Youth Tobacco Surveillance Connecticut 2011

YOUTH TOBACCO SURVEILLANCE CONNECTICUT 2011

CONNECTICUT SCHOOL CONNECTICUT DEPARTMENT OF HEALTH SURVEY PUBLIC HEALTH TOBACCO USE YOUTH TOBACCO PREVENTION AND CONTROL COMPONENT REPORT PROGRAM

November 2012

2011 Connecticut School Health Survey Youth Tobacco Component

Commissioner Jewel Mullen, MD, MPH, MPA Connecticut Department of Public Health

For additional information about tobacco use behaviors among Connecticut youth contact: Connecticut Department of Public Health Tobacco Use Prevention and Control Program 410 Capitol Avenue PO Box 340308, MS #11HLS Hartford, CT 06134-0308

Phone: 860.509.8251 Or visit: www.ct.gov/dph/CSHS or www.ct.gov/dph/tobacco Acknowledgments

State of Connecticut Department of Public Health

Renée D. Coleman-Mitchell, MPH Section Chief Community Health and Prevention Section

Report written and prepared by: Dawn Sorosiak, MBA Epidemiologist Community Health and Prevention Section

in collaboration with

Diane Aye, MPH, PhD Epidemiologist Connecticut School Health Survey Coordinator Survey Program

Celeste Jorge, MPH Epidemiologist Survey Program CONTENTS Age and Access ID Request______32 Introduction______1-4 Sale Refusal______33 Summary of Results______5-13 Cessation Tried to Quit Smoking Cigarettes______34 Demographics Want to Stop Smoking Cigarettes______35 Demographics of Middle School Respondent______14 Secondhand Smoke Exposure Demographics of High School Respondents______15 Recent Smoke Exposure in a Room______36 Recent Smoke Exposure in a Car______37 Lifetime Tobacco Use Rules About Smoking in Vehicle______38 Ever Tobacco Use______16 Recent Smoke Exposure at School______39 Ever Cigarette Smoking______17 Recent Smoke Exposure in a Public Place______40 Ever Cigar Smoking______18 Live with Someone Who Smokes Cigarettes______41 Ever Smokeless Tobacco Use______19 Recent Smoke Exposure at Home______42 Ever Bidi Smoking______20 Rules About Smoking in Home______43 Ever Other Tobacco Use______21-22 Trends 2000-2011 Ever Tobacco Use______44-45 Current Tobacco Use Ever Cigarette Smoking______46-47 Current Tobacco Use______23 Ever Cigar Smoking ______48-49 Current Cigarette Smoking______24 Ever Smokeless Tobacco Use______50-51 Current Cigar Smoking______25 Current Tobacco Use______52-53 Current Smokeless Tobacco Use______26 Current Cigarette Smoking______54-55 Current Cigar Smoking______56-57 Current Pipe Smoking______27 Current Smokeless Tobacco Use______58-59 Current Bidi Smoking______28 Smoked Whole Cigarette Before Age 11 Years______60-61 Age of Smoking Initiation Frequent Cigarette Smoking______62-63 Susceptibility to Starting Smoking______64-65 Ever Smokers Who Smoked a Whole Cigarette ID Request______66 Before Age 11 Years______29 Sale Refusal______67 Established Cigarette Use Tried to Quit Smoking Cigarettes______68-69 Want to Stop Smoking Cigarettes______70-71 Frequent Cigarette Smoking______30 Recent Smoke Exposure in a Room______72-73 Smoking Susceptibility Recent Smoke Exposure in a Car______74-75 Susceptibility to Starting Smoking______31 Live with Cigarette Smoker______76-77

2011 Connecticut School Health Survey Youth Tobacco Component Report INTRODUCTION Youth Tobacco Surveillance–Connecticut, 2011 Problem/Condition

Smoking and smokeless tobacco use are usually initiated during adolescence; more than 80% of adult smokers begin smoking before 18 years of age. Additionally, adolescent smokeless tobacco users are more likely than non-users to become adult cigarette smokers.i,ii,iii While youth cigarette use declined sharply during 1997–2003, rates have remained relatively stable in recent years.iv Youth smokeless tobacco use also declined in the late 1990s and early 2000s, but an increasing number of U.S. high school students have reported using smokeless tobacco products in recent years.v Each day in the United States, approximately 3,450 young people between 12 and 17 years of age smoke their first cigarette, and an estimated 850 youth become daily cigarette smokers.vi Factors Associated with Youth Tobacco Use

Some factors associated with youth tobacco use include:vii

{ Low socioeconomic status { Use and approval of tobacco use by peers or siblings { Lack of skills to resist influences to tobacco use { Smoking by parents or guardians and/or lack of parental support or involvement { Accessibility, availability, and price of tobacco products { A perception that tobacco use is the norm { Low levels of academic achievement { Low self-image or self-esteem { Aggressive behavior (e.g., fighting, carrying weapons)

i U.S. Department of Health and Human Services. Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1994. ii Campaign for Tobacco-Free Kids. The Path to Smoking Addiction Starts at Very Young Ages. Washington: Campaign for Tobacco-Free Kids, 2009. iii Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students –United States, 2000–2009. Morbidity and Mortality Weekly Report 2010;59(33):1063–8. iv Centers for Disease Control and Prevention. Cigarette Use Among High School Students –United States, 1991–2009. Morbidity and Mortality Weekly Report 2010;59(26):797–801. v Johnston LD, O’Malley PM, Bachman PM, Schulenberg JE. Monitoring the Future—National Results on Adolescent Drug Use: Overview of Key Findings, 2010. Ann Arbor (MI): University of Michigan, Institute for Social Research, 2011. vi Substance Abuse and Mental Health Services Administration. Results from the 2009 National Survey on Drug Use and Health: Detailed Tables. vii U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000.

2011 Connecticut School Health Survey Youth Tobacco Component Report 01 INTRODUCTION Tobacco use during adolescence is associated with Methods the following health-risk behaviors:i, viii Sample Description { High-risk sexual behavior { Use of alcohol Middle School { Use of other drugs All regular public schools in Connecticut containing grades 6, 7, or 8 were included in the sampling frame. A two-stage cluster sample design was used to Description of the System produce a representative sample of students in grades 6-8. Youth Tobacco Component of the Connecticut School Health School Level - The first-stage sampling frame consisted of all public schools Survey containing any of grades 6-8. Schools were selected with probability proportional to school enrollment size. The 2011 Connecticut School Health Survey (CSHS) is a comprehensive survey that consists of two components: the Youth Tobacco Component (YTC) and the Class Level – The second sampling stage consisted of systematic Youth Behavior Component (YBC). This report discusses data collected from the equal probability sampling (with a random start) of classes from YTC. The YTC is known nationally as the Youth Tobacco Survey (YTS). Between each school that participated in the survey. All second period February and June 2011, the Connecticut Department of Public Health (DPH) classes (or other period/required class selected by the school) in the conducted the CSHS in cooperation with the Centers for Disease Control and selected schools were included in the sampling frame. Prevention (CDC), the Connecticut State Department of Education, and part- ners from school districts and local health departments. The Connecticut YTS/ Overall Response Rates: YTC was previously administered in 2000, 2002, 2005, 2007, and 2009. Schools – 72.73% 40 of the 55 sampled schools participated YTS data are used by health and education officials to improve state programs Students – 89.34% 2180 of the 2440 sampled students to prevent and control youth tobacco use. The findings are also used in presen- completed usable questionnaires tations to demonstrate the need for funding smoking cessation and prevention Overall response rate – 72.73% * 89.34% = 64.98% programs for Connecticut’s youth. National data included in this report obtained from Centers for Disease Control and Prevention; Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion; 2011 National Youth Tobacco Survey data; www.cdc.gov/tobacco/data_statistics/surveys/nyts/index.htm.

viiiCampaign for Tobacco-Free Kids. How Parents Can Protect Their Kids from Becoming Addicted Smokers. Washington: Campaign for Tobacco-Free Kids, 2009

2011 Connecticut School Health Survey Youth Tobacco Component Report 02 INTRODUCTION High School Weighting All regular public schools in Connecticut containing grades 9, 10, 11, or 12 were included in the sampling frame. A two-stage cluster sample design was A weight has been associated with each questionnaire to reflect the likelihood used to produce a representative sample of students in grades 9-12. of sampling each student and to reduce bias by compensating for differing patterns of non-response. The weight used for estimation is given by: School Level – The first-stage sampling frame consisted of all public schools containing any of grades 9-12. Schools were selected W= W1 * W2 * f1 * f2 * f3 * f4 with probability proportional to school enrollment size. W1 = the inverse of the probability of selecting the school Class Level – The second sampling stage consisted of systematic W2 = the inverse of the probability of selecting the classroom with the school equal probability sampling (with a random start) of classes from each school that participated in the survey. All second period classes f1 = a school-level non-response adjustment factor calculated by school (or other period/required class selected by the school) in the selected size category (small, medium, large) schools were included in the sampling frame. All students in the selected classes were eligible to participate in the survey. F2 = a class adjustment factor calculated by school

Overall Response Rates: f3 = a student-level non-response adjustment factor calculated by class Schools – 78.18% 43 of the 55 sampled schools participated Students – 82.29% 2119 of the 2575 sampled students f4 = a post-stratification adjustment factor calculated by gender, race, and completed usable questionnaires grade Overall response rate – 78.18% * 82.29% = 64.34% The eightedw results can be used to make important inferences concerning tobacco use risk behaviors of all regular public school students in grades 6 through 8 or students in grades 9 through 12 in Connecticut.

2011 Connecticut School Health Survey Youth Tobacco Component Report 03 INTRODUCTION

Sampling Data Collection

The 2011 YTC was made up of 70 questions developed by CDC and DPH. The survey was administered during one class period. Procedures were designed Results are reported separately for middle school and high school students. to protect students’ privacy by assuring that student participation was anonymous When sample size and prevalence rates allow, results are presented by gender, and voluntary. Students completed the self-administered questionnaire in the class- grade, and race/ethnicity (white, non-Hispanic; black, non-Hispanic; and His- room, recording their responses directly into the survey booklet. The core ques- panic or Latino). The numbers of students in other racial and ethnic groups tionnaire contained 50 questions, and to meet individual needs, DPH added 20 were too low for meaningful analysis in this report. SUDAAN® was used to supplemental questions. Before the survey was administered, schools were given compute 95% confidence intervals, which were used to determine the differ- the option of obtaining parental permission and institutional review board criteria ences between subgroups at the p<0.05 level. Differences between prevalence were followed. The core questionnaire included questions about tobacco use (bidis, estimates were considered statistically significant if the 95% confidence inter- cigarettes, cigars, kreteks, pipes, and smokeless tobacco), exposure to secondhand vals did not overlap. Subgroup comparisons that are statistically significant are smoke, smoking cessation, school curriculum, minors’ ability to purchase or obtain mentioned in this report. The sampling design does not allow for analysis at the tobacco products, knowledge and attitudes about tobacco, and familiarity with school or district level. pro-tobacco and anti-tobacco media messages.

2011 Connecticut School Health Survey Youth Tobacco Component Report 04 SUMMARY OF RESULTS Prevalence of Use High School In Connecticut, 40.8% of students have ever used any form of tobacco. ix Lifetime Tobacco Use Nationwide, the rate is 46%. In Connecticut, male students (46.2%) are Middle and high school students were asked about their lifetime use significantly more likely than female students (35.1%) to have ever used (i.e., ever use) of cigarettes, cigars, smokeless tobacco, bidis, and kreteks. any form of tobacco. Ever tobacco use is significantly higher in grade Cigarettes are the most prevalent form of tobacco ever used, followed by 12 (48.8%) than in grade 9 (31.2%). Among ever users, cigarettes are cigars and smokeless tobacco. the most prevalent form of tobacco used (33.4%). Nationwide, the rate is 39.6%. Among Connecticut students, cigars are the second most prevalent form of tobacco used (26%). Nationwide, the rate is 28.3%. In Middle School Connecticut, male students (35.6%) are significantly more likely than In Connecticut, 12% of students have ever used any form of tobacco. female students (15.9%) to have ever smoked cigars. White students Nationwide, the rate is significantly higher (19.9%). In Connecticut, (29.8%) are significantly more likely than black students (15.8%) to have Hispanic students (20%) are significantly more likely than white students ever smoked cigars. Ever cigar use is significantly higher in grade 11 (9.8%) to have ever used any form of tobacco. Ever tobacco use is signifi- (23.9%) and 12 (34%) than in grade 9 (17.5%). Smokeless tobacco is the cantly higher in grades 7 (14.4%) and 8 (16.6%) than in grade 6 (4.7%). third most prevalent form of tobacco used (10.8%). Nationwide, the rate Among ever users, cigarettes are the most prevalent form of tobacco is 15.3%. In Connecticut, male students (19.2%) are significantly more used (9.6%). Nationwide, the rate is significantly higher (16.2%). In likely than female students (2.2%) to have ever used smokeless tobacco, Connecticut, Hispanic students (17.7%) are significantly more likely than and white students (12.8%) are significantly more likely than Hispanic white students (7.4%) to have ever smoked cigarettes. Ever cigarette use students (5.6%) to have ever used smokeless tobacco. Bidis are the fourth is significantly higher in grade 7 (11.7%) and 8 (13.6%) than in grade 6 most prevalent form of tobacco used (3.8%). Nationwide, the rate is 4.3%. (3.5%). Cigars are the second most prevalent form of tobacco used (5.6%). In Connecticut, male students (5.7%) are significantly more likely than Nationwide, the rate is significantly higher (9.3%). In Connecticut, male female students (1.9%) to have ever smoked bidis. Lifetime kretek use was students (7.9%) are significantly more likely than female students (3.2%) not analyzed for this report. to have ever smoked cigars. Ever cigar use is significantly higher in grades 7 (6%) and 8 (8.8%) than in grade 6 (1.9%). Smokeless tobacco is the third Current Tobacco Use most prevalent form of tobacco used by students (2.7%). Nationwide, the Students were asked if they had used cigarettes, cigars, smokeless tobacco, rate is significantly higher (5.5%). In Connecticut, ever smokeless tobacco ≥ use is significantly higher in grade 8 (4.6%) than in grade 6 (0.9%). Bidis pipes, or bidis on 1 of the 30 days preceding the survey. Current use of any tobacco product is defined as use of cigarettes or cigars or smoke- are the fourth most prevalent form of tobacco used (2.1%). Nationwide, ≥ the rate is 2.4%. Lifetime kretek use was not analyzed for this report. less tobacco or tobacco in a pipe or bidis on 1 of the 30 days preceding the survey.

ixLifetime_ use was defined by asking a) Ever tried cigarette smoking, even one or two puffs? b) Ever tried smoking cigars, cigarillos, or little cigars, even one or two puffs? c) Ever used chewing tobacco, snuff, or dip, such as Redman,® Levi Garrett,® _Beechnut,® Skoal,® Skoal Bandits,® or Copenhagen®? d) Ever tried smoking any of the following: bidis, kreteks, both, neither?

