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Complete Health Indicator Report of Tobacco Use - Adult Smokeless Tobacco Prevalence

Definition

Current smokeless tobacco users are defined as people age 18 or older who currently use chew tobacco, snuff, or snus every day or some days.

Numerator

Number of adults who report currently using chewing tobacco, snuff, or snus every day or some days

Denominator

Total number adults participating in the NM BRFSS

Data Interpretation Issues

Data for this indicator report are from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing survey of adults regarding their health-related behaviors, health conditions, and preventive services. Data are collected in all 50 states, D.C., and U.S. territories. Responses have been weighted to reflect the New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. The survey is conducted using scientific telephone survey methods for landline and cellular phones (with cellular since 2011). The landline phone portion of the survey excludes adults living in group quarters such as college dormitories, nursing homes, military barracks, and prisons. The cellular phone portion of the survey includes adult students living in college dormitories but excludes other group quarters. Beginning with 2011, the BRFSS updated its surveillance methods by adding in calls to cell phones and changing its weighting methods. These changes improve BRFSS' ability to take into account the increasing proportion of U.S. adults using only cellular telephones as well as to adjust survey data to improve the representativeness of the estimates generated from the survey. Results have been adjusted for the probability of selection of the respondent, and have been weighted to the adult population by age, gender, phone type, detailed race/ethnicity, renter/owner, education, marital status, and geographic area. Lastly and importantly, these changes mean that the data from years prior to 2011 are not directly comparable to data from 2011 and beyond. Please see the [https://ibis.health.state.nm.us/view/docs/Query/BRFSS/BRFSS_fact_sheet_Aug2012.pdf BRFSS Method Change Factsheet]. The "missing" and "don't know" responses are removed before calculating a percentage.

Why Is This Important?

Smokeless tobacco products such as snuff, chew, snus, and dip pose health risks such as nicotine addiction, oral cancer, gum disease, tooth decay, and may increase risk factors for cardiovascular disease. The US Surgeon General states that smokeless tobacco products represent a significant health risk and are not a safe substitute for smoking cigarettes. The use of smokeless tobacco is significantly higher among males than females, both in New Mexico and in the U.S.

Healthy People Objective: TU-1.2, Reduce tobacco use by adults: Smokeless tobacco products

U.S. Target: 0.3 percent

What Is Being Done?

The QUIT NOW and DEJELO YA (Spanish) Cessation Services offered by the New Mexico Department of Health are available to users of any type of tobacco product, including smokeless products such as snuff, snus, and dip tobacco. Phone- and web-based quit coaching and free nicotine replacement medications are available by registering at 1-800-QUIT NOW, 1-855-DEJELO YA, or www.QuitNowNM.com or www.DejeloYaNM.com.

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

Smokeless tobacco products such as snuff, chew, snus, and dip pose health risks such as nicotine addiction, oral cancer, gum disease, tooth decay, and may increase risk factors for cardiovascular disease.

Related Health Status Outcomes Indicators:




Graphical Data Views

Adult Smokeless Tobacco Use Prevalence by Year, New Mexico and U.S., 2011-2017

::chart - missing::
confidence limits

BRFSS by weighting method by NM vs. U.S.YearPercentage Using TobaccoLower LimitUpper LimitNote
Record Count: 14
New Mexico, New Weighting Method20114.2%3.6%4.9%
New Mexico, New Weighting Method20124.3%3.7%4.9%
New Mexico, New Weighting Method20134.3%3.8%5.0%
New Mexico, New Weighting Method20144.9%4.3%5.7%
New Mexico, New Weighting Method20154.0%3.3%4.8%
New Mexico, New Weighting Method20163.9%3.3%4.7%
New Mexico, New Weighting Method20173.7%3.1%4.4%
U.S., New Weighting Method20114.4%
U.S., New Weighting Method20124.1%
U.S., New Weighting Method20134.3%
U.S., New Weighting Method20144.2%**
U.S., New Weighting Method20154.0%
U.S., New Weighting Method2016**
U.S., New Weighting Method2017**

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.   **US data for 2016-2017 not available.

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Adult Smokeless Tobacco Use Prevalence by Race/Ethnicity, New Mexico, 2015-2017

::chart - missing::
confidence limits

Race/EthnicityPercentage Using TobaccoLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
American Indian/Alaska Native6.4%4.7%8.8%991,810
Asian/Pacific Islander0.7%0.1%4.9%1144
Black/African American2.2%0.6%7.7%3200
Hispanic2.9%2.4%3.5%1725,874
White4.7%4.1%5.4%39310,044

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.   This measure uses the 2013 DOH race/ethnicity rule, available at http://ibis.health.state.nm.us/resource/RacEth2013.html. Use caution in interpreting data for Asian/Pacific Islander and Black/African American groups as the data is statistically unstable in the 2015-2017 combined dataset.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by County, New Mexico, 2015-2017

::chart - missing::
confidence limits

CountyPercentage Using TobaccoLower LimitUpper LimitNote
Record Count: 34
Bernalillo2.1%1.5%3.0%
Catron10.1%3.2%27.7%
Chaves5.3%3.3%8.5%
Cibola6.0%3.3%10.6%
Colfax4.5%1.4%13.5%
Curry7.6%4.7%12.1%
De Baca****
Dona Ana3.2%2.3%4.5%
Eddy7.2%4.9%10.4%
Grant6.4%3.5%11.1%
Guadalupe****
Harding****
Hidalgo****
Lea6.1%3.9%9.6%
Lincoln9.5%6.0%14.8%
Los Alamos1.4%0.4%5.3%
Luna7.2%3.2%15.3%
McKinley5.9%4.3%7.9%
Mora4.7%1.2%16.9%
Otero4.0%2.4%6.7%
Quay10.0%4.6%20.4%
Rio Arriba2.8%5.0%5.0%
Roosevelt7.4%3.9%13.8%
Sandoval3.1%1.8%5.4%
San Juan7.2%5.8%8.9%
San Miguel6.4%3.5%11.3%
Santa Fe1.5%0.9%2.5%
Sierra5.4%2.3%11.9%
Socorro2.7%0.9%7.6%
Taos3.8%1.7%8.3%
Torrance5.5%1.2%21.2%
Union11.4%5.2%23.2%
Valencia2.9%1.5%5.5%
New Mexico3.9%3.5%4.3%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.   **Percentages based on fewer than 50 completed surveys are not shown because they do not meet the DOH standard for data release. The following counties did not meet the DOH small numbers rule in the combined 2015-2017 dataset: DeBaca, Guadalupe, Harding, and Hidalgo. The county-level BRFSS data used for this indicator were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results would likely have been different.

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Adult Smokeless Tobacco Use Prevalence by Age Group, New Mexico, 2017

::chart - missing::
confidence limits

Age GroupPercentage Using TobaccoLower LimitUpper Limit
Record Count: 7
18-243.7%2.2%6.2%
25-346.7%4.6%9.6%
35-443.6%2.3%5.6%
45-543.9%2.7%5.7%
55-642.8%2.0%4.0%
65-742.1%1.4%3.2%
75+1.5%0.6%3.3%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by Sex, New Mexico, 2011-2017

::chart - missing::
confidence limits

Sex: Males vs. FemalesYearPercentage Using TobaccoLower LimitUpper Limit
Record Count: 14
Male20117.6%6.4%8.9%
Male20127.6%6.6%8.7%
Male20138.0%6.8%9.2%
Male20148.6%7.3%10.0%
Male20156.9%5.7%8.4%
Male20167.1%5.9%8.6%
Male20176.6%5.5%7.9%
Female20110.9%0.6%1.4%
Female20121.1%0.7%1.6%
Female20130.9%0.6%1.3%
Female20141.5%1.1%2.1%
Female20151.1%0.7%1.9%
Female20160.9%0.6%1.4%
Female20170.9%0.5%1.4%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.   Beginning with 2011 estimates, the BRFSS updated its surveillance methods. Therefore, estimates from 2011 and forward can not be compared to estimates from previous years.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by Household Income, New Mexico, 2017

::chart - missing::
confidence limits

Year: Consecutive calendar years 1980-2020IncomePercentage Using TobaccoLower LimitUpper Limit
Record Count: 5
2017Less Than $15,0002.5%1.4%4.3%
2017$15,000 to $24,9993.6%2.5%5.1%
2017$25,000 - $49,9993.7%2.6%5.2%
2017$50,000 - $74,9994.6%2.7%7.6%
2017$75,000 and Over4.8%3.3%6.8%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by Education Level, New Mexico, 2017

::chart - missing::
confidence limits

Year: Consecutive calendar years 1980-2020Education LevelPercentage Using TobaccoLower LimitUpper Limit
Record Count: 4
2017Less Than High School3.4%2.0%5.7%
2017H.S. Grad or G.E.D.4.2%3.2%5.6%
2017Some Post High School4.0%2.9%5.5%
2017College Graduate2.7%1.9%3.8%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by Sexual Orientation, New Mexico, 2015-2017

::chart - missing::
confidence limits

Sexual OrientationPercentage Using TobaccoLower LimitUpper Limit
Record Count: 6
Straight3.9%3.5%4.4%
Gay or Lesbian0.6%0.2%2.0%
Bisexual2.4%1.0%5.6%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.   For a full report, Health Inequities by Sexual Orientation in NM, including trend data, visit http://nmtupac.com/wp-content/uploads/2017/07/Health-Inequities-by-Sexual-Orientation-among-New-Mexican-Adults-2011-2014_062317.pdf.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Adult Smokeless Tobacco Use Prevalence by Urban and Rural Counties, New Mexico, 2017

::chart - missing::
confidence limits

Urban Versus Rural CountiesPercentage Using TobaccoLower LimitUpper Limit
Record Count: 5
Metropolitan Counties2.2%1.4%3.4%
Small Metro Counties3.7%2.7%5.0%
Mixed Urban-Rural5.3%4.1%6.7%
Rural Counties7.3%4.6%11.3%
New Mexico3.7%3.1%4.4%

Data Notes

Smokeless tobacco includes chewing tobacco, snuff, or snus. Snus (Swedish for snuff) is a moist smokeless tobacco, usually sold in small pouches that are placed under the lip against the gum.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.

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 Wed, 20 November 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 16:11:00 MDT