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Tobacco

The topic of Tobacco includes not only current use of tobacco products, but also initiation, cessation, secondhand smoke, and tobacco-related policy. As the single most preventable cause of death and disease in the United States,1 tobacco use must be examined from all angles.


1. Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost, and economic costs-United States, 1995-1999. MMWR. 2002;51(14):300-3, downloaded on 8/6/2014 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a2.htm.
Tobacco use accounts for one of every five deaths in the United States, approximately 480,000 people each year. Further, for each person who dies from tobacco use, another 33 will suffer a tobacco-related illness; tobacco use has been linked to diseases in nearly every organ. The national economic cost in medical expenses and lost productivity is over $289 billion annually.2


2. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2014, downloaded on 8/6/2014 from http://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm.
After decades of study, much is known about tobacco use in the United States:
  • In 2012, 21.3% of adults were tobacco users, including 18.0% who used cigarettes.3
  • In 2012, 6.7% of middle school students and 23.3% of high school students reported current tobacco use. This included cigarette use among 3.5% of middle school students and 14.0% of high school students.4
  • Initiation starts early; more than 80% of current adult smokers started before the age of 18 years.5
  • Quitting tobacco use greatly decreases a person's risk for many negative health outcomes, some within a very short time after stopping.
  • There is no risk-free level of exposure to secondhand smoke; even brief exposure can be damaging to health.
  • Smoke-free laws are an effective approach to reducing exposure to secondhand smoke and to reducing the prevalence of tobacco use.6


3. Agaku IT, King BA, Husten CG, et al. Tobacco product use among adults - United States, 2012-2013. MMWR. 2014;63(25):542-7, downloaded on 8/6/2014 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a3.htm?s_cid=mm6325a3_w.
4. Centers for Disease Control and Prevention. Tobacco product use among middle and high school students- United States, 2011 and 2012. MMWR. 2013;62(45):893-7, downloaded on 8/6/2014 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6245a2.htm?s_cid=mm6245a2_w.
5. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2012, downloaded on 8/6/2014 from http://www.cdc.gov/tobacco/data_statistics/sgr/2012/.
6. Hopkins DP, Razi S, Leeks KD, et al. Task force on community preventive services: Smoke-free policies to reduce tobacco use: A systematic review. Am J Prev Med. 2010;38(2 Suppl):S275-89, downloaded on 8/6/2014 from http://www.thecommunityguide.org/tobacco/Worksite2010Smokefree_Hopkins.pdf.
Everyone is susceptible to the negative consequences of tobacco use. However, some disparities exist. Tobacco use is more prevalent among:7
  • Men
  • Persons aged 25-44 years
  • Non-Hispanics
  • Persons with low household income
  • Lesbian, gay, bisexual, transgender (LGBT) persons


7. Agaku IT, King BA, Husten CG, et al. Tobacco product use among adults - United States, 2012-2013. MMWR. 2014;63(25):542-7, downloaded on 8/6/2014 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a3.htm?s_cid=mm6325a3_w.
The most effective way to reduce the risk of tobacco-related illness and death is to avoid using tobacco products. However, secondhand smoke still increases the risk of disease. Policies that ban smoking indoors, in public locations, and in vehicles with children can help reduce the risk to everyone.
Tobacco use is tracked using a range of surveys. Some examples include:
  • National Survey on Drug Use and Health (NSDUH)
  • National Health Interview Survey (NHIS)
  • National Health and Nutrition Examination Survey (NHANES)
  • Youth Risk Behavior Surveillance System (YRBS)
  • Monitoring the Future (MTF)
  • State Tobacco Activities Tracking and Evaluation System (STATE)

For more information on tracking tobacco use health objectives, please visit the Healthy People 2020 Tobacco Use objectives page.

The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 28 March 2017 23:17:22 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 10 Feb 2017 13:24:18 MST