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United StatesUnited States

Report in PDF file (61K)


Adult Tobacco Use in the United States

Current Cigarette Smoking Among Adults Aged 18 and Older, 1995

All States Overall 23.5%
United States Overall 24.7%
By Gender
  Men 27.0%
  Women 22.6%
By Education Level
  <12 yrs education 30.4%
  12 yrs education 29.5%
  >12 yrs Education 18.4%
By Age Group
  18-24 24.8%
  25-44 28.6%
  45-64 25.5%
  65+ 13.0%

Current Cigarette Smoking Among Adults by Race/Ethnicity, 1995

White 25.6%
Black 25.8%
Hispanic 18.3%
Asian/Pacific Islander 16.6%
American Indian/Alaska Native 36.2%


Smokeless Tobacco Use

Current Smokeless Tobacco Use Among Adults Aged 18 and Older, 1995-1996

United States 2.0%
Men 3.8%
Women 0.3%


Youth Tobacco Use

Number of United States youth projected to die prematurely from their smoking:   5,318,682

Cigarette Smoking Among Youth, Grades 9-12, 1997

  Past Month Smokers Frequent Smokers
United States 36.4% 16.7%
Boys 37.7% 17.6%
Girls 34.7% 15.7%
Past Month = tobacco use on one or more days in the past month
Frequent = tobacco use on 20+ days in the past month

Smokeless Tobacco Use Among Youth, Grades 9-12, 1997 (Past Month)

United States  9.3%
Boys 15.8%
Girls 1.5%
Past Month = tobacco use on one or more days in the past month
Frequent = tobacco use on 20+ days in the past month


Health Impact and Cost

Average Annual Deaths Related to Smoking, 1990-1994

United States 430,741
Men 278,699
Women 152,042
Death Rate 358/100,000

Average Annual Years of Potential Life Lost*, 1990-1994

United States 5,721,206
Average of 13.4 years for each death due to smoking.
*calculated to life expectancy

Medical Costs Related to Smoking, 1993

Ambulatory:  $11,922,920,000
Hospital:  $16,363,840,000
Nursing Home:  $14,691,890,000  (Preliminary estimates)
Drug:  $3,183,700,000
Other:  $7,205,120,000
TOTAL:  $53,367,470,000

Tobacco Control Legislation, 1998

Minors' Access to Tobacco Products

No retailer may sell cigarettes or smokeless tobacco to any person younger than 18 years of age. For individuals under 27 years of age, retailers shall verify age by means of photographic identification. (FDA regulation, section 897.14)

Section 1926 of the Public Health Service Act requires states to enact legislation restricting the sale and distribution of tobacco products to minors as a condition of receiving federal substance abuse prevention and treatment block grant funds. States are also required to enforce these laws in a manner "that can reasonably be expected to reduce the extent to which tobacco products are available to individuals under the age of 18." (42 USC 300x-26)

Federal agencies must establish regulations to prohibit the sale of tobacco products in vending machines placed in or around any facility maintained, leased or owned by the agency. Regulations also must cover distribution of free samples of tobacco products in or around agency facilities (40 USC 48[c]).

Smokefree Indoor Air

Persons that provide children’s services funded by the Department of Health and Human Services, the Department of Education, or the Department of Agriculture in indoor facilities (e.g. schools, libraries, day care, health care, and early childhood development settings) are required to prohibit smoking in those facilities if they are regularly or routinely used for the delivery of such services to children. In addition, all Federal agencies that provide such services are also required to prohibit smoking in facilities used regularly or routinely for the delivery of children’s services. (20 USC 6081-6084)

Smoking is prohibited on all flights that are no more than 6 hours in duration. (49 USC 41706)

Smoking is prohibited or restricted to separately ventilated areas in Federal facilities (Executive Branch only) (Executive Order 13058)
 

Excise Tax

Cigarette tax per pack: 24 cents
Federal and state taxes as a percentage of retail price: 31.5%
Annual gross tax revenue from cigarettes (federal): $7,306,959,000

Smokeless tobacco tax:
Chewing tobacco: 12 cents/pound
Snuff: 36 cents/pound

Advertising:
Tobacco advertising is not allowed on television and radio (15 USC 1335). Health warnings are required on advertisements for all tobacco products, except billboards for smokeless tobacco products. (15 USC 1333, 4402)

Federal Preemption:
"No requirement or prohibition based on smoking and health shall be imposed under State law with respect to the advertising or promotion of any cigarettes the packages of which are labeled in conformity with the provisions of this chapter." [The Federal Cigarette Labeling and Advertising Act] (15 USC 1334)
 

Tobacco Economy

Cigarette Sales, 1997
Number of packages sold and taxed, per capita..........86.9

Tobacco Agriculture, 1997
Acres harvested: 811,840
Production in pounds: 1,786,065,000
Cash receipts from tobacco: $2,885,663,000
Tobacco as a percentage of cash receipts from crops and all farm commodities: 1.383%

Tobacco Manufacturing, 1996
Overall tobacco manufacturing: $23,930,000,000
Tobacco manufacturing as a percentage of gross domestic product: 0.35%
 

For further information:
Office on Smoking and Health
4770 Buford Highway, NE, MS K-50
Atlanta, GA 30341-3717
Phone: 770-488-5705
Fax: 770-488-5844
Internet Address: tobaccoinfo@cdc.gov

Office on Smoking and Health
National Center for Chronic Disease Prevention and Health Promotion
Centers for Disease Control and Prevention


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This page last reviewed September 17, 2003

United States Department of Health and Human Services
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health