2. Kansas Tobacco-Related Data Resources and Performance Measures Harlen Hays, MPH Office of Health Promotion, KDHE

3. Four Programs Goals National, State and Local  Preventing the initiation of tobacco use among young people.  Promoting quitting among young people and adults.  Eliminating nonsmokers' exposure to environmental tobacco smoke (ETS).  Identifying and eliminating the disparities related to tobacco use and its effects among different population groups.

4. Leading Underlying Causes of Death in the U.S. 2000

5. Long Term Planning… …With Short term indicators Death and disease are the ultimate outcomes tobacco prevention is trying to reduce Death and disease are the ultimate outcomes tobacco prevention is trying to reduce However interventions are not immediately apparent in tobacco prevention However interventions are not immediately apparent in tobacco prevention Multiple points exist prior to death or disability that will predict reductions Multiple points exist prior to death or disability that will predict reductions Nearly an infinite amount actually Nearly an infinite amount actually

6. Types of Data Qualitative Qualitative Provides information in a more narrative format on individual thoughts and feelings Provides information in a more narrative format on individual thoughts and feelings Attempts to answer the How and Why Attempts to answer the How and Why Small intimate data collection method Small intimate data collection method Quantitative Quantitative Provides information on the number of units within the sampling frame Provides information on the number of units within the sampling frame Attempts to answer the What, When, and Where of situations Attempts to answer the What, When, and Where of situations Larger removed data collection method Larger removed data collection method Methods Exist to convert Qualitative information into a more Qualitative Presentation

7. Qualitative Sources Informal Informal Success Stories Success Stories Anecdotal Anecdotal Blogs or Journals Blogs or Journals Formal Formal Key Informant Interviews Key Informant Interviews Focus Groups Focus Groups Sharing Sessions Sharing Sessions

8. Quantitative Sources Surveys Surveys Information is interpreted differently based on the sampling frame Information is interpreted differently based on the sampling frame Registries Registries Provides information on incidence Provides information on incidence Vital Statistics Vital Statistics Provides comprehensive information on major life events (Birth, Pregnancy, Death) Provides comprehensive information on major life events (Birth, Pregnancy, Death) Other Other Topic Specific Data Sources Topic Specific Data Sources

9. Surveys Sampling Frame Sampling Frame The sampling frame of a survey is the pool of potential subjects from which the survey participants are sampled. Examples include the Kansas population, all youth in specific grades, Business owners, Physicians, and cities The sampling frame of a survey is the pool of potential subjects from which the survey participants are sampled. Examples include the Kansas population, all youth in specific grades, Business owners, Physicians, and cities The information collected has a different interpretation based on who is sampled and what questions are being asked of them. Asking someone about their personal habits is different than asking a business owner about their workplace policy The information collected has a different interpretation based on who is sampled and what questions are being asked of them. Asking someone about their personal habits is different than asking a business owner about their workplace policy

10. Surveys – Adult Kansans Kansas Adult Tobacco Survey Kansas Adult Tobacco Survey Periodically conducted Periodically conducted Generalizable information to the State of Kansas and some sub-state analysis Generalizable information to the State of Kansas and some sub-state analysis Behavioral Risk Factor Surveillance System Behavioral Risk Factor Surveillance System Conducted annually Conducted annually Core used to produce prevalence estimates Core used to produce prevalence estimates State Added or Optional Modules available State Added or Optional Modules available

11. Surveys – Adult Kansans National Survey on Drug Use and Health National Survey on Drug Use and Health Conducted annually Conducted annually State estimates released over 2 year period State estimates released over 2 year period Collects information on individuals aged 12 and older Collects information on individuals aged 12 and older Current Population Survey Current Population Survey Conducted periodically Conducted periodically Last tobacco questions asked in 2003 Last tobacco questions asked in 2003

