CDC-Data-2025/Healthy_People_2020_Tobacco_Use_Objectives.csv
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1Topic AreaKey AreaObjective NumberLeading Health IndicatorDevelopmentalMain Objective TextSpecific Objective TextTargetBaselineSymbolUnitsBaseline StatementBaseline YearTargetSettingMethodologyDataSourceObjective Details
2Tobacco UseSocial and Environmental ChangesTU-13.17Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in College/university campuses 511States and D.C.1 State had a smoke-free indoor air law prohibiting smoking on college and university campuses in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
3Tobacco UseSocial and Environmental ChangesTU-13.10Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Multiunit housing510States and D.C.0 States or the District of Columbia had smoke-free indoor air laws that prohibit smoking in multiunit housing in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
4Tobacco UseSocial and Environmental ChangesTU-11.3Reduce the proportion of nonsmokers exposed to secondhand smokeReduce the proportion of adults aged 18 years and older exposed to secondhand smoke33.799999999999937.6%Percent37.6 percent of nonsmoking adults aged 18 years and older were exposed to secondhand smoke in 200508 (age adjusted to the year 2000 standard population)10 percent improvementDecreaseNational Health and Nutrition Examination Survey (NHANES), CDC, NCHS
5Tobacco UseTobacco Use PrevalenceTU-3.7Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of smokeless tobacco products by adults aged 18 to 25 years0.22.2%Percent2.2 percent of young adults aged 18 to 25 years who had not previously used smokeless tobacco in their lifetime first used smokeless tobacco products in the previous 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
6Tobacco UseHealth Systems ChangesTU-10.3Increase tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in dental care settings39.299999999999935.7%Percent35.7 percent of general practice dentists reported that they or their dental team usually or always personally counsel patients who use tobacco products on tobacco cessation in 2010201010 percent improvementIncreaseSurvey of Dental Practice, American Dental Association (ADA)
7Tobacco UseTobacco Use PrevalenceTU-2.2LHI: Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.Reduce tobacco use by adolescentsReduce use of cigarettes by adolescents (past month)1619.5%Percent19.5 percent of adolescents in grades 9 through 12 smoked cigarettes in the past 30 days in 20092009Retain Healthy People 2010 target of 16 percentDecreaseYouth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
8Tobacco UseTobacco Use PrevalenceTU-7Increase smoking cessation attempts by adolescent smokersIncrease smoking cessation attempts by adolescent smokers6458.5%Percent58.5 percent of adolescent smokers in grades 9 through 12 tried to stop smoking in the past 12 months in 20092009Retain Healthy People 2010 target of 64 percentIncreaseYouth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
9Tobacco UseTobacco Use PrevalenceTU-3.8Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of cigars by adults aged 18 to 25 years4.36.3%Percent6.3 percent of young adults aged 18 to 25 years who had not previously smoked cigars in their lifetime first smoked cigars in the previous 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
10Tobacco UseTobacco Use PrevalenceTU-3.6Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of cigarettes by adults aged 18 to 25 years6.48.4%Percent8.4 percent of young adults aged 18 to 25 years who had not previously smoked cigarettes in their lifetime first smoked cigarettes in the past 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
11Tobacco UseSocial and Environmental ChangesTU-20.2Developmental ObjectiveIncrease the number of States and the District of Columbia, Territories, and Tribes with comprehensive evidence-based tobacco control programs.Increase the number of Territories with sustainable and comprehensive evidence-based tobacco control programsTerritoriesTBDTBDState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
12Tobacco UseHealth Systems ChangesTU-10.1Increase tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in office-based ambulatory care settings21.119.2%Percent19.2 percent of visits to an office-based ambulatory care setting among current tobacco users aged 18 years and older had tobacco cessation counseling ordered or provided during that visit in 2007200710 percent improvementIncreaseNational Ambulatory Medical Care Survey (NAMCS), NCHS
13Tobacco UseSocial and Environmental ChangesTU-17.2Increase the Federal and State tax on tobacco productsIncrease the Federal and State tax on smokeless tobacco products520States and D.C.0 States, the District of Columbia, and the Federal Government increased tax on smokeless tobacco products by $1.50 over the tracking period beginning in 20102010Consistency with national programs and policiesIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
