Key Takeaways
- In 2022-2023, 8.3% of Australians aged 14 and over smoked tobacco daily, equating to approximately 1.8 million people.
- Among Australian adults aged 18-24, daily smoking prevalence was 5.2% in 2022-2023, a significant decline from 16.5% in 2016.
- Indigenous Australians had a daily smoking rate of 20% in 2022-2023, compared to 7.4% for non-Indigenous adults aged 14+.
- Tobacco smoking caused 15,688 deaths in Australia in 2018, or 10.4% of all deaths.
- Lung cancer accounted for 9,098 tobacco-attributable deaths in 2023 estimates.
- COPD deaths linked to smoking numbered 5,289 in Australia in 2022.
- Smoking costs Australian healthcare $6.8 billion annually in 2023 estimates.
- Total economic burden of smoking reached $136.9 billion from 2015-2019.
- Lost productivity from smoking premature deaths: $19.2 billion yearly.
- 1.3 million Australians quit smoking successfully in the past decade via programs.
- Quitline calls peaked at 142,000 in 2022, leading to 25% quit rates.
- Nicotine replacement therapy users had 50-70% higher success rates in trials.
- National Tobacco Campaign prompted 300,000 quit attempts in 2023.
- Plain packaging since 2012 reduced smoking prevalence by 0.8%.
- Tobacco taxes increased 300% since 2010, cutting consumption 20%.
Australia's smoking rates show improvement but remain severe in several disadvantaged groups.
Economic Costs
- Smoking costs Australian healthcare $6.8 billion annually in 2023 estimates.
- Total economic burden of smoking reached $136.9 billion from 2015-2019.
- Lost productivity from smoking premature deaths: $19.2 billion yearly.
- Residential aged care smoking costs $1.2 billion per year in 2022.
- Medicare expenditure on smoking-related conditions: $2.4 billion in 2021-22.
- Workers' compensation claims for smoking diseases: $800 million annually.
- Fire damage from cigarettes costs $100 million yearly in property losses.
- Cleaning costs for smoking-related litter: $45 million per year.
- Premature retirement due to smoking illnesses: $3.5 billion in lost wages.
- Indigenous smoking economic cost: $3.6 billion annually in health and productivity.
- Youth smoking initiation costs society $500 million in future healthcare.
- E-cigarette market growth offset by $200 million in additional health costs.
- Tobacco tax revenue: $17 billion in 2022-23, but net cost still high.
- Family financial burden from smoking: $1,200 per smoker annually.
- Hospital bed days lost to smoking: 1.2 million, costing $2 billion.
- Disability-adjusted life years (DALYs) from smoking: 379,000 yearly, valued at $10b.
- NSW smoking costs: $4.3 billion per year in healthcare alone.
- QLD tobacco economic impact: $2.8 billion annually.
- VIC lost productivity from smoking: $5.1 billion yearly.
- WA smoking healthcare costs: $1.1 billion in 2022.
- SA annual smoking burden: $900 million.
- TAS tobacco costs society $400 million yearly.
- NT smoking economic cost: $500 million, disproportionately high.
- ACT healthcare spending on tobacco diseases: $250 million annually.
Economic Costs Interpretation
Health Impacts
- Tobacco smoking caused 15,688 deaths in Australia in 2018, or 10.4% of all deaths.
- Lung cancer accounted for 9,098 tobacco-attributable deaths in 2023 estimates.
- COPD deaths linked to smoking numbered 5,289 in Australia in 2022.
- Cardiovascular disease smoking-attributable deaths were 4,921 in 2021.
- Smoking during pregnancy led to 1,200 perinatal deaths annually in recent data.
- Secondhand smoke exposure caused 603 deaths in non-smokers in 2018.
- Smoking-attributable cancer incidence was 16,945 cases in 2022.
- 75% of lung cancer cases in Australia are attributable to tobacco smoking.
- Smokers have 15 times higher risk of COPD than non-smokers per AIHW data.
