Who has Quit Smoking? Changes in Cigarette Smoking Among Urban Adults

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Who has Quit Smoking? Changes in Cigarette
Smoking Among Urban Adults

• Kristin Olsen Minot, M.S.
• Philadelphia Health Management Corporation

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Background

• Cigarette smoking has decreased among adults
  nationwide over the past 20 years
• This presentation compares the characteristics of
  past and current smokers in Philadelphia between
  1983 and 2002.
• Demographic characteristics
• Socioeconomic characteristics
• Health status and Access Indicators

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Methodology

• Data are from telephone surveys conducted
  periodically (every 2-3 years) in Philadelphia
  and Southeastern Pennsylvania since 1983 by
  Philadelphia Health Management Corporations
  (PHMC).
• Surveys are representative, community-based and
  include information about adults (and children)
  in approximately 3,500 households
• Questions focus on health status, use of health
  services, health behaviors including tobacco use
  and access to care

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Methodology

• Questions and topics drawn from other surveys
  including National Health Interview Survey (NHIS)
  and Behavioral Risk Factor Surveillance Survey
  (BRFSS)
• Some changes in questions over the years -- more
  tobacco-related questions in recent surveys

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Cigarette Smoking Among Adults (18) in
Philadelphia 1983 - 2002
39.0
31.6
36.4
26.9
25.9
27.5
26.8
24.9
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Adults by Age Group 1983
and 2002
44.4
41.3
43.0
39.5
31.3
27.9
24.9
24.6
20.9
10.7
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Philadelphia Adults by
Gender and Poverty Status 1983 and 2002
40.6
39.1
39.1
38.9
34.6
24.7
25.2
22.5
Poor Income lt185 federal poverty level
Non-poor gt 184 federal poverty level.
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Philadelphia Adults By
Race and Ethnicity 1983 and 2002
41.0
39.3
39.0
38.4
26.5
24.9
24.5
23.0
22.2
16.4
Persons of Hispanic/Latino Origin also
categorized themselves as either Black, White,
Asian or Other
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Adults by Education
Level 1983 and 2002
41.7
41.9
31.5
27.8
24.0
14.0
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Philadelphia Adults with
Hypertension and Asthma 1991 and 2002
33.4
27.5
28.0
23.1
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Cigarette Smoking Among Philadelphia Adults by
Insurance Status and Source of Health Care 1983
and 2002
50.9
41.6
38.1
38.6
37.5
25.1
23.6
23.5
Source Community Health Data Base Southeastern
Pennsylvania Household Health Surveys
Philadelphia Health Management Corporation
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Conclusions

• Cigarette smoking has decreased among adults in
  Philadelphia in all groups included in the survey
• Adults less than 65 years are more likely to
  smoke than those 65 however, but those under 30
  are less likely to smoke than those 30-64 years.
• Smoking also continues to be more common among
  vulnerable and disadvantaged groups including
  persons with lower incomes and less education
• Persons without health coverage are the most
  likely to smoke cigarettes of any group and they
  are the least likely to have access to preventive
  health services.

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Conclusions

• Despite reductions in smoking behavior,
  Philadelphia needs to reduce smoking among the
  adult population by an additional 50 to meet the
  Healthy People 2010 objective for smoking (12 of
  adults 18)
• The survey results support continuing to target
  prevention, education and cessation activities to
  reach low income, uninsured adults in order to
  reduce disparities in cigarette use.

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For More Information

• Please Contact
• Kristin Olsen Minot
• Philadelphia Health Management Corporation
• 215-985-2519 or Kristin_at_phmc.org