
U.S
. Cen
sus B
urea
u.
(301
) 457
-410
0.w
ww
.cen
sus.g
ov/a
psd/
te
chdo
c/cp
s/cp
s-m
ain.
htm
l
Nat
iona
l and
st
ate
leve
ls.
ject
s:Pe
ople
age
d 15
or o
lder
.
a) R
ando
m d
esig
n,
hous
ehol
d in
terv
iew
w
ith te
leph
one
follo
w-u
p.
b) P
erio
dic.
c) 1
968–
pres
ent.
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
6
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Toba
cco-
Rela
ted
Sam
plin
g Fr
eque
ncy
(b),
Dat
a So
urce
In
dica
tors
Fr
ame
Year
s Com
plet
ed (c
) C
omm
ents
C
onta
ct
Mon
itori
ng th
e Fu
ture
(MTF
)
■
Prov
ides
ann
ual d
ata
on b
ehav
iors
, kn
owle
dge,
atti
tude
s, an
d va
lues
re
late
d to
the
use
of a
n ar
ray
of
psyc
hoac
tive
subs
tanc
es, b
oth
illic
it an
d lic
it am
ong
Am
eric
an se
cond
ar
y sc
hool
stud
ents
, col
lege
st
uden
ts, a
nd y
oung
adu
lts.
Topi
cs:
■
Cig
aret
te u
se.
■
Age
of in
itiat
ion.
■
Ces
satio
n be
havi
or.
■
Bran
d pr
efer
ence
.
■
Yout
h ac
cess
.
■
Enfo
rcem
ent.
■
Med
ia a
war
enes
s.
Num
ber o
f que
stio
ns:
From
3 to
64.
Nat
iona
l lev
el.
Subj
ects
:8t
h, 1
0th,
and
12t
h gr
ade
stud
ents
, and
yo
ung
adul
ts.
a) R
ando
m d
esig
n,
self-
adm
inist
ered
popu
latio
n.
b) A
nnua
l.
c) 1
975–
pres
ent.
12th
gra
ders
surv
eyed
sinc
e N
atio
nal I
nstit
ute
on D
rug
Abus
e.(8
88) 7
41-7
242.
ww
w.m
onito
ring
the
futu
re.o
rg
ww
w.is
r.um
ich.
edu
scho
ol-b
ased
surv
ey,
follo
w-u
p su
rvey
m
aile
d to
coh
ort
1975
, and
8th
and
10t
h gr
ader
s su
rvey
ed si
nce
1991
.
Ann
ual f
ollo
w-u
p qu
estio
nna
ires a
re m
aile
d to
a n
atio
nal
ly re
pres
enta
tive
sam
ple
of
each
hig
h sc
hool
gra
duat
ing
clas
s for
a n
umbe
r of y
ears
af
ter t
heir
initi
al p
artic
ipat
ion.
Prev
alen
ce a
nd tr
end
data
av
aila
ble
for c
ohor
t pop
ulat
ion
that
is n
ow b
etw
een
35–4
0 ye
ars o
ld.
Nat
iona
l Hea
lth a
nd N
utri
tion
Exam
inat
ion
Surv
ey (N
HA
NES
)
■
Prov
ides
dat
a on
the
heal
th a
nd d
iet
of th
e U
.S. p
opul
atio
n na
tionw
ide.
In
clud
es in
form
atio
n on
the
prev
ale
nce
of s
elec
ted
dise
ases
and
risk
fa
ctor
s; th
e po
pula
tion’
s aw
aren
ess,
know
ledg
e an
d at
titud
es, a
nd p
reve
ntio
n an
d co
ntro
l of s
elec
ted
dise
ases
. Th
e su
rvey
also
incl
udes
a m
edic
alex
amin
atio
n fo
r par
ticip
ants
and
ala
bora
tory
com
pone
nt.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, sm
okel
ess
toba
cco
use.
■
ETS
expo
sure
.
■
Ces
satio
n be
havi
or.
■
Bran
d pr
efer
ence
.
■
Seru
m c
ontin
ue m
easu
rem
ents
.
Num
ber o
f que
stio
ns:
From
35–
62.
hous
ehol
d an
dm
obile
uni
t sur
vey.
(NH
AN
ES I)
.
(NH
AN
ES II
).19
88–9
4(N
HA
NES
III)
.
1999
–pre
sent
.
This
is th
e on
ly m
ajor
surv
ey
that
pro
vide
s ser
um c
otin
ine
mea
sure
men
ts (f
or su
bjec
tsag
e 4
and
olde
r).
Low
inco
me
pers
ons,
adol
es
cent
s 12–
19 y
ears
, per
sons
60
+ ye
ars o
f age
, Afr
ican
A
mer
ican
s and
Mex
ican
A
mer
ican
s are
ove
rsam
pled
to
pro
vide
sign
ifica
nt d
ata
for t
hese
gro
ups.
Nat
iona
l Cen
ter f
or
Hea
lth S
tatis
tics,
Cen
ters
fo
r Dise
ase
Con
trol
and
Pr
even
tion.
(301
) 458
-468
1.w
ww
.cdc
.gov
/NC
HS/
nh
anes
Nat
iona
l lev
el.
Subj
ects
:H
ouse
hold
s, fa
mi
lies,
and
indi
vidu
als
aged
4 o
r old
er.
a) R
ando
m d
esig
n;
(b a
nd c
)Pe
riod
ic:
■
1971
–75
■
1976
–80
■ Ann
ual:
■
Tabl
e 1
(con
tinu
ed)
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
7
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Toba
cco-
Rela
ted
Sam
plin
g Fr
eque
ncy
(b),
Dat
a So
urce
In
dica
tors
Fr
ame
Year
s Com
plet
ed (c
) C
omm
ents
C
onta
ct
✔ N
atio
nal H
ealth
Inte
rvie
w
Surv
ey (N
HIS
)
■
Prov
ides
dat
a on
U.S
. hea
lth is
sues
, in
clud
ing
inci
denc
e an
d pr
eval
ence
of
acut
e an
d ch
roni
c co
nditi
ons a
nd
peop
le’s
know
ledg
e an
d at
titud
esab
out h
ealth
stat
us a
nd h
ealth
car
e us
e. T
his i
s the
pri
mar
y so
urce
of
data
on
curr
ent h
ealth
issu
es in
the
Uni
ted
Stat
es. I
n ad
ditio
nal t
o th
e ba
sic su
rvey
pro
toco
l, ea
ch y
ear t
here
ar
e su
pple
men
ts to
the
surv
ey to
col
le
ct in
form
atio
n on
spec
ific
topi
cs.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, b
idi,
smok
eles
s tob
acco
use
.
■
Age
of in
itiat
ion.
■
Ces
satio
n be
havi
or.
■
ETS
polic
ies.
■
Expo
sure
.
Num
ber o
f que
stio
ns:
From
18–
55.
Nat
iona
l lev
el.
Subj
ects
:Ad
ults
age
d 18
or
olde
r. In
199
7,qu
estio
nnai
re
rede
sign
was
fully
impl
emen
ted.
a) R
ando
m d
esig
n,
hous
ehol
d su
rvey
.
(b a
nd c
)
Peri
odic
. ■
19
65–1
987.
Ann
ual.
■ 19
90–p
rese
nt.
Toba
cco
mea
sure
s are
loca
ted
in c
ore
ques
tionn
aire
and
N
atio
nal C
ente
r for
Hea
lth
Stat
istic
s, C
ente
rs fo
r D
iseas
e C
ontr
ol a
nd
Prev
entio
n.(3
01) 4
58-4
001.
ww
w.c
dc.g
ov/n
chs/
da
ta/
optio
nal m
odul
es.
1997
rede
sign
trip
led
stat
e-sp
ecifi
c sa
mpl
e siz
e.
Hisp
anic
s and
Afr
ican
A
mer
ican
s are
ove
rsam
pled
.
Dat
a fr
om N
HIS
is u
sed
to
mon
itor p
rogr
ess i
n ac
hiev
ing
natio
nal H
ealth
y Pe
ople
201
0 to
bacc
o ob
ject
ives
rela
ted
to
adul
ts.
