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