KEY STATE-SPECIFIC TOBACCO-RELATED DATA & RANKINGS

 

State

Adult Smoking Rate

Adult Smoking Rank

(1=low)

Pregnant Smoking Rate

Pregnant Smoking Rank 

(1 = low)

Youth Smoking Rate[*]

New Youth Smokers Each Year

Annual Adult Deaths from Smoking

Kids Now Alive Who Will Become Smokers

Kids Now Alive Who Will Die Early From Smoking

Smoking Caused Health Costs 1998

(millions)

Cigarette Tax#

(cents per pack)

National Rank

(1 = high)

Tobacco Control Spending

(millions)

Tobacco Control

Percent of CDC Minimum

 CDC Percent Spending Rank

(1 = high)

All States

22.5%

///

11.4%

///

21.9%

740,000+

400,000[†]

19+ mill.

6+  million

$75+ billion

74.4

///

$541.1

 

///

Alabama

24.4%

35th

12.6%

22nd

24.7%

13,000

7,400

347,000

111,000

$1.17 bill.

42.5

37th

$0.36

1.3%

44th

Alaska

29.4%

50th

17.4%

38th

19.2%

2,200

440

60,000

19,500

$132

100

13th

$3.8

47.0%

14th

Arizona

23.5%

30th

6.8%

3rd

20.9%

9,100

6,800

242,000

77,000

$1.0 bill.

118

11th

$25.5

91.8%

5th

Arkansas

26.3%

40th

18.6%

44th

34.7%

7,800

4,900

209,000

66,000

$633

59

27th

$18.5

103.3%

4th

California

16.4%

2nd

9.8%

15th

21.6%

74,600

38,200

1,991,000

637,000

$7.13 bill.

87

19th

$90.1

54.6%

12th

Colorado

20.4%

6th

9.1%

11th

25.3%

10,800

4,200

288,000

92,000

$1.02 bill.

20

44th

$3.8

15.5%

32nd

Connecticut

19.5%

5th

7.4%

4th

22.0%

9,800

4,800

262,000

83,000

$1.27 bill.

151

3rd

$0.5

2.4%

43rd

Delaware

24.7%

38th

13.2%

28th

23.5%

2,200

1,100

61,000

19,500

$221

55

30th

$10.1

117%

51st

DC

20.4%

6th

3.7%

1st

14.7%

900

720

24,000

7,700

$190

100

13th

$0

0%

2nd

Florida

22.1%

17th

9.1%

11th

18.1%

35,900

28,700

958,000

306,000

$4.93 bill.

33.9

42nd

$1.0

1.3%

44th

Georgia

23.3%

28th

8.3%

8th

20.9%

21,900

10,700

586,000

187,000

$1.75 bill.

37

39th

$12.6

29.6%

27th

Hawaii

21.1%

9th

7.6%

6th

24.5%

2,700

1,000

74,000

23,000

$263

140

7th

$8.9

82.6%

6th

Idaho

20.6%

8tth

10.1%

16th

14.0%

3,700

1,500

100,000

32,000

$249

57

28th

$1.6

14.5%

34th

Illinois

22.9%

24th

10.5%

18th

29.2%

34,800

18,400

929,000

297,000

$3.2 bill.

98

17th

$12.0

18.5%

31st

Indiana

27.7%

47th 

20.2%

47th

25.6%

19,600

10,200

523,000

167,000

$1.62 bill.

55.5

29th

$10.8

31.1%

26th

Iowa

23.1%

26th

17.4%

38th

27.0%

9,400

4,600

250,000

80,000

$794

36

40th

$5.1

26.4%

29th

Kansas

22.1%

17th

13.1%

27th

21.1%

6,700

3,800

179,000

57,000

$724

79

21st

$0.5

2.8%

42nd

Kentucky

32.6%

51st

24.0%

50th

32.7%

13,400

7,700

359,000

114,000

$1.17 bill.

3

51st

$2.6

10.4%

37th

Louisiana

23.9%

33rd

10.1%

16th

25.0%

12,600

6,400

337,000

107,000

$1.15 bill.

36

40th

$10.7

39.4%

19th

Maine

23.6%

31st

17.6%

40th

20.5%

3,800

2,100

104,000

33,000

$470

100

13th

$14.5

129.6%

1st

Maryland

22.0%

16th

8.8%

10th

19.3%

12,200

6,800

327,000

104,000

$1.53 bill.

100

13th

$14.8

48.8%

13th

Massachusetts

19.0%

3rd

9.3%

14th

20.9%

13,700

9,000

367,000

117,000

$2.76 bill.

151

3rd

$2.5

7.1%

40th

Michigan

24.2%

34th

15.7%

33rd

22.6%

29,900

14,700

797,000

255,000

$2.65 bill.

125

9th

$0

0%

51st

Minnesota

21.7%

15th

11.4%

21st

28.9%

13,100

5,600

350,000

112,000

$1.61 bill.