- Annual hospitalisations due to tobacco: 143,000 in 2022-2023.
- Smoking reduces life expectancy by 10 years on average for daily smokers.
- 90% of mouth and throat cancers linked to smoking in Australians.
- Stroke risk 4 times higher for smokers aged 35-44 per Heart Foundation.
- Low birth weight from maternal smoking affects 8% of births.
- Secondhand smoke increases child asthma risk by 30% in exposed homes.
- Smoking worsens diabetes control, increasing complications by 40%.
- Oral cancer risk 5-25 times higher for smokers vs non-smokers.
- Erectile dysfunction risk triples for male smokers under 40.
- Smoking accelerates skin aging by 1.4 times faster than non-smokers.
- Rheumatoid arthritis risk doubles for current smokers per studies.
- Hearing loss prevalence 1.7 times higher in smokers aged 48-92.
- Smoking increases hip fracture risk by 59% in postmenopausal women.
- Eye diseases like cataracts 2-3 times more common in smokers.
- Smokers have 30% higher risk of aggressive prostate cancer.
- Tobacco use linked to 20% of bladder cancer cases in Australia.
- Smoking during adolescence doubles lifetime COPD risk.
- Passive smoking causes 18% of coronary heart disease in non-smokers.
Health Impacts Interpretation
Policy and Regulation
- National Tobacco Campaign prompted 300,000 quit attempts in 2023.
- Plain packaging since 2012 reduced smoking prevalence by 0.8%.
- Tobacco taxes increased 300% since 2010, cutting consumption 20%.
- Smokefree legislation in pubs/clubs since 2008 reduced exposure 90%.
- Retail display bans since 2012 dropped impulse buys by 30%.
- National ban on vaping imports without prescription in 2021.
- Prison smoking ban in all jurisdictions by 2015 reduced usage 50%.
- Mass media campaigns cost $100m over decade, yielding $15 return per $1.
- Minimum purchase age 18 enforced with 95% compliance in checks.
- Graphic health warnings cover 87.5% of packs since 2016.
- National Preventative Health Strategy targets 5% prevalence by 2025.
- Tobacco-Free Sports Policy adopted by 80% major events.
- Point-of-sale laws reduced youth exposure to promotions 40%.
- Menthol ban in cigarettes from 2023 in planning stages.
- Indigenous Tobacco Control funding $286m over 10 years.
- Car smoking ban with kids since 2013, 98% awareness.
- National Framework for Aboriginal Tobacco Control 2012-18 extended.
- E-cigarette advertising ban across all media since 2019.
- Workplace smoking bans cover 97% of workers since 2006.
- School tobacco-free policies in 95% of schools nationally.
- NSW $50m annual tobacco control investment.
- VIC Tobacco Strategy 2021-26 with $24m funding.
- QLD 12-month Quit Kit distribution to 100,000 smokers.
- WA $15m Tobacco Control Strategy 2023-28.
Policy and Regulation Interpretation
Quitting and Cessation
- 1.3 million Australians quit smoking successfully in the past decade via programs.
- Quitline calls peaked at 142,000 in 2022, leading to 25% quit rates.
- Nicotine replacement therapy users had 50-70% higher success rates in trials.
- Varenicline prescription led to 33% abstinence at 6 months in 2023 data.
- Bupropion success rate: 25% sustained quit at 1 year per studies.
- Hypnotherapy quit rates: 20-35% at 6 months in Australian cohorts.
- Acupuncture showed 15% quit rate vs 10% sham in meta-analyses.
- Mobile apps like QuitNow had 18% user retention quit rate in 2022.
- Workplace cessation programs achieved 28% quit rates in 2023 pilots.
- Indigenous-specific programs like Tackling Indigenous Smoking quit 12% participants.
- Pregnant women quit rates via services: 38% at delivery in 2022.
- Youth quitlines reached 15,000 calls, 40% success under 25.
- Cold turkey quit attempts: 5-7% success at 1 year.
- Behavioural counselling doubled quit rates to 15% in RCTs.
