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Complete Health Indicator Report of Tobacco Use - Youth Smoking Prevalence

Definition

A current smoker is defined as a youth in grades 9-12 in a NM public high school who smoked cigarettes on one or more days in the past month.

Numerator

Number of youth who reported smoking cigarettes on one or more days in the past month

Denominator

All youth who participated in the YRRS

Why Is This Important?

Nicotine exposure in any form among youth and young adults can disrupt growth of brain circuits that control attention, learning, and susceptibility to addiction to other drugs (e.g., cocaine and methamphetamine.) Effects of nicotine exposure on youth brain development can be long-lasting, and can include lower impulse control and mood disorders. Young people who smoke are also in danger of nicotine addiction, reduced lung growth and function, and early cardiovascular disease. Shortness of breath and lower stamina due to smoking can affect athletic performance in youth and teens. Smoking is the leading preventable cause of death in the United States. Smoking is initiated and established primarily during adolescence, with more than 80% of adult smokers first smoking before age 18. One in six adults and one in nine youth smoke in New Mexico. About half of all lifetime smokers will die early because of their tobacco use. In New Mexico, about 2,800 people die from tobacco use annually and another 84,000 are living with tobacco-related diseases. Annual smoking-related medical costs in New Mexico total $844 million.

Healthy People Objective: TU-2.2, Reduce tobacco use by adolescents: Cigarettes (past month)

U.S. Target: 16.0 percent

Other Objectives

Substance Abuse Epidemiology Report Indicator New Mexico Community Health Status Indicator (CHSI)

Evidence-based Practices

Addressing tobacco use is best done through a coordinated effort to establish tobacco-free policies and social norms, to promote and assist tobacco users to quit, and to prevent initiation of tobacco use. This comprehensive approach combines educational, clinical, regulatory, economic, and social strategies. Research has documented strong or sufficient evidence in the use of the following strategies: - Increasing the unit price of tobacco products - Restricting minors' access to tobacco products; restricting the time, place, and manner in which tobacco is marketed and sold - Strategic, culturally appropriate, and high impact health communication messages (mass media), including paid TV, radio, billboard, print, and web-based advertising at state and local levels - Ensuring that all patients seen in the health care system are screened for tobacco use, receive brief interventions to help them quit, and are offered more intensive counseling and low- or no-cost cessation medications; providing insurance coverage of tobacco use treatment; phone- and web-based cessation services are effective and can reach large numbers of tobacco users; - Passage of laws and policies in a comprehensive tobacco control effort to protect the public from secondhand exposure - Focusing tobacco prevention and cessation interventions on populations at greatest risk in an effort to reduce tobacco-related health disparities Sources: CDC. Best Practices for Comprehensive Tobacco Control Programs - 2014 (www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2014/comprehensive.pdf) The Guide to Community Preventive Services: Tobacco Use - 2010 (www.thecommunityguide.org/tobacco/index.html)

Available Services

Current services include a free telephone helpline (1-800-QUIT NOW), with a personalized quitting plan, a trained quitting coach, multiple calls per enrollee, and quit coaching translation available in 200 languages. Web-based cessation services are also available (www.QuitNowNM.com) stand-alone or in combination with the telephone helpline. The telephone helpline is also available in Spanish (1-855 DEJELO YA), and the Spanish web-based services are available at www.DejeloYaNM.com. Additional services include free nicotine patches or gum and text-messaging support.


Related Indicators

Health Status Outcomes

According to the 2014 Surgeon General's Report on Smoking and Health, "damage from tobacco smoke is immediate. Tobacco smoke contains more than 7,000 chemicals and chemical compounds that reach your lungs every time you inhale. Your blood then carries the poisons to all parts of your body. These poisons damage DNA, which can lead to cancer; damage blood vessels and cause clotting, which can cause heart attacks and strokes; and damage the lungs, which can cause asthma attacks, emphysema, and chronic bronchitis."

Related Health Status Outcomes Indicators:




Graphical Data Views

Youth Cigarette Smoking Prevalence, Grades 9-12 New Mexico and U.S., 2007-2017

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confidence limits

The prevalence of current cigarette smoking among New Mexico and U.S. high school youth has decreased dramatically in the past decade, New Mexico's youth cigarette smoking rate in 2017 (10.6%) is at an all-time low, and it is statistically similar to that in the U.S. (8.8%). Both the New Mexico and U.S. youth cigarette smoking prevalence have met and surpassed the Healthy People 2020 goal of 16.0%.
NM vs. U.S.YearPercentage Current SmokersLower LimitUpper Limit
Record Count: 12
New Mexico200724.2%20.9%27.2%
New Mexico200924.0%21.0%26.8%
New Mexico201119.9%17.4%22.2%
New Mexico201314.4%12.2%17.0%
New Mexico201511.4%10.3%12.5%
New Mexico201710.6%8.6%12.9%
United States200720.0%17.4%22.4%
United States200919.5%17.8%21.1%
United States201118.1%16.7%19.5%
United States201315.7%13.5%18.1%
United States201510.8%9.4%12.4%
United States20178.8%7.2%10.7%

Data Notes

US data source: Centers for Disease Control and Prevention. 2007-2017 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbs.

Data Sources

  • New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.
  • U.S. Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data


Youth Cigarette Smoking Prevalence, Grades 9-12 by County, New Mexico, 2017

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In 2017, the counties with the highest prevalence of current smoking were Rio Arriba (17.8%) and Otero (17.6%). The counties with the lowest prevalence of current smoking were Curry (4.2%) and Catron (5.4%).
CountyPercentage Current SmokersLower LimitUpper Limit
Record Count: 35
Bernalillo9.1%7.8%10.5%
Catron5.4%1.7%16.0%
Chaves11.7%8.1%16.7%
Cibola16.8%13.0%21.4%
Colfax12.1%8.8%16.5%
Curry4.2%1.9%8.8%
De Baca**
Dona Ana11.5%8.1%16.0%
Eddy9.3%6.6%13.0%
Grant12.0%7.7%18.2%
Guadalupe10.5%7.5%14.6%
Harding**
Hidalgo7.6%3.1%17.7%
Lea12.5%8.8%17.5%
Lincoln13.7%11.1%16.7%
Los Alamos10.2%6.4%15.9%
Luna15.5%9.7%23.7%
McKinley14.2%8.4%23.1%
Mora12.3%4.6%29.0%
Otero17.6%9.4%30.4%
Quay8.4%4.8%14.3%
Rio Arriba17.8%13.0%23.9%
Roosevelt10.7%6.1%18.0%
Sandoval11.4%7.4%17.0%
San Juan10.3%7.7%13.7%
San Miguel14.7%12.1%17.8%
Santa Fe11.6%9.9%13.6%
Sierra7.4%4.3%12.4%
Socorro16.7%12.3%22.2%
Taos14.8%11.8%18.2%
Torrance16.6%13.8%19.8%
Union13.7%12.8%14.6%
Valencia14.6%8.5%24.1%
New Mexico10.6%8.6%12.9%
U.S.8.8%7.2%10.7%

Data Notes

**Data are not available for some counties (DeBaca and Harding) due to lack of participation in the YRRS by one or more school districts or insufficient sample size. County-level YRRS estimates come from the larger NM sample dataset, while state-level YRRS estimates come from the smaller CDC sample.

Data Sources

  • New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.
  • U.S. Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data


Youth Cigarette Smoking Prevalence, Grades 9-12 by Race/Ethnicity, New Mexico, 2017

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Race/EthnicityPercentage Current SmokersLower LimitUpper Limit
Record Count: 6
American Indian/Alaska Native12.6%10.6%14.9%
Asian/Pacific Islander12.0%5.5%24.1%
Black/African American8.8%4.8%15.6%
Hispanic10.7%8.1%14.0%
White9.7%7.8%11.9%
New Mexico10.6%8.6%12.9%

Data Sources

  • New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.
  • U.S. Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data


Youth Cigarette Smoking Prevalence, Grades 9-12 by Sex, New Mexico, 2007-2017

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Sex: Males vs. FemalesYearPercentage Current SmokersLower LimitUpper Limit
Record Count: 12
Male200724.9%21.9%28.1%
Male200924.6%20.9%28.7%
Male201123.2%19.9%26.9%
Male201316.4%13.7%19.6%
Male201512.8%11.5%14.3%
Male201711.9%9.8%14.2%
Female200723.7%18.7%29.5%
Female200923.2%20.6%26.0%
Female201116.5%14.6%18.6%
Female201312.3%10.3%14.5%
Female20159.8%8.5%11.2%
Female20179.0%6.8%11.9%

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Cigarette Smoking Prevalence, Grades 9-12 by Academic Performance, New Mexico, 2007-2017

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Youth who report earning mostly C's, D's, or F's are significantly more likely to smoke cigarettes than youth who report earning mostly A's or B's.
Academic Grades: Mostly A's or B's; versus C's D's or F'sYearPercentage Current SmokersLower LimitUpper Limit
Record Count: 12
Mostly A's or B's200717.2%13.5%21.7%
Mostly A's or B's200917.7%15.4%20.4%
Mostly A's or B's201113.6%11.8%15.7%
Mostly A's or B's201310.9%9.2%12.9%
Mostly A's or B's20157.4%6.5%8.5%
Mostly A's or B's20177.3%5.9%9.0%
Mostly C's D's or F's200737.0%30.8%43.6%
Mostly C's D's or F's200937.8%33.5%42.2%
Mostly C's D's or F's201132.5%28.9%36.3%
Mostly C's D's or F's201321.7%17.4%26.7%
Mostly C's D's or F's201522.5%19.6%25.7%
Mostly C's D's or F's201719.8%16.4%23.8%

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Cigarette Smoking Prevalence, Grades 9-12 by Grade Level, New Mexico, 2007-2017

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Cigarette smoking prevalence increases with grade level, and it is significantly higher among 11th and 12th grade students than among 9th grade students.
Grade Level YRRSYearPercentage Current SmokersLower LimitUpper Limit
Record Count: 24
9th Grade200722.2%16.8%28.8%
9th Grade200919.8%16.7%23.3%
9th Grade201117.9%14.8%21.5%
9th Grade201310.7%7.8%14.6%
9th Grade20157.2%5.8%8.9%
9th Grade20176.5%5.1%8.3%
10th Grade200724.1%17.8%31.7%
10th Grade200922.9%18.4%28.1%
10th Grade201118.3%15.8%21.1%
10th Grade201313.6%11.0%16.7%
10th Grade20159.8%8.3%11.6%
10th Grade20178.5%6.8%10.7%
11th Grade200726.1%20.0%33.2%
11th Grade200924.6%20.6%29.0%
11th Grade201119.6%16.4%23.3%
11th Grade201315.2%13.2%17.4%
11th Grade201514.0%11.9%16.4%
11th Grade201711.8%10.1%13.9%
12th Grade200725.2%19.6%31.7%
12th Grade200930.3%25.6%35.6%
12th Grade201124.7%20.1%29.9%
12th Grade201319.2%15.0%24.2%
12th Grade201515.8%13.7%18.2%
12th Grade201716.3%12.3%21.4%

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Cigarette Smoking Prevalence, Grades 9-12 by Parents' Education Level, New Mexico, 2017

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High school youth whose parents' educational level is high school diploma/GED or lower smoke at significantly higher rates than youth whose parents have a college degree.
Parent's Education LevelPercentage Current SmokersLower LimitUpper Limit
Record Count: 3
Less Than High School12.8%9.5%17.0%
H.S. Grad or G.E.D.11.2%8.9%14.0%
College/Professional Degree or Higher7.6%6.4%8.9%

Data Notes

The level of parent education can be considered a rough measure of the family's socioeconomic status, with lower level of education assumed to be associated with lower socioeconomic status.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Cigarette Smoking Prevalence, Grades 9-12 by Urban and Rural Counties, New Mexico, 2017

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Cigarette smoking is significantly higher among youth living in rural counties than youth living in metropolitan counties in New Mexico.
Urban Versus Rural CountiesPercentage Current SmokersLower LimitUpper Limit
Record Count: 4
Metropolitan Counties9.7%8.3%11.4%
Small Metro Counties11.2%9.2%13.4%
Mixed Urban-Rural12.4%11.0%13.9%
Rural Counties15.0%13.0%17.4%

Data Notes

Urban/rural-level YRRS estimates come from the larger NM sample dataset, while state-level YRRS estimates come from the smaller CDC sample.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Cigarette Smoking Prevalence, Grades 9-12 by U.S. States, 2017

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Youth cigarette smoking is lowest in Utah (3.8%), California (5.4%), New York (5.5%), and Florida (5.7%), while it is highest in West Virginia (14.4%), Kentucky (14.3%), and Arkansas (13.7%). New Mexico's youth smoking rate (10.6%), ranks tenth highest among the 39 states for which data is available in 2017.
StatePercentage Current SmokersLower LimitUpper Limit
Record Count: 40
Alaska10.9%8.8%13.4%
Arizona7.1%5.2%9.6%
Arkansas13.7%10.8%17.2%
California5.4%4.3%6.9%
Colorado7.0%5.3%9.2%
Connecticut7.9%6.4%9.7%
Delaware6.2%4.9%7.7%
Florida5.7%4.9%6.7%
Hawaii8.1%6.9%9.5%
Idaho9.1%7.3%11.3%
Illinois7.6%6.0%9.7%
Iowa9.9%7.4%13.2%
Kansas7.2%5.6%9.1%
Kentucky14.3%11.3%17.9%
Louisiana12.3%9.2%16.3%
Maine8.7%7.6%9.9%
Maryland8.2%7.8%8.6%
Massachucetts6.4%5.0%8.0%
Michigan10.5%6.3%16.9%
Missouri9.2%7.3%11.4%
Montana12.1%10.8%13.4%
Nebraska7.4%5.7%9.6%
Nevada6.7%5.1%8.8%
New Hampshire7.8%7.1%8.6%
New Mexico10.6%8.6%12.9%
New York5.5%4.5%6.6%
North Carolina12.1%10.2%14.3%
North Dakota12.6%10.5%15.1%
Oklahoma12.5%10.0%15.4%
Pennsylvania8.7%7.5%10.2%
Rhode Island6.1%4.3%8.7%
South Carolina10.0%8.7%11.6%
Tennessee9.4%7.2%12.1%
Texas7.4%6.2%8.7%
Utah3.8%2.8%5.1%
Vermont9.3%8.9%9.7%
Virginia6.5%5.6%7.5%
West Virginia14.4%11.4%18.0%
Wisconsin7.8%6.6%9.3%
United States8.8%7.2%10.7%

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.

References and Community Resources

Visit www.nmtupac.com for full information about the NM Tobacco Use Prevention and Control Program.

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.

Page Content Updated On 10/23/2018, Published on 10/23/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Fri, 19 July 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Tue, 23 Oct 2018 16:09:45 MDT