Smoking is a public health threat with serious effects on individuals and society. Across the page, you’ll connect tobacco use to major disease risks like coronary heart disease, COPD, and lung cancer—plus the harm secondhand smoke can cause. We also look at prevention and support, including quitlines and FDA-approved treatments, and how smoke-free laws and the economic burden of smoking shape outcomes.
Key Takeaways
- 55% of US adult smokers have tried to quit in the past year
- FDA-approved cessation medications increase quit rates by 50-60%
- Quitlines like 1-800-QUIT-NOW help 1 in 10 callers quit for 6 months
- Smoking costs the US $300 billion annually in healthcare and lost productivity
- Globally, economic cost of smoking is $1.4 trillion yearly, 1.8% of world GDP
- US smoking-attributable medical spending is $170 billion per year
- Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including an estimated 41,000 deaths resulting from secondhand smoke exposure
- Smoking increases the risk of coronary heart disease by 2 to 4 times
- Current smokers are 2 to 4 times more likely to develop chronic obstructive pulmonary disease (COPD) than non-smokers
- Worldwide, tobacco kills more than 8 million people each year
- Tobacco kills over 7 million people each year from direct use and 1.2 million from secondhand smoke
- In the US, smoking causes more than 480,000 deaths annually
- In 2020, 28.3% of high school students reported current tobacco use
- In the US, 12.5% of adults (28.3 million) smoked cigarettes in 2020
- Globally, 1.3 billion people use tobacco, projected to rise without intervention
Smokers who use proven help and quitlines can boost quitting success while smoke-free policies cut heart attacks.
Related reading
01 · Category
Cessation And Policy25 stats
01
55% of US adult smokers have tried to quit in the past year
02
FDA-approved cessation medications increase quit rates by 50-60%
03
Quitlines like 1-800-QUIT-NOW help 1 in 10 callers quit for 6 months
04
Comprehensive smoke-free laws in 27 US states reduce heart attack hospitalizations by 8%
05
Tobacco 21 laws reduce youth tobacco sales by 35% in adopting states
06
Graphic warning labels increase quit intentions by 40% in experiments
07
Raising cigarette taxes by 10% reduces consumption by 4% in high-income countries
08
US quit attempts peaked at 65% during pandemic
09
Nicotine replacement therapy doubles quit success rates
10
Varenicline increases quit rates by 50% vs placebo
11
Bupropion SR boosts quitting by 60% in first 3 months
12
Workplace cessation programs reduce smoking prevalence by 3.8% after 6-9 months
13
MPOWER policies implemented in 149 countries, reducing prevalence by 2.4% globally
14
Mass media campaigns increase quitline calls by 29%
15
Brief physician advice doubles quit rates among smokers
16
Comprehensive tobacco control programs save $20per $1 spent
17
E-cigarettes help 2x more smokers quit than traditional NRT in UK trials
18
US insurance coverage for cessation treatments increases quit rates by 85%
19
Menthol cigarette ban reduces prevalence by 15% modeled
20
School-based tobacco prevention reduces adult smoking by 25%
21
Flavor bans on e-cigarettes reduce youth use by 25% in studies
22
Text message programs triple quit rates at 6 months
23
WHO FCTC ratified by 182 parties, preventing 23 million premature deaths
24
US youth smoking fell 73% from 1997 to 2018 due to policies
25
Internet-based cessation interventions increase quits by 1.9 times
Interpretation
Cessation And Policy Interpretation
Across cessation and policy measures, US efforts are already making a measurable difference, with FDA-approved medications boosting quit rates by 50 to 60 percent and smoke-free laws in 27 states cutting heart attack hospitalizations by 8 percent.
