1. Kansas Tobacco-Related Data Resources and Performance Measures Harlen Hays, MPH Office of Health Promotion, KDHE

2. Four Programs GoalsNational, State and Local • Preventing the initiation of tobacco use among young people. • Promoting quitting among young people and adults. • Eliminating nonsmokers' exposure to environmental tobacco smoke (ETS). • Identifying and eliminating the disparities related to tobacco use and its effects among different population groups.

3. Leading Underlying Causes of Death in the U.S. 2000

4. Long Term Planning… …With Short term indicators • Death and disease are the ultimate outcomes tobacco prevention is trying to reduce • However interventions are not immediately apparent in tobacco prevention • Multiple points exist prior to death or disability that will predict reductions • Nearly an infinite amount actually

5. Types of Data • Qualitative • Provides information in a more narrative format on individual thoughts and feelings • Attempts to answer the How and Why • Small intimate data collection method • Quantitative • Provides information on the number of units within the sampling frame • Attempts to answer the What, When, and Where of situations • Larger removed data collection method Methods Exist to convert Qualitative information into a more Qualitative Presentation

6. Qualitative Sources • Informal • Success Stories • Anecdotal • Blogs or Journals • Formal • Key Informant Interviews • Focus Groups • Sharing Sessions

7. Quantitative Sources • Surveys • Information is interpreted differently based on the sampling frame • Registries • Provides information on incidence • Vital Statistics • Provides comprehensive information on major life events (Birth, Pregnancy, Death) • Other • Topic Specific Data Sources

8. Surveys • Sampling Frame • The sampling frame of a survey is the pool of potential subjects from which the survey participants are sampled. Examples include the Kansas population, all youth in specific grades, Business owners, Physicians, and cities • The information collected has a different interpretation based on who is sampled and what questions are being asked of them. Asking someone about their personal habits is different than asking a business owner about their workplace policy

9. Surveys – Adult Kansans • Kansas Adult Tobacco Survey • Periodically conducted • Generalizable information to the State of Kansas and some sub-state analysis • Behavioral Risk Factor Surveillance System • Conducted annually • Core used to produce prevalence estimates • State Added or Optional Modules available

10. Surveys – Adult Kansans • National Survey on Drug Use and Health • Conducted annually • State estimates released over 2 year period • Collects information on individuals aged 12 and older • Current Population Survey • Conducted periodically • Last tobacco questions asked in 2003

11. Surveys - Youth • Kansas Youth Tobacco Survey • Conducted every two years • Random sample of youth in grades 6-12 • Kansas Communities That Care • Conducted annually • Invitation extended to all youth in Kansas in grades 6, 8, 10, and 12

12. Surveys - Youth • Kansas Youth Risk Behavior Survey • Conducted every two years • Random sample of youth in grades 9-12

13. Registries and Vital Statistics • Kansas Information for Communities (KIC) • Birth Certificate Data • Pregnancy Data • Death Records • Cancer Registry • Population Estimates • Hospital Discharge Data • http://kic.kdhe.state.ks.us/kic/index.html

14. Topic Specific Data Sources • Kansas Tobacco Quitline • Monthly datasets of current callers • Includes those who receive counseling, ask for information, and the number of health care providers that call • Insurance Databases • Reimbursement for NRT • Medicaid and Medicare

15. Topic Specific Data Sources • Department of Revenue • Number of licensed tobacco retailers • Number of Enforcement checks conducted • Tax revenue • Cigarettes • Other Tobacco Products • Reward and Reminder/ BARS Program • Non-enforcement inspections

16. Topic Specific Data Sources • State Synar Compliance Report • Random sample of retailers throughout Kansas • Conducted in same format as Enforcement • Media Clipping Services • Frequency of tobacco topics • Can be separated for pro- and anti-tobacco slant • Typically, Print is the easiest to acquire

17. Topic Specific Data Sources • Public Opinion Polls • Short, infrequent surveys on specific issues • May be done at state or local level • Provider Databases • EMR on tobacco status or cessation billing • No centralized database • Policy Databases • Schools • Ordinances

18. Others • What are your data sources? • How frequently is the information collected? • How often is the information reported? • Is the information available to the public?

19. Tools of the Trade • CDC’s STATE system • State Tobacco Activities Tracking and Evaluation • Detailed state analysis • Trend information • State-to-state comparisons • http://apps.nccd.cdc.gov/statesystem/

24. Tools of the Trade • Survey Questionnaire Design Resource • Tobacco related questions • http://apps.nccd.cdc.gov/sqdr/QuickSearch.aspx • Kansas Communities That Care • http://beta.ctcdata.org/ • Kansas Information for Communities • http://kic.kdhe.state.ks.us/kic/index.html

25. Questions?