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Tobacco Data and Statistics

The Tobacco Data and Statistics section tracks tobacco use and trend data in Ohio. The data are used to direct Tobacco Use Prevention and Cessation Program goals to prevent and reduce tobacco use in Ohio and the toll tobacco takes regarding disease, death, and health care costs.

The Tobacco Program focuses on:

  • preventing tobacco use by youth
  • reducing exposure to secondhand smoke
  • reducing tobacco use among high need populations disproportionately affected by the use of tobacco

Tobacco Program Surveys

Adult Tobacco Survey (ATS)

The Adult Tobacco Survey(ATS) is managed by the Tobacco program to track state, regional, and local level adult tobacco behavior and trend data.

As part of the Behavioral Risk Factor Surveillance System(BRFSS), the Adult Tobacco Survey questions are included on split 2 of BRFSS.

The full BRFSS survey typically includes ~10,000 respondents; split 2 typically includes a subset of 2,000-3,000 respondents.

The Adult Tobacco Survey provides information on:

  • the use of tobacco products
  • exposure to secondhand smoke
  • exposure to cessation information
  • public opinion on tobacco policies
  • and other topics related to the behaviors and burden of tobacco use and exposure in Ohio.  

The data are collected annually and is available at the County, Region, and State level. However, data are limited based on sample sizes. 

How to access data?

1) Data Dashboard: The Data Dashboard allows users to select variables of interest and run statistics or cross-tab reports.

2) Data Request Form: Complete the form and send it to tobaccoprevention@odh.ohio.gov.

3) Dataset: Requests should be submitted to the Institutional Review Board (IRB) at the Ohio Department of Health for approval.

Please email completed form to odhirb@odh.ohio.gov.

ATS 2020 Questionnaire

ATS 2019 Questionnaire

ATS 2018 Questionnaire

Adult Tobacco Survey (ATS) FAQ

Adult Tobacco Survey FAQ

Q: What is the Adult Tobacco Survey(ATS)?

A: The Adult Tobacco Survey is managed by the Ohio Tobacco program to track state, regional, and local level adult tobacco behavior and trend data.  The Tobacco program collaborates with the Ohio Behavioral Risk Factor Surveillance System(BRFSS), and the Adult Tobacco Survey is administered as part of BRFSS. ATS questions are included on split 2 of BRFSS. The full BRFSS survey typically includes ~10,000 respondents; split 2 typically includes a subset of 2,000-3,000 respondents.

Q: How do you conduct the survey?

A: The Ohio BRFSS conducts interviews using landline and cell phones. The survey is conducted by a contractor each month and calls are made seven days a week during both daytime and evening hours.  Ohio currently completes 700-1,000 interviews per month. Data are collected statewide. The sample is stratified to allow for sub-state analyses of 14 geographic regions in Ohio.

Q: What type of information does the ATS collect? How often is it collected?

A: Adult Tobacco Survey provides information on the use of tobacco products, exposure to secondhand smoke, behaviors and exposure to cessation information, public opinion on tobacco policies, and other topics related to the burden of tobacco. The survey is conducted annually.

Q: How Can I obtain a copy of the ATS questionnaire?

A: You can download a copy of the ATS questionnaire from the Ohio Tobacco Use Prevention and Cessation Program under Tobacco Data and Statistics- Adult Tobacco Survey.

 Q: What is done with this information?

A: The Adult Tobacco Survey is the primary source of state-specific tobacco data. Data resulting from the survey are available to state and local level decision-makers, legislators, researchers, students, and the general public. The data are used in combination with other measures such as chronic illnesses, infant mortality, and marketing research data to identify emerging health problems; track trends in health risk behaviors over time; and develop, monitor, and, evaluate the Ohio Tobacco Use Prevention and Cessation Program and policies.

Q: How can I access the data?

A: There are multiple ways to access the data. You can select variables of interest and run reports using the Data Dashboard, request a report by emailing the Data Request Form to the Tobacco program, or request the dataset through Ohio Department of Health’s Institutional Review Board.

Youth Risk Behavior Survey (YRBS) / Youth Tobacco Survey (YTS)

The Ohio Youth Tobacco Survey (YTS) had been conducted by the Ohio Department of Health since 2000 to collect data on tobacco use and associated health behaviors among youth in middle school (grades 6-8) and high school (grades 9-12). The Ohio Youth Risk Behavior Survey (YRBS), also conducted by the Ohio Department of Health, collects data among high school students on tobacco use, as well as unintentional injuries and violence; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and disease; dietary behaviors; and physical inactivity. In 2019, the Ohio YRBS was combined with the Ohio YTS to create the Ohio Youth Risk Behavior Survey/Youth Tobacco Survey. Combining the surveys resulted in expansion of both survey populations to include middle school and high school and helped to increase sample size, decrease the burden on schools, and increase the probability of receiving weighted data.

With respect to tobacco, the Ohio YRBS/YTS provides critical data for middle school and high school students regarding:

  • The prevalence of tobacco use (including the role of emerging products like e-cigarettes and hookah).
  • Tobacco cessation.
  • Minors' access to tobacco.
  • Tobacco-related knowledge and attitudes.
  • Exposure to media and advertising.
  • Exposure to environmental tobacco smoke.  

Results of the Ohio YRBS/YTS enhance our state’s capacity to design, implement, and evaluate the youth component of our Tobacco program.

How to access data?

1) Data Dashboard: The Data Dashboard allows users to select variables of interest and run statistics or cross-tab reports.

2) Data Request Form: Complete the form and attach in an email to tobaccoprevention@odh.ohio.gov.

3) Dataset: Requests should be submitted to the Institutional Review Board (IRB) at the Ohio Department of Health for approval.

Please email completed form to odhirb@odh.ohio.gov.

Ohio YRBS/YTS (High School) 

Ohio YRBS/YTS (Middle School)

Youth Risk Behavior Survey (YRBS) / Youth Tobacco Survey (YTS) FAQ

Q: What is the Ohio Youth Risk Behavior/Youth Tobacco Survey (YRBS/YTS)?

A: The YRBS/YTS is a voluntary, statewide survey that collects information about tobacco use and risk factors among Ohio adolescents and teens in grades six through 12. The survey is conducted every other year by the Ohio Department of Health (ODH) in partnership with the Centers for Disease Control and Prevention (CDC). The survey itself is a paper and pencil booklet with multiple choice questions designed to be completed by the students, on their own, in one class period or less.

Q: What is the purpose of this survey?

A: Tobacco is the leading cause of preventable death in Ohio, with cigarettes causing more than 20,000 deaths per year in the state. Because the majority of smokers start smoking before age 18 years, tobacco prevention and control efforts for youth are critical to long-term cessation efforts as well as preventing young people from using tobacco. Information collected by the YRBS/YTS is used to plan and track the progress of youth-focused tobacco control efforts.

Q: What questions are asked?

A: The YTS portion of the combined survey asks about students’ tobacco use and related risk factors such as attitudes, behaviors, and knowledge about tobacco products; secondhand smoke exposure; and exposure to tobacco industry advertising. In addition, a few demographic questions (e.g., sex, race, age) are also asked to help identify groups of youth who may be at increased risk for tobacco use. No medical or physical exam is involved.

Q: How long does it take to complete the survey?

A: One class period is needed to take the survey. It takes approximately 10 minutes for the survey administrator to distribute the survey booklets and pencils and to read instructions to the students. It then takes approximately 30 minutes or less for students to answer the survey questions. The survey contains 90 multiple-choice questions.

Q: What grades are included in the survey?

A: Statewide, the YRBS/YTS will be administered to students in grades six through 12. This includes students from schools with any combination of grades 6-12 (e.g., K-6, 6-8, K-12, 7-9, 8-12). There are separate questionnaires for middle school students and high school students. For schools selected for the “middle school” sample, only classes in grades 6-8 are eligible to participate. For schools selected for the “high school” sample, only classes in grades 9-12 are eligible.

Q: How many students take part in this survey in Ohio?

A: Approximately 50 middle schools and 50 high schools in Ohio, or about 2,500 to 3,000 youth total, are selected to participate in the YRBS/YTS each time it is administered.

Q: How are schools and students selected?

A: The YRBS/YTS is implemented utilizing a two-stage sample design. First, schools are selected with a probability proportional to enrollment size, with the goal to obtain a sample that accurately represents Ohio’s entire student population. Second, approximately one to three second period classes are randomly selected within each chosen school. All students enrolled in the randomly selected classes are eligible to participate. The CDC has found that this method of selecting students by class (rather than randomly selecting students throughout the entire school) is less disruptive to school and classroom functioning. To randomly select classes, each school is asked to complete a Classroom Listing Form that identifies all eligible second-period classes in the school to ensure all students have an equal opportunity to participate.

Q: How will the survey be administered?

A: Prior to the YRBS/YTS administration, the school will be sent permission forms to distribute to parents/legal guardians of selected students. The survey administrators will read instructions to students permitted to participate. The students will record their responses to questions directly in the survey booklet and place their survey in a box/envelope themselves. Surveys are counted and then sealed in an envelope and sent to the CDC.

Q. How are student privacy and confidentiality protected?

A: The YRBS/YTS is anonymous, and the survey process has been designed to ensure each child’s privacy. Students do not write their names or any personal information on the survey booklets. When finished, students place their completed booklet in a large box or envelope themselves. Published results are always reported at the state level and do not include names of participating counties, cities, school districts, schools, or students. In addition, the survey environment is similar to a testing environment. Students are not able to read each other’s responses to questions, and teachers and the survey administrator do not wander around the room during the time the survey is being completed.

Q: Does the child have to participate in this survey?

A: Student participation in the YRBS/YTS is voluntary. Parents that do not wish for their child to take the survey can opt their child out of the survey on the parental permission form. Even if a parent permits a child to take the survey, students may indicate at any time that they do not wish to take the survey. Students are told before starting the survey that they do not need to answer any questions that make them uncomfortable, and they can choose to stop answering questions at any point in the survey.

Q: Can the school review the students’ answers to get school-specific information?

A: To protect the confidentiality of respondents, schools cannot review students’ responses. School-level reports are not provided by the CDC, as they would include very limited information that is not truly representative of the entire school. The selection of students is part of a larger sampling plan designed to yield estimates that are representative of the entire state. Furthermore, school-level reporting can compromise student anonymity when such a small number of students are surveyed.

Q: Where can additional information be obtained?

A: To obtain additional information about the YRBS/YTS, contact Strategic Research Group (the ODH contractor) at 1-800-341-3600, or send an email to odhyouthsurveys@odh.ohio.gov. You may also contact the ODH Tobacco Program at 614-728-2429 or tobaccoprevention@odh.ohio.gov

Data Products

Reports and Data Briefs

Adult Tobacco Use Data Brief, 2020

Tobacco Use Among Adults in Ohio, 2019

Tobacco Use Among Youth in Ohio, 2019

Fact Sheets

Disparities in Cigarette Use Among Adults in Ohio, 2020

Data Dashboard

Data Request Form 

Tobacco Data Request Form