US states with the highest smoking rates in 2022

PC0922GlobalSmokingReport_IG2_WEB
Painless Stop Smoking


September 06, 2022

3 min read


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Key takeaways

  • In 2022, West Virginia had the highest smoking rate in the U.S., at 23.8%.
  • Utah had the lowest smoking rate, with less than 10% of the population smoking.
  • Healio compiled a list of stories with information about smoking cessation interventions, the FDA’s efforts to curb cigarette smoking and more.

Despite being one of the smallest states, with a population of just over 1.79 million, West Virginia had the highest smoking rate in the United States in 2022, with nearly a quarter of people maintaining the habit, data show.

Smoking causes nearly half a million — 480,000 — deaths in the U.S. every year, according to the CDC, and is the top cause of preventable disease and death in the country. Yet, in 2020, the CDC estimated that 30.8 million — 12.5% — of U.S. adults smoked cigarettes. In 2018, cigarette smoking cost the U.S. more than $600 billion.

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Source: CDC.

To determine the prevalence of smoking by state, researchers with NiceRx analyzed data on smoking rates and smoking-related deaths in 2022. The data were compiled in the company’s Global Smoking Report.

Researchers found that, at 23.8%, West Virginia had the highest smoking rate and the highest number of smoking-related deaths, at 241 per 100,000 people.

On the other end of the spectrum, Utah had the lowest smoking rates of any U.S. state, with 7.9% of the population maintaining the habit. It also had the fewest smoking-related deaths, at 39 per 100,000 people.

The U.S. states with the highest smoking rates were:

  • West Virginia, 23.8%;
  • Kentucky, 23.6%;
  • Louisiana, 21.9%;
  • Ohio, 20.8%;
  • Mississippi, 20.4%;
  • Alabama and Arkansas 20.2% (tie);
  • Tennessee, 19.9%;
  • Missouri, 19.6%; and
  • Indiana, 19.2%.

To coincide with the release of the Global Smoking Report, Healio compiled a list of stories on how smoking affects patients, interventions that promote cessation, the FDA’s efforts to curb smoking, treatment options and more:

Primary care intervention significantly improves smoking cessation

Primary care clinics that implemented an outreach intervention had a greater proportion of patients who converted from current to former smokers than clinics without the intervention, according to findings published in Preventive Medicine. Read more.

‘Our work is far from over’: Nearly one in five adults report tobacco use

In the United States, 47.1 million adults reported using commercial tobacco products in 2020, including 30.8 million adults who reported smoking cigarettes, according to data published in Morbidity and Mortality Weekly Report. Read more.

FDA proposes rules prohibiting menthol cigarettes, flavored cigars

The FDA proposed prohibiting menthol cigarettes and flavored cigars. The new product standards are designed to substantially prevent disease and death from combusted product use and to prevent young people from starting to smoke. Read more.

Cytisinicline treatment increases likelihood of smoking cessation: ORCA-2 topline results

Cytisinicline resulted in clinically robust and significant improvements in smoking cessation over 6 and 12 weeks of treatment compared with placebo, according to topline results from the ongoing phase 3 ORCA-2 trial. Read more.

Cancer deaths linked to smoking lead to substantial losses of life years, earnings

Cigarette smoking-attributable cancer deaths appeared associated with nearly 2.2 million person-years of life lost and $20.9 billion in lost earnings across the United States in 2019, according to study results. Read more.

Smoking while wearing mask may promote vascular dysfunction, worsening CV health

The re-inhalation of carbon monoxide among smokers while wearing a mask promotes vascular dysfunction and may worsen cardiovascular health, according to findings from a single-center study. Read more.

Menthol cigarettes increase smoking frequency, nicotine dependence in US youths

Use of menthol cigarettes was associated with increased smoking frequency and nicotine dependence among youths in the U.S., according to data published in JAMA Network Open. However, researchers reported reduced smoking frequency and nicotine dependence among youths who switched from menthol cigarettes to nonmenthol cigarettes. Read more.

Pregnant smokers more likely to quit with e-cigarettes vs. nicotine patches

Compared with nicotine patches, e-cigarettes were more effective in helping pregnant women stop smoking, according to data published in Nature Medicine. Read more.

Cannabis users may not perceive tobacco use as dangerous

A growing number of U.S. adults who use cannabis daily may not perceive heavy tobacco use as harmful, researchers reported in Nicotine & Tobacco Research. Read more.

Web-based prescription of smoking-cessation therapy feasible, effective

An intervention that utilized smoking-cessation therapy prescribed over the internet was feasible and effective, according to data published in Drug and Alcohol Dependence. Read more.

References:



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