Tobacco Use and Access in

Cleveland and Cuyahoga County

Scott Frank, MD, MS
Director, CWRU MPH Program

Aaron Irby
MPH Candidate
All Data from Youth Risk Behavior Survey, 2011 and 2012
Prevention Research Center for Healthy Neighborhoods

Health Impact Assessment Pathway Map

Overall Tobacco Use Cuyahoga County

10.6%
15.1%
10.4%

High School 2013

30.7%

Middle School 2014

Current Hookah
Current Cigars

5.1%
4.3%
4.8%
3.3%

Current Cigarettes

Lifetime Cigarettes
11.9%

0.0%

Current e-cigarette

10.0%

20.0%

30.0%

40.0%

Lifetime Cigarette Use High School

21%

NA

Overall Lifetime Cigarette Use

Cuyahoga County High Schools 31%
NA
29%
25%

NA
34%
NA
NA

33%

NA

NA
NA

NA

30%
42%

36%

Lifetime Cigar Use High School

52%

NA

Overall Lifetime Cigar Use

Cuyahoga County High Schools 39%
NA
60%
37%
NA
55%
NA
NA

NA

NA
NA

NA
43%

61%

37%

50%

Lifetime Cigarette Use Middle School 2014

14%

10%

9%
16%
21%
17%
17%
11%

15%

21%

25%

17%
16%

14%
21%

22%

13%

Current Cigar Use Middle School 2014

8%

13%

10%
14%
14%
8%
5%
5%

10%

12%

10%

10%
14%

5%
9%

10%

16%

Current Hookah Use Middle School

1%

7%

Overall Current Hookah Use

Cuyahoga County Middle Schools 4%
Cuyahoga County High Schools 11%

2%
3%
5%
7%
6%
4%

2%

3%

8%

6%
3%

3%
8%

13%

5%

Current E-Cigarette Use Middle School

5%

12%

Overall Current E-Cigarettes Use

Cuyahoga County Middle Schools 31%

3%
6%
10%
5%
4%
3%

6%

7%

8%

9%
8%

3%
7%

7%

3%

Access to Tobacco Among High

Schoolers in Cuyahoga County
15%
11%

Given to by 18 or older

21%
23%

Gave money to buy

Cigarettes
31%

Borrowed or shared

Cigars, Little Cigars

23%

31%
29%

Bought
0%

10%

20%

30%

40%

Access to Cigars by Ward

How did you n
get your
cigars*

Bought at
a store

Bought
from
another
person

Gave
Borrowed
someone or shared
else money
to buy
them
9.8%
9.8%

Given by a
person
over 18

Ward 1

33

25.5%

11.3%

Ward 3

149

30.9%

19.7%

26.9

22.8%

13.0%

Ward 5

23

50.0%

22.2%

22.2%

22.2%

5.6%%

Ward 6

29

20.7%

6.9%

13.8%

17.2%

6.9%

Ward 7

27

29.2%

12.5%

12.5%

4.2%

8.3%

Ward 8

64

19.0%

10.2%

13.3%

23.4%

12.4%

Ward 13

43

29.7%

10.8%

21.6%

16.2%

2.7%

Ward 16

105

31.1%

10.1%

21.8%

23.4%

6.2%

*Does not include: took from a store; took from a family member; or other

6.8%

High School Student Bought Cigarettes at Store

24%
19%

NA

NA
NA
NA

NA
31%
26%
NA

NA
NA

NA

NA

NA

NA

NA
31%
35%

30%
32%

High School Student Bought Cigar at Store

19%

NA

NA
29%
21%
NA
31%
NA

50%
NA

NA

NA

26%

NA

NA
31%

30%
30%