All people in North Carolina live in communities that support tobacco-free/e-cigarette-free lifestyles.

Why Is This Important?

Far too many of the most vulnerable North Carolinians have suffered for too long from products that have been protected from regulation, yet are designed to addict, are promoted to young people, and are deadly. Until everyone is protected from addiction and exposure, we must keep working toward fairness and value-based services.

Story Behind the Curve

As of 2019, 27.3% of high school students in North Carolina report tobacco use, and 22.9% of adults report tobacco use. One of every five deaths in North Carolina is associated with cigarette smoking and for each death, 30 more people are sick or live with a disability. Cigarette smoking has declined for both youth and adults while electronic cigarette smoking and use of other tobacco products are increasing. Low income, low educational attainment, mental illness, and unemployment increase likelihood of tobacco use. LGBTQ individuals and people in rural communities are also more likely to smoke. American Indians have a higher prevalence of smoking, while African American tobacco users die from tobacco-related causes at higher rates. Goals for 2030 are to reduce youth tobacco use to 9.0% and adult use to 15.0%. HNC 2030 pp. 68-69

Partners
American Heart Association- Triangle, Charlotte, Triad & Iredell County
https://www.heart.org/en/affiliates/north-carolina/triangle
https://www.heart.org/en/affiliates/north-carolina/charlotte
https://www.heart.org/en/affiliates/north-carolina/triad-region
American Lung Association
https://www.lung.org/
https://www.lung.org/quit-smoking
American Nonsmokers’ Rights Foundation (ANRF)
https://no-smoke.org/
American Public Health Association (APHA)
https://www.apha.org/apha-communities/member-sections/community-health-workers
Association of State and Territorial Health Officials (ASTHO)- Tobacco Control Program
https://www.astho.org/About/
BlueCross BlueShield of North Carolina Foundation
https://www.bcbsncfoundation.org/
BreatheEasyNC Becoming Tobacco Free
https://breatheeasync.org/
Campaign for Tobacco Free Kids
https://www.tobaccofreekids.org/
CDC’s 6/18 Initiative
https://www.cdc.gov/sixeighteen/index.html
https://www.cdc.gov/sixeighteen/tobacco/index.html
CenterLink- LGBT HealthLink
https://www.lgbthealthlink.org/
https://www.lgbthealthlink.org/Projects
Change for Life: Tobacco Free Recovery
https://www.mecknc.gov/HealthDepartment/CommunityHealthServices/TobaccoFreeMecklenburg/Pages/Tobacco-Free-Behavioral-Health.aspx
Coordinated Approach to Child Health (CATCH) My Breath
https://letsgo.catch.org/bundles/catch-my-breath-e-cigarette-juul-prevention
Countertobacco.org
https://countertobacco.org/
Counter Tools
https://countertools.org/
Dogwood Health Trust
https://dogwoodhealthtrust.org/
Duke - UNC Tobacco Treatment Specialist Training Program
https://www.dukeunctts.com/
National Alliance on Mental Illness North Carolina
https://naminc.org/
National Association for Alcoholism and Drug Abuse Counselors (NAADAC)
https://www.naadac.org/about
 
National Association of Chronic Disease Directors (NACDD)
https://chronicdisease.org/
National Association of Social Workers North Carolina Chapter
https://www.naswnc.org/
National Council for Mental Wellbeing
https://www.thenationalcouncil.org/
https://www.thenationalcouncil.org/topics/national-behavioral-health-network-for-tobacco-cancer-control/
National Native Network
https://keepitsacred.itcmi.org/
https://keepitsacred.itcmi.org/quitlines/
North Carolina Alliance For Health (NCAH)
https://www.ncallianceforhealth.org/tobacco-use-prevention/
North Carolina American Indian Health Board
https://ncaihb.org/
North Carolina Area Health Education Centers (NC AHEC)
https://www.ncahec.net/about-nc-ahec/statewide-work
North Carolina Association of Local Health Directors
https://www.ncalhd.org/
North Carolina Association of Pharmacists (NCAP)
https://www.ncpharmacists.org/
North Carolina Department of Public Instruction
https://www.dpi.nc.gov/
North Carolina Department of Public Safety- Juvenile Crime Prevention Councils
https://www.ncdps.gov/juvenile-justice/community-programs/juvenile-crime-prevention-councils
North Carolina Medical Board
https://www.ncmedboard.org/
North Carolina Public Health Association
https://ncpha.memberclicks.net/
Parents Against Vaping e-Cigarettes (PAVe)
https://www.parentsagainstvaping.org/
QuitlineNC
https://www.quitlinenc.com/
Rescue Agency
https://www.rescueagency.com/
https://www.rescueagency.com/work/case-studies
Robert Wood Johnson Foundation (RWJF)
https://www.rwjf.org/en/how-we-work/grants-explorer/funding-opportunities.html?cid=xps_other_pd_dte%3A20191105
School Nurse Association of North Carolina (SNANC)
https://www.snanc.com/home
The African American Tobacco Control Leadership Council (AATCLC)
https://www.savingblacklives.org/about-us
The Center for Black Health & Equity
https://centerforblackhealth.org/
https://centerforblackhealth.org/tobacco/
The Duke Endowment
https://www.dukeendowment.org/
Truth Initiative
https://truthinitiative.org/
What Works
  • Fund comprehensive state tobacco control programs to levels recommended by the CDC
  • Implement high-impact media campaigns that warn about the dangers of tobacco use
  • Implement state and local tobacco-free and smoke-free air policies that include e-cigarettes
  • Implement strategies to curb tobacco product advertising and marketing that are appealing to young people
  • Increase access to standard-of-care tobacco use treatment
  • License tobacco retailers to enforce youth access to tobacco laws
  • Raise the age of tobacco product sales to 21 to comply with federal law
  • Raise the price of tobacco products through a tobacco tax
  • Remove state preemption of local government regulations on the sale, promotion, distribution, and display of tobacco products
  • Restrict the sales of flavored tobacco products
Description of Indicator Data

NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS) NC Youth Tobacco Survey, Smoke-free/Tobacco free local regulations maps

Additional Data Needed at Local Level
  • Data regarding sale and consumption of new and emerging tobacco products
  • Data to understand health disparities regarding tobacco use and exposure to hazardous secondhand smoke and e-cigarette emissions.
  • Data on the effectiveness of price policies to prevent initiation of e-cigarette use among young people
Measures
Time
Period
Current Actual Value
Current Target Value
Current
Trend
Baseline
% Change
I
2019
24.0%
1
-2%
I
2019
23.5%
1
-5%
I
2019
11.3%
2
-27%
I
2019
24.4%
1
0%
I
2019
26.7%
1
-10%
I
2019
19.4%
1
4%
I
2019
22.9%
2
-4%
I
2019
25.7%
2
10%
I
2019
25.8%
1
-12%
I
2019
28.6%
1
-9%
I
2019
27.1%
2
13%
I
2019
27.3%
1
-1%
I
2019
29.4%
1
-3%
I
2019
10.4%
2
-10%
I
2019
9.0%
1
-24%
I
2019
13.0%
1
-15%
I
2019
11.7%
1
3%
I
2019
10.8%
2
-19%
I
2019
9.4%
1
13%
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy