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Prevent and Reduce Tobacco Use

Preventing and reducing tobacco use is one of seven priority areas from Oregon's State Health Improvement Plan. Progress is updated annually. Get the 2018 Progress Report for this priority or view current data highlights below.

Key Strategies

Population interventions

  • Increase the price of tobacco
  • Prohibit free samples of tobacco products, tobacco coupon redemption and other price reduction strategies
  • Increase the number of tobacco-free environments

Health equity interventions

  • Increase protections for secondhand smoke among low-income and service-industry employees
  • Increase the number of Oregon Health Authority (OHA) and Department of Human Services (DHS) mental and behavioral health service providers that adopt tobacco-free campus policies and contracting rules, and refer clients and employees who smoke to evidence-based cessation services
  • Build capacity among culturally specific organizations and communities disproportionately impacted by tobacco industry targeting.
  • Increase the number of American Indian/Alaska Natives accessing Quit LIne services.

Health system interventions

  • Create incentives for private and public health plans and health care providers to prevent and reduce tobacco use
  • Ensure availability of comprehensive cessation benefits through private and public health plans
  • Create tobacco-free private and public health plans.

Tobacco use remains the number one cause of preventable death in Oregon and nationally.

  • ​Tobacco use kills approximately 7,000 Oregonians each year, and secondhand smoke causes an additional 650 deaths.

​Tobacco use causes lung cancer, cardiovascular disease and chronic obstructive pulmonary disorder.

Tobacco use is a major risk factor in developing asthma, arthritis, diabetes, stroke, tuberculosis, and ectopic pregnancy – as well as liver, colorectal and other forms of cancer. It also worsens symptoms for people already battling chronic diseases.

Smoking costs Oregon more than $2.5 billion annually in medical expenditures and through indirect costs due to premature death.​

Priority Targets - Highlights

Chart showing cigarette smoking among 11th graders is decreasing 

Cigarette smoking among youth (percentages of 8th and 11th grade youth) 2009-2019: This chart shows cigarette smoking among 8th and 11th graders is decreasing.
Cigarette smoking among youth (percentages of 8th and 11th grade youth)
Year 2009 2011 2013 2015 2017
Percentage of 11th grade youth 14.9% 11.5% 10% 9% 8%
2020 Target (11th) 7.5% 7.5%
Percentage of 8th grade youth 10% 7% 4% 4% 3%
2020 Target (8th) 2% 2%

Data source: Oregon Healthy Teens

Chart showing use of other tobacco products, such as e-cigarettes, is decreasing among youth. 

Other tobacco use among youth (percentages of 8th and 11th grade youth) 2013-2019: This chart shows use of other tobacco products, such as e-cigarettes, is decreasing among youth.
Other tobacco use among youth (percentages of 8th and 11th grade youth)
Year 2013 2015 2017
Percentage of 11th grade youth 18% 23% 17%
2020 Target (11th) 15% 15%
Percentage of 8th grade youth 6% 11% 8%
2020 Target (8th) 4% 4%

Data source: Oregon Healthy Teens Survey

Chart showing cigarette smoking among adults is decreasing. 

Cigarette smoking among adults (percentage of adults) 2010 - 2019. This chart shows cigarette smoking among adults is decreasing.
Cigarette smoking among adults (percentage of adults)
Year 2010 2011 2012 2013 2014 2015 2016 2017
Percentage 21% 21% 19% 18% 17% 18% 17% 17%
2020 Target 15% 15% 15%

Data source: Behavioral Risk Factor Surveillance System (BRFSS)

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