National Survey on Drug Use and Health (NSDUH) Table copied as image (cannot be altered) Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Source: “National Survey on Drug Use and Health: Comparisons of 2014-2015 and 2015-2016 Population Percentages.” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 5th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 5th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 8th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. Note: a “Heavy Use” is more than one-half pack per day in last thirty days 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 8th graders (in percentages) Table copied as image (cannot be altered) Note: a “Heavy Use” is more than one-half pack per day in last thirty days Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 11th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. Note: a “Heavy Use” is more than one-half pack per day in last thirty days 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Cigarette use among Delaware 11th graders (in percentages) Table copied as image (cannot be altered) Note: a “Heavy Use” is more than one-half pack per day in last thirty days Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 5th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 5th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 8th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 8th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 11th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Electronic cigarette/vaping device use among Delaware 11th graders (in percentages) Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Percentage of middle school students who smoked cigarettes on one or more of the past 30 days Table copied as image (cannot be altered) Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Notes: All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Percentage of high school students who smoked cigarettes on one or more of the past 30 days Table copied as image (cannot be altered) Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Notes: All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Percentage of High School students who ever used an Electronic Vapor Product Table copied as image (cannot be altered) Notes: Electronic Vapor Products include e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs (such as blu, NJOY, Vuse, MarkTen, Vapin Plus, eGo, and Halo) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Percentage of High School students who used an Electronic Vapor Product in the past month Table copied as image (cannot be altered) Notes: Electronic Vapor Products include e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs (such as blu, NJOY, Vuse, MarkTen, Vapin Plus, eGo, and Halo) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2017 Delaware School Survey Average Age of Onset for Tobacco Use Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Percentage of students who smoked a whole cigarette for the first time before age 13 years Table copied as image (cannot be altered) Notes: All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

Behavior Risk Factor Surveillance System Note: “-” indicates that the prevalence estimate was not available if the unweighted sample size for the denominator was <50 or the Relative Standard Error (RSE) is >0.3 Table copied as image (cannot be altered) Source: “2016 Delaware Behavior Risk Factor Surveillance System.” BRFSS Prevalence & Trends Data, Centers for Disease Control and Prevention. 2018 Delaware State Epidemiological Profile

Behavior Risk Factor Surveillance System Table copied as image (cannot be altered) Note: “-” indicates that the prevalence estimate was not available if the unweighted sample size for the denominator was <50 or the Relative Standard Error (RSE) is >0.3 Source: “2016 Delaware Behavior Risk Factor Surveillance System.” BRFSS Prevalence & Trends Data, Centers for Disease Control and Prevention. 2018 Delaware State Epidemiological Profile

Delaware Behavior Risk Factor Surveillance System Table copied as image (cannot be altered) Note: “-” indicates that the prevalence estimate was not available if the unweighted sample size for the denominator was <50 or the Relative Standard Error (RSE) is >0.3 Source: “2016 Delaware Behavior Risk Factor Surveillance System.” BRFSS Prevalence & Trends Data, Centers for Disease Control and Prevention. 2018 Delaware State Epidemiological Profile

