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<br /> 24 <br /> <br />Tobaccoaao Da <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Orange County, NC <br />2016 Population Health Dashboards <br /> <br />Summary: <br />Smoking prevalence in Orange County is lower than peers, NC, and the US. However, indicators are needed at the <br />county level to examine trends in emerging tobacco products such as e-cigarettes. There currently is no local <br />measure to capture the use of these products by youth; however, North Carolina youth showed an uptick in tobacco <br />use from 25.8% in 2011 to 29.7% in 2013, in part due to these emerging products. <br /> Exposure to secondhand smoke is higher than targets established by the Healthy NC 2020 objectives, but trending in a <br />positive direction. While Orange County rates for emergency department visits related to asthma are lower than <br />peers, NC, and the US, they have increased compared to previous years. Lung cancer mortality is better than all <br />benchmarks, but there is a higher rate of lung cancer in Orange County than the US as a whole. <br /> Performing better than four or more benchmarks <br /> Performing better than two or three benchmarks <br /> Performing better than one or no benchmarks <br />Benchmarks include Target, Previous, Peer, NC, and US <br />Significant change <br />from previous <br /> No trend <br /> Trend can not be assessed <br />Positive trend <br />Negative trend <br />Neutral trend <br />BehaviorsBehaviorsBehaviorsBehaviors <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Adult Smokers*16.8%13.0%12.0%-17.0%20.9%21.0% <br />% High schoolers who smoked in past 30 days (CHCCS)**9.0%16.0%11.0%↓17.0%13.5%19.5% <br />Tobacco Use Disorder Crude ED Rate per 10,000 person-yrs95.3 NA 91.7 ↑404.1584.6 NA <br />ProgressProgressProgressProgressOrange CountyOrange CountyOrange CountyOrange CountyTrendTrendTrendTrendCompare toCompare toCompare toCompare to <br />Asthma and Respiratory DiseaseAsthma and Respiratory DiseaseAsthma and Respiratory DiseaseAsthma and Respiratory Disease <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Asthma Current Diagnosis* 9.2%NA 11.6%-14.2%8.8%7.3% <br />Asthma Crude ED Rate per 10,000 person-yrs37.8 NA 36.8 SAME 60.793.869.7 <br />Hospital Discharge Rate for Asthma 45.6 NANA -79.391.6143.0 <br />Hospital Discharge Rate for Asthma, Age 0-1476.0 NANA -113.8148.9 NA <br />Chronic Lower Respiritory Disease Mortality 26.2 NA 28.4 ↓42.946.142.1 <br />ProgressProgressProgressProgress Orange CountyOrange CountyOrange CountyOrange County TrendTrendTrendTrend Compare toCompare toCompare toCompare to <br />PoliciesPoliciesPoliciesPolicies <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />% Exposed to Secondhand Smoke at Work*6.4%0.0%8.0%-3.0%8.6%NA <br />ProgressProgressProgressProgress Orange CountyOrange CountyOrange CountyOrange County TrendTrendTrendTrend Compare toCompare toCompare toCompare to <br />Lung Cancer (Rate/100,000)Lung Cancer (Rate/100,000)Lung Cancer (Rate/100,000)Lung Cancer (Rate/100,000) <br />ScoreIconCurrentTargetPreviousProgressPeerNCUS <br />Lung Cancer Incidence Rate 56.9 NA 59.1 ↓66.470.958.7 <br />Lung Cancer Mortality Rate 43.945.542.1 ↑4650.647.2 <br />ProgressProgressProgressProgressOrange CountyOrange CountyOrange CountyOrange CountyTrendTrendTrendTrendCompare toCompare toCompare toCompare to <br />Sources: BRFSS, YRBS, NC DETECT, NC SCHS <br />Data points are the most current measures from multiple sources (available on request). <br />Data Notes: <br />*Due to changes in survey methodology and overlapping confidence intervals, BRFSS data cannot be compared to previous years <br />**Confidence intervals for YRBS trend data are unavailable to assess significance of trends over time <br />Rates are per 100,000 unless otherwise noted. See the Public Health Dashboard FAQ Document for more on data methodology.