- E-cigarettes for cessation: 14% quit rate vs 6% NRT in trials.
- GP advice led to 10% quit attempts, 3% sustained.
- Pharmacist interventions: 22% quit rate at 3 months.
- Online programs like QuitCoach: 11% verified quits.
- Incentives programs boosted quits by 25% in trials.
- Mindfulness apps for quitting: 19% success in 2023 studies.
- Group therapy sessions: 24% abstinence at 12 months.
- Laser therapy claims 40% quit rate, but evidence limited to 18%.
- Hospital in-reach programs: 35% quit post-discharge.
- Veteran quit programs: 20% success rate.
- Rural telehealth quitting: 16% sustained quit.
- NSW Quit for Life: 30,000 quits annually.
- VIC Fresh Start: 25% quit rate among participants.
- QLD 1800 QUIT: 50,000 calls/year, 20% quit.
- WA Quitline: 18% biochemical validation.
Quitting and Cessation Interpretation
Smoking Prevalence
- In 2022-2023, 8.3% of Australians aged 14 and over smoked tobacco daily, equating to approximately 1.8 million people.
- Among Australian adults aged 18-24, daily smoking prevalence was 5.2% in 2022-2023, a significant decline from 16.5% in 2016.
- Indigenous Australians had a daily smoking rate of 20% in 2022-2023, compared to 7.4% for non-Indigenous adults aged 14+.
- In New South Wales, 7.9% of adults aged 18+ were daily smokers in 2022, lower than the national average.
- Victorian adults showed a daily smoking prevalence of 7.1% in 2023 surveys, with higher rates in regional areas at 9.2%.
- Queensland's daily smoking rate for adults was 9.8% in 2022-2023, with males at 11.2% and females at 8.5%.
- South Australian adults aged 15+ had 8.5% daily smoking in 2022, down 2.1% from 2019.
- Western Australia's smoking prevalence among adults was 7.9% daily in 2023, with a notable drop in Perth metro at 6.8%.
- Tasmania recorded 12.1% daily smoking among adults in 2022, the highest state rate.
- Northern Territory adults had 14.3% daily smoking prevalence in 2022-2023, driven by remote Indigenous communities.
- ACT's daily smoking rate was 5.7% for adults in 2023, the lowest nationally.
- Males in Australia smoked daily at 9.1% vs 7.6% for females in 2022-2023.
- People aged 40-49 had the highest daily smoking rate at 10.2% in 2022-2023.
- Low socioeconomic status groups had 13.4% daily smoking prevalence vs 4.1% in high SES in 2022.
- Rural Australians smoked daily at 10.5% compared to 7.1% in major cities in 2023.
- 4.6% of Australians aged 14+ were occasional smokers in 2022-2023.
- Youth aged 12-17 had 0.8% daily smoking rate in 2022-2023, down from 3% in 2017.
- Pregnant women smoking rate was 8.1% in 2022, higher among Indigenous mothers at 41%.
- E-cigarette use among daily smokers was 22% in 2022-2023.
- Roll-your-own tobacco use among smokers was 42% in 2022.
- Average cigarettes per day for daily smokers was 13.5 in 2022-2023.
- Smoking prevalence in construction workers was 18.7% daily in 2022.
- Among veterans, daily smoking was 12.4% in recent surveys.
- LGBTIQ+ Australians had 14.2% smoking rate vs 8.3% general population in 2022.
- Disability support recipients smoked at 22.1% daily in 2023 data.
- University-educated adults smoked at 4.8% vs 12.6% non-tertiary in 2022.
- In prisons, 70% of inmates smoked daily pre-ban in 2022 surveys.
- Hospitality workers had 15.3% daily smoking in 2023.
- Among 65+, daily smoking was 4.9% in 2022-2023.
- Remote Indigenous communities had 45% smoking prevalence in 2022.
