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

Definition

A current smokeless tobacco user is defined as a youth in grades 9-12 in a NM public school who reports having used chew, snuff, or dip on one or more days in the past month

Numerator

Number of youth reporting use of chew, snuff or dip on one or more days in the past month

Denominator

Total number of youth participating 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. Smokeless tobacco products such as snuff, chew, 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 represents a significant health risk and is not a safe substitute for smoking cigarettes. The use of smokeless tobacco products is significantly higher among males than females, especially among males who live in rural areas.

Healthy People Objective: TU-2.3, Reduce tobacco use by adolescents: Smokeless tobacco products (past month)

U.S. Target: 6.9 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

Youth Smokeless Tobacco Use Prevalence, New Mexico and U.S., 2007-2017

::chart - missing::

Youth who report earning mostly C's, D's, or F's are significantly more likely to use smokeless tobacco than youth who report earning mostly A's or B's.
NM vs. U.S.YearPercentage Using Tobacco
Record Count: 12
New Mexico200711.8%
New Mexico200911.8%
New Mexico20119.5%
New Mexico20138.0%
New Mexico20158.7%
New Mexico20178.2%
United States20077.9%
United States20098.9%
United States20117.7%
United States20138.8%
United States20157.3%
United States20175.5%

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 Smokeless Tobacco Use Prevalence by County, New Mexico, 2017

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confidence limits

In 2017, the counties with the highest prevalence of smokeless tobacco use were Hidalgo (16.5%) and Rio Arriba (16.5%), while the lowest was in Curry (1.7%) county.
CountyPercentage Using TobaccoLower LimitUpper Limit
Record Count: 33
Bernalillo5.6%4.6%6.9%
Catron14.1%6.6%27.8%
Chaves8.0%4.9%12.8%
Cibola14.9%11.4%19.3%
Colfax9.1%5.5%14.5%
Curry1.7%0.5%5.5%
De Baca**
Dona Ana7.7%5.3%10.9%
Eddy10.1%5.7%17.3%
Grant12.2%8.0%18.2%
Guadalupe15.1%11.8%19.1%
Harding**
Hidalgo16.5%11.8%22.6%
Lea5.7%3.7%8.9%
Lincoln14.3%11.8%17.3%
Los Alamos6.3%3.4%11.4%
Luna14.9%8.6%24.4%
McKinley12.2%6.4%22.3%
Mora15.7%8.8%26.3%
Otero11.4%7.9%16.1%
Quay5.0%2.8%8.6%
Rio Arriba16.5%12.6%21.2%
Roosevelt9.1%7.7%10.7%
Sandoval6.3%4.2%9.2%
San Juan7.2%5.3%9.6%
San Miguel15.1%9.5%23.3%
Santa Fe7.3%5.9%9.0%
Sierra8.4%4.5%14.9%
Socorro13.3%9.2%18.7%
Taos15.7%11.9%20.4%
Torrance15.3%11.6%20.0%
Union10.0%6.4%15.4%
Valencia12.0%9.2%15.4%

Data Notes

**Data are not available for some counties (DeBaca & Harding) due to lack of participation in the YRRS by one 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 Smokeless Tobacco Use Prevalence by Race/Ethnicity, New Mexico, 2017

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confidence limits

Race/EthnicityPercentage Using TobaccoLower LimitUpper Limit
Record Count: 6
American Indian/Alaska Native7.7%5.9%10.0%
Asian/Pacific Islander10.1%5.8%17.0%
Black/African American6.8%3.5%13.0%
Hispanic8.4%7.4%9.5%
White8.2%6.3%10.6%
New Mexico8.2%7.1%9.4%

Data Source

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


Youth Smokeless Tobacco Use Prevalence by Sex, New Mexico, 2007-2017

::chart - missing::
confidence limits

Although smokeless tobacco use has declined among high school males in the past decade, it is still significantly higher (more than twice as high) than among females.
Sex: Males vs. FemalesYearPercentage Using TobaccoLower LimitUpper Limit
Record Count: 25
Male200717.4%15.1%20.1%
Male200918.3%15.1%22.1%
Male201114.8%12.4%17.7%
Male201312.8%9.9%16.4%
Male201514.2%12.1%16.6%
Male201711.8%9.8%14.1%
Female20075.7%3.2%10.0%
Female20094.9%3.7%6.6%
Female20113.9%3.2%4.8%
Female20132.9%2.0%4.3%
Female20152.9%2.3%3.7%
Female20174.4%3.3%5.7%

Data Source

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


Youth Smokeless Tobacco Use Prevalence by Grade Level, New Mexico, 2017

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confidence limits

Smokeless tobacco use is significantly higher among New Mexico 12th graders than among 9th graders.
Grade Level YRRSYearPercentage Using TobaccoLower LimitUpper Limit
Record Count: 4
9th Grade20176.1%4.7%7.9%
10th Grade20178.4%6.7%10.6%
11th Grade20177.5%5.9%9.6%
12th Grade201710.5%8.7%12.5%

Data Source

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


Youth Smokeless Tobacco Use Prevalence by Parents' Education Level, New Mexico, 2017

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confidence limits

Parent's Education LevelPercentage Using TobaccoLower LimitUpper Limit
Record Count: 3
Less Than High School9.2%6.6%12.7%
H.S. Grad or G.E.D.8.3%6.9%10.0%
College/Professional Degree or Higher6.9%5.3%8.9%

Data Notes

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

Data Source

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


Youth Smokeless Tobacco Use Prevalence by Academic Performance, New Mexico, 2007-2017

::chart - missing::
confidence limits

Academic Grades: Mostly A's or B's; versus C's D's or F'sYearPercentage Using TobaccoLower LimitUpper Limit
Record Count: 22
Mostly A's or B's200710.0%7.4%13.4%
Mostly A's or B's20099.3%7.4%11.6%
Mostly A's or B's20117.5%6.2%8.9%
Mostly A's or B's20136.3%4.6%8.5%
Mostly A's or B's20156.8%5.6%8.2%
Mostly A's or B's20175.3%4.4%6.3%
Mostly C's D's or F's200715.1%12.8%17.8%
Mostly C's D's or F's200916.9%13.7%20.6%
Mostly C's D's or F's201113.2%10.6%16.2%
Mostly C's D's or F's201311.3%8.9%14.2%
Mostly C's D's or F's201514.4%12.1%17.0%
Mostly C's D's or F's201715.1%12.4%18.2%

Data Source

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


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

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confidence limits

Smokeless tobacco use is significantly higher among youth from rural counties than among youth from metropolitan or small metro counties.
Urban Versus Rural CountiesPercentage Using TobaccoLower LimitUpper Limit
Record Count: 4
Metropolitan Counties5.9%5.0%7.0%
Small Metro Counties6.9%5.7%8.2%
Mixed Urban-Rural10.7%8.9%12.8%
Rural Counties14.3%11.8%17.2%

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.

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 16:10:26 MDT