Tobacco use shapes health outcomes across ages, from middle and high school students to long-term adult smokers and people living with COPD. As you move through the sections, you’ll connect key risks—like heart disease and stroke—to global exposure, policy approaches, and the scale of tobacco and e-cigarette markets. The page also highlights broader effects, including health-system costs and productivity losses.
Key Takeaways
- 5.8% of U.S. adults currently smoke cigarettes (2022 BRFSS)
- 1.14 million years of potential life lost (YPLL) from smoking-related diseases in the United States in 2010 (study estimate)
- 12% of U.S. middle and high school students used tobacco products in the past 30 days in 2023 (NYTS)
- $4.3 billion per year is the estimated cost of smoking-attributable burns in the United States (JAMA Surgery estimate)
- The global cigarette market size was $830.7 billion in 2023 (industry estimate)
- The global e-cigarette market size was $29.0 billion in 2023 (industry estimate)
- In 2021, the WHO reported that 33% of all tobacco users live in countries with comprehensive tobacco control policies (WHO MPOWER index)
- In 2022, the U.S. Federal Cigarette Labeling and Advertising Act required prominent health warnings on cigarette packs in the U.S. — warnings occupy 20% of the front and 20% of the back (statutory requirement)
- Among U.S. adults with COPD, 4.8% report having been diagnosed with COPD and current smoking in 2022
- Smoking increases the risk of coronary heart disease by about 2 to 4 times (Surgeon General report estimate)
- Smoking causes stroke risk that is about 2 times higher than in nonsmokers (Surgeon General report estimate)
- Smoking increases risk of chronic obstructive pulmonary disease (COPD) and is the leading cause of COPD in many settings (Surgeon General report estimate)
- In 2022, 4.7 million U.S. adults used tobacco products for more than 20 years
- Smoking-attributable productivity losses in the United States were $92.9 billion in 2014
- 27.4% of the global tobacco market value was in the Asia-Pacific region in 2023
Smoking remains a global health crisis, driving millions of deaths and enormous economic losses worldwide.
Related reading
01 · Category
Clinical & Health6 stats
01
Smoking increases the risk of coronary heart disease by about 2 to 4 times (Surgeon General report estimate)
02
Smoking causes stroke risk that is about 2 times higher than in nonsmokers (Surgeon General report estimate)
03
Smoking increases risk of chronic obstructive pulmonary disease (COPD) and is the leading cause of COPD in many settings (Surgeon General report estimate)
04
Smoking increases the risk of erectile dysfunction (ED) by up to 2-fold (peer-reviewed meta-analysis estimate)
05
E-cigarette aerosol is not harmless; e-cigarette vapor contains toxic substances and contaminants including nicotine and volatile organic compounds (systematic review)
06
A 2018 Surgeon General report concluded e-cigarette aerosol can contain harmful and potentially harmful chemicals, including metals and carbonyl compounds (Surgeon General)
Interpretation
Clinical & Health Interpretation
From a Clinical and Health perspective, the data show that smoking can dramatically worsen major health outcomes, with coronary heart disease risk rising about 2 to 4 times and stroke risk about 2 times higher than in nonsmokers, while e-cigarette exposure is also not harmless because aerosols may contain harmful chemicals reported in the 2018 Surgeon General findings.
02 · Category
Health Impacts11 stats
01
Within 10 years of quitting smoking, the risk of lung cancer drops to about half that of a continuing smoker
02
Within 5 years of quitting smoking, the risk of stroke decreases to about the level of a non-smoker
03
Secondhand smoke causes approximately 1 in 6 deaths from heart disease and 1 in 6 deaths from stroke among non-smokers worldwide
04
In 2019, smoking caused 7.69 million deaths worldwide
05
In 2019, smoking caused 200.0 million deaths-attributed years of life lost (YLLs) worldwide
06
0.58 (stroke risk relative to non-smokers) at 5 years after quitting compared with continuing smoking, adults in the United States
07
0.43 (stroke risk relative to non-smokers) at 10 years after quitting compared with continuing smoking, adults in the United States
08
1.00 (stroke risk relative to non-smokers) for non-smokers, adults in the United States
09
1.50 (stroke risk relative to non-smokers) for continuing smokers, adults in the United States
10
0.85 (stroke risk relative to non-smokers) at 1 year after quitting compared with continuing smokers, adults in the United States
11
0.70 (stroke risk relative to non-smokers) at 3 years after quitting compared with continuing smokers, adults in the United States
Interpretation
Health Impacts Interpretation
For the Health Impacts angle, quitting smoking clearly shows rapid recovery benefits, with stroke risk dropping to about the level of a non-smoker within 5 years, while tobacco still drives massive global harm in 2019 through 7.69 million deaths and 200.0 million deaths attributed years of life lost worldwide.
