TABLE 11–5 Major Tobacco Use Surveys




National Health Interview Survey (NHIS)

National Center for Health Statistics, Centers for Disease Control and Prevention (CDC)

Civilian, noninstitutionalized adults over age 18; children by proxy

Behavioral Risk Factor Surveillance System (BRFSS)

CDC and individual states

Noninstitutionalized adults over age 18

National Health and Nutrition Examination Survey (NHANES)


Age 2 and over

National Household Survey on Drug Abuse (NHSDA)

National Institute on Drug Abuse and Substance Abuse and Mental Health Services Administration

Noninstitutionalized civilian population over age 12

American Legacy Foundation Survey


Sixth to twelfth grade students

Monitoring the Future Survey (previously, the National High School Senior Survey)

University of Michigan Survey Research Center

Eighth, tenth, and twelfth grade students

Youth Risk Behavior Surveillance System (YRBSS)


Ninth to twelfth grade students

effort to validate self-report measures and to reveal any ETS exposure can be found in the National Health and Nutrition Examination Survey (NHANES; see Table 11–5), which collects serum cotinine levels of respondents (CDC, 2000; Giovino, 1999; Giovino et al., 1995; SAMHSA, 1998).

Population surveys have limited practicality in evaluating the consequence of tobacco exposure because of the relatively long time frame required. However, in context, population assessments have been studied extensively in relation to disease outcomes and thus can be considered a

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