Section 2: Tobacco Use
Background
Tobacco is the leading preventable cause of premature mortality in the United States. The majority of Alaska smokers (83.7%), began smoking between the ages of 10 and 20 years2. Because of the addictive properties of nicotine, smokers find it difficult to quit. Therefore, many efforts to decrease smoking in our society have been directed towards youth to decrease access to tobacco products and to discourage youth from starting to smoke3.
Cigarette Smoking
Alaska high school students are somewhat more likely to be current smokers and frequent smokers, than are U.S. students. Smoking rates are similar for boys and girls.

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a) Ever tried cigarette smoking.
b) Smoked on at least one of the 30 days prior to the survey.
c) Smoked on at least 20 of the 30 days prior to the survey.
Cigarette Smoking
Alaska students who are older and in higher grades, are more likely to be frequent smokers (smoking 20 or more days of the previous 30 days). Almost 20% of ninth graders are frequent smokers.

Where are Students Getting Cigarettes?
During the 30 days prior to the survey, most Alaska high school students obtained cigarettes in the following ways: borrowed from someone else, someone else bought the cigarettes, or the student purchased his/her own cigarettes. Few use vending machines.

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* Among Students who Smoked Cigarettes in Past 30 Days
Where are Students Getting Cigarettes?
Of Alaska students who smoked in the past 30 days, those aged 18 and older are far more likely to buy their own cigarettes in stores, whereas younger students are more likely to borrow cigarettes. Even so, almost 12% of students aged 15 or less bought cigarettes in a store.

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* Among Students who Smoked Cigarettes in Past 30 Days
Chewing Tobacco and Snuff
Boys are more likely than girls to report having used chewing tobacco or snuff in the 30 days prior to the survey. Alaska girls are more likely to use smokeless tobacco than are U.S. girls.

Chewing Tobacco and Snuff
Smokeless tobacco use increases with grade level, so that 29.1% of high school senior boys have used smokeless tobacco products within the past 30 days. The data suggest that Alaska boys are more likely to be current users of smokeless tobacco than are U.S. boys.

Chewing Tobacco and Snuff
Almost 30% of high school boys aged 18 and older have used chewing tobacco or snuff at least once during the past 30 days.

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a) Used at least once in the 30 days prior to the survey.
b) Used on 20 or more of the 30 days prior to the survey.





