Tobacco-Free Living
Tobacco Use Reports, Literature, and Publications 

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Annual Healthcare Spending Attributable to Cigarette Smoking  (AJPM) External link December 2014

Fifty years after the first Surgeon General’s report, tobacco use remains the nation’s leading preventable cause of death and disease, despite declines in adult cigarette smoking prevalence. Smoking-attributable healthcare spending is an important part of overall smoking-attributable costs in the U.S.

Department of Defense Survey of Health Related Behaviors (SHRUB)External link February 2013

The DoD has been conducting this survey since 1980; the current 2011 survey is the 12th iteration. The purpose of this study is to assess health behaviors that have the potential to impact readiness and to assess the overall well-being of the Armed Forces. The Department of Defense (DoD) uses data from the Health Related Behavior (HRB) Survey to improve education, training, treatment, and counseling to support the Services and optimize individual and overall health status and fitness. Tobacco use information is found in ‘Overview of Substance Use’, pg ES-7/8.

External link  June 2011

The National Prevention Strategy is the nation’s first such strategy. It is a critical component of the Affordable Care Act, and it provides an opportunity for the nation to become healthy and fit. The Strategy intends to move the nation from a system of sick care to one based on wellness and prevention. It focuses on housing, transportation, education, workplaces and environments as major elements that impact the physical and mental health of Americans.

Healthy People 2020, A Framework for Ending the Tobacco Use Epidemic External link

The goal of Healthy People 2020 related to tobacco use is to reduce illness, disability, and death related to tobacco use and exposure to secondhand smoke.  Healthy People 2020 provides a framework for action to reduce tobacco use to the point that it is no longer a public health problem for the Nation. This document provides an overview, issues and trends, disparities, opportunities to reduce tobacco use in the U.S., and the specifics of the objectives related to tobacco use and cessation.

Healthcare Effectiveness Data and Information Set (HEDIS) Measures External link

The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by health plans to measure performance on important dimensions of care and service.  The National Committee for Quality Assurance State of Health Care Quality report published in 2007 provides statistics on use and interventions, definition of HEDIS measures and current performance, and the case for improvement.  Information on medical assistance with smoking cessation is on pages 48-49.  The measure evaluates three components: advising smokers to quit, discussing smoking cessation medications, and discussing smoking cessation strategies.

Tobacco Related Literature

Breast Cancer External link HealthDay, August 2010

Nicotine may directly promote the development of breast cancer by binding to a certain cell receptor.

E-cigarettes External link  American Heart Association Circulation, May13, 2014

Electronic cigarettes (e-cigarettes) come in many forms and are often not called e-cigarettes by users, and are being aggressively advertised.

Lung Inflammation External link Science Daily, September 2010

Cigarette smoke shuts off a key enzyme in airways that regulates the body's response to inflammation.

Smoking and Fertility External link HealthDay, September 2010

Evidence that smoking can harm sperm - both in smoking men who may become fathers, and in sons born to women who smoked during pregnancy.

Smoking and Depression External link Medscape Today, September 2010 (requires free account login)

Smoking may increase symptoms of depression in adolescents.

Smoking in Top-Grossing Movies External link Journal of the American Medical Association, 2010;304(24):2692-2694.

Smoking in top grossing movies and its impact on increasing tobacco usage in youths.

Treating PTSD and Smoking Together is Best External link Executive Health, December 2010

Veterans with integrated PTSD treatment and tobacco cessation had better prolonged quit rates.


Mortality and Morbidity Statistics

Centers for Disease Control and Prevention (CDC) Smoking and Tobacco Use Morbidity and Mortality Weekly Reports External link

Data and statistics reports by year and by topic. Links to state data, fact sheets, surveys, and Surgeon General reports.



Return on Investment

Making the Business Case for Smoking Cessation External link

This site presents the business case for smoking cessation. The information can be used by health insurance plans, employers, purchasers, and health benefits managers to gain valuable insight into the economic advantages of a range of smoking cessation programs.

Smoking Cessation- The Economic Benefits External link

American Lung Association project that provides national data by state on the average cost of a pack of cigarettes, real cost to the state's economy per pack, and the average potential return on investment for providing tobacco cessation treatments.