Tobacco-related Health Objectives

Preventing tobacco use will help achieve certain public health objectives, as stated in “Healthy People 2000: National Health Promotion and Disease Prevention Objectives” (37,38,39). Public health officials probably are familiar with these objectives. Those related to tobacco prevention include

Objective 3.1. Reduce coronary heart disease deaths to no more than 100 per 100,000 people. (Age-adjusted baseline: 135 deaths per 100,000 people in 1987.) Among African Americans, reduce the number from 168 to 115 deaths per 100,000 people between 1987 and the year 2000.

Objective 3.2. Slow the rise in lung cancer deaths to achieve a rate of no more than 42 per 100,000 people. (Age-adjusted baseline: 38.5 deaths per 100,000 people in 1987.) Among African Americans, slow the rise from 86.1 to 91 deaths per 100,000 between 1990 and the year 2000.

Objective 3.4. Reduce the prevalence of cigarette smoking to no more than 15% among people ages 18 years and older. (Baseline: 29% in 1987—31% for men and 27% for women.) Particular year 2000 objectives include lowering the prevalence of smoking to 18% among African Americans, 15% among Hispanics, and 20% among American Indians and Alaska Natives and Southeast Asian men.

Objective 3.5. Reduce the initiation of cigarette smoking by children and youths so that no more than 15% have become regular smokers by 20 years of age. (Baseline: 30% of youths had become regular smokers between the ages of 20 and 24 years in 1987.)

Objective 3.9. Reduce the prevalence of smokeless tobacco use among males ages 12 to 24 years to no more than 4%. (Baseline: 6.6% among males ages 12 to 17 years in 1988; 8.9% among males ages 18 to 24 years in 1987.) A specific objective is to lower the prevalence of smokeless tobacco use among American Indian and Alaska Native young adults to 10% by the year 2000.

Objective 3.18. Reduce stroke deaths to no more than 20 per 100,000 people. (Age-adjusted baseline: 30.4 deaths per 100,000 people in 1987.) Among African Americans, reduce the number from 52.5 to 27.0 deaths per 100,000 people between 1987 and the year 2000.

References

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  37. U.S. Department of Health and Human Services. (1991). Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Rockville, MD: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.
  38. U.S. Department of Health and Human Services. (1995). Healthy People 2000: Midcourse Review and 1995 Revisions. Rockville, MD: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.
  39. National Center for Health Statistics. (1994). Centers for Disease Control and Prevention. Hyattsville, MD: Author.

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