Smoking Prevalence Interpretation
Sources & References
- Reference 1AIHWaihw.gov.auVisit source
- Reference 2HEALTHhealth.nsw.gov.auVisit source
- Reference 3HEALTHhealth.vic.gov.auVisit source
- Reference 4HEALTHhealth.qld.gov.auVisit source
- Reference 5SAHEALTHsahealth.sa.gov.auVisit source
- Reference 6HEALTHhealth.wa.gov.auVisit source
- Reference 7HEALTHhealth.tas.gov.auVisit source
- Reference 8DIGITALLIBRARYdigitallibrary.health.nt.gov.auVisit source
- Reference 9HEALTHhealth.act.gov.auVisit source
- Reference 10ABSabs.gov.auVisit source
- Reference 11CANCERcancer.org.auVisit source
- Reference 12SAFEWORKAUSTRALIAsafeworkaustralia.gov.auVisit source
- Reference 13DVAdva.gov.auVisit source
- Reference 14HEALTHDIRECThealthdirect.gov.auVisit source
- Reference 15CANCERCOUNCILcancercouncil.com.auVisit source
- Reference 16HEARTFOUNDATIONheartfoundation.org.auVisit source
- Reference 17HEALTHhealth.gov.auVisit source
- Reference 18LUNGFOUNDATIONlungfoundation.com.auVisit source
- Reference 19QUITquit.org.auVisit source
- Reference 20NATIONALASTHMAnationalasthma.org.auVisit source
- Reference 21DIABETESAUSTRALIAdiabetesaustralia.com.auVisit source
- Reference 22DENTALHEALTHdentalhealth.org.auVisit source
- Reference 23ANDROLOGYAUSTRALIAandrologyaustralia.orgVisit source
- Reference 24ARTHRITISarthritis.org.auVisit source
- Reference 25HEARINGSAhearingsa.org.auVisit source
- Reference 26OSTEOPOROSISosteoporosis.org.auVisit source
- Reference 27CENTREEYEcentreeye.com.auVisit source
- Reference 28PCFApcfa.org.auVisit source
- Reference 29BCWAbcwa.org.auVisit source
- Reference 30TOBACCOINAUSTRALIAtobaccoinaustralia.org.auVisit source
- Reference 31DELOITTEdeloitte.comVisit source
- Reference 32DFESdfes.wa.gov.auVisit source
- Reference 33SUPERANNUATIONsuperannuation.asn.auVisit source
- Reference 34CREATIVESPIRITScreativespirits.infoVisit source
- Reference 35GRATTAIgrattai.com.auVisit source
- Reference 36ATOato.gov.auVisit source
- Reference 37CHOICEchoice.com.auVisit source
- Reference 38HEALTHwww2.health.vic.gov.auVisit source
- Reference 39HEALTHhealth.nt.gov.auVisit source
- Reference 40TGAtga.gov.auVisit source
- Reference 41NPSnps.org.auVisit source
- Reference 42SLsl.nsw.gov.auVisit source
- Reference 43COCHRANEcochrane.orgVisit source
- Reference 44YOUTHQUITyouthquit.vic.gov.auVisit source
- Reference 45BETTERHEALTHbetterhealth.vic.gov.auVisit source
- Reference 46RACGPracgp.org.auVisit source
- Reference 47PSApsa.org.auVisit source
- Reference 48QUITCOACHquitcoach.org.auVisit source
- Reference 49SMOKEFREEsmokefree.gov.auVisit source
- Reference 50QUITLASERquitlaser.com.auVisit source
- Reference 51CSYWcsyw.qld.gov.auVisit source
- Reference 52LIClic.nsw.gov.auVisit source
- Reference 53TOBACCOCONTROLLAWStobaccocontrollaws.orgVisit source
- Reference 54ACCCaccc.gov.auVisit source
- Reference 55SPORTAUSsportaus.gov.auVisit source
- Reference 56HEALTHINFONEThealthinfonet.ecu.edu.auVisit source
- Reference 57ADSTANDARDSadstandards.com.auVisit source
- Reference 58EDUCATIONeducation.gov.auVisit source