2011 Connecticut School Health Survey Youth Tobacco Component Report 05 SUMMARY OF RESULTS Middle School In Connecticut, 4.6% of students are current users of any tobacco product. male students (17.8%) are significantly more likely than female students Nationwide, the rate is 7.1%. In Connecticut, students in grade 7 (5.4%) (4.4%) to currently smoke cigars. White students (13.4%) are significantly and 8 (6.7%) are significantly more likely than students in grade 6 (1.5%) more likely than black (6%) and Hispanic (7.2%) students to currently to be current users of any tobacco product. Among current users, cigarettes smoke cigars. Students in grade 12 (15.1%) are significantly more likely are the most prevalent form of tobacco used (2.9%). Nationwide, the rate than students in grade 9 (7.9%) to be current cigar smokers. Smokeless is 4.3%. In Connecticut, students in grade 8 (4%) are significantly more tobacco is the third most prevalent form of tobacco used (5%). likely than students in grade 6 (1%) to currently smoke cigarettes. Cigars Nationwide, the rate is 7.3%. In Connecticut, male students (9.4%) are are the second most prevalent form of tobacco used (2.2%). Nationwide, significantly more likely than female students (0.5%) to currently use the rate is 3.5%. In Connecticut, students in grade 8 (4%) are signifi- smokeless tobacco. Tobacco in a pipe is the fourth most prevalent form cantly more likely than students in grade 6 (0.5%) to currently smoke of tobacco used (2.5%). Nationwide, the rate is significantly higher (4%). cigars. Smokeless tobacco is the third most prevalent form of tobacco used In Connecticut, male students (4.5%) are significantly more likely than (1.6%). Nationwide, the rate is 2.2%. In Connecticut, students in grade female students (0.4%) to report that they smoke tobacco in a pipe. Bidis 8 (2.7%) are significantly more likely than students in grade 6 are the fifth most prevalent form of tobacco used (1.9%). Nationwide, the (0.6%) to currently use smokeless tobacco. Bidis are the fourth most rate is 2%. In Connecticut, male students (3%) are significantly more likely prevalent form of tobacco used (1.4%). Nationwide, the rate is 1.7%. In than female students (0.8%) to currently smoke bidis. Connecticut, pipes are the fifth most prevalent form of tobacco used (1.1%). x Nationwide, the rate is 2.2%. Age of Initiation of Cigarette Use

High School High School In Connecticut, 19.9% of students are current users of any tobacco In Connecticut, 6.7% of ever cigarette smokers smoked their first whole product. Nationwide, the rate is 23.2%. In Connecticut, male students cigarette before age 11 years. Black students (14.4%) are significantly more (25.8%) are significantly more likely than female students (13.8%) to likely than white students (3.6%) to have smoked a whole cigarette before be current users of any tobacco product. White students (22.6%) are age 11 years. Students in grades 9 (12.3%) and 10 (8.4%) are significantly significantly more likely than black students (11.3%) to currently use any more likely than students in grade 12 (1.9%) to have smoked a whole tobacco product. Students in grade 12 (26.6%) are significantly more cigarette before age 11 years. likely than students in grades 9 (15%) and 10 (17.5%) to currently use tobacco. Among current users, cigarettes are the most prevalent form of tobacco used (14%). Nationwide, the rate is 15.8%. In Connecticut, white students (15.5%) are significantly more likely than black students (7.8%) to currently smoke cigarettes. Cigars are the second most prevalent form of tobacco used (11.3%). Nationwide, the rate is 11.6%. In Connecticut,

xAge of initiation was determined by asking, “How old were you when you smoked a whole cigarette for the first time?”

2011 Connecticut School Health Survey Youth Tobacco Component Report 06 SUMMARY OF RESULTS Established Cigarette Use Middle School Frequent Use of Cigarettesxi In Connecticut, 18.2% of students who have never smoked cigarettes were classified as susceptible to initiating cigarette smoking in the next High School year. Nationwide, the rate is significantly higher (22.5%). In Connecticut, In Connecticut, 5% of students frequently smoke cigarettes. Nationwide, susceptibility increases significantly by grade from 11.5% in grade 6 to 17.7% the rate is 5.5%. In Connecticut, male students (6.9%) are significantly in grade 7 to 26.2% in grade 8. more likely than female students (2.9%) to report frequent cigarette smok- High School ing. Students in grade 12 (9.2%) are significantly more likely than students in grades 9 (3.4%) and 10 (2.9%) to frequently smoke cigarettes. Among In Connecticut, 23% of students who have never smoked cigarettes were current cigarette smokers, 35.7% smoke frequently. Nationwide, the rate classified as susceptible to initiating cigarette smoking in the next year. is 35.6%. In Connecticut, current smokers in grade 12 (53.6%) are signifi- Nationwide, the rate is 24.2%. In Connecticut, white students (25.3%) cantly more likely than those in grade 10 (22.3%) to be frequent cigarette are significantly more likely than black (15.9%) and Hispanic (16.4%) smokers. students to be susceptible to starting smoking.

Smoking Susceptibilityxii Age and Access

Susceptibility Among Never Cigarette Smokers Acquiring Cigarettes and Proof of Age

Proof of Age Required to Purchase Cigarettes Never cigarette smokers were classified as not susceptible to smoking High School cigarettes if they responded that a) they would not smoke a cigarette soon; and b) they would definitely not smoke a cigarette in the next year; and In Connecticut, 53.1% of current cigarette smokers were asked to show c) they would definitely not smoke if their closest friend offered them a proof of age when buying cigarettes in a store during the 30 days preceding cigarette. All other students were classified as susceptible to initiating the survey. cigarette smoking in the next year.

xi Frequent cigarette use was defined as having smoked cigarettes on ≥20 of the 30 days preceding the survey. xii This definition of susceptibility was developed by Pierce and colleagues (Pierce JP, Choi WS, Gilpin EA, Farkas AJ, Berry CC. Tobacco industry promotion of cigarettes and adolescent smoking. JAMA 1998;279:511-5.)

2011 Connecticut School Health Survey Youth Tobacco Component Report 07 SUMMARY OF RESULTS Refused Purchase Because of Age Secondhand Smoke

High School Exposure to Tobacco Smoke xiii In Connecticut, 45.8% of current cigarette smokers under age 18 years Were in Same Room With Someone Who Was Smoking were refused purchase of cigarettes because of their age during the 30 days preceding the survey. on ≥1 of Preceding 7 Days Cessation Middle School In Connecticut, 35.7% of students were in the same room with someone Cessation Attempts and Desire to Stop who was smoking cigarettes on ≥1 of the preceding 7 days. High School Tried to Quit Smoking Cigarettes In Connecticut, 48.1% of students were in the same room with someone who was smoking cigarettes on ≥1 of the preceding 7 days. High School In Connecticut, 57.2% of current cigarette smokers tried to quit smoking cigarettes one or more times during the 12 months preceding the survey. Nationwide, the rate is 49.2%.

Want to Stop Smoking Cigarettes

Middle School In Connecticut, 41.2% of current cigarette smokers want to stop smoking cigarettes. Nationwide, the rate is 37.9%. In Connecticut, current cigarette smokers in grade 7 (63.8%) are significantly more likely than those in grade 8 (24%) to want to stop smoking cigarettes.

High School In Connecticut, 47.6% of current cigarette smokers want to stop smoking cigarettes. Nationwide, the rate is 43.4%.

xiii13.2% of high school students who are under age 18 years currently smoke cigarettes (must be ≥18 years of age to legally purchase or possess cigarettes in Connecticut)

2011 Connecticut School Health Survey Youth Tobacco Component Report 08 SUMMARY OF RESULTS Rode in Car with Someone Who Was Smoking on ≥1 of Preceding 7 Days Breathed the Smoke from Someone Who was Smoking in a Public Place on ≥1 of Preceding 7 Days Middle School In Connecticut, 22.2% of students rode in a car with someone who was Middle School smoking cigarettes on ≥1 of the preceding 7 days. Nationwide, the rate is In Connecticut, 34.6% of students breathed the smoke from someone who 25.2%. was smoking a tobacco product in a public place on ≥1 of the preceding 7 days. Nationwide, the rate is 37.2%. High School In Connecticut, 31% of students rode in a car with someone who was High School smoking cigarettes on ≥1 of the preceding 7 days. Nationwide, the rate is In Connecticut, 47.1% of students breathed the smoke from someone who 33.8%. was smoking a tobacco product in a public place on ≥1 of the preceding 7 days. Nationwide, the rate is 44.3%. In Connecticut, female students Breathed the Smoke from Someone Who was Smoking at their (53.1%) are significantly more likely than male students (41.1%) to have School on ≥1 of Preceding 7 Days breathed the smoke from someone who was smoking a tobacco product in Middle School a public place. In Connecticut, 8.5% of students breathed the smoke from someone ≥ who was smoking a tobacco product at their school on 1 of the Exposure to Tobacco Smoke at Home preceding 7 days. Nationwide, the rate is significantly higher (17.9%). In Connecticut, Hispanic students (12.8%) are significantly more likely than Anyone at Home Smokes Cigarettes white students (7.2%) to have been exposed to tobacco at their school. Middle School High School In Connecticut, 26.5% of students live in a home where someone smokes In Connecticut, 24.9% of students breathed the smoke from someone who cigarettes. Nationwide, the rate is 31%. was smoking a tobacco product at their school on ≥1 of the preceding 7 days. Nationwide, the rate is 31.6%. High School In Connecticut, 30.2% of students live in a home where someone smokes cigarettes. Nationwide, the rate is 33.6%.

2011 Connecticut School Health Survey Youth Tobacco Component Report 09 SUMMARY OF RESULTS During 2000-2011, a significant decrease (31.7%-9.6%) occurred in the Were at Home with Someone Who was Smoking on ≥1 of Preceding percentage of students who have ever smoked cigarettes. Overall, the 7 Days prevalence of ever cigarette smoking decreased significantly among male (33.3%-11.1%), female (29.9%-7.9%), white (28%-7.4%), black (43.2%- Middle School 12%), and Hispanic (39.9%-17.7%) students. In Connecticut, 16.9% of students were at home when someone smoked a tobacco product on ≥1 of the preceding 7 days. Nationwide, the rate is During 2000-2011, a significant decrease (19.6%-5.6%) occurred in significantly higher (24.7%). the percentage of students who have ever smoked cigars. Overall, the prevalence of ever cigar smoking decreased significantly among male (22.3%-7.9%), female (16.6%-3.2%), white (18.3%-4.7%), black (21.1%- High School 5.2%), and Hispanic (23.6%-10.1%) students. In Connecticut, 20.5% of students were at home when someone smoked a tobacco product on ≥1 of the preceding 7 days. Nationwide, the rate is During 2000-2011, a significant decrease (7.7%-2.7%) occurred in the significantly higher (28.1%). percentage of students who have ever used smokeless tobacco. Overall, the prevalence of ever smokeless tobacco use decreased significantly among male (9.6%-3.6%), female (5.5%-1.7%), white (7.2%-2.7%), black (10.4%- 2.6%), and Hispanic (5.1%-3.2%) students. Trends (2000-2011) High School Prevalence of Use During 2000-2011, a significant decrease (67.9%-40.8%) occurred in the percentage of students who have ever used any form of tobacco. Over- Lifetime Tobacco Use Trends all, the prevalence of ever tobacco use decreased significantly among Middle School male (71.2%-46.2%), female (64.9%-35.1%), white (68.1%-41.7%), black (70.2%-35.9%), and Hispanic (68.9%-45.1%) students. During 2000-2011, a significant decrease (39.8%-12%) occurred in the percentage of students who have ever used any form of tobacco. Over- all, the prevalence of ever tobacco use decreased significantly among male (42.3%-14.4%), female (37%-9.3%), white (36.2%-9.8%), black (53.9%- 14.3%), and Hispanic (43.9%-20%) students.

2011 Connecticut School Health Survey Youth Tobacco Component Report 10 SUMMARY OF RESULTS During 2000-2011, a significant decrease (63%-33.4%) occurred in the High School percentage of students who have ever smoked cigarettes. Overall, the During 2000-2011, a significant decrease (32.4%-19.9%) occurred in the prevalence of ever cigarette smoking decreased significantly among male percentage of students who currently use any form of tobacco. Overall, (64.3%-35.3%), female (61.9%-31.6%), white (63.7%-32.8%), black the prevalence of current tobacco use decreased significantly among male (61.1%-30.9%), and Hispanic (64.1%-42%) students. (35.3%-25.8%), female (29.2%-13.8%), white (34.4%-22.6%), and black (21.4%-11.3%) students. During 2000-2011, a significant decrease (43%-26%) occurred in the percentage of students who have ever smoked cigars. Overall, the prevalence During 2000-2011, a significant decrease (25.6%-14%) occurred in the of ever cigar smoking decreased significantly among male (52.6%-35.6%), percentage of students who currently smoke cigarettes. Overall, the prev- female (33.5%-15.9%), white (46.6%-29.8%), black (30.7%-15.8%), and alence of current cigarette smoking decreased significantly among male Hispanic (37.6%-21.8%) students. (24.9%-16.1%), female (26%-11.8%), and white (27.6%-15.5%) students.

During 2000-2011, a significant decrease (7.2%-2.2%) occurred in the Age of Initiation of Cigarette Use prevalence of ever smokeless tobacco use among female students. Smoked First Whole Cigarette Before Age 11 Years Trends Current Tobacco Use Trends High School Middle School During 2000-2011, the prevalence of having smoked their first whole During 2000-2011, a significant decrease (13.1%-4.6%) occurred in the cigarette before age 11 years decreased significantly among white students percentage of students who currently use any form of tobacco. Overall, (9.2%-3.6%). the prevalence of current tobacco use decreased significantly among male (14.1%-5.1%), female (11.9%-3.9%), white (10.8%-3.8%), and black (20.1%-4.4%) students. During 2000-2011, a significant decrease (9.8%-2.9%) occurred in the percentage of students who currently smoke cigarettes. Overall, the prevalence of current cigarette smoking decreased significantly among male (9.7%-3.1%), female (9.8%-2.7%), and white (8.6%-2.2%) students. During 2000-2011, a significant decrease (6.1%-2.2%) occurred in the percentage of students who currently smoke cigars. Overall, the prevalence of current cigar smoking decreased significantly among male (7.3%-2.8%), female (4.7%-1.6%), white (4.6%-1.5%), and black (10.8%-2.3%) students.

2011 Connecticut School Health Survey Youth Tobacco Component Report 11 SUMMARY OF RESULTS Established Cigarette Use High School Frequent Use of Cigarettes Trends During 2000-2011, a significant decrease (70.2%-48.1%) occurred in the percentage of students who were in the same room with someone who was High School smoking cigarettes on ≥1 of the preceding 7 days. Overall, the prevalence During 2000-2011, a significant decrease (12.3%-5%) occurred in the of being in the same room with someone who was smoking cigarettes percentage of students who frequently smoke cigarettes. Overall, the decreased significantly among male (68.5%-44.7%), female (72.1%-51.5%), prevalence of frequent cigarette smoking decreased significantly among white (72.7%-50.9%), black (61.8%-36.8%), and Hispanic (65.1%-46.3%) female (12.6%-2.9%) and white (14.2%-5.9%) students. students. Smoking Susceptibility Rode in Car with Someone Who was Smoking on ≥1 of Preceding 7 Days Susceptibility Among Never Cigarette Smokers Trends Middle School Middle School During 2000-2011, a significant decrease (39.5%-22.2%) occurred in the During 2000-2011, a significant decrease (27.3%-18.2%) occurred in percentage of students who rode in a car with someone who was smoking the percentage of never smokers who were susceptible to initiating ciga- cigarettes on ≥1 of the preceding 7 days. Overall, the prevalence of riding rette smoking in the next year. Overall, the prevalence of susceptibility to in a car with someone who was smoking cigarettes decreased significantly starting cigarette smoking decreased significantly among male (25.4%- among male (37.6%-19.4%), female (41.5%-24.8%), white (38%-21.3%), 19%), female (29.1%-17.2%), and white (28.6%-17.9%) students. and Hispanic (48.3%-26.4%) students. Secondhand Smoke Exposure to Tobacco Smoke Trends Were in Same Room with Someone Who was Smoking on ≥1 of Preceding 7 Days

Middle School During 2000-2011, a significant decrease (54.6%-35.7%) occurred in the percentage of students who were in the same room with someone who was smoking cigarettes on ≥1 of the preceding 7 days. Overall, the prevalence of being in the same room with someone who was smoking cigarettes decreased significantly among male (51.8%-34.5%), female (57.5%- 36.7%), white (55.7%-36.2%), and Hispanic (54.2%-39.8%) students.

2011 Connecticut School Health Survey Youth Tobacco Component Report 12 SUMMARY OF RESULTS High School During 2000-2011, a significant decrease (51.2%-31%) occurred in the percentage of students who rode in a car with someone who was smoking cigarettes on ≥1 of the preceding 7 days. Overall, the prevalence of riding in a car with someone who was smoking cigarettes decreased significantly among male (49%-29.7%), female (53.6%-32.6%), white (52.2%-32.1%), black (45.7%-24.1%), and Hispanic (54.3%-34.3%) students.

Exposure to Tobacco Smoke at Home Trends

Anyone at Home Smokes Cigarettes

Middle School During 2000-2011, a significant decrease (41.1%-30.2%) occurred in the percentage of students who live with someone who smokes cigarettes. Overall, the prevalence of living with someone who smokes cigarettes decreased significantly among male (42.7%-27.7%), white (38.5%-29.9%), black (48.8%-27.2%), and Hispanic (49.9%-35.7%) students.

High School During 2000-2011, a significant decrease (39.9%-26.5%) occurred in the percentage of students who live with someone who smokes cigarettes. Overall, the prevalence of living with someone who smokes cigarettes decreased significantly among male (38.2%-24.8%), female (41.6%- 28.1%), white (37.4%-25.5%), and black (48.9%-26%) students.

2011 Connecticut School Health Survey Youth Tobacco Component Report 13 Demographics DEMOGRAPHICS OF CT MIDDLE SCHOOL RESPONDENTS

14 years old or older 21.3%

12 years old male female or younger 51.2% 48.8% 45.4%

13 years old 33.3%

other 4.2%

Hispanic or Latino 15.8% grade 6 grade 8 32.5% 34.0%

black, non-Hispanic white, 13.3% non-Hispanic 66.7%

grade 7 33.5%

2011 Connecticut School Health Survey Youth Tobacco Component Report 14 DEMOGRAPHICS OF CT HIGH SCHOOL RESPONDENTS

14 years old 18 years old or younger or older 11.6% 13.0%

15 years old 17 years old male female 26.3% 24.1% 51.3% 48.7%

16 years old 25.0%

other 3.5% Hispanic or Latino grade 9 grade 12 14.8% 27.5% 23.3%

black, white, non-Hispanic non-Hispanic 13.9% 67.8%

grade 10 grade 11 25.1% 24.1%

2011 Connecticut School Health Survey Youth Tobacco Component Report 15

Lifetime Tobacco Use Ever Tobacco Use 100 Students who have ever used any form of tobacco by gender, race/ethnicity, and school type { In Connecticut, 12% of middle school and 40.8% of high school students have ever used any form of tobacco* (i.e., ever tobacco use) 80 middle school

high school { The prevalence of ever tobacco use is significantly higher among US (19.9%) than among CT (12%) middle school students (US data not shown on graphs) 60

46.2

percent 45.1 { Nationwide, 46% of high school students have ever used tobacco (data not 41.7 40.8 40 shown on graphs) 35.1 35.9

{ 20.0 Overall for CT middle school students, the prevalence of ever tobacco use: 20 14.4 14.3 12.0 { Does not vary significantly by gender 9.3 9.8 { Is significantly higher among Hispanic (20%) than among white (9.8%) students 0 male female white, black, Hispanic total { Is significantly higher in grades 7 (14.4%) and 8 (16.6%) than in grade 6 non- non- or Latino (4.7%) Hispanic Hispanic

{ Overall for CT high school students, the prevalence of ever tobacco use: 100 Students who have ever used any form of tobacco by grade { Is significantly higher among male (46.2%) than among female (35.1%) students { Does not vary significantly by race/ethnicity 80 { Is significantly higher in grade 12 (48.8%) than in grade 9 (31.2%)

48.8

percent 43.7 40.7 40 31.2

20 16.6 14.4

4.7

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 *includes cigarettes, cigars, smokeless tobacco, bidis, and kreteks (clove cigarettes) only

2011 Connecticut School Health Survey Youth Tobacco Component Report 16 Ever Cigarette Smoking 100 Students who have ever tried cigarette smoking by gender, race/ethnicity, and school type { In Connecticut, 9.6% of middle school and 33.4% of high school students have ever tried cigarette smoking, even one or two puffs (i.e., ever cigarette smoking) 80 middle school

high school { The prevalence of ever cigarette smoking is significantly higher among US (16.2%) than among CT (9.6%) middle school students (US data not shown 60 on graphs)

percent 42.0 40 { Nationwide, 39.6% of high school students have ever smoked cigarettes (data not 35.3 32.8 33.4 shown on graphs) 31.6 30.9

20 17.7 { Overall for CT middle school students, the prevalence of ever cigarette smoking: 12.0 11.1 9.6 7.9 { Does not vary significantly by gender 7.4

{ Is significantly higher among Hispanic (17.7%) than among white (7.4%) 0 students male female white, black, Hispanic total non- non- or Latino { Is significantly higher in grades 7 (11.7%) and 8 (13.6%) than in grade 6 Hispanic Hispanic (3.5%)

Students who have ever tried cigarette smoking 100 { Overall for CT high school students, the prevalence of ever cigarette smoking by grade does not vary significantly by gender, race/ethnicity, or grade (grades 9-12)

percent

40 37.8 35.2 35.0

26.9

20 13.6 11.7

3.5

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 17 Students who have ever tried cigar smoking Ever Cigar Smoking 50 by gender, race/ethnicity, and school type { In Connecticut, 5.6% of middle school and 26% of high school students have ever tried smoking cigars, cigarillos, or little cigars (i.e., ever cigar smoking) 40 middle school 35.6 { The prevalence of ever cigar smoking is significantly higher among US (9.3%) high school 29.8 than among CT (5.6%) middle school students (US data not shown on graphs) 30 26.0

{ Nationwide, 28.3% of high school students have ever smoked cigars (data not percent 21.8 shown on graphs) 20 15.9 15.8

{ 10.1 Overall for CT middle school students, the prevalence of ever cigar smoking: 10 7.9 { Is significantly higher among male (7.9%) than among female (3.2%) 4.7 5.2 5.6 students 3.2

{ Does not vary significantly by race/ethnicity 0 male female white, black, Hispanic total { Is significantly higher in grades 7 (6%) and 8 (8.8%) than in grade 6 non- non- or Latino (1.9%) Hispanic Hispanic

{ Overall for CT high school students, the prevalence of ever cigar smoking: 50 Students who have ever tried cigar smoking by grade { Is significantly higher among male (35.6%) than among female (15.9%) students { Is significantly higher among white (29.8%) than among black (15.8%) 40 students 34.0 { Is significantly higher in grades 11 (29.3%) and 12 (34%) than in grade 9 29.3 (17.5%) 30 24.7

percent

20 17.5

10 8.8 6.0

1.9

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 18 Ever Smokeless Tobacco Use 50 Students who have ever tried smokeless tobacco by gender, race/ethnicity, and school type { In Connecticut, 2.7% of middle school and 10.8% of high school students have ever tried chewing tobacco, snuff, or dip (e.g., Redman®, Levi Garrett®, Beechnut®, Skoal®, Skoal Bandits®, or Copenhagen®), even just one time in their entire life 40 middle school (i.e., ever smokeless tobacco use) high school

30 { The prevalence of ever smokeless tobacco use is significantly higher among US (5.5%) than among CT (2.7%) middle school students (US data not shown on graphs) percent 20 19.2

{ Nationwide, 15.3% of high school students have ever used smokeless tobacco 12.8 10.8 (data not shown on graphs) 10 7.5 5.6 3.6 2.2 2.7 2.6 3.2 2.7 { Overall for CT middle school students, the prevalence of ever smokeless tobacco 1.7 use: 0 male female white, black, Hispanic total { Does not vary significantly by gender or race/ethnicity non- non- or Latino Hispanic Hispanic { Is significantly higher in grade 8 (4.6%) than in grade 6 (0.9%)

50 Students who have ever tried smokeless tobacco { Overall for CT high school students, the prevalence of ever smokeless tobacco by grade use: { Is significantly higher among male (19.2%) than among female (2.2%) students 40 { Is significantly higher among white (12.8%) than among Hispanic (5.6%) students 30 { Does not vary significantly by grade (grades 9-12) percent

12.5 13.4

10 8.9 9.0

4.6 2.6 0.9 0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 19 Ever Bidi Smoking 50 Students who have ever tried bidi smoking by gender, race/ethnicity, and school type { In Connecticut, 2.1% of middle school and 3.8% of high school students have ever tried bidi* smoking (i.e., ever bidi smoking) 40 middle school

high school { Nationwide, 2.4% of middle school and 4.3% of high school students have ever tried bidi smoking (data not shown on graphs) 30

{ Overall for CT middle school students, the prevalence of ever bidi smoking does percent not vary significantly by gender, race/ethnicity, or grade (grades 6-8) 20

{ Overall for CT high school students, the prevalence of ever bidi smoking: 10 5.7 { Is significantly higher among male (5.7%) than among female (1.9%) 4.5 5.4 3.2 3.3 3.0 3.8 students 2.4 1.6 1.9 1.5 2.1 { Does not vary significantly by race/ethnicity or grade (grades 9-12) 0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Students who have ever tried bidi smoking by grade

30 percent

4.3 4.0 3.6 2.5 2.8 3.2 0.9 0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 *brown, leaf-wrapped cigarettes made primarily in India, which are available in different flavors, such as chocolate and cherry

2011 Connecticut School Health Survey Youth Tobacco Component Report 20 Ever Use of Other Tobacco Products 50 High school students who have ever used avored cigarettes, roll your own cigarettes, e-cigarettes, or water pipes { In Connecticut, 10.9% of high school students have ever tried smoking flavored by gender cigarettes. The prevalence of having ever smoked flavored cigarettes does not vary significantly yb gender or grade 40 male { Nationwide, 15.1% of high school students have ever tried smoking flavored female

cigarettes (data not shown on graphs) 30 total { In Connecticut, 9.5% of high school students have ever rolled their own cigarettes. The prevalence of having ever rolled their own cigarettes does not vary percent significantly yb gender or grade 20

{ Nationwide, 10.3% of high school students have ever rolled their own cigarettes 12.6 11.9 10.9 10.8 (data not shown on graphs) 9.8 10 8.9 9.5 9.0 8.8 6.9 6.9 { In Connecticut, 6.9% of high school students have ever tried smoking electronic 4.7 cigarettes (e-cigarettes). The prevalence of having ever smoked e-cigarettes: 0 { Does not vary significantly by gender avored cigarettes roll your own cigarettes e-cigarettes water pipe or hookah

{ Is significantly higher in grade 12 (9.6%) than in grade 9 (3.6%)

{ Nationwide, 4.5% of high school students have ever tried smoking e-cigarettes Students who have ever used avored cigarettes, (data not shown on graphs) 50 roll your own cigarettes, e-cigarettes, or water pipes by grade { In Connecticut, 9.8% of high school students have ever tried smoking tobacco in a water pipe or hookah.* The prevalence of having ever smoked tobacco in a avored cigarettes water pipe: 40 roll your own cigarettes e-cigarettes { Does not vary significantly by gender water pipe or hookah 30 { Is significantly higher in grades 10 (9.3%), 11 (12%), and 12 (16.4%) than in grade 9 (2.8%) percent

{ 20 Nationwide, 11.3% of high school students have ever tried smoking tobacco in a 16.4 water pipe (data not shown on graphs) 11.9 12.2 11.9 12.0 *Also known as narghile, shisha, or goza, a hookah is a water pipe with a smoke chamber, a 10.5 bowl, a pipe, and a hose. Specially made tobacco is heated, and the smoke passes through water 10 8.0 9.4 11.2 9.3 9.6 and is then drawn through a rubber hose to a mouthpiece. Tobacco is no less toxic in a hookah 7.0 8.3 6.7 pipe than in cigarettes, and the water in the hookah does not filter out the toxic ingredients in 3.6 the tobacco smoke. Hookah smokers may actually inhale more tobacco smoke than cigarette 2.8 smokers do because of the large volume of smoke they inhale in one smoking session, which can 0 last as long as 60 minutes. Hookah smoke contains high levels of toxic compounds, including grade 9 grade 10 grade 11 grade 12 tar, carbon monoxide, heavy metals, and cancer-causing chemicals (carcinogens). Hookah smokers are exposed to more carbon monoxide and smoke than are cigarette smokers.

2011 Connecticut School Health Survey Youth Tobacco Component Report 21 Ever Use of Other Tobacco Products, continued 50 High school students who have ever used avored little cigars, snus, clove cigars, or dissolvable tobacco products { In Connecticut, 11.5% of high school students have ever tried smoking flavored by gender little cigars. The prevalence of having ever smoked flavored little cigars: 40 { Is significantly higher among male (15%) than among female (7.5%) students male { Is significantly higher in grades 10 (11.8%), 11 (12.9%), and 12 (17.6%) female than in grade 9 (4.3%) 30 total { Nationwide, 13.5% of high school students have ever tried smoking flavored

little cigars (data not shown on graphs) percent { In Connecticut, 6.7% of high school students have ever tried snus.* The prevalence 20 of having ever used snus: 15.0 11.5 { Is significantly higher among male (10.4%) than among female (2.9%) 10.4 10 students 7.5 6.7 5.5 3.8 { Does not vary significantly by grade 2.9 1.9 1.2 0.3 0.7 { Nationwide, 7.5% of high school students have ever tried snus (data not shown 0 on graphs) avored little cigars snus clove cigars dissolvables { In Connecticut, 3.8% of high school students have ever tried smoking clove cigars. The prevalence of having ever smoked clove cigars: { Is significantly higher among male (5.5%) than among female (1.9%) students 50 Students who have ever used avored little cigars, snus, clove cigars, or dissolvable tobacco products { Does not vary significantly by grade by grade avored little cigars { Nationwide, 3.3% of high school students have ever tried smoking clove cigars 40 snus (data not shown on graphs) clove cigars { In Connecticut, 0.7% of high school students have ever tried using dissolvable dissolvables tobacco products.** The prevalence of having ever used dissolvable tobacco 30 products does not vary significantly by gender or grade

{ Nationwide, 1% of high school students have ever tried using dissolvable tobacco percent

products (data not shown on graphs) 20 17.6 *Teabag-like packets containing moist ground tobacco and other flavorings that the user places between the 12.9 upper gum and lip (e.g., Swedish Match General Snus,® Camel Snus Frost,® and Marlboro Snus Spice®). 11.8 Product does not require spitting. 9.7 **Unlike ordinary chewing tobacco, these products are designed to dissolve in the mouth. They are smoke- 10 8.6 less, spit-free, made from finely milled tobacco held together by food-grade binders, and are marketed as 5.5 4.3 5.8 “a convenient alternative to cigarettes” (e.g., Camel® Sticks, Strips, and Orbs). They resemble candy and gum 2.9 3.9 3.9 and come in “fresh” (mint) and “mellow” (original) flavors. Orbs are pellets of ground tobacco resembling 2.8 0.3 Tic Tacs.® Strips are opaque, flat sheets of ground tobacco that work like dissolvable breath strips. Sticks are 1.0 1.5 0.1 thin pieces of ground tobacco that resemble toothpicks and can be placed in the mouth whole or broken into 0 pieces. Additionally, hard snuff is dissolvable tablets of tobacco that users put between their cheek and gum, grade 9 grade 10 grade 11 grade 12 and should not chew or swallow (e.g., Ariva® and Stonewall®). These products appeal to kids because they are easy to conceal, carry the name of youth-popular cigarette brands, and come in candy-like forms and flavors.

2011 Connecticut School Health Survey Youth Tobacco Component Report 22 Current Tobacco Use Current Tobacco Use 50 Students who used some form of tobacco in the past 30 days by gender, race/ethnicity, and school type { In Connecticut, 4.6% of middle school and 19.9% of high school students used some form of tobacco* on at least 1 day during the 30 days before the survey (i.e., current tobacco use) 40 middle school high school

{ Nationwide, 7.1% of middle school and 23.2% of high school students currently 30 use tobacco (data not shown on graphs) 25.8

percent 22.6 19.9 20 { Overall for CT middle school students, the prevalence of current tobacco use: 17.5 { Does not vary significantly by gender or race/ethnicity 13.8 11.3 { Is significantly higher in grades 7 (5.4%) and 8 (6.7%) than in grade 6 10 8.1 (1.5%) 5.1 3.9 3.8 4.4 4.6

{ Overall for CT high school students, the prevalence of current tobacco use: 0 male female white, black, Hispanic total { Is significantly higher among male (25.8%) than among female (13.8%) non- non- or Latino students Hispanic Hispanic { Is significantly higher among white (22.6%) than among black (11.3%) students 50 Students who used some form of tobacco in the past 30 days { Is significantly higher in grade 12 (26.6%) than in grades 9 (15%) and 10 by grade (17.5%)

30 26.6

percent 21.6

20 17.5 15.0

10 6.7 5.4

1.5

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 *includes cigarettes, cigars, smokeless tobacco, pipes, and bidis only

2011 Connecticut School Health Survey Youth Tobacco Component Report 23 Current Cigarette Smoking 50 Students who smoked cigarettes in the past 30 days by gender, race/ethnicity, and school type { In Connecticut, 2.9% of middle school and 14% of high school students smoked cigarettes on at least 1 day during the 30 days before the survey (i.e., current cigarette smoking) 40 middle school

high school

{ Nationwide, 4.3% of middle school and 15.8% of high school students currently 30 smoke cigarettes (data not shown on graphs)

percent { Overall for CT middle school students, the prevalence of current cigarette smoking: 20 16.1 15.5 { Does not vary significantly by gender or race/ethnicity 14.1 14.0 11.8 { Is significantly higher in grade 8 (4%) than in grade 6 (1%) 10 7.8 6.0 3.1 2.7 2.5 2.9 { Overall for CT high school students, the prevalence of current cigarette smoking: 2.2 0 { Does not vary significantly by gender or grade (grades 9-12) male female white, black, Hispanic total non- non- or Latino { Is significantly higher among white (15.5%) than among black (7.8%) Hispanic Hispanic students

50 Students who smoked cigarettes in the past 30 days by grade

30 percent

20 17.1 15.1 13.0 11.5 10

3.8 4.0 1.0 0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 24 Students who smoked cigars in the past 30 days Current Cigar Smoking 50 by gender, race/ethnicity, and school type { In Connecticut, 2.2% of middle school and 11.3% of high school students smoked cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey (i.e., current cigar smoking) 40 middle school high school

{ Nationwide, 3.5% of middle school and 11.6% of high school students currently 30 smoke cigars (data not shown on graphs)

percent 20 { Overall for CT middle school students, the prevalence of current cigar smoking: 17.8

{ Does not vary significantly by gender or race/ethnicity 13.4 11.3 { Is significantly higher in grade 8 (4%) than in grade 6 (0.5%) 10 7.2 6.0 4.4 5.0 2.8 { Overall for CT high school students, the prevalence of current cigar smoking: 1.6 1.5 2.3 2.2 { 0 Is significantly higher among male (17.8%) than among female (4.4%) male female white, black, Hispanic total students non- non- or Latino Hispanic Hispanic { Is significantly higher among white (13.4%) than among black (6%) and Hispanic (7.2%) students Students who smoked cigars in the past 30 days { Is significantly higher in grade 12 (15.1%) than in grade 9 (7.9%) 50 by grade

30 percent

20 15.1 12.8 10.2 10 7.9

4.0 2.1 0.5 0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 25 Current Smokeless Tobacco Use 50 Students who used smokeless tobacco in the past 30 days by gender, race/ethnicity, and school type { In Connecticut, 1.6% of middle school and 5% of high school students used chewing tobacco, snuff, or dip (e.g., Redman®, Levi Garrett®, Beechnut®, Skoal®, Skoal Bandits®, or Copenhagen®) on at least 1 day during the 30 days before the 40 middle school survey (i.e., current smokeless tobacco use) high school

30 { Nationwide, 2.2% of middle school and 7.3% of high school students currently use smokeless tobacco (data not shown on graphs) percent

20 { Overall for CT middle school students, the prevalence of current smokeless tobacco use: 9.4 { Does not vary significantly by gender or race/ethnicity 10 6.1 5.0 { Is significantly higher in grade 8 (2.7%) than in grade 6 (0.6%) 2.8 2.7 2.1 1.5 2.2 1.6 1.0 0.5 N/A* 0 { Overall for CT high school students, the prevalence of current smokeless tobacco use: male female white, black, Hispanic total non- non- or Latino { Is significantly higher among male (9.4%) than among female (0.5%) *insucient subgroup size Hispanic Hispanic students

{ Does not vary significantly by race/ethnicity or grade (grades 9-12) Students who used smokeless tobacco in the past 30 days 50 by grade

30 percent

10 5.3 5.5 6.0 2.7 3.4 0.6 1.5 0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 26 Current Pipe Smoking 50 CT and US high school students who smoked tobacco in a pipe in the past 30 days by gender and race/ethnicity { In Connecticut, 2.5% of high school students smoked tobacco in a pipe on at least 1 day during the 30 days before the survey (i.e., current pipe smoking) 40 CT

US { The prevalence of current pipe smoking among middle school students is 1.1% in CT and 2.2% nationwide (data not shown on graphs) 30

{ Overall for CT high school students, the prevalence of current pipe smoking: percent 20 { Is significantly higher among male (4.5%) than among female (0.4%) students

{ Does not vary significantly by race/ethnicity or grade 10 6.3 4.5 5.1 3.5 4.0 2.8 2.4 2.0 2.4 2.5 2.5 { The prevalence of current pipe smoking among high school students: 0.4 0 { Is significantly higher nationwide (4%) than in CT (2.5%) male female white, black, Hispanic total non- non- or Latino { Is significantly higher among US female (2.8%) than among CT female Hispanic Hispanic (0.4%) students { Is significantly higher among US Hispanic (6.3%) than among CT Hispanic (2.5%) students 50 CT and US students who smoked tobacco in a pipe in the past 30 days by grade

40 CT US

30 percent 20

10 5.0 3.9 3.5 3.5 2.3 2.7 2.2 3.0 0 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 27 Students who smoked bidis in the past 30 days Current Bidi Smoking 50 by gender, race/ethnicity, and school type { In Connecticut, 1.4% of middle school and 1.9% of high school students smoked bidis* on at least 1 day during the 30 days before the survey (i.e., current bidi smoking) 40 middle school

high school

{ Nationwide, 1.7% of middle school and 2% of high school students currently 30 smoke bidis (data not shown on graphs)

percent { Overall for CT middle school students, the prevalence of current bidi smoking 20 does not vary significantly by gender, race/ethnicity, or grade (grades 6-8)

10 { Overall for CT high school students, the prevalence of current bidi smoking: 3.4 { Is significantly higher among male (3%) than among female (0.8%) 3.0 2.3 2.4 1.8 1.6 1.7 1.4 1.9 students 0.9 0.8 0.8 0 { Does not vary significantly by race/ethnicity or grade (grades 9-12) male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Students who smoked bidis in the past 30 days by grade

30 percent

1.6 2.0 2.0 1.9 2.0 1.8 0.6 0 *brown, leaf-wrapped cigarettes made primarily in India, which are available in different flavors, grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 such as chocolate and cherry

2011 Connecticut School Health Survey Youth Tobacco Component Report 28

Age of Smoking Initiation Ever Smokers Who First Smoked a Whole Cigarette 50 High school ever smokers who rst smoked a whole cigarette before age 11 years Before Age 11 Years by gender and race/ethnicity

{ In Connecticut, 6.7% of high school ever smokers first smoked a whole cigarette before age 11 years 40

{ Overall, the prevalence of high school ever smokers smoking a whole cigarette 30 before age 11 years:

{ Does not vary significantly by gender percent { Is significantly higher among black (14.4%) than among white (3.6%) 20 students 14.4

{ Is significantly higher in grades 9 (12.3%) and 10 (8.4%) than in grade 12 10.4 10 7.6 (1.9%) 6.7 5.6 3.6

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Ever smokers who rst smoked a whole cigarette before age 11 years by grade

30 percent

12.3

10 8.4 4.9 1.9

0 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 29 Established Cigarette Use High school students who smoked cigarettes on 20 or more of the past 30 days Frequent Cigarette Smoking 100 by gender and race/ethnicity { In Connecticut, 5% of high school students smoked cigarettes on 20 or more days during the 30 days before the survey (i.e., frequent cigarette smoking) 80 all students current cigarette { Nationwide, 5.5% of high school students are frequent cigarette smokers (data smokers not shown on graphs) 60