Nat
iona
l Hou
seho
ld S
urve
y on
D
rug
Abus
e (N
HSD
A)
■
Prov
ides
dat
a on
the
prev
alen
ce, p
at
tern
s, kn
owle
dge
and
attit
udes
, and
co
nseq
uenc
es o
f dru
g an
d al
coho
l use
an
d ab
use
in th
e U
.S. (
incl
udin
g to
bacc
o).
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, a
nd sm
oke
less
toba
cco
use.
■
Age
of in
itiat
ion.
Num
ber o
f que
stio
ns:
From
6–1
2.
1990
–pre
sent
.
The
surv
ey p
rovi
des e
stim
ates
of
the
rate
and
num
ber o
f to
bacc
o us
ers b
y ge
nder
, ra
ce/e
thni
city
, and
regi
on.
Stat
e es
timat
es a
re a
vaila
ble
for
prev
alen
ce o
f tob
acco
use
onl
y.
Subs
tanc
e A
buse
and
M
enta
l Hea
lth S
ervi
ces
Adm
inist
ratio
n.(3
01) 4
43-6
239.
ww
w.sa
mhs
a.go
v/st
atist
ics
Nat
iona
l lev
el.
Subj
ects
:Pe
ople
age
d 12
or
old
er (1
2–17
, 18
–35,
≥36
). In
19
98, d
irect
stat
e-le
vel e
stim
ates
wer
e pr
oduc
ed fo
r 8
stat
es, a
nd in
dire
ct
estim
ates
wer
e pr
odu
ced
for o
ther
s.
a) R
ando
m d
esig
n,
hous
ehol
d su
rvey
.
(b a
nd c
)Pe
riod
ic:
■
1971
–198
8.
Ann
ual:
■
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Ab
brev
iatio
ns: A
TS =
Adu
lt To
bacc
o Su
rvey
. BRF
SS =
Beh
avio
ral R
isk
Fact
or S
urve
illanc
e Sy
stem
. ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
8
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Toba
cco-
Rela
ted
Sam
plin
g Fr
eque
ncy
(b),
Dat
a So
urce
In
dica
tors
Fr
ame
Year
s Com
plet
ed (c
) C
omm
ents
C
onta
ct
Nat
iona
l You
th T
obac
co S
urve
y (N
YTS)
■
Prov
ides
dat
a on
kno
wle
dge,
at
titud
es, a
nd b
ehav
iors
rela
ted
to
toba
cco
use.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, b
idi,
kret
ek,
smok
eles
s tob
acco
use
.
■
ETS
expo
sure
.
■
Med
ia a
war
enes
s.
■
Ces
satio
n be
havi
or.
■
Yout
h ac
cess
.
Num
ber o
f que
stio
ns:
From
57–
76.
Nat
iona
l lev
el.
Subj
ects
:St
uden
ts g
rade
s 6–
12.
a) R
ando
m d
esig
n,
self-
adm
inist
ered
in
cla
ssro
om.
b) A
nnua
l.
c) 1
999–
pres
ent.
Incl
udes
stud
ents
in p
ublic
and
priv
ate
scho
ols.
Am
eric
an L
egac
y Fo
unda
tion.
(202
) 454
-555
5.w
ww
.am
eric
anle
gacy
.org
Se
rves
as a
nat
iona
l co
mpa
riso
n to
stat
e YT
S re
sults
.
Nat
iona
l Tob
acco
Con
trol
Pr
ogra
m (N
TCP)
Chr
onic
le
■
Prov
ides
dat
a on
the
toba
cco
cont
rol
and
prev
entio
n ac
tiviti
es o
f all
50
stat
es a
nd th
e D
istri
ct o
f Col
umbi
a fu
nded
thro
ugh
the
CD
C’s
NTC
P.
■
Info
rmat
ion
is ca
ptur
ed in
four
key
go
al a
reas
and
sele
cted
infr
astr
uctu
re
com
pone
nts,
incl
udin
g st
affin
g, co
lla
bora
tion,
fund
ing,
tech
nica
l ass
ista
nce
and
trai
ning
, and
surv
eilla
nce
and
eval
uatio
n.
Topi
cs:
Usin
g bo
th q
uant
itativ
e an
d qu
alita
tiv
e in
dica
tors
, pro
gram
pro
gres
s is
mea
sure
d fo
r the
key
goa
l are
as—
■
Prev
entin
g in
itiat
ion
and
pro
mot
ing
quitt
ing
amon
g yo
uth.
■
Prom
otin
g qu
ittin
g am
ong
adul
ts.
■
Elim
inat
ing
expo
sure
to E
TS.
■
Iden
tifyi
ng a
nd e
limin
atin
g di
spar
ities
.
The
NTC
P C
hron
icle
col
lect
s in
form
atio
n on
com
preh
ensiv
e to
bacc
o co
ntro
l act
iviti
es.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.
Stat
e he
alth
dep
artm
ents
.
Stat
e le
vel.
Subj
ects
:To
bacc
o co
ntro
l pr
ogra
ms i
n 50
st
ates
and
the
Dist
rict
of
Col
umbi
a.
a) C
ensu
s, W
eb-b
ased
pr
ogra
m m
onito
ring
sy
stem
.
b) C
ompl
eted
twic
e ye
arly
, rep
ortin
g on
pr
evio
us 6
mon
ths
of a
ctiv
ity.
c) F
iscal
Yea
r 19
99–p
rese
nt.
Tabl
e 1
(con
tinu
ed)
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e. Y
TS =
You
th T
obac
co S
urve
y.
9
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
✔ P
regn
ancy
Ris
k A
sses
smen
t M
onito
ring
Sys
tem
(PRA
MS)
■
Prov
ides
ong
oing
pop
ulat
ion-
base
dsu
rvei
llanc
e of
sel
ecte
d m
ater
nal
beha
vior
s, in
clud
ing
toba
cco
use.
■
In 1
987,
13
stat
es a
nd th
e D
istri
ct o
f C
olum
bia
com
plet
ed th
e su
rvey
.
■
In 2
000,
24
stat
es a
nd N
ew Y
ork
City
co
nduc
ted
the
surv
ey.
Topi
cs:
■
Cig
aret
te u
se b
efor
e an
d du
ring
pr
egna
ncy
and
in th
e ch
ild’s
early
infa
ncy.
■
ETS
expo
sure
.
■
Ces
satio
n co
unse
ling
Num
ber o
f que
stio
ns:
From
6–9
.
Stat
e le
vel.
Subj
ects
:M
othe
rs o
f inf
ants
2–
4 m
onth
s old
.
a) R
ando
m d
esig
n,
mai
l sur
vey
with
te
leph
one
follo
w-u
p.
b) A
nnua
l.
c) 1
988–
pres
ent.
This
is an
ong
oing
surv
ey.
Avai
labi
lity
of d
ata
depe
nds
on w
hen
stat
es b
egan
par
tici
patin
g.
Div
ision
of R
epro
duct
ive
Hea
lth, C
ente
rs fo
r D
iseas
e C
ontr
ol a
nd
Prev
entio
n.(7
70) 4
88-5
227.
ww
w.c
dc.g
ov/n
ccdp
hp/d
rh
Stat
e he
alth
dep
artm
ents
.
✔ S
choo
l Hea
lth E
duca
tion
Prof
iles (
SHEP
)
■
Prov
ides
info
rmat
ion
on h
ealth
ed
ucat
ion
polic
ies a
nd p
rogr
ams
thro
ugh
a su
rvey
for t
he le
ad h
ealth
educ
ator
and
a se
para
te su
rvey
for
the
scho
ol p
rinc
ipal
.
■
Form
erly
a S
choo
l Tob
acco
Sur
vey
(STS
) mod
ule
for l
ead
heal
th
educ
ator
s and
scho
ol p
rinc
ipal
s w
as u
sed
to a
sses
s tob
acco
pol
icie
s an
d pr
ogra
ms.
■
In 2
001
the
toba
cco
mod
ule
was
com
bine
d w
ith th
e co
re su
rvey
s fo
r lea
d he
alth
edu
cato
rs a
nd
scho
ol p
rinc
ipal
s.
Topi
cs:
The
core
surv
ey in
clud
es a
ll th
e to
bacc
o qu
estio
ns—
(6 q
uest
ions
on
the
lead
hea
lthed
ucat
or q
uest
ionn
aire
and
13
ques
tions
on
the
prin
cipa
l qu
estio
nnai
re).
