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Health & Medicine for Senior Citizens

Senior Citizens Lead Nation in at Least One Important Health Statistic – Not Smoking

Seniors much less likely to smoke than younger people; smoking decline stalled; half of children exposed to secondhand smoke

Sept. 13, 2010 – Too often the health statistics have senior citizens leading all age groups with the worst statistics, but that is not so in the latest report by the Centers for Disease Control and Prevention. Seniors – U.S. citizens age 65 and older – are much less likely to be cigarette smokers than are younger people.

According to the report, the number of adult smokers dropped between 2000 and 2005, but smoking has remained at about 20-21 percent since 2005. Only about 9.5 percent of senior citizens, however, are still smokers.

A second report released by the CDC finds 4 in 10 nonsmokers were exposed to cigarette smoke during 2007-2008.

Among children between the ages of 3 and 11 years old, 54 percent were exposed to secondhand smoke. Nearly all (98 percent) children who live with a smoker are exposed and have measureable levels of toxic chemicals from cigarette smoke.

In 2009, more men (nearly 24 percent) than women (about 18 percent) smoked and about 31 percent of those living below poverty level smoked. Less than 6 percent of adults with a graduate degree smoke compared to more than 25 percent of adults with no high school diploma.

Further, nearly 90 million non-smoking Americans are exposed to secondhand smoke and have measurable levels of toxic chemicals from cigarette smoke. Black non-smokers are one-third more likely than white smokers, and twice as likely as Mexican-American smokers, to have measurable exposure to tobacco.

"Smoking is still the leading preventable cause of death in this country," said CDC Director Thomas R. Frieden, M.D., M.P.H.

"But progress is possible. Strong state laws that protect nonsmokers from secondhand smoke, higher cigarette prices, aggressive ad campaigns that show the human impact of smoking and well-funded tobacco control programs decrease the number of adult smokers and save lives."

 

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In 2009, smoking among adults was lowest in Utah, followed by California. California has had a long-running comprehensive tobacco control program. Adult smoking in California declined by about 40 percent during 1998–2006, and as a result lung cancer in California has been declining four times faster than in the rest of the nation. Maine, New York, and Washington have seen 45–60 percent reductions in youth smoking with sustained statewide efforts.

If each state supported comprehensive tobacco control programs for 5 years with CDC recommended levels of funding, an estimated 5 million fewer persons in the country would smoke, resulting in prevention of premature tobacco-related deaths.

The federal government is intensifying its efforts to reduce tobacco use in order to achieve the tobacco use targets in Healthy People 2010 and Healthy People 2020. The 2009 Family Smoking Prevention and Tobacco Control Act gives the Food and Drug Administration authority to regulate the manufacturing, marketing, and distribution of tobacco products and has provided new opportunities to reduce tobacco use.

In addition, the Communities Putting Prevention to Work program provides guidance and funding for states and communities to change policies to prevent tobacco use and protect nonsmokers from secondhand smoke. The latter is especially important given that more than half of young children are exposed to secondhand smoke. Children whose parents smoke are twice as likely to smoke themselves, but children who grow up in communities with comprehensive smoke-free laws are much less likely to become smokers.

Smoking causes cancers of the lung, mouth, stomach, pancreas, kidney, colon, cervix, bladder and leukemia, as well as heart attacks, stroke, blindness, pneumonia, emphysema and other lung diseases, and many other health problems. Exposure to secondhand smoke causes sudden infant death syndrome and low birth weight, acute respiratory infections, middle ear disease, exacerbated asthma, respiratory symptoms, and decreased lung function in children. It also causes heart disease and lung cancer in nonsmoking adults.

For more information on tobacco control, visit www.cdc.gov/vitalsigns or www.cdc.gov/tobacco. Call 1-800-QUIT-NOW (1-800-784-8669) or visit www.smokefree.gov for quitting assistance. For state-specific tobacco data, visit CDC's State Tobacco Activities Tracking and Evaluation System at http://www.cdc.gov/tobacco/statesystem. Follow us on Twitter @ twitter.com/CDCTobaccoFree.

About Vital Signs

CDC Vital Signs is a new report that will appear on the first Tuesday of the month as part of the CDC journal Morbidity and Mortality Weekly Report (MMWR). Vital Signs is designed to provide the latest data and information on key health indicators – cancer prevention, obesity, tobacco use, alcohol use, access to health care, HIV/AIDS, motor vehicle passenger safety, health care-association infections, cardiovascular health, teen pregnancy, infant mortality, asthma and food safety.

Percentage of Adult Smokers by Group

Percentage of persons aged ≥18 years who were current cigarette smokers,* by selected characteristics --- National Health Interview Survey, United States, 2009

 

Total
(27,603)

Men
(12,193)

Women
(15,410)

Characteristic

%

%

%

Age group (years)

 

 

 

18--24

21.8

28.0

15.6

25--44

24.0

26.5

21.5

45--64

21.9

24.5

19.5

≥65

9.5

9.5

9.5

Race/Ethnicity§

 

 

 

White, non-Hispanic

22.1

24.5

19.8

Black, non-Hispanic

21.3

23.9

19.2

Hispanic

14.5

19.0

9.8

American Indian/Alaska Native

23.2

29.7

---Ά

Asian, non-Hispanic**

12.0

16.9

7.5

Multiple race, non-Hispanic

29.5

33.7

24.8

Education††

 

 

 

0--12 yrs (no diploma)

26.4

30.5

22.2

≤8 yrs

17.1

22.2

11.9

9--11 yrs

33.6

36.5

30.5

12 yrs (no diploma)

28.5

34.1

23.3

GED§§

49.1

53.2

44.7

High school graduate

25.1

29.0

21.5

Some college (no degree)

23.3

26.1

21.0

Associate degree

19.7

20.6

19.1

Undergraduate degree

11.1

12.4

9.9

Graduate degree

5.6

4.9

6.3

Poverty statusΆΆ

 

 

 

At or above poverty level

19.4

22.2

16.7

Below poverty level

31.1

34.2

28.7

Unspecified

17.3

22.3

13.2

Region***

 

 

 

Northeast

20.0

23.4

16.9

New England

19.4

21.5

17.5

Mid-Atlantic

20.2

24.1

16.7

Midwest

23.1

25.7

20.8

East North Central

23.8

26.7

21.1

West North Central

21.8

23.6

20.1

South

21.8

24.5

19.3

South Atlantic

20.1

22.3

18.0

East South Central

25.8

30.1

22.3

West South Central

22.5

25.5

19.8

West

16.4

19.5

13.3

Mountain

18.8

21.7

16.0

Pacific

15.3

18.6

12.1

Total

20.6

23.5

17.9

* Persons who reported smoking at least 100 cigarettes during their lifetimes and who, at the time of interview, reported smoking every day or some days. Excludes 128 respondents whose smoking status was unknown.

- 95% confidence interval.

§ Excludes 53 respondents of unknown race.

Ά Data not reported because of unstable percentages; relative standard error ≥30%.

** Does not include Native Hawaiians or Other Pacific Islanders.

†† Among persons aged ≥25 years. Excludes 137 persons whose educational level was unknown.

§§ General Educational Development certificate.

ΆΆ Family income is reported by the family respondent who might or might not be the same as the sample adult respondent from whom smoking information is collected; 2009 estimates are based on reported family income and 2008 poverty thresholds published by the U.S. Census Bureau.

*** New England: Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut. Mid-Atlantic: New York, Pennsylvania, and New Jersey. East North Central: Wisconsin, Michigan, Illinois, Indiana, and Ohio. West North Central: Missouri, North Dakota, South Dakota, Nebraska, Kansas, Minnesota, and Iowa. South Atlantic: Delaware, Maryland, District of Columbia, Virginia, West Virginia, North Carolina, South Carolina, Georgia, and Florida. East South Central: Kentucky, Tennessee, Mississippi, and Alabama. West South Central: Oklahoma, Texas, Arkansas, and Louisiana. Mountain: Idaho, Montana, Wyoming, Nevada, Utah, Colorado, Arizona, and New Mexico. Pacific: Alaska, Washington, Oregon, California, and Hawaii.

Source: Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years --- United States, 2009, CDC

 

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