{ Overall for all CT high school students, the prevalence of frequent cigarette percent 42.8 smoking: 40 38.0 34.4 35.7 { Is significantly higher among male (6.9%) than among female (2.9%) 24.7 students 22.2 20 { Does not vary significantly by race/ethnicity 6.9 { 5.9 5.0 Is significantly higher in grade 12 (9.2%) than in grades 9 (3.4%) and 10 2.9 2.7 3.1 (2.9%) 0 male female white, black, Hispanic total non- non- or Latino { In Connecticut, the prevalence of frequent cigarette smoking among high school Hispanic Hispanic current cigarette smokers is 35.7%

100 Students who smoked cigarettes on 20 or more of the past 30 days { Nationwide, 35.6% of high school current cigarette smokers are frequent cigarette by grade smokers (data not shown on graphs) current cigarette 80 smokers { Overall for CT high school current cigarette smokers, the prevalence of frequent all students cigarette smoking: { 60 Does not vary significantly by gender or race/ethnicity 53.6 { Is significantly higher in grade 12 (53.6%) than in grade 10 (22.3%) percent

40 32.3 29.7

22.3 20

9.2 4.9 3.4 2.9

0 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 30 Smoking Susceptibility Susceptibility to Starting Smoking 50 Never smokers who are susceptible to starting cigarette smoking by gender, race/ethnicity, and school type { In Connecticut, 18.2% of middle school and 23% of high school students who have never smoked cigarettes, even one or two puffs, are susceptible to starting cigarette smoking in the next year 40 middle school high school { Overall for middle school never smokers, the prevalence of susceptibility to 30 starting cigarette smoking: 25.3 23.1 23.3 23.0 { Does not vary significantly by gender or race/ethnicity percent 20.3 19.0 { 20 18.5 18.2 Increases significantly by grade from 11.5% in grade 6 to 17.7% in grade 7 17.2 17.9 to 26.2% in grade 8 15.9 16.4

10 { Overall for high school never smokers, the prevalence of susceptibility to starting cigarette smoking: { Does not vary significantly by gender or grade (grades 9-12) 0 { male female white, black, Hispanic total Is significantly higher among white (25.3%) than among black (15.9%) non- non- or Latino and Hispanic (16.4%) students Hispanic Hispanic

50 Never smokers who are susceptible to starting cigarette smoking by grade

30 26.2 24.9 25.8 percent 20.3 20.3 20 17.7

11.5 10

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 31 Age and Access ID Request High school current smokers who were asked to show proof 100 of age when buying cigarettes in a store in the past 30 days { Among the 14% of high school students who currently smoke cigarettes, 53.1% by gender and race/ethnicity were asked to show proof of age when buying cigarettes in a store during the 30 days before the survey 80

{ The prevalence among high school current smokers of being asked to show proof 60 of age when buying cigarettes in a store does not vary significantly by gender, 53.9 54.9 53.1 50.8 51.6 50.7 race/ethnicity, or grade percent

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

100 Current smokers who were asked to show proof of age when buying cigarettes in a store in the past 30 days by grade

66.4

48.9 46.1 percent

40 33.4

0 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 32 Sale Refusal 100 High school current smokers under age 18 years who were refused sale of cigarettes because of their age when trying to buy cigarettes in a store in the past 30 days { Among the 13.2% of high school students who currently smoke cigarettes and by gender and race/ethnicity are under age 18 years, 45.8% were refused purchase of cigarettes because of their 80 age in the 30 days before the survey*

{ The prevalence of sale refusal among high school current smokers who are under 60 age 18 years does not vary significantly by gender, race/ethnicity, or grade 53.3 48.2 45.8 percent 44.3 42.9 40.0 40

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

100 Current smokers under age 18 years who were refused sale of cigarettes because of their age when trying to buy cigarettes in a store in the past 30 days by grade

63.3 60 53.8 percent

40 29.7 30.6

0 grade 9 grade 10 grade 11 grade 12 *must be ≥18 years of age to legally purchase or possess cigarettes in Connecticut

2011 Connecticut School Health Survey Youth Tobacco Component Report 33

Cessation Tried to Quit Smoking Cigarettes 100 CT and US high school current cigarette smokers who tried to quit smoking one or more times in the past 12 months { In Connecticut, 57.2% of high school students who currently smoke cigarettes by gender and race/ethnicity tried to quit smoking one or more times during the 12 months before the survey CT 80 US { Overall for CT high school current smokers, the prevalence of having tried to 61.7 quit smoking at least once does not vary significantly by gender, race/ethnicity, or 60 59.6 55.5 57.2 55.6 57.2 grade 52.1 53.6 49.4 49.2 47.6

percent 44.6 { Among high school current smokers, the prevalence of having tried to quit smoking 40 at least once: { Is significantly higher among CT Hispanic (61.7%) than among US Hispanic (44.6%) students 20 { Is significantly higher in grade 12 among CT (63.1%) than among US (43.9%) students 0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

100 CT and US high school current cigarette smokers who tried to quit smoking one or more times in the past 12 months by grade CT 80 US

63.1

60 55.9 55.8 52.2 55.1 52.2 percent 47.5 40 43.9

0 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 34 Current smokers who want to stop smoking cigarettes Want to Stop Smoking Cigarettes 100 by gender, race/ethnicity, and school type { In Connecticut, 41.2% of middle school and 47.6% of high school students who currently smoke cigarettes want to stop smoking cigarettes 80 middle school

{ Nationwide, 37.9% of middle school and 43.4% of high school students who high school 63.3 currently smoke cigarettes want to stop smoking cigarettes (data not shown on 60.2 60 57.5 graphs) 48.7 47.6 percent 45.1 43.2 41.8 41.2 { Overall for CT middle school current smokers, the prevalence of wanting to stop 40 36.4 36.9 smoking cigarettes: 33.2 { Does not vary significantly by gender or race/ethnicity 20 { Is significantly higher in grade 7 (63.8%) than in grade 8 (24%)

{ Overall for CT high school current smokers, the prevalence of wanting to stop 0 smoking cigarettes does not vary significantly by gender, race/ethnicity, or grade male female white, black, Hispanic total non- non- or Latino (grades 9-12) Hispanic Hispanic

100 Current smokers who want to stop smoking cigarettes by grade

63.8

60 51.8 50.6 45.1 percent 42.1 40

20 24.0

0 grade 6* grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 *insucient subgroup size

2011 Connecticut School Health Survey Youth Tobacco Component Report 35

Secondhand Smoke Exposure Recent Smoke Exposure in a Room 100 Students who were in the same room with someone who was smoking cigarettes on one or more of the past seven days { In Connecticut, 35.7% of middle school and 48.1% of high school students were by gender, race/ethnicity, and school type in the same room with someone who was smoking cigarettes on one or more of the seven days before the survey (i.e., recent smoke exposure in a room) 80 middle school high school

{ Overall for middle school students, the prevalence of recent smoke exposure in a 60 room does not vary significantly by gender, race/ethnicity, or grade (grades 6-8) 51.5 50.9 48.1 46.3 percent 44.7 39.8 40 { 36.7 36.2 36.8 35.7 Overall for high school students, the prevalence of recent smoke exposure in a 34.5 33.7 room does not vary significantly by gender, race/ethnicity, or grade (grades 9-12)

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

100 Students who were in the same room with someone who was smoking cigarettes on one or more of the past seven days by grade

60 50.3 48.4 47.2 46.5 percent 39.7 40 36.0 31.9

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 36 Students who rode in a car with someone who was smoking Recent Smoke Exposure in a Car 50 cigarettes on one or more of the past seven days { In Connecticut, 22.2% of middle school and 31% of high school students rode by gender, race/ethnicity, and school type in a car with someone who was smoking cigarettes on one or more of the seven middle school days before the survey (i.e., recent smoke exposure in a car) 40 high school

34.3 32.6 32.1 { 31.0 Nationwide, 25.2% of middle school and 33.8% of high school students had 30 29.7 recent smoke exposure in a car (data not shown on graphs) 25.9 26.4 24.7 24.1

percent 21.3 22.2 { Overall for CT middle school students, the prevalence of recent smoke exposure 20 19.4 in a car does not vary significantly by gender, race/ethnicity, or grade (grades 6-8)

10 { Overall for CT high school students, the prevalence of recent smoke exposure in a car does not vary significantly by gender, race/ethnicity, or grade (grades 9-12)

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Students who rode in a car with someone who was smoking cigarettes on one or more of the past seven days by grade

31.8 32.3 32.6 30 27.4 24.8 23.3 percent

20 18.6

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 37 Rules About Smoking in Vehicle 50 Students who most often ride in a vehicle where smoking is allowed at least some of the time by gender, race/ethnicity, and school type { In Connecticut, 21.5% of middle school and 28.2% of high school students most often ride in a vehicle where smoking is allowed at least some of the time 40 middle school high school { Overall for middle school students, the prevalence of most often riding in a vehicle 30.2 where smoking is allowed at least some of the time does not vary significantly by 30 28.8 29.0 27.4 28.2 gender, race/ethnicity, or grade (grades 6-8) 26.4 23.6 22.7 percent 22.1 20.8 21.6 21.5 { Overall for high school students, the prevalence of most often riding in a vehicle 20 where smoking is allowed at least some of the time does not vary significantly by gender, race/ethnicity, or grade (grades 9-12) 10

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Students who most often ride in a vehicle where smoking is allowed at least some of the time by grade

29.1 30 27.6 27.9 27.9 24.2 23.0 percent

20 17.5

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 38 Students who breathed the smoke from someone who was smoking a Recent Smoke Exposure at School 50 tobacco product at their school on one or more of the past seven days { In Connecticut, 8.5% of middle school and 24.9% of high school students by gender, race/ethnicity, and school type breathed the smoke from someone who was smoking a tobacco product at their school, including school buildings, school grounds, and school parking lots, 40 middle school on one or more of the seven days before the survey (i.e., recent smoke exposure at high school school) 30.4 30 29.4 27.2 { The prevalence of recent smoke exposure at school is significantly higher among 24.9 US (17.9%) than among CT (8.5%) middle school students (US data not shown percent 22.5 22.6 on graphs) 20

12.8 { Nationwide, 31.6% of high school students had recent smoke exposure at school 11.4 10 8.4 8.6 8.5 (data not shown on graphs) 7.2

{ Overall for CT middle school students, the prevalence of recent smoke exposure 0 at school: male female white, black, Hispanic total non- non- or Latino { Does not vary significantly by gender or grade (grades 6-8) Hispanic Hispanic { Is significantly higher among Hispanic (12.8%) than among white (7.2%) students 50 Students who breathed the smoke from someone who was smoking a tobacco product at their school on one or more of the past seven days by grade { Overall for CT high school students, the prevalence of recent smoke exposure at school does not vary significantly by gender, race/ethnicity, or grade (grades 9-12) 40

30 25.6 25.3 24.1 24.1 percent

10.8 10 8.3 6.6

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 39 Recent Smoke Exposure in a Public Place 100 Students who breathed the smoke from someone who was smoking a tobacco product at an indoor or outdoor public place on one or more of the past seven days { In Connecticut, 34.6% of middle school and 47.1% of high school students by gender, race/ethnicity, and school type breathed the smoke from someone who was smoking a tobacco product at an indoor or outdoor public place on one or more of the seven days before the 80 middle school

survey (i.e., recent smoke exposure in a public place) high school

60 { Nationwide, 37.2% of middle school and 44.3% of high school students had 53.1 49.5 recent smoke exposure in a public place (data not shown on graphs) 47.1 percent 43.0 41.1 40.6 40 38.2 36.6 35.0 34.6 { Overall for CT middle school students, the prevalence of recent smoke exposure 31.1 in a public place does not vary significantly by gender, race/ethnicity, or grade 27.7 (grades 6-8) 20

{ Overall for CT high school students, the prevalence of recent smoke exposure in a public place: 0 male female white, black, Hispanic total { Is significantly higher among female (53.1%) than among male (41.1%) non- non- or Latino students Hispanic Hispanic { Does not vary significantly by race/ethnicity or grade (grades 9-12) Students who breathed the smoke from someone who was smoking a tobacco product 100 at an indoor or outdoor public place on one or more of the past seven days by grade

60 50.2 46.9 45.2 46.4 percent 39.9 40 35.4 28.7

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 40 Live with Someone Who Smokes Cigarettes 50 Students who live with someone who smokes cigarettes by gender, race/ethnicity, and school type { In Connecticut, 26.5% of middle school and 30.2% of high school students live with someone who smokes cigarettes middle school 40 high school 35.7 34.5 { Nationwide, 31% of middle school and 33.6% of high school students live with 32.9 30.2 someone who smokes cigarettes (data not shown on graphs) 30 29.9 28.1 27.7 27.2 26.0 26.5 24.8 25.5

{ Overall for CT middle school students, the prevalence of living with someone percent who smokes cigarettes does not vary significantly by gender, race/ethnicity, or 20 grade (grades 6-8)

10 { Overall for CT high school students, the prevalence of living with someone who smokes cigarettes does not vary significantly by gender, race/ethnicity, or grade (grades 9-12) 0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

50 Students who live with someone who smokes cigarettes by grade

34.2 31.1 30 28.4 27.4 27.6 26.5 24.6 percent

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 41 Recent Smoke Exposure at Home 50 Students who were at home on one or more of the past seven days when someone smoked a tobacco product { In Connecticut, 16.9% of middle school and 20.5% of high school students were by gender, race/ethnicity, and school type at home on one or more of the seven days before the survey when someone 40 smoked a tobacco product (i.e., recent smoke exposure at home) middle school

high school

{ The prevalence of recent smoke exposure at home is significantly higher among 30 US (24.7%) than among CT (16.9%) middle school students (US data not shown on graphs) percent 21.4 21.9 21.4 19.8 20.5 20 18.0 17.9 17.2 16.9 { Overall for CT middle school students, the prevalence of recent smoke exposure 16.5 16.4 16.3 at home does not vary significantly by gender, race/ethnicity, or grade (grades 6-8) 10

{ The prevalence of recent smoke exposure at home is significantly higher among US (28.1%) than among CT (20.5%) high school students (US data not shown 0 on graphs) male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic { Overall for CT high school students, the prevalence of recent smoke exposure at home does not vary significantly by gender, race/ethnicity, or grade (grades 9-12) 50 Students who were at home on one or more of the past seven days when someone smoked a tobacco product by grade

22.5 percent 21.2 20.4 20 18.1 18.1 18.3

14.4

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 42 Rules About Smoking in Home 50 Students who live in a home where smoking is allowed at least some of the time by gender, race/ethnicity, and school type { In Connecticut, 19.1% of middle school and 17.5% of high school students live in a home where smoking is allowed at least some of the time 40 middle school

high school { Overall for middle school students, the prevalence of living in a home where smoking is allowed at least some of the time does not vary significantly by gender, 30 race/ethnicity, or grade (grades 6-8) 23.0

percent 22.7 20.7 21.2 20 19.0 19.1 18.4 18.6 19.1 { Overall for high school students, the prevalence of living in a home where 17.5 smoking is allowed at least some of the time does not vary significantly by gender, 16.5 15.9 race/ethnicity, or grade (grades 9-12) 10

0 male female white, black, Hispanic total non- non- or Latino Hispanic Hispanic

Students who live in a home where smoking is allowed at least some of the time 50 by grade

30 percent 20.0 20 18.8 18.8 18.8 18.4 16.9 15.8

0 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12

2011 Connecticut School Health Survey Youth Tobacco Component Report 43

Trends 2000-2011 Trends 2000-2011 100 Students who have ever used any form of tobacco Ever Tobacco Use by year and school type

{ During 2000-2011, a significant decrease (67.9%-40.8%) occurred in the 80 percentage of high school students who have ever used any form of tobacco* high school (i.e., ever tobacco use) 67.9 middle school

59.5 60 54.4 { Overall for high school students, during 2000-2011, the prevalence of ever 48.3

tobacco use: percent 43.4 39.8 40.8 { Decreased significantly among male students (71.2%-46.2%) 40 31.6 { Decreased significantly among female students (64.9%-35.1%) 29.1 20.3 20 14.7 { During 2000-2011, a significant decrease (39.8%-12%) occurred in the prevalence 12.0 of ever tobacco use among middle school students

0 { Overall for middle school students, during 2000-2011, the prevalence of ever 2000 2002 2005 2007 2009 2011 tobacco use: { Decreased significantly among male students (42.3%-14.4%) { Decreased significantly among female students (37%-9.3%) 100 Students who have ever used any form of tobacco by year, school type, and gender

high school male 80 high school female 71.2 middle school male 63.3 middle school female 64.9 60 56.3 52.3 55.7 52.1 46.9 46.2 percent 42.3 40 43.8 33.9 39.5 31.5 37.0 35.1 25.8 29.0 26.6 20 16.0 14.4 14.6 13.2 9.3

0 2000 2002 2005 2007 2009 2011 *includes cigarettes, cigars, smokeless tobacco, bidis, and kreteks (clove cigarettes) only

2011 Connecticut School Health Survey Youth Tobacco Component Report 44 Trends 2000-2011 100 Middle school students who have ever used any form of tobacco Ever Tobacco Use, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of ever 80 black, non-Hispanic tobacco use*: Hispanic or Latino { Decreased significantly among black students (53.9%-14.3%) white, non-Hispanic

{ Decreased significantly among Hispanic students (43.9%-20%) 60 53.9 { Decreased significantly among white students (36.2%-9.8%)

percent 44.2 43.9 42.1 40 39.6 38.7 32.5 { Overall for high school students, during 2000-2011, the prevalence of ever 36.2 tobacco use: 28.2 27.8 20.9 20.0 { 20 24.5 Decreased significantly among black students (70.2%-35.9%) 20.4 14.3 { Decreased significantly among Hispanic students (68.9%-45.1%) 15.2 11.7 9.8 { Decreased significantly among white students (68.1%-41.7%) 0 2000 2002 2005 2007 2009 2011

High school students who have ever used any form of tobacco 100 by year and race/ethnicity

black, non-Hispanic 80 Hispanic or Latino 70.2 68.9 white, non-Hispanic 68.1 62.9 60 62.5 56.5 58.6 55.3 53.4 54.0 47.7 45.6 45.1 percent 47.2 45.5 41.7 40 35.9 34.0

0 2000 2002 2005 2007 2009 2011 *includes cigarettes, cigars, smokeless tobacco, bidis, and kreteks (clove cigarettes) only

2011 Connecticut School Health Survey Youth Tobacco Component Report 45 Trends 2000-2011 100 Students who have ever tried cigarette smoking Ever Cigarette Smoking by year and school type

{ During 2000-2011, a significant decrease (63%-33.4%) occurred in the percentage of high school students who have ever tried cigarette smoking (i.e., 80 high school ever cigarette smoking) middle school 63.0 60 { Overall for high school students, during 2000-2011, the prevalence of ever 53.2 cigarette smoking: 45.5 percent 42.1 { Decreased significantly among male students (64.3%-35.3%) 40 37.1 33.4 31.7 { Decreased significantly among female students (61.9%-31.6%) 23.4 19.7 20 { 13.0 11.7 During 2000-2011, a significant decrease (31.7%-9.6%) occurred in the 9.6 prevalence of ever cigarette smoking among middle school students

0 { Overall for middle school students, during 2000-2011, the prevalence of ever 2000 2002 2005 2007 2009 2011 cigarette smoking: { Decreased significantly among male students (33.3%-11.1%) { Decreased significantly among female students (29.9%-7.9%) 100 Students who have ever tried cigarette smoking by year, school type, and gender

high school male 80 high school female middle school male 64.3 middle school female 60 61.9 54.2

52.2 47.2

percent 43.9 43.8 37.9 40 35.3 33.3 40.0 36.1 31.6 29.9 24.2 20.9 20 22.5 15.6 18.5 12.1 11.1 10.5 11.1 7.9

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 46 Middle school students who have ever tried cigarette smoking Trends 2000-2011 100 Ever Cigarette Smoking, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of ever black, non-Hispanic cigarette smoking: 80 Hispanic or Latino { Decreased significantly among black students (43.2%-12%) white, non-Hispanic

{ Decreased significantly among Hispanic students (39.9%-17.7%) 60 { Decreased significantly among white students (28%-7.4%)

percent 43.2 38.8 40 39.9 { Overall for high school students, during 2000-2011, the prevalence of ever 29.5 cigarette smoking: 26.7 28.0 29.1 29.3 18.6 { Decreased significantly among Hispanic students (64.1%-42%) 20 17.7 19.7 17.9 18.1 { Decreased significantly among white students (63.7%-32.8%) 15.9 12.0 8.5 8.6 { Decreased significantly among black students (61.1%-30.9%) 7.4 0 2000 2002 2005 2007 2009 2011

100 High school students who have ever tried cigarette smoking by year and race/ethnicity

80 Hispanic or Latino white, non-Hispanic

64.1 black, non-Hispanic 63.7 58.0 60 61.1 56.6 52.5 49.1 52.0 45.5

percent 43.9 42.5 42.0 44.3 37.2 40 40.9 32.8

31.0 30.9

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 47 Trends 2000-2011 100 Students who have ever tried cigar smoking Ever Cigar Smoking by year and school type

{ During 2000-2011, a significant decrease (43%-26%) occurred in the percentage 80 of high school students who have ever tried cigar smoking (i.e., ever cigar high school smoking) middle school

60 { Overall for high school students, during 2000-2011, the prevalence of ever cigar smoking: percent 43.0 { 40 Decreased significantly among male students (52.6%-35.6%) 34.7 31.6 { Decreased significantly among female students (33.5%-15.9%) 27.6 25.0 26.0 19.6 20 14.9 15.0 { During 2000-2011, a significant decrease (19.6%-5.6%) occurred in the prevalence 10.5 of ever cigar smoking among middle school students 6.2 5.6

0 { Overall for middle school students, during 2000-2011, the prevalence of ever 2000 2002 2005 2007 2009 2011 cigar smoking: { Decreased significantly among male students (22.3%-7.9%) { Decreased significantly among female students (16.6%-3.2%) 100 Students who have ever tried cigar smoking by year, school type, and gender

high school male 80 high school female middle school male middle school female 60 52.6

percent 43.6 38.7 40 36.0 35.6 33.5 32.4 25.7 22.3 24.1 19.2 20 17.0 15.9 19.5 16.6 18.4 14.6 7.1 7.9 10.2 11.6 6.4 5.1 3.2 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 48 Trends 2000-2011 100 Middle school students who have ever tried cigar smoking Ever Cigar Smoking, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of ever 80 Hispanic or Latino cigar smoking: black, non-Hispanic { Decreased significantly among Hispanic students (23.6%-10.1%) white, non-Hispanic

{ Decreased significantly among black students (21.1%-5.2%) 60 { Decreased significantly among white students (18.3%-4.7%) percent

40 { Overall for high school students, during 2000-2011, the prevalence of ever cigar smoking: 23.6 21.6 21.1 18.6 { Decreased significantly among white students (46.6%-29.8%) 20 16.2 18.3 16.4 13.7 10.1 { Decreased significantly among Hispanic students (37.6%-21.8%) 13.5 14.2 13.4 9.4 8.7 6.6 5.2 { Decreased significantly among black students (30.7%-15.8%) 5.2 4.7 0 2000 2002 2005 2007 2009 2011

100 High school students who have ever tried cigar smoking by year and race/ethnicity

white, non-Hispanic 80 Hispanic or Latino black, non-Hispanic

46.6 percent

40 37.6 37.4 34.4 29.6 30.0 29.5 29.8 30.7 24.2 24.4 24.4 21.8 20 22.3 18.1 20.0 15.8 12.1

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 49

Trends 2000-2011 50 Students who have ever used smokeless tobacco Ever Smokeless Tobacco Use by year and school type

{ During 2000-2011, the percentage of high school students who have ever used 40 smokeless tobacco (i.e., ever smokeless tobacco use) did not vary significantly high school middle school

{ Overall for high school students, during 2000-2011, the prevalence of ever 30 smokeless tobacco use:

{ Did not vary significantly among male students percent 20 { Decreased significantly among female students (7.2%-2.2%) 15.2 12.5 13.1 10.2 10.4 10.8 { During 2000-2011, a significant decrease (7.7%-2.7%) occurred in the prevalence 10 7.7 of ever smokeless tobacco use among middle school students 6.0 6.6 4.0 2.6 2.7

{ Overall for middle school students, during 2000-2011, the prevalence of ever 0 smokeless tobacco use: 2000 2002 2005 2007 2009 2011 { Decreased significantly among male students (9.6%-3.6%) { Decreased significantly among female students (5.5%-1.7%)

50 Students who have ever used smokeless tobacco by year, school type, and gender

high school male 40 middle school male high school female middle school female 30

23.1 percent 20.5 19.2 20 18.2 15.9 16.3

9.6 10 8.0 8.6 7.2 5.4 6.1 6.6 4.1 3.6 5.5 4.5 4.3 3.6 3.6 2.2 1.9 1.4 1.7 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 50 Trends 2000-2011 50 Middle school students who have ever used smokeless tobacco Ever Smokeless Tobacco Use, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of ever 40 black, non-Hispanic smokeless tobacco use: white, non-Hispanic { Decreased significantly among black students (10.4%-2.6%) Hispanic or Latino { Decreased significantly among white students (7.2%-2.7%) 30 { Decreased significantly among Hispanic students (5.1%-3.2%) percent

20 { Overall for high school students, during 2000-2011, the prevalence of ever smokeless tobacco use among white, Hispanic, and black students did not change 11.6 10.4 9.5 significantly 10 7.2 6.8 7.5 7.2 3.1 2.6 3.2 5.1 5.1 5.4 2.7 2.8 2.3 2.2 2.6 0 2000 2002 2005 2007 2009 2011

50 High school students who have ever used smokeless tobacco by year and race/ethnicity

40 white, non-Hispanic Hispanic or Latino black, non-Hispanic

30 percent

20 16.7 15.1 12.9 13.2 12.8 11.4 12.0 12.4 10 9.9 10.0 7.6 7.5 5.8 5.2 7.2 5.6 4.5 4.0

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 51 Trends 2000-2011 50 Students who used some form of tobacco in the past 30 days Current Tobacco Use by year and school type

{ During 2000-2011, a significant decrease (32.4%-19.9%) occurred in the percentage of high school students who used some form of tobacco* in the 30 40 high school days before the survey (i.e., current tobacco use) middle school 32.4

30 { Overall for high school students, during 2000-2011, the prevalence of current 27.1 24.0 tobacco use: 22.6 percent 20.8 19.9 { Decreased significantly among male students (35.3%-25.8%) 20 { Decreased significantly among female students (29.2%-13.8%) 13.1

10.0 9.3 10 { During 2000-2011, a significant decrease (13.1%-4.6%) occurred in the 7.1 4.9 prevalence of current tobacco use among middle school students 4.6

0 { Overall for middle school students, during 2000-2011, the prevalence of current 2000 2002 2005 2007 2009 2011 tobacco use: { Decreased significantly among male students (14.1%-5.1%) { Decreased significantly among female students (11.9%-3.9%) 50 Students who used some form of tobacco in the past 30 days by year, school type, and gender

high school male high school female 40 middle school male 35.3 middle school female 30.8 29.2 30 27.2 25.9 25.0 25.8 23.3

percent 21.8

20 17.7 16.3 14.1 13.8 10.9 10.6 10 11.9 8.7 8.8 7.9 5.5 5.1 5.5 4.2 3.9 0 2000 2002 2005 2007 2009 2011 *includes cigarettes, cigars, smokeless tobacco, pipes, and bidis only

2011 Connecticut School Health Survey Youth Tobacco Component Report 52 Trends 2000-2011 50 Middle school students who used some form of tobacco in the past 30 days Current Tobacco Use, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of current black, non-Hispanic 40 tobacco use*: Hispanic or Latino { Decreased significantly among black students (20.1%-4.4%) white, non-Hispanic

{ Did not vary significantly among Hispanic students 30 { Decreased significantly among white students (10.8%-3.8%) percent 20.1 20 17.1 { Overall for high school students, during 2000-2011, the prevalence of current 16.3 13.2 tobacco use: 11.9 13.2 9.5 { 10 Decreased significantly among white students (34.4%-22.6%) 10.8 8.1 6.5 8.5 9.1 { Did not vary significantly among Hispanic students 7.4 4.9 4.4 5.6 { Decreased significantly among black students (21.4%-11.3%) 4.0 3.8 0 2000 2002 2005 2007 2009 2011

High school students who used some form of tobacco in the past 30 days 50 by year and race/ethnicity

white, non-Hispanic 40 Hispanic or Latino 34.4 black, non-Hispanic

30 31.7 28.7 26.4 24.1 24.3 25.9 22.6 percent 19.7 20 21.4 18.5 18.3 20.3 17.5 17.5 17.8

10 11.3 9.4

0 2000 2002 2005 2007 2009 2011 *includes cigarettes, cigars, smokeless tobacco, pipes, and bidis only

2011 Connecticut School Health Survey Youth Tobacco Component Report 53 Trends 2000-2011 50 Students who smoked cigarettes in the past 30 days Current Cigarette Smoking by year and school type

{ During 2000-2011, a significant decrease (25.6%-14%) occurred in the percent age of high school students who smoked cigarettes on at least 1 day during the 30 40 high school days before the survey (i.e., current cigarette smoking) middle school

30 { Overall for high school students, during 2000-2011, the prevalence of current 25.6 cigarette smoking:

percent 22.0

{ Decreased significantly among female students (26%-11.8%) 20 17.0 16.9 15.3 { Decreased significantly among male students (24.9%-16.1%) 14.0

9.8 10 { During 2000-2011, a significant decrease (9.8%-2.9%) occurred in the prevalence 5.9 5.9 of current cigarette smoking among middle school students 3.4 3.3 2.9

0 { Overall for middle school students, during 2000-2011, the prevalence of current 2000 2002 2005 2007 2009 2011 cigarette smoking: { Decreased significantly among female students (9.8%-2.7%) { Decreased significantly among male students (9.7%-3.1%) 50 Students who smoked cigarettes in the past 30 days by year, school type, and gender

high school female 40 high school male middle school female middle school male 30 26.0 23.3

percent 24.9 18.6 20 20.7 18.2 16.0 16.1

15.8 15.2 14.4 9.8 10 11.8 6.8 9.7 6.0 3.7 5.8 3.3 3.1 4.8 3.0 3.2 2.7 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 54 Trends 2000-2011 50 Middle school students who smoked cigarettes in the past 30 days Current Cigarette Smoking, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of current Hispanic or Latino 40 cigarette smoking: black, non-Hispanic { Did not change significantly among Hispanic or black students white, non-Hispanic { Decreased significantly among white students (8.6%-2.2%) 30 percent { Overall for high school students, during 2000-2011, the prevalence of current 20 cigarette smoking:

{ Decreased significantly among white students (27.6%-15.5%) 12.5 13.0 11.5 { 10 Did not change significantly among Hispanic or black students 7.2 7.9 6.0 8.6 7.0 5.5 4.5 2.9 2.5 4.6 5.3 3.1 2.4 2.9 2.2 0 2000 2002 2005 2007 2009 2011

50 High school students who smoked cigarettes in the past 30 days by year and race/ethnicity

40 white, non-Hispanic Hispanic or Latino black, non-Hispanic

30 27.6

25.7 23.2 percent 19.3 20 21.1 18.1 17.8 15.5 16.8 12.6 16.3 13.2 14.0 14.1 10 10.9 9.4 7.8 6.3

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 55 Trends 2000-2011 50 Students who smoked cigars in the past 30 days Current Cigar Smoking by year and school type

{ During 2000-2011, the percentage of high school students who smoked cigars on at least 1 day during the 30 days before the survey (i.e., current cigar smoking) 40 high school did not vary significantly middle school

30 { Overall for high school students, during 2000-2011, the prevalence of current cigar smoking among male and female students did not change significantly percent

20 { During 2000-2011, a significant decrease (6.1%-2.2%) occurred in the prevalence 12.7 of current cigar smoking among middle school students 11.1 11.3 10.5 9.6 10 9.1 6.1 4.8 { 3.5 Overall for middle school students, during 2000-2011, the prevalence of current 2.9 2.1 2.2 cigar smoking: 0 { Decreased significantly among male students (7.3%-2.8%) 2000 2002 2005 2007 2009 2011 { Decreased significantly among female students (4.7%-1.6%)

50 Students who smoked cigars in the past 30 days by year, school type, and gender

high school male 40 middle school male high school female middle school female 30 percent

20 18.2 17.8 15.6 16.0 14.3 13.2

10 7.3 6.2 6.7 4.8 4.7 4.6 4.4 4.8 4.9 4.7 3.8 2.6 2.8 2.0 1.9 1.9 1.4 1.6 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 56 Middle school students who smoked cigars in the past 30 days Trends 2000-2011 50 Current Cigar Smoking, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of current 40 black, non-Hispanic cigar smoking: Hispanic or Latino { Decreased significantly among black students (10.8%-2.3%) white, non-Hispanic { Did not vary significantly among Hispanic students 30 { Decreased significantly among white students (4.6%-1.5%) percent

20 { Overall for high school students, during 2000-2011, the prevalence of current cigar smoking among Hispanic, white, and black students did not change significantly 10.8 10 6.9 7.5 5.4 5.0 4.5 4.1 4.8 2.6 4.6 3.8 2.2 2.3 2.7 2.7 2.1 1.7 1.5 0 2000 2002 2005 2007 2009 2011

50 High school students who smoked cigars in the past 30 days by year and race/ethnicity

40 Hispanic or Latino white, non-Hispanic black, non-Hispanic

30 percent

20 15.0 12.5 13.4 10.8 11.4 13.2 9.6 10 7.8 10.8 7.2 8.6 6.1 8.3 7.3 6.5 6.7 6.0 4.9

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 57 Trends 2000-2011 50 Students who used smokeless tobacco in the past 30 days Current Smokeless Tobacco Use by year and school type

{ During 2000-2011, the percentage of high school students who used smokeless 40 tobacco on at least 1 day during the 30 days before the survey (i.e., current high school smokeless tobacco use) did not vary significantly middle school

30 { Overall for high school students, during 2000-2011, the prevalence of current smokeless tobacco among male and female students did not change significantly percent

20 { During 2000-2011, the prevalence of current smokeless tobacco use among middle school students did not vary significantly 10 5.5 5.0 4.1 4.4 4.9 { Overall for middle school students, during 2000-2011, the prevalence of current 3.1 1.9 2.3 1.3 1.6 smokeless tobacco use among male and female students did not change 2.2 1.3 significantly 0 2000 2002 2005 2007 2009 2011

50 Students who used smokeless tobacco in the past 30 days by year, school type, and gender

high school male 40 middle school male high school female middle school female 30 percent

9.6 9.4 10 8.2 6.2 7.1 4.6 3.0 2.9 2.6 2.1 1.3 1.9 1.7 1.4 1.6 1.0 1.3 1.2 1.1 0.9 1.4 1.3 0.6 0.5 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 58 Trends 2000-2011 50 Middle school students who used smokeless tobacco in the past 30 days Current Smokeless Tobacco Use, continue by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of current 40 black, non-Hispanic smokeless tobacco use among Hispanic and white students did not change Hispanic or Latino significantly; and during 2000-2007, did not aryv significantly among black white, non-Hispanic students 30

{ Overall for high school students, during 2000-2011, the prevalence of current percent smokeless tobacco use among Hispanic, white, and black students did not change 20 significantly

2.5 3.4 3.4 2.6 1.5 2.2 1.8 2.0 1.6 2.5 1.8 0.7 1.5 1.7 1.0 1.5 0 2000 2002 2005 2007 2009* 2011* *insucient subgroup size for black students

50 High school students who used smokeless tobacco in the past 30 days by year and race/ethnicity

40 Hispanic or Latino white, non-Hispanic black, non-Hispanic

30 percent

10 7.0 6.1 4.4 4.9 4.9 3.4 4.3 3.1 4.4 2.6 4.2 2.8 1.8 3.4 2.7 1.4 1.8 1.9 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 59 Trends 2000-2011 50 Middle school ever smokers who rst smoked a whole cigarette before age 11 years Smoked Whole Cigarette Before Age 11 by year

{ During 2000-2011, the percentage of middle school ever smokers who first 40 smoked a whole cigarette before age 11 years did not vary significantly

{ During 2000-2011, the percentage of high school ever smokers who first smoked 30 a whole cigarette before age 11 years did not vary significantly

percent 22.0 21.1 21.9 19.9 20 18.9 18.1

0 2000 2002 2005 2007 2009 2011

50 High school ever smokers who rst smoked a whole cigarette before age 11 years by year

30 percent

10.1 9.6 9.4 9.1 10 7.6 6.7

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 60 High school ever smokers who rst smoked a whole cigarette before age 11 years Trends 2000-2011 50 Smoked Whole Cigarette Before Age 11, continued by year and gender

{ Overall for high school ever smokers, during 2000-2011, the prevalence of having smoked a whole cigarette before age 11 years: 40 male female { Did not change significantly among male, female, black, or Hispanic students 30 { Decreased significantly among white students (9.2%-3.6%) percent

13.2 11.9 11.9 10.2 11.0 10 7.6

7.3 6.6 7.3 5.2 5.8 5.6

0 2000 2002 2005 2007 2009 2011

High school ever smokers who rst smoked a whole cigarette before age 11 years 50 by year and race/ethnicity

black, non-Hispanic 40 Hispanic or Latino white, non-Hispanic

30 percent

14.4 11.4 11.7 11.2 9.8 10.6 10.2 11.3 10.4 10 10.3 9.1 9.2 9.2 9.1 7.8 8.3 6.8 3.6 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 61 Trends 2000-2011 50 High school students who smoked cigarettes on 20 or more of the past 30 days Frequent Cigarette Smoking by year

{ During 2000-2011, a significant decrease (12.3%-5%) occurred in the percentage 40 of high school students who smoked cigarettes on 20 or more days in the 30 days before the survey (i.e., frequent cigarette smoking)

30 { During 2002-2011, the prevalence of frequent cigarette smoking among high school current smokers did not vary significantly percent

12.3 10.2 10.0 10 8.1 5.2 5.0

0 2000 2002 2005 2007 2009 2011

100 High school current smokers who smoked cigarettes on 20 or more of the past 30 days by year*

46.4

percent 42.5 39.9 40 34.3 35.7

0 2002 2005 2007 2009 2011 *no data available for 2000

2011 Connecticut School Health Survey Youth Tobacco Component Report 62 Trends 2000-2011 50 High school students who smoked cigarettes on 20 or more of the past 30 days Frequent Cigarette Smoking, continued by year and gender

{ Overall for high school students, during 2000-2011, the prevalence of frequent 40 female cigarette smoking: male { Decreased significantly among female students (12.6%-2.9%) { Did not change significantly among male, Hispanic, or black students 30 { Decreased significantly among white students (14.2%-5.9%) percent

12.6 11.7 10.6 10 12.0 8.7 6.9 8.8 9.3 6.2 7.4 4.2 2.9

0 2000 2002 2005 2007 2009 2011

50 High school students who smoked cigarettes on 20 or more of the past 30 days by year and race/ethnicity

40 white, non-Hispanic Hispanic or Latino black, non-Hispanic

30 percent

14.2 12.5 11.2 10.4 10 7.6 8.8 6.7 6.1 5.9 4.2 6.2 2.6 4.3 3.1 4.6 3.9 2.5 2.7 0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 63 Trends 2000-2011 50 Never smokers susceptible to starting cigarette smoking Susceptibility to Starting Smoking by year and school type

{ During 2000-2011, a significant decrease (27.3%-18.2%) occurred in the 40 percentage of middle school never smokers who are susceptible to starting middle school cigarette smoking high school

29.4 30 27.3 27.7 { Overall for middle school never smokers, during 2000-2011, the prevalence of 28.4 23.5 23.0

susceptibility to starting smoking: percent 22.0 23.9 23.4 { 20 Decreased significantly among female students (29.1%-17.2%) 20.1 18.2 { Decreased significantly among male students (25.4%-19%) 17.3

10 { During 2000-2011, the percentage of high school never smokers susceptible to starting smoking did not vary significantly

0 { Overall for high school never smokers, during 2000-2011, the prevalence of 2000 2002 2005 2007 2009 2011 susceptibility to starting smoking among female and male students did not change significantly

50 Never smokers susceptible to starting cigarette smoking by year, school type, and gender

middle school female 40 middle school male high school female high school male 29.5 30 29.1 28.4 29.3 29.1 25.4 27.2 27.9 23.9 25.1 22.3 23.3

percent 24.9 23.0 21.8 23.2 23.1 21.6 20.4 20 17.9 19.0 19.9 16.6 17.2

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 64 Middle school never smokers susceptible to starting cigarette smoking Trends 2000-2011 50 Susceptibility to Starting Smoking, continued by year and race/ethnicity

40.6 { Overall for middle school never smokers, during 2000-2011, the prevalence of white, non-Hispanic 40 susceptibility to starting cigarette smoking: black, non-Hispanic { Hispanic or Latino Decreased significantly among white students (28.6%-17.9%) 31.2 29.8 { Did not change significantly among black or Hispanic students 30 28.6

23.9 23.9 23.8 26.0 percent 19.8 20.3 { Overall for high school never smokers, during 2000-2011, the prevalence of 22.4 22.2 18.9 20 18.5 susceptibility to starting smoking among white, Hispanic, and black students did 18.3 not change significantly 17.8 17.1 17.9

0 2000 2002 2005 2007 2009 2011

50 High school never smokers susceptible to starting cigarette smoking by year and race/ethnicity

40 white, non-Hispanic Hispanic or Latino black, non-Hispanic 30.1 30.9 30 25.3 29.4 25.4 25.3 27.5 24.7

percent 21.0 20 20.6 22.5 15.6 19.7 16.4 18.5 17.7 15.9 14.7 10

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 65 Trends 2000-2011 100 High school current smokers who were asked to show proof of age when trying to buy cigarettes in a store in the past 30 days ID Request by year* and gender { male During 2002-2011, the percentage of high school current cigarette smokers who 80 were asked to show proof of age when trying to buy cigarettes in a store during total the 30 days before the survey did not vary significantly female

