1. Where’s the Data? Data You Think You Need on Tobacco Use and Tobacco Prevention Issues in West Virginia and More 6-19-15

2. Data Sources Through the WV Health Statistics Center (HSC) Data for Adults: Behavioral Risk Factor Surveillance System (BRFSS) - BRFSS is a landline and cell phone survey that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. BRFSS, established by the U.S. CDC, is implemented in all 50 states, District of Columbia, and several territories. The HSC has been collecting WV BRFSS data since 1984, and upwards of 4,800 adults participate each year. Prevalence of cigarette and smokeless tobacco use, never-smokers and ex-smokers, and quitting smoking are obtained from BRFSS. BRFSS is the largest health survey in the world. Vital Statistics System (VSS) - The Vital Registration Office, established in 1917, is the state’s official repository of birth, death, marriage, and divorce records. These records are collectively referred to as Vital Records: Birth Certificate Data - The Certificate of Live Birth form provides data on percentage of women who smoked during their pregnancy, their cigarette consumption, prenatal care and health insurance coverage. County data is routinely analyzed for the 20,000+ births in WV. Women usually complete the certificate while they are in the hospital. Death Certificate Data - Rates of death can be calculated for smoking-related diseases. Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) - Death data (causes of death from 19 smoking-related categories) and BRFSS data are used to determine smoking- attributable mortality, years of potential life lost, and productivity losses using the SAMMEC software program from the U.S. CDC.

3. Other Data Sources Data for Youth: Youth Tobacco Survey (YTS) - YTS is a school-based survey of students in grades 6-12 in regular public schools in WV, administered in the spring of odd-numbered years. State-level data is collected from 80+ questions all focusing on prevalence of tobacco product use, attitudes/knowledge and influences, access to tobacco, secondhand smoke exposure, etc. The YTS is a collaboration between the WV Division of Tobacco Prevention and the WV Department of Education, and supported by U.S. CDC. Other: U.S. Census - The U.S. Census provides population data for many demographic characteristics (age, sex, race, and Hispanic origin) for the U.S., states and counties. These data are important in weighting of data sets, estimating populations, and calculating death rates. The census is conducted every 10 years, with intercensal estimates available every year. Economic Data - Tobacco sales and tax data from the WV Department of Tax and Revenue are used to determine cigarette consumption per smoker and per capita, and to project decreased consumption that may result from tax increases. Pregnancy Risk Assessment Monitoring System (PRAMS) - The annual PRAMS survey is administered among women who have had a live birth, and assesses health and risk behaviors that are related to pregnancy and neonatal outcomes. Cigarette smoking, cigarette consumption, counseling to quit, and secondhand smoke exposure data are useful data from this source. The U.S. CDC supports this survey in virtually every state and some territories. The WVDHHR’s Office of Maternal, Child and Family Health conducts PRAMS. Adult Tobacco Survey (ATS) - The ATS is a survey of 80+ landline and cell phone questions exclusively focusing on tobacco use and tobacco prevention issues among adults. ATS is conducted in WV about every 1-2 years. The WV Division of Tobacco Prevention funds this U.S. CDC-created survey.

4. Data Slides: Table of Contents

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26. Data Slides#A-18 The following pages have been excerpted from the WVBRFSS 2012 Report that can be found at http://www.wvdhhr.org/bph/hsc/pubs/brfss/2012/BRFSS2012.pdf

27. Data Slides#A-18 (contd)

28. *Use caution when interpreting and reporting this estimate. See discussion of unstable estimates on page 5 of the WVBRFSS 2012 Report at http://www.wvdhhr.org/bph/hsc/pubs/brfss/2012/BRFSS2012.pdfhttp://www.wvdhhr.org/bph/hsc/pubs/brfss/2012/BRFSS2012.pdf

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48. For More Information and Data Reports Contact: West Virginia Health Statistics Center http://www.wvdhhr.org/bph/hsc/statserv/publist.asp Birgit Shanholtzer, Senior Epidemiologist birgit.a.shanholtzer@wv.gov (304) 356-4172 Kathi Elkins, Tobacco Epidemiologist kathi.k.elkins@wv.gov (304) 356-4181 West Virginia Division of Tobacco Prevention http://www.dhhr.wv.gov/wvdtp Bruce W. Adkins, Associate Director, OCHSHP bruce.w.adkins@wv.gov (304) 356-4203