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State-Specific Adult Smoking Prevalence, Smokeless Tobacco Prevalence and State Tax-Paid Per Capita Sales of Cigarettes, — United States, 1997

MMWR Highlights

November 6, 1998 / Vol. 47 / No. 43


  • State-specific smoking prevalence among adults varied more than twofold in 1997, ranging from a low of 13.7 percent in Utah to a high of 30.8 percent in Kentucky.
  • The states with the highest current smoking prevalences among adults were Kentucky (30.8 percent), Missouri (28.7 percent), Arkansas (28.5 percent), Nevada (27.7 percent), and West Virginia (27.4 percent).
  • The lowest smoking prevalence rates among adults were found in Utah (13.7 percent), followed by California (18.4 percent), Hawaii (18.6 percent), the District of Columbia (18.8 percent), and Idaho (19.9 percent).
  • The median adult smoking prevalence for all 50 states and the District of Columbia was 23.2 percent -- 25.5 percent for men and 21.3 percent for women.
  • There was more than a sixfold difference in adult use of smokeless tobacco among the 17 states that collected these data, and a fourfold variation in yearly per capita tax-paid sales of cigarettes in all states.
  • Current prevalence rates for smokeless tobacco use among adults ranged from 1.4 percent in Arizona to 8.8 percent in West Virginia.
  • Smokeless tobacco prevalence was highest among men in West Virginia (18.4 percent) followed by men in Wyoming (14.7 percent). Among women, the prevalence of smokeless tobacco use was 1.7 percent or less in all states included in the study.
  • In 1997, Kentucky (186.8) had the highest yearly tax-paid per capita sales of cigarette packs and Hawaii (49.1) had the lowest. The national median was 90.0 packs per capita.
  • To reduce the health burden and economic costs attributed to tobacco use, CDC will provide all states with funding for tobacco prevention and control programs. A comprehensive statewide tobacco control program in conjunction with a health education campaign is an effective approach to reduce smoking in the United States.

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This page last reviewed April 11, 2003

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