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Emerging Infectious Diseases Journal
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Volume 4: No. 3, July 2007

COMMUNITY CASE STUDY
Effective Tobacco Control in Washington State: A Smart Investment for Healthy Futures

Year Adult Smoking Prevalence, Washington State, % Adult Smoking Prevalence, United States, % Per Capita Funding for Tobacco Control Programs, Washington State, $
1990 22.5 25.5 0.04
1991 23.3 25.7 0.20
1992 21.4 26.5 0.19
1993 21.9 25.0 0.19
1994 21.9 25.5 0.19
1995 20.2 24.7 0.18
1996 23.4 24.7 0.18
1997 23.8 24.7 0.18
1998 21.4 24.1 0.17
1999 22.4 23.5 0.17
2000 20.7 23.2 0.19
2001 22.5 22.7 2.51
2002 21.5 22.4 2.90
2003 19.8 21.6 4.30
2004 19.5 20.9 4.25
2005 17.6 20.9 4.81

Figure 1. Smoking prevalence rates among adults in Washington State and the United States and tobacco control funding per capita in Washington State, 1990 through 2005. Data for Washington State are from the Washington State Behavioral Risk Factor Surveillance System; data for the United States are from the National Health Interview Survey. The point of inflection is defined as the point at which the slope of a line changes significantly. The point of inflection for Washington State is 2001.

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Academic Year Smoking Prevalence, 8th-Grade Youths, Washington State, % Smoking Prevalence, 8th-Grade Youths, United States, %
1990-91 12.1 14.3
1991-92 Not Available 15.5
1992-93 10.3 16.7
1993-94 Not Available 18.6
1994-95 18.8 19.1
1995-96 Not Available 21.0
1996-97 Not Available 19.4
1997-98 15.2 19.1
1998-99 Not Available 17.5
1999-2000 Not Available 14.6
2000-01 12.5 12.2
2001-02 Not Available 10.7
2002-03 9.2 10.2
2003-04 Not Available 9.2
2004-05 7.8 9.3

Figure 2. Smoking prevalence rates among 8th-grade youths in Washington State and in the United States, 1990 through 2005. Data for Washington State are from the Washington State Healthy Youth Survey; data for the United States are from the national Monitoring the Future survey.

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Demographic Group Adult Prevalence Rate, Washington State, %
Washington State 17.6 (16.9-18.4)
High school education or less 28.9 (27.4-30.5)
Age 18-29 23.3 (21.2-25.6)
Black/African American 24.7 (19.4-30.9)
Pacific Islander 26.6 (16.2-40.6)
Native American 32.6 (26.2-39.6)
Hispanic/Latino 20.1 (16.3-24.7)
Nonurban community setting 20.5 (19.2-21.9)
Gay, lesbian, or bisexual 31.6 (26.1-37.6)

Figure 3. Smoking prevalence rates among demographic groups in Washington State that have prevalence rates higher than the state average. The category "Hispanic/Latino" includes English-speaking people of any race. The Healthy People 2010 goal is 12%. Data are from the Washington State Behavioral Risk Factor Surveillance System, 2005.

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