Tobacco Use – 2008

Cigarette smoking is the single greatest cause of preventable illness and death in the United States, contributing to the death of more than 435,000 people each year. Smoking is a known cause of numerous cancers, heart disease, stroke, pregnancy complications, chronic obstructive pulmonary disease, and many other diseases. Approximately 70 percent of all smokers report that they would like to quit and simple advice to quit from a physician can increase the likelihood that a smoker will quit. Moreover, there are a number of evidence-based pharmacological and behavioral interventions that have proven to be effective in smoking cessation. However, smoking or tobacco dependence is a chronic relapsing condition that often requires repeated interventions and multiple attempts to quit.

Nicotine-replacement therapies (NRT) such as the nicotine patch and nicotine gum, and other Food and Drug Administration (FDA) approved medications such as bupropion and varenicline, have been found to increase the rates of successful smoking cessation by a ratio of 1.5 to 3.1 in comparison to a placebo. There are few if any interventions that would have a bigger effect on the health of the veteran population than improving care for smoking cessation. Finally, research has demonstrated that smoking cessation counseling and treatment is highly cost-effective relative to many other routine preventive health practices, such as annual mammography and screening for hypertension.

Prevalence and Trends Data

State: Smoke everyday Smoke some days Former smoker Never smoked
Nationwide (States, DC, and Territories) 13.3 4.8 25.0 55.5
Nationwide (States and DC) 13.4 4.8 25.2 55.3
Alabama 17.2 4.8 21.9 55.9
Alaska 15.1 6.4 28.4 50.0
Arizona 10.7 5.1 27.4 56.6
Arkansas 16.9 5.3 26.3 51.3
California 8.8 5.1 23.2 62.7
Colorado 12.2 5.3 24.8 57.5
Connecticut 11.5 4.3 30.0 54.0
Delaware 13.3 4.4 28.5 53.6
District of Columbia 9.2 6.9 22.5 61.2
Florida 12.8 4.6 26.0 56.4
Georgia 14.5 5.0 21.3 59.1
Guam 21.1 6.2 19.4 53.2
Hawaii 11.7 3.6 25.4 59.1
Idaho 12.4 4.4 21.9 61.2
Illinois 15.0 6.2 23.3 55.2
Indiana 19.7 6.2 23.0 50.9
Iowa 14.1 4.6 24.6 56.5
Kansas 13.2 4.6 23.1 58.9
Kentucky 20.4 4.7 25.2 49.5
Louisiana 16.0 4.4 19.8 59.6
Maine 14.0 4.1 31.6 50.1
Maryland 10.5 4.3 24.2 60.8
Massachusetts 11.7 4.3 28.1 55.8
Michigan 14.9 5.4 25.4 54.0
Minnesota 12.0 5.4 27.0 55.3
Mississippi 17.1 5.5 22.2 55.0
Missouri 20.1 4.7 25.0 50.0
Montana 13.7 4.7 26.8 54.6
Nebraska 13.4 4.9 25.0 56.6
Nevada 16.4 5.7 25.1 52.6
New Hampshire 12.8 4.2 31.0 51.8
New Jersey 10.7 4.0 24.2 60.9
New Mexico 12.7 6.5 24.9 55.7
New York 11.7 5.0 25.3 57.8
North Carolina 15.4 5.4 24.8 54.2
North Dakota 13.2 4.8 25.4 56.4
Ohio 15.4 4.6 25.4 54.4
Oklahoma 18.5 6.2 24.6 50.5
Oregon 11.8 4.4 24.6 58.9
Pennsylvania 15.6 5.7 25.3 53.3
Puerto Rico 7.4 4.1 18.2 70.1
Rhode Island 13.4 3.9 28.1 54.4
South Carolina 14.3 5.6 25.2 54.7
South Dakota 11.9 5.5 26.0 56.3
Tennessee 18.0 5.1 21.8 55.0
Texas 11.7 6.7 21.5 59.9
Utah 6.8 2.4 16.1 74.5
Vermont 12.1 4.5 32.1 51.0
Virginia 12.3 4.0 24.0 59.5
Virgin Islands 4.0 2.3 11.5 82.0
Washington 11.6 4.0 26.7 57.5
West Virginia 21.4 5.0 25.3 48.0
Wisconsin 14.1 5.7 26.6 53.4
Wyoming 14.8 4.4 25.4 55.2

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