02 · Category
Economic Costs26 stats
01
Smoking costs the US $300 billion annually in healthcare and lost productivity
02
Globally, economic cost of smoking is $1.4 trillion yearly, 1.8% of world GDP
03
US smoking-attributable medical spending is $170 billion per year
04
Lost productivity from premature death and illness costs US $151 billion annually
05
Each pack of cigarettes costs society $7in healthcare and lost productivity beyond retail price
06
Smoking-related diseases cause 8.7 million lost workdays yearly in the US
07
Globally, tobacco taxes generate $269 billion in revenue, but costs exceed this
08
In China, smoking costs $98 billion in healthcare and $236 billion total economic loss yearly
09
US employers lose $5,800per year per full-time smoker in productivity
10
Smoking increases health insurance premiums by 35-50% for individuals
11
Secondhand smoke costs US $4.6 billion in lost productivity annually
12
In the EU, smoking costs €517 billion yearly, or 2.3% of GDP
13
US Medicaid spends $39.6 billion yearly on smoking-related illnesses
14
Globally, poor countries lose $422 billion in healthcare costs from tobacco
15
Smoking causes 1.4% of global GDP loss, equivalent to weapons trade and armed conflict costs
16
In the US, lung cancer treatment costs $12.1 billion annually due to smoking
17
Smokers miss 6.16 more workdays per year than non-smokers, costing $2,531per smoker
18
Tobacco farming leads to 70 million hectares of land use globally, environmental costs high
19
US cigarette excise taxes average $1.91per pack, generating $12.5 billion revenue
20
Deforestation for tobacco kills 200,000 hectares of forests yearly in developing countries
21
Secondhand smoke absenteeism costs US businesses $6.4 billion yearly
22
Globally, 600 million trees felled yearly for cigarette production
23
In Australia, smoking costs AUD $136.9 billion in 2015-16, including intangibles
24
US smoking prevalence reduction saved $2.3 trillion in healthcare costs from 1985-2020
25
Pesticide use on tobacco farms contaminates water, costing millions in cleanup
26
Quitting smoking saves US $3,000per person annually in medical costs after 1 year
Interpretation
Economic Costs Interpretation
In the economic costs category, smoking drains the world about $1.4 trillion each year, around 1.8% of global GDP, showing that the harm is not only medical but also a massive hit to productivity and public spending.
03 · Category
Health Risks30 stats
01
Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including an estimated 41,000 deaths resulting from secondhand smoke exposure
02
Smoking increases the risk of coronary heart disease by 2 to 4 times
03
Current smokers are 2 to 4 times more likely to develop chronic obstructive pulmonary disease (COPD) than non-smokers
04
Smoking causes about 90% of all lung cancer deaths in the United States
05
Smokers are 25 to 30 times more likely to develop cancer of the pancreas than non-smokers
06
Smoking causes diminished overall health, increased absenteeism from work, and increased insurance premiums
07
Tobacco use contributes to more than 16 million Americans living with a disease caused by smoking
08
Smoking during pregnancy increases risks of miscarriage, stillbirth, preterm delivery, low birth weight, and sudden infant death syndrome (SIDS)
09
Smokeless tobacco use increases the risk of cancers of the mouth, pharynx, larynx, esophagus, and pancreas
10
Hookah smoking delivers about the same amount of nicotine as a cigarette, increasing addiction risk
11
E-cigarette use among youth is associated with increased risk of future cigarette smoking initiation
12
Smoking causes type 2 diabetes, with smokers 30% to 40% more likely to develop it
13
Smoking weakens the immune system and increases risk of infections like pneumonia
14
One cigarette contains over 7,000 chemicals, at least 70 of which are known to cause cancer
15
Smoking reduces fertility in both men and women by damaging reproductive cells
16
Tobacco smoke causes cataracts and macular degeneration, leading to vision loss
17
Smoking increases risk of rheumatoid arthritis by 40%
18
Cigar smoking causes oral, laryngeal, and esophageal cancers similar to cigarettes
19
Pipe smoking triples the risk of mouth and throat cancers
20
Bidis and kreteks have higher levels of nicotine and tar, increasing cancer and heart disease risks
21
Smoking accelerates skin aging, causing wrinkles and dull complexion due to reduced blood flow
22
Tobacco use causes gum disease and tooth loss
23
Smoking increases osteoporosis risk by interfering with calcium absorption
24
Electronic cigarettes contain harmful substances like cancer-causing chemicals and metals
25
Menthol cigarettes make it harder to quit and increase youth initiation risk
26
Smoking causes aortic aneurysm, with smokers 5 times more likely to develop it
27
Tobacco smoke irritates airways, causing chronic cough and phlegm production
28
Smoking reduces oxygen supply to tissues, slowing wound healing
29
Smokeless tobacco causes leukoplakia, a precancerous lesion in 60-80% of users
30
Dual use of cigarettes and e-cigarettes increases exposure to toxins from both
Interpretation
Health Risks Interpretation
Under the Health Risks framing, smoking drives more than 480,000 deaths each year in the United States and sharply raises disease likelihoods, including a 2 to 4 times higher risk of coronary heart disease and up to a 25 to 30 times greater chance of pancreatic cancer among smokers compared with non-smokers.