12. Surveys - Youth Kansas Youth Tobacco Survey Kansas Youth Tobacco Survey Conducted every two years Conducted every two years Random sample of youth in grades 6-12 Random sample of youth in grades 6-12 Kansas Communities That Care Kansas Communities That Care Conducted annually Conducted annually Invitation extended to all youth in Kansas in grades 6, 8, 10, and 12 Invitation extended to all youth in Kansas in grades 6, 8, 10, and 12

13. Surveys - Youth Kansas Youth Risk Behavior Survey Kansas Youth Risk Behavior Survey Conducted every two years Conducted every two years Random sample of youth in grades 9-12 Random sample of youth in grades 9-12

14. Registries and Vital Statistics Kansas Information for Communities (KIC) Kansas Information for Communities (KIC) Birth Certificate Data Birth Certificate Data Pregnancy Data Pregnancy Data Death Records Death Records Cancer Registry Cancer Registry Population Estimates Population Estimates Hospital Discharge Data Hospital Discharge Data http://kic.kdhe.state.ks.us/kic/index.html http://kic.kdhe.state.ks.us/kic/index.html

15. Topic Specific Data Sources Kansas Tobacco Quitline Kansas Tobacco Quitline Monthly datasets of current callers Monthly datasets of current callers Includes those who receive counseling, ask for information, and the number of health care providers that call Includes those who receive counseling, ask for information, and the number of health care providers that call Insurance Databases Insurance Databases Reimbursement for NRT Reimbursement for NRT Medicaid and Medicare Medicaid and Medicare

16. Topic Specific Data Sources Department of Revenue Department of Revenue Number of licensed tobacco retailers Number of licensed tobacco retailers Number of Enforcement checks conducted Number of Enforcement checks conducted Tax revenue Tax revenue Cigarettes Cigarettes Other Tobacco Products Other Tobacco Products Reward and Reminder/ BARS Program Reward and Reminder/ BARS Program Non-enforcement inspections Non-enforcement inspections

17. Topic Specific Data Sources State Synar Compliance Report State Synar Compliance Report Random sample of retailers throughout Kansas Random sample of retailers throughout Kansas Conducted in same format as Enforcement Conducted in same format as Enforcement Media Clipping Services Media Clipping Services Frequency of tobacco topics Frequency of tobacco topics Can be separated for pro- and anti-tobacco slant Can be separated for pro- and anti-tobacco slant Typically, Print is the easiest to acquire Typically, Print is the easiest to acquire

18. Topic Specific Data Sources Public Opinion Polls Public Opinion Polls Short, infrequent surveys on specific issues Short, infrequent surveys on specific issues May be done at state or local level May be done at state or local level Provider Databases Provider Databases EMR on tobacco status or cessation billing EMR on tobacco status or cessation billing No centralized database No centralized database Policy Databases Policy Databases Schools Schools Ordinances Ordinances

19. Others What are your data sources? What are your data sources? How frequently is the information collected? How frequently is the information collected? How often is the information reported? How often is the information reported? Is the information available to the public? Is the information available to the public?

20. Tools of the Trade CDC’s STATE system CDC’s STATE system State Tobacco Activities Tracking and Evaluation State Tobacco Activities Tracking and Evaluation Detailed state analysis Detailed state analysis Trend information Trend information State-to-state comparisons State-to-state comparisons http://apps.nccd.cdc.gov/statesystem/ http://apps.nccd.cdc.gov/statesystem/

25. Tools of the Trade Survey Questionnaire Design Resource Survey Questionnaire Design Resource Tobacco related questions Tobacco related questions http://apps.nccd.cdc.gov/sqdr/QuickSearch.as px http://apps.nccd.cdc.gov/sqdr/QuickSearch.as px http://apps.nccd.cdc.gov/sqdr/QuickSearch.as px http://apps.nccd.cdc.gov/sqdr/QuickSearch.as px Kansas Communities That Care Kansas Communities That Care http://beta.ctcdata.org/ http://beta.ctcdata.org/ http://beta.ctcdata.org/ Kansas Information for Communities Kansas Information for Communities http://kic.kdhe.state.ks.us/kic/index.html http://kic.kdhe.state.ks.us/kic/index.html

26. Questions?