Projected Smoking-Related Deaths Among U.S. Youth: A 2000 Update
- Author(s): Hahn, Ellen J, DNS, RN
- Rayens, Mary Kay, PhD
- Chaloupka, Frank J., PhD
- Okoli, Chizimuzo T.C., BSN, RN
- Yang, Jun, MS
- et al.
This paper projects the long term consequences of the rise in youth smoking in the
1990s by updating the state estimates for projected smoking-related deaths among youth
in the U.S. using information from the Behavioral Risk Factor Surveillance System
(BRFSS) 2000 and the U.S. Census 2000. This analysis is similar to that from an earlier
study published by the Centers for Disease Control and Prevention (CDC), Office on
Smoking and Health (MMWR, 45, November 8, 1996). The 1996 analysis used
young adult smoking prevalence data from 1994 and 1995; whereas, the analysis
presented here represents smoking prevalence data from 2000. The overall number of
potential future smoking-attributable deaths among persons aged 0-17 years in 2000 was
6,407,119 for the U.S., up from an estimated 5 million in 1995.
Compared with the 1995 estimates, every state except Arizona shows increases in
projected smoking-related deaths among youth for 2000. This upsurge is attributable to
both increases in smoking prevalence among young adults and population aged 0-17
years from 1995 to 2000. The increase in smoking prevalence among young adults was
statistically significant in nine states including Alabama, District of Columbia, Iowa,
Kentucky, Nevada, North Dakota, South Carolina, South Dakota, and Vermont.
With increasing attention and funding for comprehensive, research-based tobacco
control programs in the U.S., one would expect smoking rates to decline over time,
resulting in a reduction in projected smoking-related deaths among youth. The analysis
reported here does not yet reflect this trend. This study clearly demonstrates that based
on recent smoking patterns, there will continue to be a huge public health toll from
tobacco. The results from this new analysis will be useful to states as they determine the
overall public health benefits from increasing the state excise tax and consider funding
for comprehensive tobacco control programs.