More related reading
04 · Category
Mortality And Morbidity25 stats
01
Worldwide, tobacco kills more than 8 million people each year
02
Tobacco kills over 7 million people each year from direct use and 1.2 million from secondhand smoke
03
In the US, smoking causes more than 480,000 deaths annually
04
Lung cancer is the leading cause of cancer death, with 80-90% attributable to smoking
05
Smoking shortens life by an average of 10 years
06
COPD, largely caused by smoking, is the fourth leading cause of death in the US
07
Smoking-attributable mortality accounts for 1 in 5 deaths in the US
08
Heart disease death risk doubles for smokers compared to non-smokers
09
Stroke risk increases by 2-4 times for smokers
10
Smoking causes 1 in 4 cancer deaths in the US
11
Annually, 100,000-200,000 children worldwide die from diseases caused by secondhand smoke
12
Smoking-related illnesses cost the US $300 billion in medical care and lost productivity yearly
13
In low- and middle-income countries, 80% of the 1.1 billion smokers live there, facing high mortality
14
Bladder cancer mortality is 3-5 times higher in smokers
15
Smoking causes kidney cancer deaths at twice the rate of non-smokers
16
Liver cancer risk from smoking increases mortality by 50%
17
Cervical cancer deaths are 2 times higher in smokers
18
Stomach cancer mortality doubles with smoking
19
Myeloid leukemia deaths are 20-30% attributable to smoking
20
Smoking causes 90% of deaths from chronic obstructive pulmonary disease (COPD)
21
Secondhand smoke causes 7,300 lung cancer deaths annually among US non-smokers
22
Smoking-related hip fractures increase mortality risk by 66% post-fracture
23
Globally, 1.3 million people die from COPD caused by tobacco
24
Smoking accounts for 36% of all COPD-related deaths in the US
25
Tobacco use leads to 40 million US adults living with smoking-related disease
Interpretation
Mortality And Morbidity Interpretation
From a mortality and morbidity perspective, tobacco is responsible for more than 8 million deaths worldwide every year, including about 480,000 in the US, and it drives major disease burdens like lung cancer and COPD that cut lives by an average of 10 years.
05 · Category
Prevalence Statistics30 stats
01
In 2020, 28.3% of high school students reported current tobacco use
02
In the US, 12.5% of adults (28.3 million) smoked cigarettes in 2020
03
Globally, 1.3 billion people use tobacco, projected to rise without intervention
04
22.3% of the world's population aged 15+ consumed tobacco in 2020
05
US adult cigarette smoking prevalence declined from 20.9% in 2005 to 12.5% in 2020
06
Among US high school students, 8.1% currently used e-cigarettes in 2022
07
13.1% of US adults reported e-cigarette use in 2021
08
Smoking prevalence among US men is 15.6%, higher than women at 11.4% in 2020
09
In the US, 9.3% of adults aged 18-24 smoke cigarettes, highest in 45-64 group at 16.7%
10
Rural US adults have 5% higher smoking prevalence than urban (17.6% vs 14.0%)
11
Globally, 36.7% of men and 7.8% of women smoke tobacco
12
In Europe, smoking prevalence is 25.2% among adults, highest regionally
13
US youth cigarette use dropped to 1.9% in 2022 from 4.6% in 2020
14
2.55 million US middle and high school students use e-cigarettes currently
15
Among US adults, 4.5% used smokeless tobacco in 2020
16
Cigar use among US high school students is 3.0% currently
17
In low-income countries, 27.5% adult prevalence vs 10.4% in high-income
18
US AI/AN adults have 22.3% smoking rate, highest among racial groups
19
LGBTQ+ US adults smoke at 15.7% vs 13.1% straight adults
20
Mental health disorder patients smoke at 2x the general population rate
21
Globally, 80% of smokers live in low- and middle-income countries
22
US daily smokers decreased to 10.7% of adults in 2020
23
Hookah use among US high school students is 1.0%
24
Heated tobacco product use is emerging, with 0.7% US adult use
25
In 2019, 14.0% of US adults were current cigarette smokers
26
13.0% of US adults (18+) were current cigarette smokers in 2020
27
12.5% of US adults (18+) were current cigarette smokers in 2019
28
14.0% of US adults (18+) were current cigarette smokers in 2018
29
15.1% of US adults (18+) were current cigarette smokers in 2017
30
17.0% of US adults (18+) were current cigarette smokers in 2005
Interpretation
Prevalence Statistics Interpretation
Under prevalence statistics, tobacco use remains widespread with 22.3% of the global population aged 15+ consuming tobacco in 2020 and 28.3% of US high school students reporting current tobacco use, even as US adult cigarette smoking fell from 20.9% in 2005 to 12.5% in 2020.
report visual · Projection
Current cigarette smoking prevalence over time (US adults 18+)
Current cigarette smoking prevalence declines over time, with 2017 as the peak and 2019–2020 as the lowest points; the drop from the high (~2017) to the low (~2019–2020) shows a cl
15.1 percent of US adults (18+) current cigarette smokers
Start
-4.87%
CAGR · 3y
13 percent of US adults (18+) current cigarette smokers
Projected
20172020
source-verifiedcdc.gov2020
Reference
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APA
Emilia Santos. (2026, February 13). Smoking Statistics. Gitnux. https://gitnux.org/smoking-statistics
MLA
Emilia Santos. "Smoking Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/smoking-statistics.
Chicago
Emilia Santos. 2026. "Smoking Statistics." Gitnux. https://gitnux.org/smoking-statistics.