■Sc
hool
toba
cco
use
polic
ies f
or
stud
ents
, sta
ff, a
nd v
isito
rs.
■En
forc
emen
t of p
olic
ies.
■To
bacc
o pr
even
tion
curr
icul
um.
■
Pare
ntal
invo
lvem
ent i
n to
bacc
o us
e pr
even
tion.
■C
essa
tion
prog
ram
s.
■
Reta
iler p
ract
ices
.
■To
bacc
o ad
vert
ising
.
Diff
eren
t ind
icat
ors a
re m
easu
red
on
diffe
rent
ver
sions
of t
he q
uest
ionn
aire
.
Num
ber o
f que
stio
ns:
From
3–3
9.
Div
ision
of A
dole
scen
t an
d Sc
hool
Hea
lth,
Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(888
) 231
-640
5.w
ww
.cdc
.gov
/ncc
dphp
/ da
sh
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Stat
e le
vel.
Subj
ects
:M
iddl
e/ju
nior
and
seni
or h
igh
scho
ols.
a) R
ando
m d
esig
n, m
ail
surv
ey se
nt to
scho
ol
prin
cipl
es a
nd le
adhe
alth
edu
cato
rs.
b) B
ienn
ial (
even
yea
rs).
c) 1
994–
pres
ent.
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
10
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Scho
ol H
ealth
Pol
icie
s and
Pro
gram
s St
udy
(SH
PPS)
■
Mon
itors
cha
ract
erist
ics o
f hea
lth
educ
atio
n an
d sc
hool
hea
lth p
rogr
ams
in m
iddl
e/ju
nior
and
seni
or h
igh
scho
ols.
■
Thes
e sc
hool
-bas
ed su
rvey
s are
con
duct
ed
bien
nial
ly b
y st
ate
and
loca
l edu
catio
n an
d he
alth
age
ncie
s usin
g re
pres
enta
tive
sam
ples
of e
lem
enta
ry, m
iddl
e/ju
nior
and
se
nior
hig
h sc
hool
s in
thei
r jur
isdic
tions
.
Topi
cs:
■
Scho
ol to
bacc
o po
licie
s.
■
Educ
atio
nal p
rogr
ams a
nd
curr
icul
um.
■
Hea
lth se
rvic
es.
Num
ber o
f que
stio
ns:
From
3–3
5.
Stat
e, d
istri
ct, s
choo
l, cl
assr
oom
leve
ls.
Subj
ects
:El
emen
tary
, mid
dle/
juni
or
high
, and
hig
h sc
hool
s.
Stat
e-le
vel i
nfor
mat
ion
prov
ided
by
this
surv
ey
incl
udes
onl
y st
ate
educ
atio
n po
licie
s. Sa
mpl
e siz
e:
1,50
0 m
iddl
e sc
hool
s/
1,50
0 hi
gh sc
hool
s.
a) R
ando
m sa
mpl
e of
sch
ool d
istri
cts,
scho
ols,
and
clas
sroo
ms o
f pub
lic
and
priv
ate
scho
ols g
rade
s K
–12
usin
g m
ail s
urve
ys
at d
istri
ct le
vel a
nd o
n-sit
e st
ruct
ured
inte
rvie
ws a
t sc
hool
and
cla
ssro
om le
vel.
b) P
erio
dic.
c) 1
994
and
2000
.
Div
ision
of A
dole
scen
t an
d Sc
hool
Hea
lth,
Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(888
) 231
-640
5.w
ww
.cdc
.gov
/ncc
dphp
/ da
sh/S
HPP
S
✔ S
mok
ing
Attr
ibut
able
M
orbi
dity
, Mor
talit
y, &
Ec
onom
ic C
osts
(SA
MM
EC),
soft
war
e ve
rsio
n 3.
0
■
The
SAM
MEC
softw
are
prog
ram
s ar
e In
tern
et-b
ased
pro
duct
s des
igne
d to
cal
cula
te th
e he
alth
and
eco
nom
ic
burd
en o
f sm
okin
g fo
r adu
lts a
ndin
fant
s.
■
The
two
type
s of s
oftw
are,
Adu
lt SA
MM
EC a
nd M
ater
nal a
nd C
hild
Hea
lth S
AM
MEC
, em
ploy
the
late
st
scie
ntifi
c ev
iden
ce o
n sm
okin
g-re
late
d di
seas
es, r
isks a
ssoc
iate
d w
ith c
urre
nt a
nd fo
rmer
smok
ing,
an
d th
e ec
onom
ic c
osts
of s
mok
ing.
Topi
cs:
■
Cal
cula
tes s
mok
ing-
attr
ibut
able
m
orta
lity
(SA
M),
year
s of
pote
ntia
l life
lost
(YP
LLs)
, di
rect
med
ical
exp
endi
ture
s an
d in
dire
ct p
rodu
ctiv
ity c
osts
fr
om c
igar
ette
smok
ing
amon
gad
ults
.
■
The
MC
H S
AM
MEC
softw
are
calc
ulat
es S
AM
s and
YPL
Ls
from
low
bir
th w
eigh
t and
Su
dden
Infa
nt D
eath
Syn
drom
e (S
IDS)
, and
neo
nata
l med
ical
expe
nditu
res.
SAM
MEC
requ
ires
a po
pula
tion
of a
t le
ast 4
00,0
00 to
cre
ate
stat
istic
ally
val
id
estim
ates
, and
is
ther
efor
e no
t use
ful
for p
rodu
cing
loca
l-le
vel e
stim
ates
or e
sti
mat
es o
f pop
ulat
ion
subg
roup
s (e.
g., b
y ra
ce/e
thni
city
).
Inte
rnet
ver
sion
will
be
ava
ilabl
e by
late
N
ovem
ber 2
001.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Div
ision
of R
epro
duct
ive
Hea
lth, C
ente
rs fo
r Dise
ase
Con
trol
and
Pre
vent
ion.
(7
70) 4
88-5
372.
ww
w.c
dc.g
ov/n
ccdp
hp/d
rh/
Nat
iona
l and
stat
e le
vels.
Subj
ects
:Ad
ults
age
d 35
or
old
er (A
dult
SAM
M
EC) a
nd in
fant
sag
ed 1
yea
r or y
oung
er(M
CH
SA
MM
EC).
a) C
urre
nt P
opul
atio
n Su
rvey
da
ta a
re u
sed
to c
alcu
late
YPL
Ls
and
prod
uctiv
ity c
osts
ass
ocia
ted
with
SA
M.
■
Dire
ct m
edic
al c
are
expe
ndi
ture
s are
est
imat
ed u
sing
Nat
iona
l Med
ical
Exp
endi
tu
re S
urve
y da
ta.
■
Mat
erna
l sm
okin
g da
ta fr
om
PRA
MS
is us
ed to
cal
cula
te
perin
atal
SA
Ms a
nd Y
PLLs
. ■
H
ealth
car
e ut
iliza
tion
data
fro
m P
RAM
S an
d m
edic
al
clai
ms d
ata
are
used
to c
al
cula
te sm
okin
g-at
trib
utab
le
neon
atal
med
ical
exp
endi
ture
s.c)
CD
C p
rovi
des e
stim
ates
of a
ver
age
annu
al sm
okin
g-at
trib
utab
le
mor
talit
y an
d ye
ars o
f pot
entia
l lif
e lo
st fr
om 1
995–
99 fo
r the
natio
n an
d 19
99 d
ata
for s
tate
s. D
irect
med
ical
exp
endi
ture
s and
m
orta
lity-
rela
ted
prod
uctiv
ity lo
sses
timat
es a
re p
rovi
ded
for t
he
natio
n an
d st
ates
for 1
999.
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Ab
brev
iatio
ns: M
CH =
Mat
erna
l and
Chi
ld H
ealth
. PRA
MS
= Pr
egna
ncy
Risk
Ass
essm
ent M
onito
ring
Syst
em.