48

35th

$20.4

71.3%

9th

Mississippi

27.4%

46th

12.6%

22nd

25.0%

6,800

4,900

182,000

58,000

$561

18

47th

$20.0

106.4%

3rd

Missouri

26.6%

42nd

18.3%

42nd

24.8%

16,300

10,200

435,000

139,000

$1.66 bill.

17

48th

$0

0%

51st

Montana

21.3%

12th

18.3%

42nd

22.9%

2,000

1,400

53,000

17,100

$216

70

23rd

$3.2

34.2%

23rd

Nebraska

22.8%

23rd

14.9%

32nd

24.1%

5,300

2,400

142,000

45,000

$419

64

25th

$0.41

3.1%

41st

Nevada

26.0%

39th

11.0%

20th

19.6%

6,600

3,300

177,000

56,000

$440

80

20th

$4.3

31.9%

25th

New Hampshire

23.2%

27th

14.7%

31st

19.1%

4,000

1,600

108,000

34,000

$440

52

34th

$0

0%

51st

New Jersey

19.1%

4th

9.1%

11th

24.5%

19,700

10,700

527,000

168,000

$2.48 bill.

205

1st

$10.5

23.3%

30th

New Mexico

21.2%

10th

10.5%

19th

36.2%

5,200

2,100

139,000

44,000

$360

91

18th

$5.0

36.5%

22nd

New York

22.4%

19th

8.7%

9th

20.2%

51,300

24,500

1,371,000

438,000

$6.38 bill.

150

5th

$37.0

38.6%

20th

North Carolina

26.4%

41st

14.0%

30th

24.8%

24,600

11,500

657,000

210,000

$1.92 bill.

5

50th

$6.2

14.6%

33rd

North Dakota

21.5%

13th

16.8%

36th

30.2%

1,800

850

48,000

15,600

$194

44

36th

$3.0

36.8%

21st

Ohio

26.6%

42nd

19.1%

45th

22.2%

36,800

18,900

983,000

314,000

$3.41 bill.

55

30th

$38.0

61.5%

10th

Oklahoma

26.7%

45th

17.9%

41st

26.5%

9,100

5,700

243,000

77,000

$908

23

43rd

$2.5

11.5%

36th

Oregon

22.4%

19th

12.8%

26th

19.9%

8,500

4,900

228,000

73,000

$871

118

11th

$2.9

13.5%

35th

Pennsylvania

24.6%

36th

16.7%

35th

27.6%

36,400

19,700

972,000

311,000

$4.05 bill.

135

8th

$52.6

80.2%

7th

Rhode Island

22.5%

21st

13.9%

29th

19.3%

2,700

1,700

74,000

23,000

$396

171

2nd

$2.7

27.3%

28th

South Carolina

26.6%

42nd

12.6%

22nd

36.0%

10,600

5,900

283,000

90,000

$854

7

49th

$0

0%

51st

South Dakota

22.6%

22nd

19.6%

46th

30.0%

2,300

1,000

62,000

20,000

$214

53

33rd

$0.75

8.6%

38th

Tennessee

27.8%

48th

17.2%

37th

27.6%

14,500

9,600

388,000

124,000

$1.69 bill.

20

44th

$0

0%

51st

Texas

22.9%

24th

6.5%

2nd

24.3%

56,900

24,100

1,520,000

486,000

$4.55 bill.

41

38th

$7.4

7.2%

39th

Utah

12.7%

1st

7.5%

5th

7.3%

4,400

1,200

119,000

38,000

$273

69.5

24th

$7.0

46.0%

15th

Vermont

21.2%

10th

20.3%

48th

22.1%

1,800

820

49,000

15,800

$183

119

10th

$4.5

56.9%

11th

Virginia

24.6%

36th

8.0%

7th

NA

15,700

9,100

420,000

134,000

$1.62 bill.

20

44th

$17.4

44.8%

16th

Washington

21.5%

13th

12.7%

25th

28.0%

15,600

7,700

418,000

133,000

$1.52 bill.

142.5

6th

$26.2

78.6%

8th

West Virginia

28.4%

49th

26.7%

51st

28.5%

4,900

3,800

132,000

42,000

$539

55

30th

$5.9

41.7%

17th

Wisconsin

23.4%

29th

15.9%

34th

23.6%

15,900

7,800

426,000

136,000

$1.58 bill.

77

22nd

$10.0

32.1%

24th

Wyoming

23.7%

32nd

21.8%

49th

26.0%

1,500

720

40,000

12,900

$106

60

26th

$3.0

40.7%

18th

 

For More State-Specific Data, see the Campaign for Tobacco-Free Kids Website at 

www.tobaccofreekids.org/reports/settlements and www.tobaccofreekids.org/research/factsheets

Sources for Table

 

Adult Smoking Rates. U.S. Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS), 2002,  “State-Specific Prevalence of Current smoking Among Adults -  United States, 2002,” Morbidity and Mortality Weekly Report (MMWR), January 9, 2004 52(53); 1277-1280 http://www.cdc.gov/mmwr/PDF/wk/mm5253.pdf.  Nationwide rate from National Health Interview Survey (NHIS), 2002.