14Tobacco UseSocial and Environmental ChangesTU-14Increase the proportion of smoke-free homesIncrease the proportion of smoke-free homes8779.0999999999999%Percent79.1 percent of homes in which all persons aged 18 years and older reported that no smoking is allowed in their home in 20060710 percent improvementIncreaseTobacco Use Supplement to the Current Population Survey (TUS-CPS), U.S. Bureau of the Census and BLS
15Tobacco UseSocial and Environmental ChangesTU-13.14Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Mental health treatment facilities5110States and D.C.10 States had smoke-free indoor air laws prohibiting smoking in mental health treatment facilities in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
16Tobacco UseHealth Systems ChangesTU-9.4Increase tobacco screening in health care settingsIncrease tobacco screening in substance abuse care settings54.849.8%Percent49.8 percent of substance abuse care facilities reported offering tobacco use screening services in 2011201110 percent improvementIncreaseNational Survey of Substance Abuse Treatment Services, SAMHSA
17Tobacco UseSocial and Environmental ChangesTU-15.1Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school eventsIncrease tobacco-free environments in junior high schools, including all school facilities, property, vehicles, and school events10065.4%Percent65.4 percent of junior high schools had tobacco-free environments, including all school facilities, property, vehicles, and school events, in 20062006Total coverageIncreaseSchool Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
18Tobacco UseTobacco Use PrevalenceTU-3.4Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of cigars by children and adolescents aged 12 to 17 years2.94.9%Percent4.9 percent of children and adolescents aged 12 to 17 years who had not previously smoked cigars in their lifetime first smoked cigars in the previous 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
19Tobacco UseHealth Systems ChangesTU-9.1Increase tobacco screening in health care settingsIncrease tobacco screening in office-based ambulatory care settings68.599999999999962.4%Percent62.4 percent of office-based ambulatory care setting visits among patients aged 18 years and older had tobacco screening in 2007200710 percent improvementIncreaseNational Ambulatory Medical Care Survey (NAMCS), NCHS
20Tobacco UseTobacco Use PrevalenceTU-2.1Reduce tobacco use by adolescentsReduce use of tobacco products by adolescents (past month)2126%Percent26.0 percent of adolescents in grades 9 through 12 used cigarettes, chewing tobacco, snuff, or cigars in the past 30 days in 20092009Retain Healthy People 2010 targetDecreaseYouth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
21Tobacco UseSocial and Environmental ChangesTU-15.3Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school eventsIncrease tobacco-free environments in high schools, including all school facilities, property, vehicles, and school events10066.0999999999999%Percent66.1 percent of high schools had tobacco-free environments, including all school facilities, property, vehicles, and school events in 20062006Total coverageIncreaseSchool Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
22Tobacco UseSocial and Environmental ChangesTU-21Increase the number of states requiring high-tech tax stamps on cigarettes productsIncrease the number of states requiring high-tech tax stamps on cigarettes products512States and D.C.2 States required high-tech tax stamps on packs of cigarettes in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
23Tobacco UseHealth Systems ChangesTU-9.2Increase tobacco screening in health care settingsIncrease tobacco screening in hospital ambulatory care settings66.260.2%Percent60.2 percent of hospital ambulatory care setting visits among patients aged 18 years and older had tobacco screening in 2007200710 percent improvementIncreaseNational Hospital Ambulatory Medical Care Survey (NHAMCS), NCHS
24Tobacco UseTobacco Use PrevalenceTU-3.2Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of cigarettes by children and adolescents aged 12 to 17 years4.36.3%Percent6.3 percent of children and adolescents aged 12 to 17 years who had not previously smoked cigarettes in their lifetime first smoked cigarettes in the past 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
25Tobacco UseSocial and Environmental ChangesTU-20.3Developmental ObjectiveIncrease the number of States and the District of Columbia, Territories, and Tribes with comprehensive evidence-based tobacco control programs.Increase the number of Tribes with sustainable and comprehensive evidence-based tobacco control programsTribesTBDTBDState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
26Tobacco UseTobacco Use PrevalenceTU-3.1Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of tobacco products by children and adolescents aged 12 to 17 years5.87.8%Percent7.8 percent of children and adolescents aged 12 to 17 years who had not previously used tobacco products in their lifetime first used tobacco products in the past 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
