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Overview
The Colorado Tobacco Attitudes and Behaviors Survey
(TABS) is a two-wave surveillance study providing detailed information
regarding adult and youth tobacco use, attitudes towards tobacco-related
issues, and changes over time. In CoHID, only data from the adult survey
are reported. Detailed reports presenting state-level adult and youth
TABS data are available at
http://steppcolorado.com/internal2_3.aspx?appl=Evaluation.
Adult TABS was first conducted in 2001 and repeated in
2005. The survey was funded in 2001 by tobacco litigation settlement
proceeds, and in 2005 by a voter-approved tobacco tax increase. The
purpose of TABS is to support implementation and evaluation of tobacco
use prevention and reduction programs in Colorado.
The TABS adult questionnaire is based on the California
Tobacco Survey and the tobacco-related questions of the Behavioral Risk
Factor Surveillance System (BRFSS), which is conducted by the Centers
for Disease Control and Prevention (CDC). Additional questions are
developed before each survey wave to ensure that interviews address all
major issues of current interest.
The TABS survey of adults
collects information from people 18 years of age and older who speak
English or Spanish and reside in a household with a telephone.
In both years the
sample was designed to include extra interviews with smokers and former
smokers, African American adults, and adults living in certain parts of
the state. This "oversampling" allowed for more accurate analysis of
these groups. The total number of interviews was 13,006 in 2001 and
12,257 in 2005.
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Definitions
TABS variables reported in CoHID are defined below.
Current smokers: adults who
have smoked at least 100 cigarettes in their lives and report currently
smoking daily or some days.
Former smokers: adults who have smoked at
least 100 cigarettes in their lives and report currently not smoking at
all.
Cigarettes smoked per day per current smoker:
the average number of cigarettes that current daily smokers report
smoking each day. One pack of cigarettes equals 20 cigarettes.
Current smokers who have cut down: current
adult smokers who report that at some time in the past they smoked more
cigarettes per day than they do now. The denominator is current smokers.
Current smokeless tobacco users: adults who
have used smokeless tobacco (chewing tobacco, snuff) at least 20 times
in their lives and currently use smokeless tobacco on some days or every
day.
Current smokers who made at least one attempt to
quit smoking in the last 12 months: current smokers who report that
in the last 12 months they quit smoking for 24 hours or more. The
denominator is comprised of current smokers.
Smokers who, in the last 12 months, were advised
to quit smoking by a physician: current smokers who saw a doctor in
the last 12 months and were advised by a doctor to stop smoking. The
denominator is comprised of current smokers who saw a doctor in the last
12 months.
Smoke-free home rules: adults who report that
smoking is not allowed inside their home.
Smoke-free vehicle rules: adults who report
that smoking is not allowed inside their personal vehicle.
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Regions
For TABS questions reported on
CoHID, county-level data are available when the sample size includes at
least 25 total respondents. The sample size for some rural counties in
Colorado in 2001 and 2005 were too small to present a reliable estimate.
For measures that are reliable in a county in both years, comparison is
possible between the years. Individual county reports have been prepared
that provide estimates and comparisons during 2001-2005 that are
‘standardized’ or adjusted for differences in age, sex, and ethnicity in
the county between years and are accessible at
http://steppcolorado.com/internal2_3.aspx?appl=Evaluation.
Estimates in CoHID provide unstandardized estimates (not adjusted for
differences in age, sex, and ethnicity in the county during 2001-2005)
and so will be slightly different than the estimates found in the
individual reports.
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Weighting
The chance of being selected for an interview varied
among individuals in the TABS sample, and the distribution of some
demographic characteristics are not the same for respondents in the
sample as compared to the general adult population (for example, the
sample contains a smaller proportion of men). The unequal chance of
selection requires the use of weights for the sample to represent the
Colorado adult population. Population-based estimates from TABS are
produced by weighting the data to adjust for differences in the
probability of selection, nonresponse, and noncoverage.
Small
Numbers
Although
12,000- 13,000 adults in Colorado completed the TABS survey per survey
year, a relatively low number of surveys were completed in some smaller
counties and regions in the state. Estimates are not provided for
counties or regions with fewer than 25 total respondents for any given
question.
Confidence
Intervals
The TABS prevalence estimates reported on CoHID estimate
the percent of the Colorado adult population who exhibit certain
behaviors or attitudes (e.g., 17.3% of Colorado adults were current
smokers in 2005). Since the estimates are based on a sample and not the
entire population, there is some error associated with the estimate.
Confidence intervals take this error into account and present a range in
which the "true value" is like to fall (e.g., between 16.3% and 18.3% of Colorado adults were current smokers in
2005).
Interval width is influenced by both the degree
of confidence sought (e.g., 95% versus 99% confidence) and the standard
error of the estimate. A high degree of confidence (e.g., 99%) increases
the interval width, as does a small sample size. Wide confidence
intervals are associated with less reliable estimates and should be
interpreted with caution.
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