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Smoking Cigarettes

Smoking tobacco is associated with numerous health problems and is the leading preventable cause of death in the United States. Smoking reduces overall health and contributes to increased risk of coronary heart disease, stroke, cancer, chronic obstructive pulmonary disease, and other diseases and conditions. Smoking also leads to increased absenteeism from work, health care utilization, and costs.1

Findings in Santa Barbara County

Measure

The prevalence of current smoking status is based on two questions: “Have you smoked at least 100 cigarettes in your entire life?” and “Do you now smoke cigarettes every day, some days, or not at all?” Only those who answered “Yes” to the first question are asked about current smoking status.

Table 11. Percentage of Current Adult Smokers in Santa Barbara County and Healthy People 2020 Target

2016 Santa Barbara
BRFSS
California*Health People 2020
Target
%(95% CI) % (95% CI)
Overall 9.3 (7.4–11.2) 12.9 (11.9–13.8)
Male 10.1 (7.8–14.3) 16.3 (14.8–17.9)
Female 8.5 (6.0–10.9) 9.5 (8.3–10.6)
12.0
Hispanic 7.2 (4.3–10.1) 11.4 (9.7–13.1)
Non-Hispanic White 10.7 (7.8–13.6) 13.7 (12.4–15.0)
Other 8.6 (4.1–13.1) NA

*2014 Behavioral Risk Factor Surveillance System.

Figure 28. Percentage of Current Adult Cigarette Smokers in Santa Barbara County, by Sex and Age

Percentage of Current Adult Cigarette Smokers in Santa Barbara County, by Sex and AgeClick to Enlarge

Figure 29. Percentage of Current Adult Cigarette Smokers in Santa Barbara County by Race/Ethnicity, Educational Attainment, and Income

Percentage of Current Adult Cigarette Smokers in Santa Barbara County by Race/Ethnicity, Educational Attainment, and IncomeClick to Enlarge

Health Disparities

Santa Barbara County is better than the HP 2020 target for smoking by approximately 3%. However, it is notable that at the same time fewer adults smoke cigarettes more are using e-cigarettes or "vaping," with 19% of all adults reporting they have ever vaped or used an e-cigarette, including 28% of people under 44.

There are no comparable data from the state of California or HP 2020 targets. Despite progress, smoking tobacco remains the leading preventable cause of death, so efforts to reduce it are still needed.

Figure 30. Percentage of Santa Barbara County Adults Who Are Current Smokers, by County Subregion

Percentage of Santa Barbara County Adults Who Are Current Smokers, by County SubregionClick to Enlarge

Figure 31. Health and Risk Factors of Adults in Santa Barbara County Who Currently Smoke Cigarettes (9.3%), Compared With All Santa Barbara County Adults and Californians* as a Whole

Health and Risk Factors of Adults in Santa Barbara Who Currently Smoke Cigarettes (9.3%), Compared With All Santa Barbara Adults and Californians* as a WholeClick to Enlarge

*Data for California are not available for all indicators

The chart shows that current smokers are significantly more likely to experience both housing and food insecurity and report binge drinking and mental health issues during the past 30 days. They are also more likely to have only fair or poor health, and to have Medicaid/Medi-Cal. Survey respondents who reported smoking were younger than the survey population overall and therefore less likely to suffer from chronic conditions, such as stroke and cancer.

Key Opportunities for Population Health Improvement

What Businesses Can Do

  • Prohibit smoking on worksite property.2
  • Restrict smoking to designated outdoor locations, if smoking is allowed at all.3
  • Inform and educate employees about smoking as part of general employee wellness education.4

2 http://www.thecommunityguide.org/tobacco/smokefreepolicies.html
3 http://www.thecommunityguide.org/tobacco/smokefreepolicies.html
4 http://www.samhsa.gov/sites/default/files/workplace-kit.pdf

What Healthcare Providers Can Do

What Individuals Can Do

  • Use quit lines that offer tobacco cessation counseling.7
  • Call 1-800-NO-BUTTS or go to https://www.nobutts.org.8
  • Sign up for text messages to help quit at https://smokefree.gov/smokefree-text-messaging-programs.9

7 http://www.countyhealthrankings.org/policies/tobacco-quitlines
8 https://www.nobutts.org
9 https://smokefree.gov/smokefree-text-messaging-programs


1 Centers for Disease Control and Prevention. (2016d). Smoking & tobacco use. Retrieved from http://www.cdc.gov/tobacco

World Health Organization. (n.d.). Global strategy on diet, physical activity and health. Physical inactivity: A global public health problem. Retrieved from http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/


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