Delaware Behavior Risk Factor Surveillance System Table copied as image (cannot be altered) Note: “-” indicates that the prevalence estimate was not available if the unweighted sample size for the denominator was <50 or the Relative Standard Error (RSE) is >0.3 Source: “2016 Delaware Behavior Risk Factor Surveillance System.” BRFSS Prevalence & Trends Data, Centers for Disease Control and Prevention. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Percentage of students who reported that they think breathing smoke from other people’s cigarettes or other tobacco products is harmful Table copied as image (cannot be altered) Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Note: Weighted data 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Percentage of students who reported that they think breathing smoke from other people’s cigarettes or other tobacco products is harmful Table copied as image (cannot be altered) Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Note: Weighted data 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Reported smoking rules among middle school students (in percentages) Table copied as image (cannot be altered) Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Note: Weighted data 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Reported smoking rules among middle school students (in percentages) Table copied as image (cannot be altered) Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Note: Weighted data 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Reported smoking rules among high school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Reported smoking rules among high school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Exposure to second hand smoke in the past week among middle school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Exposure to second hand smoke in the past week among middle school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Exposure to second hand smoke in the past week among high school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Exposure to second hand smoke in the past week among high school students (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Middle school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Middle school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. Note: Weighted data 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey High school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey High school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Middle school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey Middle school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey High school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2016 Youth Tobacco Survey High school students who reported one of their four closest friends use a tobacco product (in percentages) Table copied as image (cannot be altered) Note: Weighted data Source: “2016 Delaware Youth Tobacco Survey (YTS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Trends in Delaware students who reported regular cigarette use by grade, 1989 - present Table copied as image (cannot be altered) Sources: Data Base/DiagnosticsPlus (1989-1993) Department of Public Instruction (1994) “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. (1995- Present) 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware Youth Risk Behavior Survey Emerging trends in Delaware High School Students’ Vaping Device use, 2015-2017 Table copied as image (cannot be altered) Notes: Electronic Vapor Products include e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs (such as blu, NJOY, Vuse, MarkTen, Vapin Plus, eGo, and Halo) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Weighted data. Source: “2017 Delaware Youth Risk Behavior Survey (YRBS)”. Centers for Disease Control and Prevention. Administered by the Center for Drug and Health Studies, University of Delaware. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile National Survey on Drug Use and Health Tobacco product use in past month, by age group and state: 2014-2015 and 2015-2016 (in percentages) Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b p value: Bayes significance levels for the null hypothesis of no change between the 2014-2015 and 2015-2016 population percentages Table copied as image (cannot be altered) Source: “National Survey on Drug Use and Health: Comparison of 2014-2015 and 2015-2016 Population Percentages (50 States and District of Columbia).” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile National Survey on Drug Use and Health Cigarette use in past month, by age group and state: 2014-2015 and 2015-2016 (in percentages) Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b p value: Bayes significance levels for the null hypothesis of no change between the 2014-2015 and 2015-2016 population percentages Table copied as image (cannot be altered) Source: “National Survey on Drug Use and Health: Comparison of 2014-2015 and 2015-2016 Population Percentages (50 States and District of Columbia).” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2018 Delaware State Epidemiological Profile

2017 Youth Risk Behavior Survey National and Delaware Table copied as image (cannot be altered) Sources: “Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware). (1999-2017) “National High School Youth Risk Behavior Survey.” Center for Disease Control and Prevention. (1999-2015) Notes: Weighted data. Electronic cigarette was added to the overall past month tobacco use measure in 2015, this had a noticeable impact on the past month tobacco rate 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Youth Risk Behavior Survey Past month use of tobacco among high school students, National and Delaware Table copied as image (cannot be altered) Note: Weighted data. Sources: “Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware). (1999-2017) “National High School Youth Risk Behavior Survey.” Center for Disease Control and Prevention. (1999-2017) 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile National Survey on Drug Use and Health Percentage of respondents reporting cigarette use in past month, U.S. and Delaware Table copied as image (cannot be altered) Source: “National Survey on Drug Use and Health, 2002-2016.” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile National Survey on Drug Use and Health Percentage of respondents reporting cigarette use in past month, U.S. and Delaware Table copied as image (cannot be altered) Source: “National Survey on Drug Use and Health, 2002-2016.” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile Delaware School Survey, Youth Risk Behavior Survey and Monitoring the Future Comparison of recent national and Delaware estimates of cigarette use among high school students (in percentages) Table copied as image (cannot be altered) Notes: “--“ Not Available. Weighted data. Sources: “Delaware School Survey.” Center for Drug and Health Studies, University of Delaware. (2015- 2017) “Delaware Youth Risk Behavior Survey (YRBS).” Centers for Disease Control and Prevention (Administered by the Center for Drug and Health Studies, University of Delaware). (2015-2017) National Adolescent Drug Trends Press Release: Text and Tables. Monitoring the Future Study (MTF), University of Michigan. (2017) 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile 2017 Delaware School Survey Perceived great risk from smoking a pack of cigarettes daily Table copied as image (cannot be altered) Source: “2017 Delaware School Survey.” Center for Drug and Health Studies, University of Delaware (2002-2017). 2018 Delaware State Epidemiological Profile

2018 Delaware State Epidemiological Profile National Survey of Drug Use and Health Perceptions of great risk of smoking one or more packs of cigarettes per day, by age group and state: 2014-2015 and 2015-2016 Table copied as image (cannot be altered) Notes: “-” p values were not available for this data a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b p value: Bayes posterior probability of no change. Source: “2015-2016 National Survey on Drug Use and Health.” Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration 2018 Delaware State Epidemiological Profile