58.1 60 57.5 54.2 53.9 52.0 53.8 52.8 { During 2002-2011, the prevalence of being asked to show proof of age when 50.4 53.1 trying to buy cigarettes in a store among high school male, female, black, white, 48.8 50.8 percent 50.3 49.1 and Hispanic current smokers did not change significantly 48.3 40 43.8

0 2002 2005 2007 2009 2011

100 High school current smokers who were asked to show proof of age when trying to buy cigarettes in a store in the past 30 days by year* and race/ethnicity black, non-Hispanic 80 white, non-Hispanic Hispanic or Latino

60 57.9 56.7 55.7 53.6 54.9 54.5 51.6 48.0 52.5 percent 51.0 44.3 50.7 45.7 40

32.5 26.1 20

0 2002 2005 2007 2009 2011 *no data available for 2000

2011 Connecticut School Health Survey Youth Tobacco Component Report 66 High school current smokers under age 18 years who were refused sale of cigarettes Trends 2000-2011 100 because of their age when trying to buy cigarettes in a store in the past 30 days Sale Refusal by year and gender

{ During 2000-2011, the percentage of high school current cigarette smokers male 80 under age 18 years who were refused purchase of cigarettes in the 30 days before total the survey because of their age did not vary significantly female

60 53.7 { During 2000-2011, the prevalence of sale refusal among male, female, Hispanic, 51.5 48.2 50.3 46.9 48.1 white, and black high school current smokers under age 18 years did not change percent 43.4 45.8 significantly 46.6 44.8 40 42.4 41.9 43.1 39.6 34.5 40.0 34.2 33.4

0 2000 2002 2005 2007 2009 2011

100 High school current smokers under age 18 years who were refused sale of cigarettes because of their age when trying to buy cigarettes in a store in the past 30 days by year and race/ethnicity

80 Hispanic 74.2 white, non-Hispanic 68.8 black, non-Hispanic 61.7 60 53.3 53.3 51.7 48.3 52.6

percent 42.5 44.3 40 42.2 43.7 36.2 42.9 38.7 32.0 29.7

20 22.0

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 67 Trends 2000-2011 100 High school current smokers who tried to quit smoking cigarettes in the past 12 months Tried to Quit Smoking Cigarettes by year

{ During 2000-2011, the percentage of high school current smokers who tried 80 to quit smoking cigarettes during the 12 months before the survey did not vary significantly

60 54.9 54.3 { During 2000-2011, the percentage of high school frequent smokers who tried 53.0 53.3 48.5 to quit smoking cigarettes during the 12 months before the survey did not vary 44.4 percent significantly 40

0 2000 2002 2005 2007 2009 2011

100 High school frequent smokers who tried to quit smoking cigarettes in the past 12 months by year

63.9 60.7 59.9 61.5 60 58.1

48.3 percent

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 68 Trends 2000-2011 100 High school current smokers who tried to quit smoking cigarettes in the past 12 months Tried to Quit Smoking Cigarettes, continued by year and gender

{ During 2000-2011, the percentage of female, male, Hispanic, white, and black 80 high school current smokers who tried to quit smoking cigarettes did not change female significantly male 62.4 59.7 60 57.0 55.4 50.0 51.5 46.3 percent 48.7 48.8 47.7 47.2 40 42.7

0 2000 2002 2005 2007 2009 2011

100 High school current smokers who tried to quit smoking cigarettes in the past 12 months by year and race/ethnicity

Hispanic or Latino white, non-Hispanic 80 black, non-Hispanic

65.3 62.9 58.1 59.0 60 57.1 59.0 57.1 54.6 53.2 52.1 54.0 51.9 52.4 48.5 percent 49.6 42.7 40 39.2

29.5 20

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 69 Trends 2000-2011 100 High school current smokers who want to stop smoking cigarettes Want to Stop Smoking Cigarettes by year

{ During 2000-2011, the percentage of high school current smokers who want to 80 stop smoking cigarettes did not vary significantly

62.7

{ During 2000-2011, the percentage of high school frequent smokers who want to 60 56.4 55.2 stop smoking cigarettes did not vary significantly 47.7 46.9 47.6 percent

0 2000 2002 2005 2007 2009 2011

100 High school frequent smokers who want to stop smoking cigarettes by year

67.1 64.8

60 55.4 52.7 51.5 49.6 percent

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 70 High school current smokers who want to stop smoking cigarettes Trends 2000-2011 100 Want to Stop Smoking Cigarettes, continued by year and gender

{ Overall for high school current smokers, during 2000-2011, the prevalence of wanting to stop smoking cigarettes among male, female, white, black, and 80 male Hispanic students did not change significantly female 63.5 60.1 60.0 57.5 60 61.8 57.4 49.4 53.0

percent 49.8 40 43.9 40.1 41.8

0 2000 2002 2005 2007 2009 2011

100 High school current smokers who want to stop smoking cigarettes by year and race/ethnicity white, non-Hispanic black, non-Hispanic 80 Hispanic or Latino

66.0 64.3 62.4 63.3 60 56.9 54.4 61.0 60.6 56.4 52.9 55.4 50.8 44.5 percent 49.1 50.0 40 43.8 43.2

0 2000 2002 2005 2007* 2009 2011 *insucient subgroup size for black students

2011 Connecticut School Health Survey Youth Tobacco Component Report 71 Students who were in the same room with someone who was Trends 2000-2011 100 smoking cigarettes on one or more of the past seven days Recent Smoke Exposure in a Room by year and school type

{ During 2000-2011, a significant decrease (70.2%-48.1%) occurred in the 80 percentage of high school students who were in the same room with someone high school 70.2 who was smoking cigarettes on one or more of the seven days before the survey middle school 64.2 (i.e., recent smoke exposure in a room) 60 57.3 56.9 53.9 54.6 48.1 { Overall for high school students, during 2000-2011, the prevalence of recent percent 50.1 46.0 smoke exposure in a room: 40 40.0 { Decreased significantly among female students (72.1%-51.5%) 37.1 35.7 { Decreased significantly among male students (68.5%-44.7%) 20

{ During 2000-2011, a significant decrease (54.6%-35.7%) occurred in the percentage of middle school students who had recent smoke exposure in a room 0 2000 2002 2005 2007 2009 2011 { Overall for middle school students, during 2000-2011, the prevalence of recent smoke exposure in a room: { Decreased significantly among female students (57.5%-36.7%) 100 Students who were in the same room with someone who was { Decreased significantly among male students (51.8%-34.5%) smoking cigarettes on one or more of the past seven days by year, school type, and gender high school female 80 high school male 72.1 middle school female 65.9 middle school male 68.5 61.0 60 62.3 57.0 56.0 57.5 53.5 53.0 56.6 51.5 51.8 48.5 52.0

percent 42.9 46.9 40.1 44.7 40 43.6 36.7 37.2 34.3 34.5

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 72 Middle school students who were in the same room with someone Trends 2000-2011 100 who was smoking cigarettes on one or more of the past seven days Recent Smoke Exposure in a Room, continued by year and race/ethnicity

{ Overall for middle school students, during 2000-2011, the prevalence of recent 80 white, non-Hispanic smoke exposure in a room: Hispanic or Latino { Decreased significantly among white students (55.7%-36.2%) black, non-Hispanic 58.9 { Decreased significantly among Hispanic students (54.2%-39.8%) 60 55.7 54.2 51.3 { 47.5 Did not vary significantly among black students 51.1 45.7 percent 50.0 40.8 40.2 39.8 44.2 40 42.3 36.9 38.9 36.2 { 36.8 Overall for high school students, during 2000-2011, the prevalence of recent 33.7 smoke exposure in a room: { Decreased significantly among white students (72.7%-50.9%) 20 { Decreased significantly among Hispanic students (65.1%-46.3%) { Decreased significantly among black students (61.8%-36.8%) 0 2000 2002 2005 2007 2009 2011

100 High school students who were in the same room with someone who was smoking cigarettes on one or more of the past seven days by year and race/ethnicity

white, non-Hispanic 80 72.7 Hispanic or Latino black, non-Hispanic 65.6 65.1 59.6 60 63.6 57.9 56.7 61.8 52.7 56.4 57.9 56.5 50.9 55.1 52.6 51.1 percent 46.3 40 36.8

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 73 Students who rode in a car with someone who was 100 Trends 2000-2011 smoking cigarettes on one or more of the past seven days Recent Smoke Exposure in a Car by year and school type

{ During 2000-2011, a significant decrease (51.2%-31%) occurred in the 80 percentage of high school students who rode in a car with someone who was high school smoking cigarettes on one or more of the seven days before the survey (i.e., recent middle school smoke exposure in a car) 60 51.2 { 46.4

Overall for high school students, during 2000-2011, the prevalence of recent percent 41.7 40.9 smoke exposure in a car: 40 39.5 34.4 { Decreased significantly among female students (53.6%-32.6%) 37.1 31.0 32.3 { Decreased significantly among male students (49%-29.7%) 26.8 25.6 20 22.2

{ During 2000-2011, a significant decrease (39.5%-22.2%) occurred in the percentage of middle school students who had recent smoke exposure in a car 0 2000 2002 2005 2007 2009 2011 { Overall for middle school students, during 2000-2011, the prevalence of recent smoke exposure in a car: { Decreased significantly among female students (41.5%-24.8%) 100 Students who rode in a car with someone who was { Decreased significantly among male students (37.6%-19.4%) smoking cigarettes on one or more of the past seven days by year, school type, and gender

high school female 80 high school male middle school female middle school male 60 53.6 48.4 49.0 45.5 percent 42.2 41.5 44.3 40 37.8 36.6 39.5 39.5 37.6 33.1 32.6 34.5 28.8 32.4 31.7 29.7 24.9 27.9 24.8 20 23.3 19.4

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 74 Middle school students who rode in a car with someone who Trends 2000-2011 100 was smoking cigarettes on one or more of the past seven days Recent Smoke Exposure in a Car, continued by year and race/ethnicity

{ Hispanic or Latino Overall for middle school students, during 2000-2011, the prevalence of recent 80 smoke exposure in a car: white, non-Hispanic { Decreased significantly among Hispanic students (48.3%-26.4%) black, non-Hispanic { Decreased significantly among white students (38%-21.3%) 60 { 48.3 Did not vary significantly among black students 45.1 45.1 percent 38.0 40 35.8 36.9 33.0 { Overall for high school students, during 2000-2011, the prevalence of recent 37.6 35.5 29.7 26.4 29.0 24.6 smoke exposure in a car: 29.7 25.9 25.3 20 24.5 { Decreased significantly among Hispanic students (54.3%-34.3%) 21.3 { Decreased significantly among white students (52.2%-32.1%) { Decreased significantly among black students (45.7%-24.1%) 0 2000 2002 2005 2007 2009 2011

100 High school students who rode in a car with someone who was smoking cigarettes on one or more of the past seven days by year and race/ethnicity

80 Hispanic or Latino white, non-Hispanic black, non-Hispanic

60 54.3 52.7 52.2 46.0 41.9 percent 43.1 45.7 40.9 40 44.9 41.2 36.5 34.3 40.2 37.7 35.5 32.1

20 24.3 24.1

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 75 Trends 2000-2011 100 Students who live with someone who smokes cigarettes Live with Cigarette Smoker by year and school type

{ During 2000-2011, a significant decrease (41.1%-30.2%) occurred in the 80 percentage of middle school students who live with someone who smokes middle school cigarettes high school

60 { Overall for middle school students, during 2000-2011, the prevalence of living

with someone who smokes cigarettes: percent 41.1 41.9 { 40 37.1 37.4 Decreased significantly among male students (42.7%-27.7%) 39.9 33.9 35.8 30.2 { Did not vary significantly among female students 33.0 34.1 33.0 26.5 20 { During 2000-2011, a significant decrease (39.9%-26.5%) occurred in the percentage of high school students who live with someone who smokes cigarettes

0 2000 2002 2005 2007 2009 2011 { Overall for high school students, during 2000-2011, the prevalence of living with someone who smokes cigarettes: { Decreased significantly among female students (41.6%-28.1%)

{ Decreased significantly among male students (38.2%-24.8%) 100 Students who live with someone who smokes cigarettes by year, school type, and gender

middle school male 80 high school female middle school female high school male 60

percent 42.7 41.9 41.6 38.1 40 38.0 39.4 41.8 36.5 35.3 36.3 35.7 32.9 38.2 36.7 34.6 34.6 33.2 34.4 32.6 28.1 31.2 30.8 27.7 24.8 20

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 76 Middle school students who live with someone who smokes cigarettes Trends 2000-2011 100 Live with Cigarette Smoker, continued by year and race/ethnicity

{ Hispanic or Latino Overall for middle school students, during 2000-2011, the prevalence of living 80 with someone who smokes cigarettes: black, non-Hispanic { Decreased significantly among Hispanic students (49.9%-35.7%) white, non-Hispanic 60 { Decreased significantly among black students (48.8%-27.2%) 54.1 49.9 { Decreased significantly among white students (38.5%-29.9%) 45.1 percent 48.8 42.5 42.7 44.9 40.6 40 35.7 39.4 40.2 { Overall for high school students, during 2000-2011, the prevalence of living with 38.5 36.3 34.7 29.9 someone who smokes cigarettes: 31.1 30.8 27.2 { Decreased significantly among black students (48.9%-26%) 20 { Did not vary significantly among Hispanic students { Decreased significantly among white students (37.4%-25.5%) 0 2000 2002 2005 2007 2009 2011

100 High school students who live with someone who smokes cigarettes by year and race/ethnicity

80 black, non-Hispanic Hispanic or Latino white, non-Hispanic

48.9 percent 48.0 40.5 41.1 40 37.7 37.1 38.2 38.1 34.5 37.4 33.2 37.2 34.3 34.6 32.0 33.5 26.0 25.5 20

0 2000 2002 2005 2007 2009 2011

2011 Connecticut School Health Survey Youth Tobacco Component Report 77

STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH