Message from the Commissioner
Executive Summary
Table of Contents
Section I. Prevalence
Section II. WV Cigarette Consumption
Section III. Deaths in WV due to Smoking
Section IV. Health Care Costs Related to Smoking
SAMMEC
References
Credits
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TOBACCO IS KILLING (AND COSTING) US
A Report on Tobacco Use Rates, Smoking-Related Deaths,
and Smoking-Related Health Care Costs in West Virginia
SECTION I
Tobacco Use Prevalence in West Virginia
In 2003, West Virginia had the third highest current smoking rate among the 54 participants (50 states plus the District of Columbia and three U.S. territories) in the annual Behavioral Risk Factor Surveillance System (BRFSS) survey (3). The BRFSS allows a calculation of the state’s rate of smoking every year using statistics collected from approximately 3,600 randomly selected adults by means of a telephone survey. The state’s 2003 smoking prevalence was 27.3 percent, somewhat lower than the state’s 2002 rate of 28.4 percent but markedly higher than the U.S. average of 22.2 percent.
Among smokeless tobacco users, the difference was even more striking. The state’s 2003 prevalence of smokeless tobacco use among adult males was 15.9 percent, lower than the 2002 rate of 17.2 percent, but first among the 12 BRFSS participants in 2003 who included questions about smokeless tobacco use in their surveys.
The tobacco use data on the following pages reflect aggregated survey responses from the years 1999 through 2003. County rates were calculated from aggregated state data where possible. Aggregated sample sizes were large enough to allow the calculation of county smoking rates for 24 individual counties. Among those counties with sample sizes still too small to calculate individual (county-level) prevalences, samples were combined to provide multicounty smoking rates. That rate was then used as the prevalence for each county within that multicounty region. The U.S. average prevalence for 2001 as chosen for comparison purposes on the county map because it represents the midpoint of the five-year range.
Table 1
Prevalence (%) of Current Smoking by County
WVBRFSS, 1999-2003
|
County |
% |
Rank* |
County |
% |
Rank* |
Barbour |
23.6 |
31 |
Monongalia |
22.6 |
34 |
Berkeley |
32.5 |
6 |
Monroe |
24.6 |
28 |
Boone |
39.0 |
1 |
Morgan |
26.7 |
23 |
Braxton |
21.8 |
35 |
Nicholas |
21.8 |
35 |
Brooke |
31.5 |
8 |
Ohio |
26.4 |
25 |
|
|
|
|
|
|
Cabell |
24.7 |
27 |
Pendleton |
24.4 |
29 |
Calhoun |
29.0 |
15 |
Pleasants |
28.6 |
18 |
Clay |
29.0 |
15 |
Pocahontas |
24.4 |
29 |
Doddridge |
29.3 |
14 |
Preston |
23.7 |
30 |
Fayette |
30.7 |
10 |
Putnam |
22.9 |
33 |
|
|
|
|
|
|
Gilmer |
29.0 |
15 |
Raleigh |
30.4 |
11 |
Grant |
25.6 |
26 |
Randolph |
23.3 |
32 |
Greenbrier |
24.6 |
28 |
Ritchie |
29.3 |
14 |
Hampshire |
26.7 |
23 |
Roane |
29.0 |
15 |
Hancock |
30.1 |
12 |
Summers |
24.6 |
28 |
|
|
|
|
|
|
Hardy |
24.4 |
29 |
Taylor |
23.6 |
31 |
Harrison |
27.8 |
20 |
Tucker |
23.7 |
30 |
Jackson |
28.3 |
19 |
Tyler |
28.6 |
18 |
Jefferson |
29.4 |
13 |
Upshur |
32.2 |
7 |
Kanawha |
27.4 |
22 |
Wayne |
28.9 |
17 |
|
|
|
|
|
|
Lewis |
29.3 |
14 |
Webster |
21.8 |
35 |
Lincoln |
39.0 |
1 |
Wetzel |
28.6 |
18 |
Logan |
35.5 |
2 |
Wirt |
28.3 |
19 |
McDowell |
32.9 |
4 |
Wood |
26.7 |
24 |
Marion |
21.1 |
36 |
Wyoming |
32.6 |
5 |
|
|
|
|
|
|
Marshall |
30.8 |
9 |
Total WV |
27.4 |
|
Mason |
28.9 |
16 |
Total US |
22.7 |
|
Mercer |
27.5 |
21 |
|
|
|
Mineral |
25.6 |
26 |
|
|
|
Mingo |
33.8 |
3 |
|
|
|
|
|
|
|
|
|
Note: The data from counties sharing the same rank were combined due to low sample sizes. Aggregated sample sizes were large enough for 24 of the 55 counties to stand alone. The data from the remaining 31 counties were combined into 12 groupings of counties. Each county within a grouping shares the same prevalence.