27Tobacco UseSocial and Environmental ChangesTU-13.11Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Vehicles with children514States and D.C.4 States had smoke-free indoor air laws that prohibit smoking in vehicles with children in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
28Tobacco UseTobacco Use PrevalenceTU-1.3Reduce tobacco use by adultsReduce use of cigars by adults0.32.3%Percent2.3 percent of adults aged 18 years and older were current cigar smokers in 2015 (age adjusted to the year 2000 standard population)20152 percentage point improvementDecreaseNational Health Interview Survey (NHIS), CDC, NCHS
29Tobacco UseSocial and Environmental ChangesTU-18.4Reduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketingReduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketing at point of purchase 77.099999999999985.7%Percent85.7 percent of students in grades 6 through 12, who go to convenience stores, supermarkets, or gas stations, were exposed to point of purchase tobacco marketing in 2009200910 percent improvementDecreaseNational Youth Tobacco Survey (NYTS), CDC
30Tobacco UseSocial and Environmental ChangesTU-13.6Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Commercial daycare centers5138States and D.C.38 (37 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in commercial daycare centers in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
31Tobacco UseSocial and Environmental ChangesTU-15.4Developmental ObjectiveIncrease tobacco-free environments in schools, including all school facilities, property, vehicles, and school eventsHead StartStates and D.C.TBDTBDTBD
32Tobacco UseSocial and Environmental ChangesTU-19.2Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minorsReduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors in Territories81Territories1 Territory reported an illegal sales rate to minors of 5 percent or less in compliance checks in 20092009Retain the Healthy People 2010 target of total coverageIncreaseState Synar Enforcement Reporting, SAMHSA, CSAP
33Tobacco UseSocial and Environmental ChangesTU-13.2Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Public Worksites5134States and D.C.34 had smoke-free indoor air laws that prohibit smoking in public worksites in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
34Tobacco UseTobacco Use PrevalenceTU-3.3Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of smokeless tobacco products by children and adolescents aged 12 to 17 years0.62.6%Percent2.6 percent of children and adolescents aged 12 to 17 years who had not previously used smokeless tobacco in their lifetime first used smokeless tobacco in the previous 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
35Tobacco UseSocial and Environmental ChangesTU-13.4Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Bars5122States and D.C.22 (21 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in bars in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
36Tobacco UseHealth Systems ChangesTU-9.6Developmental ObjectiveIncrease tobacco screening in health care settingsIncrease tobacco screening in vision care settings%PercentTBDTBDIntelligent Research in Sight (IRIS) Registry, American Academy of Ophthalmology
37Tobacco UseTobacco Use PrevalenceTU-2.3Reduce tobacco use by adolescentsReduce use of smokeless tobacco products by adolescents (past month)6.98.9%Percent8.9 percent of adolescents in grades 9 through 12 used smokeless (chewing tobacco or snuff) tobacco products in the past 30 days in 200920092 percentage point improvementDecreaseYouth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
38Tobacco UseTobacco Use PrevalenceTU-2.4Reduce tobacco use by adolescentsReduce use of cigars by adolescents (past month)814%Percent14.0 percent of adolescents in grades 9 through 12 smoked cigars in the past 30 days in 20092009Retain Healthy People 2010 target of 8 percentDecreaseYouth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP
39Tobacco UseTobacco Use PrevalenceTU-1.2Reduce tobacco use by adultsReduce use of smokeless tobacco products by adults0.22.2%Percent2.2 percent of adults aged 18 years and older were current users of snuff or chewing tobacco products in 2015 (age adjusted to the year 2000 standard population)20152 percentage point improvementDecreaseNational Health Interview Survey (NHIS), CDC, NCHS
40Tobacco UseTobacco Use PrevalenceTU-5.1Increase recent smoking cessation success by adult smokersIncrease recent smoking cessation success by adult smokers86%Percent6.0 percent of adult smokers aged 18 years and older last smoked 6 months to 1 year ago in 2008 (age adjusted to the year 2000 standard population)20082 percentage point improvementIncreaseNational Health Interview Survey (NHIS), CDC, NCHS