11
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
✔ S
tate
Tob
acco
Act
iviti
es
Trac
king
& E
valu
atio
n (S
TATE
) Sys
tem
■
The
STAT
E Sy
stem
is a
dat
a w
are
hous
e th
at p
rovi
des c
ompa
rabl
e m
easu
res o
n to
bacc
o us
e pr
even
tion
and
cont
rol f
rom
man
y di
ffere
nt
type
s of d
ata
sour
ces,
incl
udin
g le
gisla
tive
trac
king
, agr
icul
tura
l an
d m
anuf
actu
ring
, and
hea
lth
cons
eque
nces
and
cos
ts.
■
The
syst
em a
llow
s use
rs to
vie
w
com
preh
ensiv
e su
mm
ary
info
rma
tion
on to
bacc
o us
e in
all
50 st
ates
an
d th
e D
istri
ct o
f Col
umbi
a.
Topi
cs:
■
Adul
t and
you
th c
igar
ette
, cig
ar,
pipe
, and
smok
eles
s tob
acco
use
.
■
ETS
law
s and
pol
icie
s.
■
Yout
h ac
cess
law
s.
■
Exci
se ta
xes.
■
Smok
ing
attr
ibut
able
cos
ts.
Stat
e le
vel.
a) V
arie
s acc
ordi
ng to
da
ta so
urce
.
c) P
reva
lenc
e da
ta fr
omm
id-1
980
until
199
9.Sm
okin
g at
trib
utab
le
cost
in 1
993
only
. Yo
uth
acce
ss la
ws a
nd
envi
ronm
enta
l law
s fr
om 1
996
until
200
0.D
ates
for e
xcise
taxe
s de
pend
on
year
of
enac
tmen
t in
the
stat
e.
Prov
ides
com
preh
ensiv
e le
gisla
tive
and
beha
vior
al
data
.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Teen
age A
ttitu
des a
nd P
ract
ices
Su
rvey
(TA
PS)
■
Prov
ides
dat
a on
kno
wle
dge
and
attit
udes
such
as p
erce
ived
ben
efits
an
d ri
sks o
f tob
acco
use
am
ong
teen
s.
Topi
cs:
■
Cig
aret
te a
nd sm
okel
ess
toba
cco
use.
■Br
and
pref
eren
ce.
■Ag
e of
initi
atio
n.
■C
essa
tion
beha
vior
.
■
Med
ia a
war
enes
s.
Lim
itatio
ns fo
r thi
s sur
vey
incl
ude
a no
n-re
spon
se b
ias
for t
hose
re-i
nter
view
ed in
the
seco
nd su
rvey
(tho
se w
ho w
ere
re-i
nter
view
ed w
ere
less
like
ly
to h
ave
been
smok
ers i
n 19
89
than
thos
e w
ho c
ould
not
be
re-i
nter
view
ed).
Also
, the
smal
l num
ber o
f A
fric
an A
mer
ican
and
H
ispan
ic a
dole
scen
ts in
the
seco
nd su
rvey
redu
ces t
he re
liab
ility
of t
he b
rand
pre
fere
nce
estim
ates
for t
hose
gro
ups.
The
seco
nd su
rvey
(199
3)
incl
uded
87%
of t
he re
spon
de
nts f
rom
the
first
surv
ey, a
s w
ell a
s you
th fr
om a
new
pr
obab
ility
sam
ple.
Nat
iona
l Tec
hnic
al
Info
rmat
ion
Serv
ice.
(7
03) 6
05-6
585.
ww
w.n
tis.g
ov
Nat
iona
l lev
el.
Subj
ects
:Yo
uth
aged
12–
18.
1993
stud
y in
clud
es
yout
h ag
ed 1
0–22
.
a) R
ando
m d
esig
n,
hous
ehol
d su
rvey
.
b) P
erio
dic.
c) 1
989
and
1993
.
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
12
Surveillance and Evaluation Data Resources
Tab
le 1
. Nat
ion
al a
nd
Sta
te S
urv
eys
and
Too
ls
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
✔ Y
outh
Ris
k Be
havi
or
Surv
eilla
nce
Syst
em (Y
RBSS
)
■
Prov
ides
dat
a on
pri
ority
hea
lth ri
sk
beha
vior
s tha
t con
trib
ute
to le
adin
g ca
uses
of m
orta
lity,
mor
bidi
ty, a
nd
soci
al p
robl
ems a
mon
g yo
uth
and
adul
ts in
the
U.S
.
■
The
surv
ey m
onito
rs si
x ca
tego
ries
of
beh
avio
rs:
1) to
bacc
o us
e,
2) a
lcoh
ol a
nd o
ther
dru
g us
e,
3) se
xual
beh
avio
rs th
at c
ontr
ibut
e to
uni
nten
ded
preg
nanc
y an
d se
xual
ly tr
ansm
itted
dise
ase,
4) d
ieta
ry b
ehav
iors
,
5) p
hysic
al a
ctiv
ity, a
nd
6) b
ehav
iors
that
resu
lt in
vio
lenc
e an
d un
inte
ntio
nal i
njur
ies.
Topi
cs:
■
Cig
aret
te, c
igar
, an
d sm
okel
ess
toba
cco
use.
■
Age
of in
itiat
ion.
■
Yout
h ac
cess
.
■
Enfo
rcem
ent.
■
Ces
satio
n be
havi
or.
Num
ber o
f que
stio
ns: 1
2.
Nat
iona
l, st
ate,
and
la
rge
city
leve
ls.
Subj
ects
:St
uden
ts in
gra
des
9–12
.
a) R
ando
m d
esig
n, se
lf-ad
min
ister
ed in
cla
ss-
room
.
(b a
nd c
)
1990
Bien
nial
(odd
yea
rs).
1991
–pre
sent
.
Dat
a fr
om Y
RBSS
is u
sed
to
mon
itor p
rogr
ess i
n ac
hiev
ing
natio
nal H
ealth
y Pe
ople
201
0 to
bacc
o ob
ject
ives
rela
ted
to
youn
g pe
ople
.
Div
ision
of A
dole
scen
t an
d Sc
hool
Hea
lth,
Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(888
) 231
-640
5.w
ww
.cdc
.gov
/yrb
s
✔ Y
outh
Tob
acco
Sur
vey
(YTS
)
■
Prov
ides
dat
a on
you
th k
now
ledg
e,
attit
udes
and
beh
avio
rs, a
nd m
ajor
to
bacc
o in
dica
tors
. In
1998
, the
sur
vey
was
adm
inist
ered
in 3
stat
es,
13 st
ates
in 1
999,
29
stat
es in
200
0,
and
over
20
stat
es a
re e
xpec
ted
to
adm
inist
er th
e su
rvey
in 2
001.
Topi
cs:
■
Cig
aret
te, c
igar
, pip
e, a
nd sm
oke-
less
toba
cco
use.
■
Age
of in
itiat
ion
■
Med
ia a
war
enes
s.
■
Yout
h ac
cess
.
■
Ces
satio
n be
havi
or.
■
ETS
expo
sure
.
■
Scho
ol c
urri
culu
m.
Num
ber o
f que
stio
ns: 6
3.
a) R
ando
m d
esig
n,
self-
adm
inist
ered
in
cla
ssro
om.
b) C
ondu
cted
bas
ed o
n st
ates
’ pro
gram
mat
icne
eds a
nd in
coo
rdi
natio
n w
ith th
eir
surv
eilla
nce
and
eval
uatio
n pl
ans.
Scho
ols s
elec
ted
with
pro
babi
lity
pro
port
iona
l to
size,
cla
ss
room
s cho
sen
rand
omly
.
Som
e st
ates
con
duct
the
sur
vey
in m
iddl
e sc
hool
s or h
igh
scho
ols o
nly,
som
e in
bot
h.
It is
reco
mm
ende
d th
at st
ates
in
clud
e st
ate-
adde
d qu
estio
nsto
the
core
que
stio
nnai
re.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Stat
e le
vel.
Subj
ects
:St
uden
ts in
gra
des
6–8
and
9–12
.
Tabl
e 1
(con
tinu
ed)
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
13
Surveillance and Evaluation Data Resources
Tab
le 2
. Reg
istr
ies
and
Vit
al S
tati
stic
s
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Birt
h C
ertif
icat
e D
ata
■
Prov
ides
dat
a on
toba
cco
use
by p
regn
ant w
omen
.
Topi
cs:
■
Indi
cato
rs v
ary
by st
ate.
■
Smok
ing
duri
ng p
regn
ancy
.
Stat
e le
vel.
Subj
ects
:W
omen
who
re
cent
ly g
ave
birt
h.
a) V
arie
s by
stat
e.
Cer
tific
ates
com
plet
ed
by p
hysic
ians
, reg
ister
ed
nurs
e, o
r pat
ient
at
hosp
itals
and
clin
ics.
Info
rmat
ion
may
be
obta
ined
in p
erso
n or
base
d on
pat
ient
’s ch
art.
b) V
arie
s by
stat
e.
c) D
ata
is av
aila
ble
since
19
89 fo
r som
e st
ates
.
Toba
cco
use
may
be
unde
r-re
port
ed.
May
be
used
at t
he
sub-
stat
e le
vel (
i.e.,
coun
ties,
heal
th d
istri
cts)
.
Stat
e he
alth
dep
artm
ents
.
Can
cer R
egis
try
Dat
a
■
Prov
ides
inci
denc
e da
ta o
n sm
okin
g-re
late
d ca
ncer
s.
■
Com
preh
ensiv
e, ti
mel
y, an
d ac
cura
te
data
abo
ut c
ance
r inc
iden
ce, s
tage
at
diag
nosis
, firs
t cou
rse
of tr
eatm
ent,
and
deat
hs.
Topi
cs:
Indi
cato
rs v
ary
by st
ate,
sinc
e th
ere
are
no n
atio
nal s
tand
ards
on
repo
rt
ing
toba
cco
use
hist
ory.
■
Smok
ing
stat
us.
■
Use
of o
ther
toba
cco
prod
ucts
.
Stat
e le
vel.
Subj
ects
:Ad
ults
and
ch
ildre
n.
The
regi
stry
syst
ems v
ary
acro
ss st
ates
.
Ther
e is
pote
ntia
l for
un
der-
repo
rtin
g sin
ce
phys
icia
ns c
ompl
ete
the
form
s and
may
not
hav
e ac
cess
to p
atie
nts’
full
med
ical
reco
rds.
Nor
th A
mer
ican
A
ssoc
iatio
n of
Cen
tral
C
ance
r Reg
istri
es.
ww
w.n
aacc
r.org
Can
cer P
reve
ntio
n an
d C
ontr
ol, C
ente
rs fo
r Dise
ase
Con
trol
and
Pre
vent
ion.
(8
88) 8
42-6
355.
ww
w.cd
c.go
v/C
AN
CER
/npc
r
a) P
assiv
e su
rvei
llanc
e sy
stem
from
hos
pita
ls,ph
ysic
ians
’ offi
ces,
ther
ape
utic
rad
iatio
n fa
cilit
ies,
free
stan
ding
surg
ical
ce
nter
s, an
d pa
thol
ogy
labo
rato
ries
. D
ata
are
colle
cted
in p
erso
n.
b) V
arie
s by
stat
e.
Dea
th C
ertif
icat
e D
ata
■
Prov
ides
dat
a on
cau
ses o
f dea
th.
■
Use
d to
ass
ess t
obac
co-r
elat
ed
mor
talit
y.
Topi
cs:
Dat
a on
toba
cco
use
vari
es b
y st
ate.
■
ICD
cod
es.
■
Toba
cco
use
stat
us.
a) C
ertif
icat
es c
ompl
eted
by
phys
icia
ns a
t hos
pita
ls an
dcl
inic
s.D
emog
raph
ics p
rovi
ded
by th
e fu
nera
l dire
ctor
. b)
Fed
eral
effo
rts t
o st
anda
rd
ize
repo
rtin
g be
gan
in
1946
in B
urea
u of
the
Cen
sus a
nd m
oved
to
the
Nat
iona
l Cen
ter f
or
Hea
lth S
tatis
tics i
n 19
50.
Poss
ible
und
er-r
epor
ting
of to
bacc
o us
e be
caus
e of
phy
sicia
n bi
as.
May
be
used
at t
he
sub-
stat
e le
vel (
i.e.,
coun
ties,
heal
th d
istri
cts)
or
in S
AM
MEC
for
estim
ates
of s
tate
impa
ct.
Nat
iona
l Cen
ter f
or
Hea
lth S
tatis
tics,
Can
cer
Prev
entio
n an
d C
ontr
ol,
Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(301
) 458
-468
1.w
ww
.cdc
.gov
/nch
s
Stat
e le
vel.
Subj
ects
:D
ecea
sed
adul
tsan
d ch
ildre
n.
Tabl
e 2
Abbr
evia
tions
: ICD
= In
tern
atio
nal C
lass
ifica
tion
of D
isea
se. S
AMM
EC =
Sm
okin
g At
tribu
tabl
e M
orbi
dity
, Mor
talit
y, a
nd E
cono
mic
Cos
ts.
14
Surveillance and Evaluation Data Resources
Tab
le 3
. Top
ic-S
pec
ific
Too
ls: H
ealt
h S
yste
ms
and
Cli
nic
al S
etti
ngs
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Hea
lth P
rovi
der S
urve
ys
■
Mon
itors
med
ical
pra
ctic
es a
nd
polic
ies.
Topi
cs:
■
Ces
satio
n po
licie
s.
■
Clin
ical
pra
ctic
es re
late
d to
to
bacc
o us
e.
Subj
ects
:Ph
ysic
ians
, nur
ses,
phys
icia
n as
sista
nts,
dent
ists.
a) V
arie
s.
b) V
arie
s.
Stat
e he
alth
dep
artm
ents
.
Stat
e lic
ensin
g bu
reau
.
Stat
e m
anag
ed c
are
asso
ciat
ion.
Hea
lth P
lan
Empl
oyer
Dat
a an
d In
form
atio
n Se
t (H
EDIS
)
■
Prov
ides
a se
t of s
tand
ardi
zed
perf
orm
ance
mea
sure
s des
igne
d to
gi
ve p
urch
aser
s and
con
sum
ers t
he
info
rmat
ion
they
nee
d to
com
pare
th
e pe
rfor
man
ce o
f man
aged
hea
lthca
re p
lans
.
■
Hea
lth c
are
prov
ider
s who
adv
ise
smok
ers t
o qu
it sm
okin
g is
the
perf
orm
ance
mea
sure
of i
nter
est.
Topi
cs:
■
Cig
aret
te u
se.
■
Ces
satio
n co
unse
ling.
Nat
iona
l lev
el.
Subj
ects
:C
omm
erci
al h
ealth
plan
mem
bers
,M
edic
aid
and
Med
icar
e re
cipi
ents
.
Nat
iona
l Com
mitt
ee fo
r Q
ualit
y A
ssur
ance
. (8
88) 2
75-7
585.
ww
w.n
cqa.
org
a) R
ando
m d
esig
n.
Mai
l sur
vey.
c)
199
6–99
.
Smal
l sam
ple
size,
low
re
spon
se r
ate,
resp
onse
bi
as, a
nd re
call
bias
.
1999
is th
e m
ost r
ecen
t da
ta se
t.
Arc
hive
d da
ta se
ts m
ay b
e av
aila
ble
for p
urch
ase.
Hos
pita
l Dis
char
ge D
ata
■
Prov
ides
bac
kgro
und
info
rmat
ion
on p
atie
nt a
nd m
orbi
dity
thro
ugh
disc
harg
e di
agno
ses,
num
ber o
f day
s of
hos
pita
lizat
ion,
and
trea
tmen
t.
Topi
cs:
■
Hea
lth e
ffect
s.
■
Leng
th o
f sta
y.
a) V
arie
s.
b) C
ontin
uous
.
Info
rmat
ion
on sm
okin
gst
atus
is u
sual
ly n
ot
avai
labl
e or
may
be
misc
lass
ified
.
Stat
e he
alth
dep
artm
ents
. H
ospi
tal r
ecor
ds.
Tabl
e 3
15
Surveillance and Evaluation Data Resources
Tab
le 3
. Top
ic-S
pec
ific
Too
ls: H
ealt
h S
yste
ms
and
Cli
nic
al S
etti
ngs
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Mar
ketS
can
Dat
abas
e
■
Prov
ides
hea
lth d
ata
on p
rivat
e co
mpa
nies
’ ins
ured
em
ploy
ees a
nd
thei
r dep
ende
nts,
early
retir
ees,
ex-e
mpl
oyee
s stil
l on
CO
BRA
, and
M
edic
are-
elig
ible
retir
ees w
ith
empl
oyer
-pro
vide
d M
edic
are
Supp
lem
enta
l pla
ns.
Topi
cs:
■
Paid
cla
ims a
nd e
ncou
nter
dat
a re
late
d to
ces
satio
n se
rvic
es.
Nat
iona
l lev
el.
Subj
ects
:Em
ploy
ees a
ndde
pend
ents
insu
red
by b
enef
its p
lans
of
larg
e em
ploy
ers.
a) R
ando
m d
esig
n, h
ospi
tal
char
ts, a
nd re
cord
s.
(b a
nd c
)■
Fe
e fo
r Ser
vice
: 19
87–p
rese
nt.
■
Enco
unte
r: 19
94–p
rese
nt.
■
Med
icar
e: 1
995–
pres
ent.
■
Bene
fit P
lan
Des
ign
(com
pila
tion
of o
ther
s):
1993
–pre
sent
.
The
cost
of o
btai
ning
th
e da
ta se
ts m
ay b
e pr
ohib
itive
.
The
Med
stat
Gro
up.
(734
) 913
-300
0w
ww
.med
stat
.com
Qui
tline
Cal
l Mon
itori
ng
■
Prov
ides
dat
a on
the
num
ber o
f ca
lls to
qui
tline
s for
cou
nsel
ing
and
refe
rral
s.
■
May
pro
vide
info
rmat
ion
on
succ
ess r
ates
.
Topi
cs:
■
Num
ber o
f cal
ls.
■
Sex
and
race
/eth
nici
ty o
f cal
lers
.
■
Type
of c
essa
tion
info
rmat
ion
prov
ided
.
Stat
e le
vel o
r qu
itlin
e se
rvic
e ar
ea.
Stat
e he
alth
dep
artm
ents
w
ith q
uitli
nes.
a) V
arie
s.
Thir
d Pa
rty
Paye
r Sur
veys
■
Trac
ks in
sura
nce
cove
rage
and
reim
bu
rsem
ent.
Topi
cs:
■
Cov
erag
e fo
r ces
satio
n se
rvic
es.
■
Hea
lth c
are
prov
ider
pol
icie
s re
late
d to
toba
cco.
a) V
arie
s.
b) N
ot a
pplic
able
.
Hea
lth C
are
Fina
ncin
g Ad
min
istra
tion.
(8
00)-
Med
icar
e.
ww
w.h
cfa.
gov
Stat
e he
alth
dep
artm
ents
.
Nat
iona
l and
stat
e pa
yers
.
Subj
ects
:M
edic
aid,
M
edic
are,
pri
vate
in
sure
rs.
Tabl
e 3
(con
tinu
ed)
Abbr
evia
tions
: CO
BRA
= Co
nsol
idat
ed O
mni
bus
Budg
et R
econ
cilia
tion
Act.
16
Surveillance and Evaluation Data Resources
Tab
le 4
. Top
ic-S
pec
ific
Too
ls: S
ales
Dat
a
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Food
and
Dru
g Ad
min
istr
atio
n (F
DA
) C
ompl
ianc
e C
heck
s
■
Prov
ides
dat
a on
reta
ilers
that
com
plie
d w
ith th
e pr
ohib
ition
of t
he sa
le o
f tob
acco
pr
oduc
ts to
min
ors.
■
Prio
r to
Mar
ch 2
1, 2
000,
the
com
plia
nce
chec
k au
thor
ized
stat
e an
d lo
cal a
utho
ri
ties t
o su
rvey
whe
ther
reta
ilers
follo
wed
th
e FD
A re
gula
tion
that
pro
hibi
ted
the
sale
of c
igar
ette
s and
smok
eles
s tob
acco
to
chi
ldre
n yo
unge
r tha
n 18
yea
rs.
Topi
cs:
■
Abili
ty o
f min
ors t
o pu
rcha
se
toba
cco
prod
ucts
.
Nat
iona
l and
stat
e le
vels.
Subj
ects
:Lo
cal t
obac
co
reta
ilers
.
a) R
ando
m, u
nann
ounc
ed
visit
s by
stat
e or
loca
lof
ficia
ls au
thor
ized
by
the
FDA
.
Met
hodo
logy
may
var
y by
stat
e.
b) A
nnua
l.
c) 1
997–
2000
.
Supr
eme
Cou
rt r
uled
that
FD
A e
xcee
ded
auth
ority
.
Dat
a co
llect
ion
susp
ende
d on
Mar
ch 2
1, 2
000.
Food
and
Dru
g Ad
min
istra
tion.
(888
) 453
-633
2.w
ww
.fda.
gov/
opac
om/
cam
paig
ns/to
bacc
o
Scan
ner D
ata
■
Prov
ides
mar
ket d
ata
on to
bacc
o sa
les
usin
g un
iver
sal p
rodu
ct c
ode
num
bers
.
Topi
cs:
■
Dol
lar s
ales
. ■
U
nit s
ales
. ■
Vo
lum
e sa
les.
■
Sale
s sha
re.
■
Aver
age
selli
ng p
rice
. ■
Av
erag
e pr
omot
ed p
rice
. ■
Av
erag
e lis
t pri
ce.
■
Perc
enta
ge o
f sto
res s
ellin
g ea
ch
prod
uct.
Stat
e or
loca
l lev
els.
Subj
ects
:Re
taile
rs u
sing
UPC
scan
ners
.
Com
para
ble
data
on
gro
cery
stor
es a
re a
vaila
ble,
bu
t the
cos
t of o
btai
ning
the
data
set m
ay b
e pr
ohi
bitiv
e.
AC N
ielse
n an
d C
ompa
ny.
(770
) 482
-193
9.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
a) V
arie
s.
c) 1
994–
pres
ent.
✔ S
ubst
ance
Abu
se a
nd M
enta
l H
ealth
Ser
vice
s Adm
inis
trat
ion
(SA
MH
SA) C
ompl
ianc
e C
heck
s
■
Prov
ides
dat
a on
toba
cco
sale
s to
min
ors t
hrou
gh u
nann
ounc
ed, a
nnu
al in
spec
tions
(inc
lude
s loc
atio
n of
esta
blish
men
ts).
■
This
mon
itori
ng re
sear
ch w
as a
utho
riz
ed th
roug
h th
e Sy
nar L
egisl
atio
n,
whi
ch m
anda
ted
the
redu
ctio
n of
to
bacc
o sa
les t
o m
inor
s.
Topi
cs:
■
Abili
ty o
f min
ors t
o pu
rcha
se
toba
cco
prod
ucts
.
a) R
ando
m d
esig
n.
Una
nnou
nced
visi
ts.
Met
hodo
logy
may
va
ry b
y st
ate.
c) 1
995–
pres
ent.
Ann
ual r
epor
t det
ails
stat
es’
activ
ities
to e
nfor
ce la
ws.
Incl
udes
inf
orm
atio
n on
su
cces
ses i
n re
duci
ng to
bacc
o av
aila
bilit
y to
you
ng p
eopl
e,
met
hods
use
d to
iden
tify
nonc
ompl
iant
reta
il ou
tlets
, in
spec
tion
proc
edur
es, a
nd
plan
s for
enf
orci
ng th
e la
w
in th
e ne
xt fi
scal
yea
r.
Com
para
bilit
y of
dat
a m
ay
be a
ffect
ed b
y th
e ra
ce a
nd
sex
of y
oung
insp
ecto
rs.
Subs
tanc
e A
buse
and
M
enta
l Hea
lth S
ervi
ces
Adm
inist
ratio
n.(3
01) 4
43-8
956.
ww
w.sa
mhs
a.go
v/cs
ap
Stat
e an
d lo
cal
leve
ls.
Subj
ects
:To
bacc
o re
taile
rs.
Tabl
e 4
✔D
ata
are
frequ
ently
use
d an
d co
mpa
rabl
e ac
ross
sta
tes.
Ab
brev
iatio
ns: F
DA
= Fo
od a
nd D
rug
Adm
inis
tratio
n. U
PC =
Uni
vers
al P
rodu
ct C
ode.
