Bureau of Tobacco Free Florida County Data Profile: Jefferson June 2013

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1 Bureau of Tobacco Free Data Profile: June 2013 Demographics Overview State 2010 Population 1 14,800 18,788, Number of Adult Smokers 1,2 2,738 2,507, Population Estimates State Ages 0-17 Ages 18+ Ages 0-17 Ages 18+ Total Population 2,844 11,956 4,123,708 14,665,087 Non-Hispanic White 1,564 7,412 2,013,198 9,212,375 (55.0%) (62.0%) (48.8%) (62.8%) Non-Hispanic Black 1,114 3,956 1,004,072 2,415,419 (39.2%) (33.1%) (24.3%) (16.5%) ,106,438 3,037,293 Hispanic (5.8%) (4.9%) (26.8%) (20.7%) Male 1,459 6,329 2,104,494 7,109,174 (51.3%) (52.9%) (51.0%) (48.5%) 1,385 5,627 2,019,214 7,555,913 Female (48.7%) (47.1%) (49.0%) (51.5%) Tobacco Use Adult Tobacco Use 2 Smoking Status State Current Smoker 29.2% 21.3% 19.3% 17.1% Daily 20.8% 15.8% 14.3% 12.0%

2 Youth Tobacco Use Some Days 8.3% 5.6% 5.0% 5.2% Former Smoker 25.0% 25.0% 26.2% 29.2% Never Smoked 47.4% 53.7% 54.5% 53.0% Current use of chewing tobacco, snuff or snus 2010 State 7.1% 2.4% Adult Current Smoking 2 Demographic State Age Group % 40.5% 22.1% 20.5% % 20.6% 22.0% 19.2% 65 and older 7.3% 4.3% 9.7% 8.4% Education Level < 42.0% 44.3% 28.6% 28.3% / G.E.D. 28.1% 25.4% 25.0% 24.3% > 26.4% 15.7% 15.3% 12.9% Annual Income < $25, % 36.4% 25.0% 26.5% $25,000-$49, % 30.0% 21.3% 18.0% $50,000 or more 18.8% 9.0% 15.5% 11.7% Current Tobacco Use 17.8% 28.7% 23.5% 33.7% 10.5% 18.9% Current Cigarette Use 11.4% 14.7% 10.0% 17.4% 2.7% 6.3% Current Cigar Use 12.9% 17.4% 15.1% 26.2% 7.3% 13.4% Current Smokeless Tobacco Use 8.3% 6.9% 2.9% 2.7% 4.7% 9.0%

3 Current Hookah Use NA NA NA 0.0% 0.0% 5.3% Current Snus Use NA NA 0.0% 1.5% 0.0% 3.5% Minors (age 11-17) Source of Tobacco 3 Commercial Social Stolen Other Cigarettes 33.7% 31.1% 16.4% 18.8% Cigars 26.7% 34.7% 0.0% 38.6% Smokeless Tobacco 0.0% 75.9% 24.1% 38.6% Policy Area 1: Flavored Tobacco Youth Flavored Tobacco Use 3 Current Flavored Cigarette Use Current Flavored Cigar Use Current Flavored Smokeless Use NA NA 2.1% 4.0% 0.5% 2.7% NA NA 7.3% 11.9% 4.1% 7.2% NA NA 0.8% 1.3% 0.0% 5.0% Policy Area 2: Multi-Unit Housing Youth Secondhand Smoke Exposure 3 Exposed to Smoke in a Room or a Car during the Past Week % 57.8% 53.0% 62.1% 36.4% 42.3%

4 Adult Secondhand Smoke Exposure 2 Exposed to Secondhand Smoke in the Past Week 2007 State 22.5% 14.9% Youth Housing Percentage of Youth Live in Multi-Unit Housing Smoking is Allowed Inside the Home (any type of housing structure) NA NA NA NA 19.6% 12.9% 15.6% 33.1% 14.1% 18.8% 17.6% 9.3% Policy Area 3: Employer Cessation Coverage Cessation indicators Total cigarette packages sold (6/12) 4 487, ,670,137 Per capita cigarette consumption: 18 and over (2011) Total retail tobacco dealer licenses issued as of July ,191 Percentage of adults who are current cigarette smokers (2010) % 17.1% Percentage of mothers who reported smoking during pregnancy (2010) % 6.9% Percentage of adults who attempted to quit (2010) % 60.1% Note: Lower percentages are more desirable for smoking; higher percentages are more desirable for attempts to quit. Attempts to quit smoking by gender and age (2010) 2 Note: er percentages are more desirable. Demographic Percent that attempted to quit Male 56.6% Female 53.7% 18 to 44 year olds NA 45 to 64 year olds 44.3% Those 65+ NA

5 Cessation Services 5 In-person Cessation Cessation Classes Cessation Class Participants * AHEC 4 1 * AHEC cessation class participants are reported by county of residence, not county of class attendance Calls, sources, and outcomes (2012) 6 Number of callers to the Quitline for the period 7/11-6/12 Number that heard about the Quitline from a health care provider, dentist/dental hygienist, and/or a pharmacist for the period 7/11-6/ , ,513 Policy Area 4: Retail Advertising Some stores have tobacco advertising that is visible from the outside such as on the building, in the parking lot, or in store windows. Stores may also have tobacco advertising inside such as displays by the cash registers. Do you think tobacco advertising in stores should be: 2 Always be allowed Only allowed on inside of store Only allowed on outside of store Not allowed at all State State State State 38.8% 30.4% 21.6% 23.8% 2.5% 2.2% 37.2% 43.6% Youth Exposure to Retail Advertising 3 Saw Tobacco Advertisements (Displays, Posters, etc.) at Last Visit to Convenience Store, Gas Station, Pharmacy, Grocery Store, or Other Type of Store NA NA NA NA 98.0% 100.0%

6 Policy Area 5: Policy Exposure to any tobacco use prevention education (2012) 3 school 53.0% 53.4% school 42.3% 33.4% Number of violations of sales to minors laws out of number of buy attempts (2008) 7 NA 410 of 5006 Tobacco-related violations per 1,000 students (2008) Tobacco Use On Grounds 3 Percentage of students who say there is a school rule that no one is allowed to smoke cigarettes on school property Has seen a student breaking this rule in the past 12 months Has seen a teacher, staff, or other adults breaking this rule in the past 12 months % 73.2% 65.7% 89.0% 60.3% 79.2% 31.1% 23.2% 41.9% 49.3% 18.0% 8.8% 16.6% 24.7% 27.2% 10.6% 6.3% 5.6% Attitudes about Tobacco Use Youth Attitudes about Tobacco Use 3 Committed Never Smokers Students Who Definitely Do Not % 51.6% 67.8% 47.1% 61.0% 59.3% 76.5% 71.2% 76.1% 56.9% 70.0% 64.1%

7 Think Smoking Makes Young People Look Cool or Fit In Students Who Definitely Do Not Think That Young People who Smoke Have More Friends Students Whose Friends View Cigarette Smoking Among Adults as Acceptable Students Who Think People in the Community View Cigarette Smoking Among Adults as Acceptable Parent or Guardian Discussed Dangers of Tobacco 49.4% 31.0% 29.5% 24.5% 35.5% 23.1% NA NA NA NA 32.4% 51.9% NA NA NA NA 52.8% 67.2% NA NA 59.8% 44.9% 57.5% 54.4% Adult Attitudes about Tobacco Use 2 Thinking about all the health problems in your community, how important is addressing the problem of tobacco use? Among the most important health problems Equally as important as other health problems Among the least important health problems State State State 24.6% 32.5% 63.6% 54.5% 11.8% 13.0% In your opinion, how do most people in your community feel about adults smoking cigarettes? Definitely shouldn t smoke Probably shouldn t smoke OK to smoke sometimes OK to smoke as much as you want State State State State 40.5% 50.7% 36.7% 33.4% 10.3% 9.6% 12.6% 6.3%

8 Rates of tobacco-related chronic disease Hospitalizations from chronic lower respiratory disease (including asthma), rolling 3-year rate per 100,000 ( ) Hospitalizations from stroke, rolling 3-year rate per 100,000 ( ) Age-adjusted death rate for lung cancer, rolling 3-year rate ( ) Percentage of adults with diagnosed diabetes (2010) % 10.4% Age-adjusted coronary heart disease death rate, rolling 3-year rate ( ) Note: Lower rates are more desirable. The next three pages present the indicators in this report at a glance along with quartile rankings. A green, or 1, rating means that compares favorably to other counties for that indicator. A red, or 4, rating means that the county compares unfavorably for that indicator; 2 and 3 ratings are yellow and orange and mean that the county is in the midrange of all counties for that indicator. Indicators at a Glance Year Quartile Desired movement Current Cigarette Use Percentage of adults who are current cigarette smokers 2 Percent of middle school students who had smoked cigarettes on one or more of the past 30 days 3 Percent of high school students who had smoked cigarettes on one or more of the past 30 days 3 Policy Area 1: Flavored Tobacco Percent of middle school students who had smoked flavored cigarettes on one or more of the past 30 days 3 Percent of high school students who had smoked flavored cigarettes on one or more of the past 30 days 3 Percent of middle school students who had smoked flavored cigars on one or more of the past 30 days % 17.1% % 3.3% % 10.1% % 2.1% % 4.8% % 2.6%

9 Percent of high school students who had smoked flavored cigars on one or more of the past 30 days 3 Percent of middle school students who had used flavored smokeless tobacco on one or more of the past 30 days 3 Percent of high school students who had used flavored smokeless tobacco on one or more of the past 30 days 3 Policy Area 2: Smoke Free Multi- Unit Housing Percent of middle school students exposed to secondhand smoke 3 Percent of high school students exposed to secondhand smoke 3 Percent of adults exposed to secondhand smoke 2 Policy Area 3: Employer Cessation Coverage Year Quartile Desired movement % 8.3% % 1.5% % 4.0% % 41.3% % 47.6% % 14.9% Total cigarette packages sold 4 11/12 N/A 487, ,670,137 Per capita cigarette consumption: 18 and over 4 Total retail tobacco dealer licenses issued (with and without beverage license) as of July Percentage of mothers who reported smoking during pregnancy 1 Percentage of adults who attempted to quit 2 Number of callers to the Quitline for the period 7/11-6/12 6 Number that heard about the Quitline from a health care provider, dentist/dental hygienist, and/or pharmacist for the period 7/11-6/ / N/A 32 28,191 N/A % 6.9% % 60.1% 11/12 N/A 52 49,495 11/12 N/A 6 4,513 Number of cessation classes held 5 11/ Number of cessation class participants 5 11/ ,316 Policy Area 4: Retail Advertising Percentage of adults who think that tobacco advertising should always be allowed inside or outside of a store. 2 Percentage of adults who think that tobacco advertising should never be allowed inside or outside of a store. 2 who saw tobacco advertisements % 30.4% % 43.6% % 96.9%

10 (displays, posters, etc.) at last visit to convenience store, gas station, pharmacy, grocery store, or other type of store. Percentage of high school students who saw tobacco advertisements (displays, posters, etc.) at last visit to convenience store, gas station, pharmacy, grocery store, or other type of store. Policy Area 5: Policy with exposure to any tobacco use prevention education. 3 Percentage of high school students with exposure to any tobacco use prevention education. 3 who say there is a school rule that no one is allowed to smoke cigarettes on school property. 3 Percentage of high school students who say there is a school rule that no one is allowed to smoke cigarettes on school property. 3 who have seen a student smoking on school grounds in the past 12 months. 3 Percentage of high school students who have seen a student smoking on school grounds in the past 12 months. 3 who have seen a teacher, staff, or other adult smoking on school grounds in the past 12 months. 3 Percentage of high school students who have seen a teacher, staff, or other adult smoking on school grounds in the past 12 months. 3 Attitudes about Tobacco Use who are committed never smokers. 3 Percentage of high school students who are committed never smokers. 3 whose parent or guardian discussed dangers of tobacco. 3 Percentage of high school students whose parent or guardian discussed dangers of tobacco. 3 Year Quartile Desired movement % 97.9% % 53.4% % 33.4% % 89.4% % 92.2% % 19.9% % 51.3% % 17.2% % 21.2% % 70.0% % 58.4% % 63.9% % 50.4% Percentage of adults who think % 32.5%

11 addressing the problem of tobacco use is among the most important health problems. 2 Tobacco Related Chronic Disease Hospitalizations from CLRD (including asthma), rolling 3-year rate per 100,000 1 Hospitalizations from stroke, rolling 3- year rate per 100,000 1 Age-adjusted death rate for lung cancer, Year Quartile 2008/ / / rolling 3-year rate per 100, Desired movement Percentage of adults with diagnosed % 10.4% diabetes 2 Age-adjusted coronary heart disease 2008/ death rate, rolling 3-year rate per ,000 1 Quartiles: 1 is most favorable (top 25%) and 4 is least favorable (bottom 25%).

12 Glossary of terms Adult current smoker is defined as anyone age 18 and older who has smoked at least 100 cigarettes and currently smokes every day or some days. Adult current use of chewing tobacco, snuff, or snus is defined as the current use of the product every day or some days. Youth current tobacco (cigarettes, cigars, smokeless, and flavored and specialty tobacco products) use is defined as use of the tobacco product at least once in the past 30 days by someone age Multi-Unit Housing is defined as an attached home, like a townhouse or duplex, or a multi-story building, like a condominium or apartment. Data Sources population estimates 2 Behavioral Risk Factor Surveillance System (BRFSS) 2010, unless otherwise noted. 3 Youth Tobacco Survey (FYTS), years as noted. 4 Department of Business and Professional Regulation. The report for cigarette packages sold is available at: SalesFY1112.xls. The report for licenses issued is available at: 5 AHEC in-person cessation data. 6 Quitline intake data 7 Department of Business and Professional Regulation. Reports of violations of tobacco sales to minors. Data is for the period 7/1/2008 through 6/30/ Safe s Program, Environmental Safety Incident Reporting (SESIR) System [Data file]. Tallahassee, FL: Department of Education. level data for the period are available at: