1. Tobacco Use Data Disparities Icilda Dickerson, MSA Assistant Director March 15, 2007 www.otpf.org

6. Tobacco Use: African American Communities Over 70% of African-American adults and 90% of African-American youth prefer menthol cigarettes. Ohio African-American males have higher rates of lung and bronchus cancer incidence and mortality than Ohioans in general.

7. American Indians/Native Americans 3 out of 5 deaths in Native American and American Indian communities can be attributed to tobacco use. CDC 2005 estimates: 43.2% AI/NA adults smoke. Ceremonial use of tobacco.

8. Amish Communities 24,100 Amish in Ohio Tobacco use is a masked behavior Difficult to outreach Use of snuff or chew among males 10.8% of 18-34 year olds 13.0% of 35-54 year olds 11.1% of 55-64 year olds

9. Regional Tobacco Use Disparity

10. Tobacco Use: Asian Americans 40% Cambodian 32% Laotian 29% Hmong 23% Korean.

11. Tobacco Use: Deaf and Hard of Hearing 18.4% adults smoke cigarettes; 1.3% smoke cigars; approx. 1% use dip (snuff) or chew tobacco. Of those who smoke; 10% reported smoking regularly.

12. Hispanic/Latino Communities 26% of Ohio’s Hispanic households reported someone smoking cigarettes, cigars, or pipes inside their homes. Higher rates of menthol cigarette use.

13. Immigrant/Refugee (Somalis) 40,000 + Somalis in Ohio; most reside in Central Ohio. Lack of tobacco use prevalence data. Anecdotally 60% or more adults smoke. In Somalia, 16% of youth smoke. Adults/youth chew dried Khat (Qat), a harmful narcotic substance.

14. LGBT Population Nationally, the LGBT community is estimated to have a smoking rate of up to 50% for adults ad 60% for youth. OTPF funded LGBT Pilot Study (’04-’05) found targeted advertising, hard-to-resist free cigarettes at bars, ineffective channels for outreach as main barriers for tobacco control.

15. Medicaid Population Ohio’s Medicaid population has a smoking rate of 50.1 percent, and Ohio’s uninsured smoke at a rate of 55 percent. Smoking among pregnant women on Medicaid ranged from 24% - 40%. Of all infants born with low birth weight, 25% were born to tobacco users.

16. Chemically Dependent and Severe Mental Illness Ohio Dept. of Alcohol and Drug Addiction Services (ODADAS) estimates 70% - 90% tobacco use prevalence among individuals with alcohol and drug use disorders. The smoking rate for people with both physical and mental illness is 33% higher than those without. Smoking rates are as high as 90% among individuals with severe mental illness.

17. Policy Implications Significant and improved understanding of the need to reach out to address diverse tobacco use disparities. Low SES could be one cross-cutting approach to address the multiple diverse populations. OTPF is addressing tobacco use disparities by funding various grantees reaching diverse communities.