142nd APHA Annual Meeting and Exposition

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313883
Tobacco use among high school youth in New York State

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Jillian Jeffrey, MPH , Department of Epidemiology, School of Public Health, University at Albany, Rensselaer, NY
Deepa Rajulu, Master of Science , Office of Public Health, New York State Department of Health, Albany, NY
Social and environmental constructs affect youth initiation to smoking which increases the risk for smoking into adulthood. Health consequences of tobacco use are preventable, severe, and lifelong. This project analyzed trends for youth tobacco use indicators.  From 2000-2012, the New York Youth Tobacco Survey has been conducted biennially with school classrooms selected randomly.  Students were selected using a multistage cluster design.  Weighting adjusted for non-response and probability of selection. SAS was used to produce estimates and trends. All reported trends are significant at p<.05. Over the study period, current cigarette use decreased from 27.1% to 11.9%, but openness to cigarette smoking remains high despite a decrease from 58.3% to 39.9%.  Progress towards New York’s Prevention Agenda goal is shown by the decrease in any tobacco use from 32.5% to 21.8%.  Comparatively, use of other tobacco products increased from 14.0% to 16.4%.  Internet pro-tobacco marketing increased from 57.5% to 79.4%, and student exposure to retail or Internet pro-tobacco marketing only decreased from 94.0% to 93.6%. Monitoring other tobacco product use, including emerging products, is recommended to respond to current trends. Developing a measure of concurrent tobacco product use is prudent as poly-tobacco use increased nicotine dependence in other studies. E-cigarettes are largely marketed online and youth’s high exposure to Internet tobacco advertising merits monitoring future use.  Continued surveillance is recommended for pro-tobacco advertisements considering the prevalence of youth exposure.  My role was to update statistical analysis of youth tobacco use indicators and develop a trend report for years 2000 through 2012.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Public health or related research

Learning Objectives:
Discuss trends in outcome indicators for high school youth tobacco product use in New York State. Discuss the shift in prevalence of the type of tobacco product use among high school students. Identify youth sources of exposure to pro-tobacco marketing. Describe the prevalence of high school students open to cigarette smoking. List emerging products and trends where future research is needed.

Keyword(s): Tobacco Use, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As part of graduate school requirements I have worked on several internships with the New York State Department of Health. My interests based on various experiences with the NYS Dept. of Health is in data analysis and research in the areas of chronic disease and maternal and child health, particularly youth tobacco use and severe maternal morbidity and mortality.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.