17
Surveillance and Evaluation Data Resources
Tab
le 4
. Top
ic-S
pec
ific
Too
ls: S
ales
Dat
a
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Tax
Reve
nue
Dat
a
■
Prov
ides
sale
s inf
orm
atio
n on
to
bacc
o pr
oduc
ts.
Topi
cs:
■
Sale
s (nu
mbe
r of c
igar
ette
pac
ks,
cart
ons,
and
poun
ds o
f tob
acco
) pe
r cap
ita fo
r cig
aret
tes a
nd
smok
eles
s tob
acco
.
Stat
e le
vel.
Subj
ects
:W
hole
sale
rs a
nddi
stri
buto
rs.
a) R
ecei
pts c
olle
cted
mon
thly
.
b) V
arie
s by
stat
e. U
sual
ly
begi
ns th
e fir
st y
ear a
st
ate
colle
cts t
obac
co
exci
se ta
x.
The
Toba
cco
Inst
itute
was
di
sman
tled
in 1
999,
but
O
rzec
how
ski a
nd W
alke
r, an
eco
nom
ic c
onsu
lting
fir
m fi
nanc
ially
supp
orte
d by
toba
cco
com
pani
es,
has b
egun
pub
lishi
ng a
nan
nual
repo
rt o
n to
bacc
o sa
les a
nd c
onsu
mpt
ion.
Orz
echo
wsk
i and
Wal
ker.
(703
) 351
-501
4.
Stat
e de
part
men
ts o
f re
venu
e.
Toba
cco
Lice
nse
Dat
abas
e
■
Prov
ides
dat
a on
est
ablis
hmen
tsap
prov
ed to
sell
toba
cco
prod
ucts
.
■
Can
be
used
for m
onito
ring
and
en
forc
emen
t.
■
Prov
ides
a sa
mpl
e fr
ame
for
com
plia
nce
chec
ks o
r pop
ulat
ion
obse
rvat
ion
stud
ies.
Topi
cs:
■
Toba
cco
licen
se o
r sal
es p
erm
it.
■
Reta
iler t
ype.
Stat
e le
vel.
Subj
ects
:To
bacc
o re
taile
rs.
Stat
e en
forc
emen
t or
busin
ess r
egul
atio
ns
agen
cy.
a) V
arie
s.
b) V
arie
s.
Tabl
e 4
(con
tinu
ed)
18
Surveillance and Evaluation Data Resources
Tab
le 5
. Top
ic-S
pec
ific
Too
ls: N
atio
nal
, Sta
te, a
nd
Loc
al P
olic
y Tr
acki
ng
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Rest
aura
nt S
urve
ys
■
Prov
ides
dat
a on
smok
ing
polic
ies
and
prac
tices
; and
on
the
know
ledg
e,be
havi
ors,
and
attit
udes
of p
erso
nnel
an
d/or
man
agem
ent.
Topi
cs:
■
Type
of r
esta
uran
t.
■
Smok
ing
polic
y.
■
Reas
ons f
or sm
okin
g po
licy.
■
Proj
ecte
d ch
ange
s in
smok
ing
polic
y.
■
Pres
ence
of b
ar o
r lou
nge.
■
Con
figur
atio
n of
sea
ting
area
s.
■
Num
ber o
f sea
ts in
rest
aura
nt.
■
Cus
tom
er d
eman
d fo
r sm
okin
gor
non
-sm
okin
g se
ctio
ns.
■
Attit
udes
abo
ut h
arm
fuln
ess o
f ET
S.
■
Supp
ort f
or lo
cal s
mok
e-fr
ee
ordi
nanc
es.
■
Toba
cco
use.
Stat
e an
d lo
cal
leve
ls.
a) R
ando
m d
esig
n us
ing
busin
ess l
ists.
Met
hodo
logy
may
va
ry b
y st
ate.
c) M
ost o
f the
se su
rvey
s ha
ve b
een
cond
ucte
d in
th
e la
st 1
0 ye
ars.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for
Dise
ase
Con
trol
and
Pr
even
tion.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Wor
ksite
Sur
veys
■
Prov
ides
dat
a on
pre
vale
nce,
kno
wl
edge
, beh
avio
rs, a
ttitu
des,
polic
ies,
cess
atio
n ac
tiviti
es, a
nd p
ract
ices
at
priv
ate
and
publ
ic w
orks
ites.
Topi
cs:
■
Toba
cco
use.
■
Smok
ing
polic
ies i
n w
ork
area
s.
■
Smok
ing
polic
ies i
nco
mm
on/p
ublic
pla
ces.
■
Attit
udes
abo
ut sm
okin
g in
door
s.
■
Perc
eptio
ns o
f the
har
mfu
lnes
s of
ETS
.
■
Ces
satio
n po
licie
s.
■
Ces
satio
n pr
ogra
ms.
a) R
ando
m d
esig
n us
ing
busin
ess l
ists.
Met
hodo
logy
may
va
ry b
y st
ate.
b) F
requ
ency
var
ies b
y st
ate.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Stat
e an
d lo
cal
leve
ls.
Tabl
e 5
Abbr
evia
tions
: ETS
= e
nviro
nmen
tal t
obac
co s
mok
e.
19
Surveillance and Evaluation Data Resources
Tab
le 6
. Top
ic-S
pec
ific
Too
ls: P
ro-T
obac
co A
dver
tisi
ng
and
Pro
mot
ion
s
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Even
t Spo
nsor
ship
■
Prov
ides
dat
a on
eve
nts s
pons
ored
by
toba
cco
com
pani
es.
Topi
cs:
■
Even
t spo
nsor
ship
and
fund
ing.
Stat
e an
d lo
cal
leve
ls.
a) O
bser
vatio
nal.
b) V
arie
s.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Stat
e he
alth
dep
artm
ents
.
Nie
lsen
Mon
itor P
lus
■
Prov
ides
24
hour
s per
day
trac
king
of
paid
com
mer
cial
act
ivity
mai
nly
for
tele
visio
n, b
ut a
lso n
ewsp
aper
and
ra
dio
in c
erta
in m
arke
t reg
ions
.
■
Toba
cco
adve
rtise
men
ts, t
race
d by
br
and
nam
e.
Topi
cs:
■
Diss
emin
atio
n an
d fr
eque
ncy
of a
dver
tisem
ents
.
By m
arke
t uni
t (t
here
are
210
uni
ts
in th
e co
untr
y).
Subj
ects
:Ta
rget
pop
ulat
ion
of p
aid
adve
rtise
m
ents
for a
ll m
ajor
tele
visio
n st
atio
ns,
and
sele
cted
new
spa
per a
nd r
adio
st
atio
ns.
New
Med
ia S
ervi
ces.
(212
) 708
-750
0 or
(212
) 907
-422
0.w
ww
.nie
lsenm
edia
.com
a) C
ensu
s of a
ll fu
ll po
wer
com
mer
cial
br
oadc
astin
g st
atio
ns.
Con
veni
ence
sam
ple
for n
ewsp
aper
and
ra
dio
com
mer
cial
ac
tiviti
es.
c) O
ngoi
ng si
nce
1995
.
Avai
labl
e to
clie
nts,
dist
ribu
tion
firm
, or
orga
niza
tion.
The
cost
s of o
btai
ning
th
e da
ta se
ts m
ay b
e pr
ohib
itive
.
Poin
t-of
-Pur
chas
e Su
rvey
■
Prov
ides
con
text
ual d
ata
on re
tail
outle
ts th
at c
an sh
ow to
bacc
o sa
les p
olic
ies a
nd p
ract
ices
in
com
mun
ities
, inc
ludi
ng a
ttitu
des
and
beha
vior
s.
Topi
cs:
■
Prod
uct p
lace
men
t.
■
Adve
rtisi
ng p
rice
.
■
Polic
ies a
nd p
ract
ices
of
pers
onne
l and
man
agem
ent.
a) R
ando
m d
esig
n.
Una
nnou
nced
visi
ts.
Met
hodo
logy
may
va
ry b
y st
ate.
b) V
arie
s.
Surv
eys m
ay b
e co
nduc
ted
over
tly o
r cov
ertly
. St
ate
heal
th d
epar
tmen
ts.
Stat
e en
forc
emen
t age
ncie
s.