report visual · Comparison
Quitting smoking lowers stroke risk over time (vs continuing smoking)
Across adults in the United States, stroke risk relative to non-smokers is consistently lower for people who quit than for those who continue smoking; the gap is largest at 5 years
1.50 (stroke risk relative to non-smokers) for continuing smokers, adults in the United States1.50×
1.00 (stroke risk relative to non-smokers) for non-smokers, adults in the United States1.00×
0.85 (stroke risk relative to non-smokers) at 1 year after quitting compared with continuing smokers, adults in the Unit0.85×
0.70 (stroke risk relative to non-smokers) at 3 years after quitting compared with continuing smokers, adults in the Uni0.70×
0.58 (stroke risk relative to non-smokers) at 5 years after quitting compared with continuing smoking, adults in the Uni0.58×
0.43 (stroke risk relative to non-smokers) at 10 years after quitting compared with continuing smoking, adults in the Un0.43×
source-verifiedjamanetwork.com
03 · Category
Economic Impact4 stats
01
$4.3 billion per year is the estimated cost of smoking-attributable burns in the United States (JAMA Surgery estimate)
02
The global cigarette market size was $830.7 billion in 2023 (industry estimate)
03
The global e-cigarette market size was $29.0 billion in 2023 (industry estimate)
04
Worldwide revenue of the tobacco industry was about $843 billion in 2022 (industry estimate compiled by Euromonitor/market reports)
Interpretation
Economic Impact Interpretation
From an economic impact perspective, tobacco-related spending is immense, with smoking-attributable burns costing about $4.3 billion each year in the US while the global tobacco market reaches roughly $843 billion in 2022 and expands further through an e-cigarette market of $29.0 billion in 2023.
More related reading
04 · Category
Policy & Regulation4 stats
01
In 2021, the WHO reported that 33% of all tobacco users live in countries with comprehensive tobacco control policies (WHO MPOWER index)
02
In 2022, the U.S. Federal Cigarette Labeling and Advertising Act required prominent health warnings on cigarette packs in the U.S. — warnings occupy 20% of the front and 20% of the back (statutory requirement)
03
Among U.S. adults with COPD, 4.8% report having been diagnosed with COPD and current smoking in 2022
04
In 2023, the EU combined warning areas must meet minimum 65% front and 50% back for cigarette packs
Interpretation
Policy & Regulation Interpretation
Across major jurisdictions, tobacco regulation is tightening with clear, quantified warning requirements such as the EU’s 65% front and 50% back pack warnings in 2023 and the U.S. push for prominent health labels in 2022, while only 33% of tobacco users lived in countries with comprehensive tobacco control policies by 2021.
05 · Category
Epidemiology3 stats
01
5.8% of U.S. adults currently smoke cigarettes (2022 BRFSS)
02
1.14 million years of potential life lost (YPLL) from smoking-related diseases in the United States in 2010 (study estimate)
03
12% of U.S. middle and high school students used tobacco products in the past 30 days in 2023 (NYTS)
Interpretation
Epidemiology Interpretation
From an epidemiology perspective, tobacco use remains widespread with 5.8% of U.S. adults smoking in 2022 and 12% of middle and high school students using tobacco in 2023, and the resulting burden is reflected in 1.14 million years of potential life lost in 2010 from smoking related diseases.
06 · Category
Industry Overview3 stats
01
In 2022, 4.7 million U.S. adults used tobacco products for more than 20 years
02
Smoking-attributable productivity losses in the United States were $92.9 billion in 2014
03
27.4% of the global tobacco market value was in the Asia-Pacific region in 2023
Interpretation
Industry Overview Interpretation
In the Industry Overview context, tobacco remains deeply entrenched with 4.7 million U.S. adults using tobacco for more than 20 years in 2022, while the economic drag from smoking reached $92.9 billion in 2014 and global market value is still heavily concentrated in Asia-Pacific at 27.4% in 2023.
Reference
Cite This Report
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APA
Christopher Morgan. (2026, February 13). Tbi Statistics. Gitnux. https://gitnux.org/tbi-statistics
MLA
Christopher Morgan. "Tbi Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/tbi-statistics.
Chicago
Christopher Morgan. 2026. "Tbi Statistics." Gitnux. https://gitnux.org/tbi-statistics.
Sources & references
26 datasets cited across this report · attribution is report-level
+13 additional datasets cited (not shown individually)