*Rates are rounded to the nearest tenth; ranks were determined before rounding.
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Table 2
Prevalence (%) of Smokeless Tobacco Use (Men) by County
WVBRFSS, 1999-2003
|
County |
% |
Rank* |
County |
% |
Rank* |
Barbour |
23.0 |
9 |
Monongalia |
14.2 |
25 |
Berkeley |
11.6 |
33 |
Monroe |
23.6 |
8 |
Boone |
20.6 |
13 |
Morgan |
15.8 |
20 |
Braxton |
30.3 |
2 |
Nicholas |
30.3 |
2 |
Brooke |
11.8 |
32 |
Ohio |
11.9 |
31 |
|
|
|
|
|
|
Cabell |
10.1 |
34 |
Pendleton |
28.4 |
3 |
Calhoun |
30.9 |
1 |
Pleasants |
26.0 |
5 |
Clay |
30.9 |
1 |
Pocahontas |
28.4 |
3 |
Doddridge |
20.9 |
12 |
Preston |
24.0 |
7 |
Fayette |
19.7 |
14 |
Putnam |
14.2 |
26 |
|
|
|
|
|
|
Gilmer |
30.9 |
1 |
Raleigh |
21.9 |
10 |
Grant |
13.6 |
28 |
Randolph |
24.0 |
6 |
Greenbrier |
23.6 |
8 |
Ritchie |
20.9 |
12 |
Hampshire |
15.8 |
20 |
Roane |
30.9 |
1 |
Hancock |
5.9 |
36 |
Summers |
23.6 |
8 |
|
|
|
|
|
|
Hardy |
28.4 |
3 |
Taylor |
23.0 |
9 |
Harrison |
17.6 |
18 |
Tucker |
24.0 |
7 |
Jackson |
21.3 |
11 |
Tyler |
26.0 |
5 |
Jefferson |
6.0 |
35 |
Upshur |
15.7 |
22 |
Kanawha |
13.0 |
29 |
Wayne |
14.6 |
24 |
|
|
|
|
|
|
Lewis |
20.9 |
12 |
Webster |
30.3 |
2 |
Lincoln |
20.6 |
13 |
Wetzel |
26.0 |
5 |
Logan |
14.1 |
27 |
Wirt |
21.3 |
11 |
McDowell |
18.8 |
17 |
Wood |
12.8 |
30 |
Marion |
15.2 |
23 |
Wyoming |
28.1 |
4 |
|
|
|
|
|
|
Marshall |
15.9 |
19 |
Total WV |
17.1 |
|
Mason |
19.6 |
15 |
|
|
|
Mercer |
19.0 |
16 |
|
|
|
Mineral |
13.6 |
28 |
|
|
|
Mingo |
15.8 |
21 |
|
|
|
|
|
|
|
|
|
Note: The data from counties sharing the same rank were combined due to low sample sizes. Aggregated sample sizes were large enough for 24 of the 55 counties to stand alone. The data from the remaining 31 counties were combined into 12 groupings of counties. Each county within a grouping shares the same prevalence.
*Rates are rounded to the nearest tenth; ranks were determined before rounding.
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