Stat
e an
d lo
cal
leve
ls.
Subj
ects
:Re
tail
outle
ts.
Prod
uct G
ive-
Away
s and
Pr
omot
ions
■
Prov
ides
dat
a on
toba
cco
prom
otio
ns
and
prod
uct g
ive-
away
s.
Topi
cs:
■
Type
of p
rom
otio
ns a
nd
give
-aw
ays.
■
Mon
etar
y am
ount
of
prom
otio
n.
■
Freq
uenc
y.
Stat
e an
d lo
cal
leve
ls.
Subj
ects
:C
omm
unity
eve
nts
and
ente
rtai
nmen
t ve
nues
.
a) O
bser
vatio
nal.
b) V
arie
s.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Stat
e he
alth
dep
artm
ents
.
Tabl
e 6
20
Surveillance and Evaluation Data Resources
Tab
le 7
. Top
ic-S
pec
ific
Too
ls: A
dver
tisi
ng
Trac
kin
g an
d O
utc
omes
Mea
sure
men
t
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Arb
itron
■
Prov
ides
dat
a on
whi
ch ra
dio
stat
ions
ha
ve th
e la
rges
t rea
ch fo
r the
targ
etpo
pula
tion.
■
Can
be
used
to ta
rget
med
ia c
am
paig
n ac
tiviti
es a
nd e
stim
ate
reac
h.
Topi
cs:
■
Tim
e of
day
.
■
Am
ount
of t
ime
liste
ned.
■
Spec
ific
geog
raph
ical
loca
tions
.
■
List
ener
dem
ogra
phic
s.
Base
d on
cou
nty
leve
l met
ropo
litan
m
arke
ts.
a) R
ando
m d
esig
n.
Mai
l dia
ry.
b) O
ngoi
ng, s
ince
195
0s.
The
bigg
est m
etro
polit
an
mar
kets
are
surv
eyed
four
tim
es a
yea
r.
Smal
ler m
arke
ts a
re su
rve
yed
twic
e a
year
.
Arb
itron
.(7
70) 5
51-1
400
or(8
00) 5
43-7
300.
ww
w.a
rbitr
on.c
om
Med
ia C
ampa
ign
Activ
ity T
rack
ing
■
Prov
ides
trac
king
dat
a on
cou
nter
-m
arke
ting
adve
rtise
men
ts o
n TV
an
d ra
dio.
Topi
cs:
■
Gro
ss ra
ting
poin
t (G
RP’s)
reac
h an
d fr
eque
ncy.
Med
ia c
ampa
igns
. a)
Var
ies.
b) V
arie
s.
This
info
rmat
ion
is us
ually
prov
ided
by
the
med
ia
cam
paig
n pr
ovdi
er o
r co
ntra
ctor
.
Stat
e he
alth
dep
artm
ents
.
Med
ia E
valu
atio
n Su
rvey
■
Prov
ides
dat
a on
the
expo
sure
, aw
are
ness
, and
impa
ct o
f a p
aid
med
ia
cam
paig
n.
Topi
cs:
■
Con
firm
atio
n of
exp
osur
e.
■
Reca
ll of
spe
cific
adv
ertis
emen
ts.
■
Beha
vior
cha
nge.
Targ
et p
opul
atio
nof
med
ia c
ampa
ign.
a)
Ran
dom
des
ign
Repe
ated
follo
w-u
p te
leph
one
surv
eys.
b) V
arie
s.
Prov
ides
pre
- and
pos
t-in
form
atio
n be
fore
, dur
ing,
an
d af
ter a
cou
nter
-mar
ketin
g ca
mpa
ign.
A n
umbe
r of s
tate
s ha
ve m
ount
ed c
ount
er-
mar
ketin
g ca
mpa
igns
.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Stat
e he
alth
dep
artm
ents
.
Nie
lsen
Sig
ma
Serv
ice
■
Prov
ides
24
hour
s per
day
trac
king
of
pai
d an
d un
paid
pub
lic se
rvic
e an
noun
cem
ents
and
vid
eo n
ews r
elea
ses.
■
Trac
king
is d
one
by a
dver
tisem
ent
mas
ter c
ode.
Topi
cs:
■
Air
time
and
freq
uenc
y of
ad
vert
isem
ent.
Mar
ket u
nit l
evel
of
adve
rtise
men
ts.
a) C
ensu
s of a
ll fu
ll-po
wer
co
mm
erci
al b
road
cast
ing
stat
ions
.
b) O
ngoi
ng si
nce
1989
.
Avai
labl
e to
ord
erin
g cl
ient
, dist
ribu
tion
firm
, or
org
aniz
atio
n.
The
cost
s obt
aini
ng
the
data
sets
may
be
proh
ibiti
ve.
New
Med
ia S
ervi
ces.
(727
) 738
-306
0.w
ww
.nie
lsenm
edia
.com
Vid
eo M
onito
ring
Ser
vice
■
Trac
ks b
road
cast
cov
erag
e of
TV,
radi
o,
prin
t, an
d ou
tdoo
r adv
ertis
emen
ts.
Topi
cs:
■
Toba
cco
key
wor
ds.
Adve
rtise
men
ts o
n TV
, rad
io, p
rint
, an
d ou
tdoo
rs.
a) C
ensu
s of f
ull-p
ower
co
mm
erci
al b
road
cast
ing
stat
ions
.
b) O
ngoi
ng si
nce
1996
.
Num
ber o
f med
ia so
urce
s de
pend
s on
regi
on.
Vid
eo M
onito
ring
Ser
vice
s. (2
12) 7
36-2
010.
ww
w.v
idm
on.c
om
Tabl
e 7
21
Surveillance and Evaluation Data Resources
Tab
le 8
. Top
ic-S
pec
ific
Too
ls: C
omm
un
ity
Met
hodo
logy
(a),
Freq
uenc
y (b
), Ye
ars C
ompl
eted
(c)
Toba
cco-
Rela
ted
Indi
cato
rs
Sam
plin
g Fr
ame
Dat
a So
urce
C
omm
ents
C
onta
ct
Key
Info
rman
t Sur
veys
■
Prov
ides
dat
a on
aw
aren
ess a
nd
attit
udes
of l
eade
rs a
nd in
fluen
tial
pers
ons o
n to
bacc
o iss
ues f
rom
va
riou
s sec
tors
of t
he c
omm
unity
, in
clud
ing
law
enf
orce
men
t, bu
sines
s, fa
ith, e
duca
tion,
etc
.
Topi
cs:
■
Impo
rtan
ce o
f tob
acco
-rel
ated
iss
ues.
■
Inve
stm
ent i
n he
alth
.
Com
mun
ity le
vel.
Subj
ects
:Le
ader
s, po
tent
ial
part
ners
, and
oth
erin
fluen
tial p
erso
ns.
a) V
arie
s: (e
.g.,
snow
ball,
qu
ota
sam
ple,
in-
pers
on, o
r tel
epho
ne
surv
ey).
b) V
arie
s.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Stat
e he
alth
dep
artm
ents
.
Loca
l Pro
gram
Mon
itori
ng
■
Prov
ides
dat
a on
loca
l tob
acco
con
tr
ol p
rogr
am in
fras
truc
ture
, sta
ff,
reso
urce
s, an
d ob
ject
ives
.
Topi
cs:
■
Staf
fing.
■
Reso
urce
s.
■
Activ
ities
.
Loca
l lev
el.
Subj
ects
:Pr
ogra
m m
anag
eran
d pr
ojec
t coo
rdi
nato
rs.
a) V
arie
s: (e
.g.,
self-
adm
inist
ered
pro
gres
s re
port
).
b) V
arie
s.
A li
mite
d nu
mbe
r of
stat
es h
ave
cond
ucte
d th
is ty
pe o
f sur
vey.
Offi
ce o
n Sm
okin
g an
d H
ealth
, Cen
ters
for D
iseas
eC
ontr
ol a
nd P
reve
ntio
n.
(770
) 488
-570
3.w
ww
.cdc
.gov
/toba
cco
Stat
e he
alth
dep
artm
ents
.
Tabl
e 8
22
Surveillance and Evaluation Data Resources
DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention
for
Comprehensive Tobacco Control ProgramsNovember 2001