Bidi, Kretek, Or Pipe Tobacco Use

2014 Florida Youth Tobacco Survey: Fact Sheet 10

Youth Bidi, Kretek, and Pipe Tobacco Use

Introduction

The Florida Youth Tobacco Survey (FYTS) was administered in the spring of 2014 to 36,979 middle school students and 32,921 high school students in 765 public schools throughout the state. The overall survey response rate for middle schools was 81%, and the overall survey response rate for high schools was 78%. The FYTS has been conducted annually since 1998. The data presented in this fact sheet are weighted to represent the entire population of public middle and high school students in Florida. Picture 1. Bidis. About Bidis, Kreteks, and Pipe Tobacco

Bidis (Picture 1) are small brown cigarettes from India consisting of tobacco wrapped in a leaf tied together with a thread. Bidis have higher levels of nicotine, carbon monoxide, and tar than traditional cigarettes. Kreteks (Picture 2) are cigarettes containing tobacco and clove extract. In 2009, the U.S. Food and Drug Administration banned kreteks, along with ﬂ avored cigarettes, from being sold in the United States. Pipe tobacco (Picture 3) comes either plain or ﬂ avored and is smoked through a pipe. On previous FYTS fact sheets, Figure 1. Ever Tried Bidis, Kreteks, or Pipe Tobacco bidis, kreteks, and pipe tobacco have been reported 8.4 8.5 as “specialty tobacco” products. 9 8.0 8 7.2 7.1

7 5.9 Ever Tried Bidis, Kreteks, or Pipe Tobacco 5.5 6 In 2014, 2.3% of middle school students and 5.5% 5 4 3.2 Percent 2.9 3.0 3.0 2.5 2.5 of high school students reported smoking a bidi, 3 2.3 kretek, or pipe tobacco at least once (Figure 1). 2 Since 2008, this behavior has decreased by 20.7% 1 among middle school students and by 34.5% 0 among high school students. Middle School High School Current Bidi, Kretek, or Pipe Tobacco Use

In 2014, 1.3% of middle school students and 2.9% Figure 2. Current Bidi, Kretek, or Pipe Tobacco Use of high school students reported smoking a bidi, 4 3.6 3.7 3.6 kretek, or pipe tobacco at least once during the past 3.3 2.9 2.9 30 days (Figure 2). Since 2009, this behavior has 3 decreased by 27.8% among middle school students 1.8 1.8 and by 19.4% among high school students. 2 1.7 1.5 1.4 Percent 1.3

Picture 2. 0 Kretek. Middle School High School

Images: thinkstockphotos.com numbers: 93083383,104276942, and 490928713 2014 FYTS Fact Sheet 10: Youth Bidi, Kretek, and Pipe Tobacco Use Page 2

Current Bidi, Kretek, and Pipe Tobacco Use (Past 30 Days)

Middle School Figure 3. Middle School Current Bidi, Kretek, or Pipe Tobacco Use Overall, 1.3% of middle school students reported smoking a bidi, All 1.3 kretek, or pipe tobacco at least once during the past 30 days (Figure 3). Female 1.1 In 2014, there was not a signifi cant Male 1.5 difference between males and females. Hispanics were signifi cantly more likely to smoke a bidi, kretek White* 0.9 or pipe tobacco than non-Hispanic Black* 1.4 whites. There was not a signifi cant Hispanic 1.7 difference between grade levels.

6th Grade 0.8 7th Grade 1.4 % 8th Grade 1.3 Picture 3. 0 1 2 3 4 5 Pipe and pipe * Non-Hispanic tobacco.

High School Figure 4. High School Current Bidi, Kretek, or Pipe Tobacco Use Overall, 2.9% of high school students reported smoking a bidi, All 2.9 kretek, or pipe tobacco at least once during the past 30 days (Figure 4). In Female 2.2 2014, males were signifi cantly more Male 3.5 likely to smoke a bidi, kretek, or pipe tobacco than females. Hispanics White* 2.7 were signifi cantly more likely to Black* 1.7 smoke a bidi, kretek, or pipe tobacco Hispanic 3.7 than non-Hispanic whites and non- Hispanic blacks, and non-Hispanic 9th Grade 2.1 whites were more likely to smoke 10th Grade 2.3 a bidi, kretek, or pipe tobacco than 11th Grade 2.6 non-Hispanic blacks. Twelfth graders 12th Grade 4.0 % were signifi cantly more likely to 0 1 2 3 4 5 smoke a bidi, kretek, or pipe tobacco * Non-Hispanic than ninth and tenth graders.

The prevalence estimates and 95% confi dence intervals (95% CI) were calculated using SAS 9.3. The difference in prevalence between two different populations or between two different years is statistically signifi cant if the 95% confi dence intervals of the two prevalence estimates do not overlap. For more information about the FYTS, please contact the Chronic Disease Epidemiology, Surveillance, and Evaluation Section at (850) 245-4401. You can also visit our website at www.fl oridahealth.gov/statistics-and-data/survey-data/fl -youth-tobacco-survey/index.html.