The Georgia Department of Public Health
Tobacco Use in DeKalb Health District: 2014 Data Summary

Cigarette Smoking and Smoking-attributable Mortality
in the 3-5 DeKalb Health District during 2008-2013
In 2014, the overall prevalence of smoking among adults aged 18 years and older in the DeKalb Health District (10%; 39,000 adults) was lower than both the Georgia (17%; 1.25 million adults) and the national (17%; 40 million adults) prevalence.
Cigarette smoking was higher among females (11%; 22,000) than among males (9%; 17,000).
Cigarette smoking prevalence among NonHispanic (NH) Blacks (9%; 16,000) was similar to Non-Hispanic (NH) White adults (8%; 10,500).
Approximately 15% (848/2,571) of all deaths among adults aged 35 years and older were attributed to cigarette smoking (Figure 1). Of these (Table 1): o 378 of 619 deaths (45%) were due to cancer o 269 of 448 deaths (32%) were due to respiratory disease o 226 of 1,504 deaths (27%) were due to cardiovascular disease
Lung Cancer Incidence among Adults Aged 35 Years and
Older in the DeKalb Health District and Georgia as a whole during 2008-2014
The age-adjusted lung cancer incidence rate among males (36.7 per 100,000; 651 cases) in DeKalb health district was significantlya lower in district 3-5 than the state lung cancer incidence rate among males (46.3 per 100,000; 13,760 cases).
The age-adjusted lung cancer incidence rate among females (27.5 per 100,000; 674 cases) in district 3-5 was lower than the state lung cancer incidence rate among females (30.2 per 100,000; 11,270 cases) (Figure 2).

Source: Source: 2008, 2009-2013 Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC)
Table 1. Type of Disease among Adults Aged 35 Years and Older that were Attributed to Smoking,
DeKalb Health District, 2008-2014

Type of Disease

Number of Deaths Attributable to Smoking

Percent (%)

Cancer

378

45%

Respiratory Disease

269

32%

Cardiovascular

226

27%

Disease

Source: 2008, 2009-2013 Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC)

Source: 2008-2014 Georgia Comprehensive Cancer Registry (GCCR)

2 Peachtree Street, Atlanta, GA 30303 | dph.georgia.gov

August 2016

Tobacco Use in DeKalb Health District: 2014 Data Summary

In the DeKalb Health District, the lung cancer incidence rate among NH Black males (44.0 per 100,000; 357 cases) was significantly higher than the lung cancer incidence rate among NH White males (31.1 per 100,000; 265 cases) (Figure 3).
The lung cancer incidence rate for NH Black females (29.3 per 100,000; 365 cases) was significantly higher than for NH White females (25.5 per 100,000; 277 cases) (Figure 3).
Secondhand Smoke Exposure in the DeKalb Health

Source: 2008-2014 Georgia Comprehensive Cancer Registry (GCCR)

District in 2014

Approximately 44% (140,000) of DeKalb Health

District adults were exposed to secondhand

smokeb, which was similar to the Georgia

prevalence of secondhand smoke exposure

(45%; 5.3 million).

Adults were significantly more likely to be

exposed to secondhand smoke in public places

(29%; 90,000) than in the workplace (26%;

55,000), in a vehicle (14%; 45,000), or at home (13%; 40,000) (Figure 4).

Source: 2014 Adult Tobacco Survey (ATS)

Secondhand smoke exposure was higher among males (24%; 78,000) than females (20%; 63,000) in district 3-1.

aStatistically significant based on comparison of 95% confidence intervals bSecondhand smoke exposure includes exposure at home,

Exposure to secondhand smoke was significantly higher among NH White adults (28%; 86,000) than NH Black adults (10%; 30,000).
Adults with less than a college degree (18%;

work, public place, or vehicle cResults based on 2014 ATS question, "Should policies that don't allow tobacco use in indoor or outdoor public places be strictly enforced?" Yes or No

56,000) were more likely to be exposed to

Definitions

secondhand smoke than college graduates (15%; 50,000).
Overall, the percent of adults in the DeKalb Health District who support strict enforcement of tobacco use polices related to indoor/outdoor public placesc increased from 91% (370,000) in

1. Adults are defined as civilian persons aged 18 years and older, unless otherwise stated. 2. Cigarette smokers are defined as those who have smoked at least 100 cigarettes in their lifetime and are currently smoking. 3. Lung cancer incidence rates are age-adjusted to the 2000 U.S. standard population.

2009-2010 to 94% (290,000) in 2014.

Data sources

1. 2014 Georgia Behavioral Risk Factor Surveillance System (BRFSS)

2. Georgia Vital Statistics, 2008, 2010-2013; CDC SAMMEC web application (http://apps.nccd.cdc.gov/sammec/)

3. CDC. Current Cigarette Smoking Among Adults United States, 2014; Available at:

http://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/index.htm#national

4. Georgia Comprehensive Cancer Registry (GCCR), 2009-2013 Age-Adjusted Cancer Incidence Rates for the State of Georgia

5. 2009-2010 National Adult Tobacco Survey (NATS) and 2014 Adult Tobacco Survey (ATS)