 

Pregnancy and Smoking Data. .  State-specific rates for smoking among pregnant women: 2001 National Vital Statistics Report. National rate: Births: Final Data for 2002, http://www.cdc.gov/nchs/data/nvsr/nvsr52/nvsr52_10.pdf 

 

Youth Smoking Rates.  CDC, Youth Tobacco Surveillance (YTS) survey and Youth Risk Behavioral Surveillance (YRBS) survey.  State-specific tobacco use surveys.  Nationwide rate from the 2003 Youth Risk Behavioral Surveillance (YRBS) survey.  CDC, “Youth Risk Behavior Surveillance, 2003, MMWR 53 (SS-2), May 21, 2004, http://www.cdc.gov/mmwr/PDF/SS/SS5302.pdf

 

New Regular Daily Smokers Each Year.   U.S. Dept of Health and Human Services (HHS), “Summary Findings from the 2001 National Household Survey on Drug Abuse," 2002,  www.samhsa.gov/oas/nhsda.htm, with state share of national initiation number based on state future youth smoker share of national total in CDC, State Highlights 2002: Impact and Opportunity, April 2002, www.cdc.gov/tobacco/StateHighlights.htm.

 

Smoking-Caused Deaths. CDC, "Annual Smoking-Attributable Mortality, Years of Potential Life Lose, and Economic Costs -- United States 1995-1999," MMWR, April 11, 2002, www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a2.htm. CDC, State Highlights 2002: Impact and Opportunity, April 2002, www.cdc.gov/tobacco/StateHighlights.htm. See, also, U.S. General Accounting Office (GAO), "CDC's April 2002 Report on Smoking: Estimates of Selected Health Consequences of Cigarette Smoking Were Reasonable," letter to U.S. Rep. Richard Burr, July 16, 2003, http://www.gao.gov/new.items/d03942r.pdf; See, also, CDC, “Projected Smoking-Related Deaths Among Youth -- United States,” Morbidity and Mortality Weekly Report (MMWR) 45(44): 971-974, November 8, 1996 [prior nationwide estimate of 5.2 million future youth deaths from smoking].

 

Smoking-Caused Healthcare Costs (and Productivity losses).  CDC, "Annual Smoking-Attributable Mortality, Years of Potential Life Lose, and Economic Costs -- United States 1995-1999," MMWR, April 11, 2002, www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a2.htm. CDC, State Highlights 2002: Impact and Opportunity, April 2002, www.cdc.gov/tobacco/StateHighlights.htm. See, also, GAO, "CDC's April 2002 Report on Smoking: Estimates of Selected Health Consequences of Cigarette Smoking Were Reasonable," July 16, 2003, http://www.gao.gov/new.items/d03942r.pdf; Miller, L., et al., “State Estimates of Total Medical Expenditures Attributable to Cigarette Smoking, 1993," Public Health Reports 113: 447-58, Sept./Oct. 1998; Zhang, X., et al., “Cost of Smoking to the Medicare Program, 1993,” Health Care Financing Review 20(4): 1-19, Summer 1999 [nationwide smoking-caused health costs = $89+ billion per year].  For other non-healthcare smoking-caused costs, see, e.g., U.S. Department of the Treasury, The Economic Costs of Smoking in the U.S. and the Benefits of Comprehensive Tobacco Legislation, 1998); Chaloupka, F.J. & K.E. Warner, “The Economics of Smoking,” in Culyer, A.  &  J. Newhouse (eds), The Handbook of Health Economics, 2000; Leisticow, B.N., et al., "Estimates of Smoking-Attributable Deaths at Ages 15-54, Motherless or Fatherless Youths, and Resulting Social Security Costs in the United States in 1994," Preventive Medicine 30: 353-60, 2000.

 

State Cigarette Tax Rates.  Orzechowski & Walker, Tax Burden on Tobacco, 2002 [industry-subsidized report], with updates from media reports, state revenue offices.

 

State Spending to Prevent and Reduce Tobacco Use. Campaign for Tobacco-Free Kids, et al., A Broken Promise To Our children: The 1998 State Tobacco Settlement Five Years Later (November 12, 2003), http://tobaccofreekids.org/reports/settlements.  CDC recommendations for the minimum amounts states should spend to prevent and reduce tobacco use from CDC, Best Practices for Comprehensive Tobacco Control, August 1999, www.cdc.gov/tobacco/bestprac.htm.

 

National Center for Tobacco-Free Kids,  May 26, 2004 / Meg Gallogly



[*] Youth smoking rates from most recent years available; in bold type from the Youth Tobacco Surveillance (YTS); in italics from state-specific surveys; and in regular type from Youth Risk Behavioral Surveillance (YRBS). Because of different surveys and years, state rankings based on youth smoking cannot be done.

# States that have increased their tax since January 1, 2002 are in bold.

[†] Adding in nationwide deaths from secondhand smoke (more than 38,000) and deaths to infants from mothers smoking during pregnancy (more than 1,000) brings the nationwide death total to 440,000 per year.  CDC, www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a2.htm.