Proescholdbell Scott K, Summerlin-Long Shelley K, Goldstein Adam O
Tobacco Prevention and Control Branch, North Carolina Division of Public Health, USA.
N C Med J. 2009 May-Jun;70(3):205-12.
In 1999, North Carolina first conducted the Youth Tobacco Survey (YTS) among middle and high school students and found current smoking rates higher than the national average. In 2003, school and community grants across the state were funded to prevent and reduce youth tobacco use.
The North Carolina YTS has been conducted every other year since 1999 with high response rates by schools and students. The YTS is a written survey administered during the school day. It is voluntary and anonymous.
In 2007 middle and high school student tobacco use rates reached their lowest point in the last decade. Nineteen percent of high school students reported current cigarette smoking, while 4.5% of middle school students said that they currently smoke. Almost every type of tobacco product use (cigarette, cigar, pipe, and bidi) has decreased since the 1999 YTS, with increasing rates of decline in cigarette use from 2003-2007 compared to 1999-2003.
This is a cross-sectional survey conducted every other year where students self-report use, attitudes, and perceptions.
North Carolina's youth tobacco use rates have declined more steeply since 2003 when the tobacco initiatives started by the North Carolina Health and Wellness Trust Fund (HWTF) began to mobilize communities statewide. Continuing to fund and expand evidence-based tobacco prevention strategies is likely necessary in order to sustain steady declines in youth smoking rates.
1999年，北卡罗来纳州首次在初中和高中学生中开展了青少年烟草调查（YTS），发现当前吸烟率高于全国平均水平。2003年，该州各地的学校和社区获得了资助，以预防和减少青少年烟草使用。
自1999年以来，北卡罗来纳州每隔一年进行一次青少年烟草调查，学校和学生的回应率很高。青少年烟草调查是在学校上课日进行的书面调查。它是自愿且匿名的。
2007年，初中和高中学生的烟草使用率达到了过去十年中的最低点。19%的高中生报告目前吸烟，而4.5%的初中生表示他们目前吸烟。自1999年青少年烟草调查以来，几乎每种烟草产品的使用（香烟、雪茄、烟斗和比迪烟）都有所下降，与1999 - 2003年相比，2003 - 2007年香烟使用率的下降速度有所加快。
这是一项每隔一年进行一次的横断面调查，学生自行报告使用情况、态度和认知。
自2003年北卡罗来纳州健康与 wellness 信托基金（HWTF）发起的烟草倡议开始在全州范围内动员社区以来，该州青少年烟草使用率下降得更为陡峭。为了维持青少年吸烟率的持续稳定下降，继续资助并扩大基于证据的烟草预防策略可能是必要的。