41Tobacco UseSocial and Environmental ChangesTU-18.2Reduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketingReduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketing in magazines and newspapers19.348.6%Percent48.6 percent of adolescents and young adults in grades 6 through 12 were exposed to tobacco advertising and promotion in magazines and newspapers in 20092009Projected trend dataDecreaseNational Youth Tobacco Survey (NYTS), CDC
42Tobacco UseTobacco Use PrevalenceTU-5.2Developmental ObjectiveIncrease recent smoking cessation success by adult smokersIncrease recent smoking cessation success using evidence-based strategies by adult smokers%PercentTBDTBDNational Health Interview Survey (NHIS) Cancer Control Supplement, CDC, NCHS
43Tobacco UseSocial and Environmental ChangesTU-17.3Developmental ObjectiveIncrease the Federal and State tax on tobacco productsOther smoked tobacco productsStates and D.C.TBDTBDState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
44Tobacco UseSocial and Environmental ChangesTU-19.1Reduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minorsReduce the illegal sales rate to minors through enforcement of laws prohibiting the sale of tobacco products to minors in States and the District of Columbia515States and D.C.5 States reported an illegal sales rate to minors of 5 percent or less in compliance checks in 20092009Retain the Healthy People 2010 target of total coverageIncreaseState Synar Enforcement Reporting, SAMHSA, CSAP
45Tobacco UseSocial and Environmental ChangesTU-13.7Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Home-based daycare centers5137States and D.C.37 (36 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in home-based daycare centers in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
46Tobacco UseSocial and Environmental ChangesTU-13.15Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Entrances/exits of all public places 511States and D.C.1 State had a smoke-free indoor air law prohibiting smoking in entrances and exits of restaurants, bars, private worksites, and government worksites in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
47Tobacco UseSocial and Environmental ChangesTU-13.8Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Public transportation5137States and D.C.37 (36 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in public transportation in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
48Tobacco UseTobacco Use PrevalenceTU-4.1Increase smoking cessation attempts by adult smokersIncrease smoking cessation attempts by adult smokers8048.3%Percent48.3 percent of adult smokers aged 18 years and older attempted to stop smoking in the past 12 months in 2008 (age adjusted to the year 2000 standard population)2008Retain Healthy People 2010 target of 80 percentIncreaseNational Health Interview Survey (NHIS), CDC, NCHS
49Tobacco UseTobacco Use PrevalenceTU-3.5Reduce the initiation of tobacco use among children, adolescents, and young adultsReduce the initiation of the use of tobacco products by adults aged 18 to 25 years8.910.9%Percent10.9 percent of young adults aged 18 to 25 years who had not previously used tobacco products in their lifetime first used tobacco products in the past 12 months in 200820082 percentage point improvementDecreaseNational Survey on Drug Use and Health (NSDUH), SAMHSA
50Tobacco UseSocial and Environmental ChangesTU-13.9Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Hotels and motels510States and D.C.0 States or the District of Columbia had smoke-free indoor air laws that prohibit smoking in hotels and motels in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
51Tobacco UseHealth Systems ChangesTU-10.2Increase tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in hospital ambulatory care settings24.922.6%Percent22.6 percent of visits to a hospital ambulatory care setting among current tobacco users aged 18 years and older had tobacco cessation counseling ordered or provided during that visit in 2007200710 percent improvementIncreaseNational Hospital Ambulatory Medical Care Survey (NHAMCS), NCHS
52Tobacco UseSocial and Environmental ChangesTU-16.3Eliminate State laws that preempt stronger local tobacco control lawsEliminate State laws that preempt stronger local tobacco control laws on youth access022States and D.C.22 States preempted stronger local tobacco control laws on youth access to tobacco products in 20092009Total eliminationDecreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
53Tobacco UseSocial and Environmental ChangesTU-12Increase the proportion of persons covered by indoor worksite policies that prohibit smokingIncrease the proportion of persons covered by indoor worksite policies that prohibit smoking10083.4%Percent83.4 percent of employed persons aged 18 years and older (who mainly worked in indoor public worksites) were covered by indoor worksite policies that prohibited smoking in 2010-11Retention of Healthy People 2010 TargetIncreaseTobacco Use Supplement to the Current Population Survey (TUS-CPS), U.S. Bureau of the Census and BLS
54Tobacco UseSocial and Environmental ChangesTU-18.3Reduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketingReduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketing in movies and television69.877.5999999999999%Percent77.6 percent of students in grades 6 through 12 were exposed to movie and television tobacco advertising and promotion in 2009200910 percent improvementDecreaseNational Youth Tobacco Survey (NYTS), CDC
55Tobacco UseTobacco Use PrevalenceTU-1.1LHI: Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.Reduce tobacco use by adultsReduce cigarette smoking by adults1220.6%Percent20.6 percent of adults aged 18 years and older were current cigarette smokers in 2008 (age adjusted to the year 2000 standard population)2008Retain Healthy People 2010 target of 12 percentDecreaseNational Health Interview Survey (NHIS), CDC, NCHS
56Tobacco UseSocial and Environmental ChangesTU-17.1Increase the Federal and State tax on tobacco productsIncrease the Federal and State tax on cigarettes521States, D.C., and the Federal Government1 States, the District of Columbia, and the Federal Government increased tax on cigarettes by $1.50 over the tracking period beginning in 20102010Maintain consistency with national programs, regulations, policies, and lawsIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
57Tobacco UseSocial and Environmental ChangesTU-13.16Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbias on smoke-free indoor air that prohibit smoking in Hospital campuses511States and D.C.1 States and the District of Columbia had smoke-free indoor air laws prohibiting smoking on hospital campuses in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
58Tobacco UseSocial and Environmental ChangesTU-16.1Eliminate State laws that preempt stronger local tobacco control lawsEliminate State laws that preempt stronger local tobacco control laws on smoke-free indoor air012States and D.C.12 States preempted stronger local tobacco control laws on smoke-free indoor air in 20092009Total eliminationDecreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
59Tobacco UseHealth Systems ChangesTU-9.3Increase tobacco screening in health care settingsIncrease tobacco screening in dental care settings58.252.9%Percent52.9 percent of general practice dentists reported that they or their dental team usually or always ask patients if they use tobacco in 2010201010 percent improvementIncreaseSurvey of Dental Practice, American Dental Association (ADA)
60Tobacco UseSocial and Environmental ChangesTU-18.1Reduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketingReduce the proportion of adolescents and young adults in grades 6 through 12 who are exposed to tobacco marketing on the Internet33.136.7999999999999%Percent36.8 percent of adolescents and young adults in grades 6 through 12 were exposed to tobacco advertising and promotion on the Internet in 2009200910 percent improvementDecreaseNational Youth Tobacco Survey (NYTS), CDC
61Tobacco UseHealth Systems ChangesTU-10.4Increase tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in substance abuse care settings37.634.2%Percent34.2 percent of mental health care facilities reported offering smoking cessation services in 2010201110 percent improvementIncreaseNational Survey of Substance Abuse Treatment Services, SAMHSA
62Tobacco UseSocial and Environmental ChangesTU-13.1Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Private Worksites5130States and D.C.30 had smoke-free indoor air laws that prohibit smoking in private worksites in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
63Tobacco UseHealth Systems ChangesTU-8Increase comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in States and the District of ColumbiaIncrease comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in States and the District of Columbia516States and D.C.6 States had comprehensive Medicaid insurance coverage of evidence-based treatment for nicotine dependency in 20082008Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
64Tobacco UseHealth Systems ChangesTU-10.6Developmental ObjectiveIncrease tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in vision care settings%PercentTBDTBDIntelligent Research in Sight (IRIS) Registry, American Academy of Ophthalmology
65Tobacco UseSocial and Environmental ChangesTU-16.4Eliminate State laws that preempt stronger local tobacco control lawsEliminate State laws that preempt stronger local tobacco control laws on licensure09States and D.C.9 States preempted stronger local tobacco control laws on licensure in 20092009Total eliminationDecreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
66Tobacco UseSocial and Environmental ChangesTU-11.1LHI: Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.Reduce the proportion of nonsmokers exposed to secondhand smokeReduce the proportion of children aged 3 to 11 years exposed to secondhand smoke4752.2%Percent52.2 percent of children aged 3 to 11 years were exposed to secondhand smoke in 20050810 percent improvementDecreaseNational Health and Nutrition Examination Survey (NHANES), CDC, NCHS
67Tobacco UseSocial and Environmental ChangesTU-15.2Increase tobacco-free environments in schools, including all school facilities, property, vehicles, and school eventsIncrease tobacco-free environments in middle schools, including all school facilities, property, vehicles, and school events10058.7%Percent58.7 percent of middle schools had tobacco-free environments, including all school facilities, property, vehicles, and school events, in 20062006Total coverageIncreaseSchool Health Policies and Programs Study (SHPPS), CDC, NCCDPHP
68Tobacco UseSocial and Environmental ChangesTU-13.3Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Restaurants5128States and D.C.28 (27 States and the District of Columbia) had smoke-free indoor air laws that prohibit smoking in restaurants in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
69Tobacco UseTobacco Use PrevalenceTU-4.2Developmental ObjectiveIncrease smoking cessation attempts by adult smokersIncrease smoking cessation attempts using evidence-based strategies by adult smokers%PercentTBDTBDNational Health Interview Survey (NHIS) Cancer Control Supplement, CDC, NCHS
70Tobacco UseTobacco Use PrevalenceTU-6Increase smoking cessation during pregnancyIncrease smoking cessation during pregnancy3011.3%Percent11.3 percent of females aged 18 to 49 years (who reported having a live birth in the past 5 years and smoking at any time during their pregnancy with their last child), stopped smoking during the first trimester of their pregnancy and stayed off cigarettes for the rest of their pregnancy in 20052005Retain Healthy People 2010 targetIncreaseNational Health Interview Survey (NHIS), CDC, NCHS
71Tobacco UseSocial and Environmental ChangesTU-13.5Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Gaming Halls5125States and D.C.25 States had smoke-free indoor air laws prohibiting smoking in gaming halls in 20092009IncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
72Tobacco UseSocial and Environmental ChangesTU-13.12Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Prisons/ correctional facilities518States and D.C.8 States had smoke-free indoor air laws that prohibit smoking in prisons and correctional facilities in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
73Tobacco UseSocial and Environmental ChangesTU-11.2Reduce the proportion of nonsmokers exposed to secondhand smokeReduce the proportion of adolescents aged 12 to 17 years exposed to secondhand smoke4145.5%Percent45.5 percent of nonsmoking adolescents aged 12 to 17 years were exposed to secondhand smoke in 20050810 percent improvementDecreaseNational Health and Nutrition Examination Survey (NHANES), CDC, NCHS
74Tobacco UseSocial and Environmental ChangesTU-16.2Eliminate State laws that preempt stronger local tobacco control lawsEliminate State laws that preempt stronger local tobacco control laws on advertising018States and D.C.18 States preempted stronger local tobacco control laws on advertising in 20092009Total eliminationDecreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
75Tobacco UseHealth Systems ChangesTU-9.5Developmental ObjectiveIncrease tobacco screening in health care settingsIncrease tobacco screening in mental health care settings%PercentTBDTBDNational Mental Health Services Survey (N-MHSS), SAMHSA
76Tobacco UseHealth Systems ChangesTU-10.5Increase tobacco cessation counseling in health care settingsIncrease tobacco cessation counseling in mental health care settings26.424%Percent24.0 percent of mental health care facilities reported offering smoking cessation services in 2011201010 percent improvementIncreaseNational Mental Health Services Survey (N-MHSS), SAMHSA
77Tobacco UseSocial and Environmental ChangesTU-20.1Increase the number of States and the District of Columbia, Territories, and Tribes with comprehensive evidence-based tobacco control programs.Increase the number of States and the District of Columbia with comprehensive evidence-based tobacco control programs5110States and D.C.10 States and D.C. met 100% annual CDC Recommended Expenditures for comprehensive evidence-based tobacco control programs OR increased total expenditures for comprehensive evidence-based tobacco control programs by 25% or more over the decade in 2009 2009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH
78Tobacco UseSocial and Environmental ChangesTU-13.13Establish laws in States, District of Columbia, Territories, and Tribes on smoke-free indoor air that prohibit smoking in public places and worksitesEstablish laws in States and the District of Columbia on smoke-free indoor air that prohibit smoking in Substance abuse treatment facilities5110States and D.C.10 States had smoke-free indoor air laws prohibiting smoking in substance abuse treatment facilities in 20092009Total coverageIncreaseState Tobacco Activities Tracking and Evaluation System (STATE), CDC, NCCDPHP, OSH