Morbidity and Mortality
Tobacco use leads to disease and disability.
- Smoking causes cancer, heart disease, stroke, and lung diseases (including emphysema, bronchitis, and chronic airway obstruction).1,2
- For every person who dies from a smoking-related disease, 20 more people suffer with at least one serious illness from smoking.3
Tobacco use is the leading preventable cause of death.
- Worldwide, tobacco use causes more than 5 million deaths per year, and current trends show that tobacco use will cause more than 8 million deaths annually by 2030.4
- In the United States, tobacco use is responsible for about one in five deaths annually (i.e., more than 440,000 deaths per year, and an estimated 49,000 of these smoking-related deaths are the result of secondhand smoke exposure).1,2
- On average, smokers die 10 years earlier than nonsmokers.5
Costs and Expenditures
The cigarette industry spends billions each year on advertising and promotions.6
- $8.05 billion total spent in 2010
- $22 million spent a day in 2010
Tobacco use costs the United States billions of dollars each year.
- Cigarette smoking costs more than $193 billion (i.e., $97 billion in lost productivity plus $96 billion in health care expenditures).1
- Secondhand smoke costs more than $10 billion (i.e., health care expenditures, morbidity, and mortality).7
State spending on tobacco control does not meet CDC-recommended levels.8,9
- Collectively, states have billions of dollars available to them—from tobacco excise taxes and tobacco industry legal settlements—for preventing and controlling tobacco use. States currently use a very small percentage of these funds for tobacco control programs.
- In 2013, states will collect $25.7 billion from tobacco taxes and legal settlements, but states will spend only 1.8% of the $25.7 billion on prevention and cessation programs.
- Investing less than 15% (i.e., $3.7 billion) of the $25.7 billion would fund every state tobacco control program at CDC-recommended levels.
Tobacco Use in the United States
Percentage of U.S. adults who were current smokers in 2011:10
- 19.0% of all adults: 21.6% of males, 16.5% of females (43.8 million people)
- 31.5% non-Hispanic American Indian/Alaska Native
- 27.4% non-Hispanic multiple race
- 20.6% non-Hispanic white
- 19.4% non-Hispanic black
- 12.9% Hispanic
- 9.9% non-Hispanic Asian
- Adult is defined as 18 years of age or older.
- Current smokers are defined as persons who reported smoking at least 100 cigarettes during their lifetime and who, at the time of interview, reported smoking every day or some days.
- Percentage for Asian American adults does not include Native Hawaiians and other Pacific Islanders.
Thousands of young people begin smoking every day.11,12
- Each day, nearly 4,000 persons younger than 18 years of age smoke their first cigarette.
- Each day, about 1,000 persons younger than 18 years of age become new daily cigarette smokers.
Many adult smokers want to quit smoking.13
- Approximately 69% of smokers want to quit completely.
- Approximately 52% of smokers attempted to quit in 2010.
- See CDC's Smoking Cessation fact sheet for more information.
- "Attempted to quit" is defined as smokers who reported that they stopped smoking for more than 1 day in the past 12 months because they were trying to quit smoking.
- Centers for Disease Control and Prevention. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000–2004. Morbidity and Mortality Weekly Report 2008;57(45):1226–8 [accessed 2013 May 21].
- U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2013 May 21].
- Centers for Disease Control and Prevention. Cigarette Smoking-Attributable Morbidity—United States, 2000. Morbidity and Mortality Weekly Report 2003;52(35):842–4 [accessed 2013 May 21].
- World Health Organization. WHO Report on the Global Tobacco Epidemic, 2011. Geneva: World Health Organization, 2011 [accessed 2013 May 21].
- Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, McAfee T, Peto R21st Century Hazards of Smoking and Benefits of Cessation in the United States. New England Journal of Medicine 2013;368:341–50 [accessed 2013 May 21].
- Federal Trade Commission. Cigarette Report for 2009 and 2010. (PDF–130.44 KB) Washington: Federal Trade Commission, 2012 [accessed 2013 May 21].
- Economic Effects of Environmental Tobacco Smoke Report. (PDF–546.49 KB) Schaumburg, IL: Society of Actuaries; 2005 [accessed 2013 May 21]. .
- Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs—2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2007. [accessed 2013 May 21].
- Campaign for Tobacco Free Kids. A Broken Promise to Our Children: The 1998 State Tobacco Settlement 14 Years Later. Washington: Campaign for Tobacco Free Kids, 2012 [accessed 2013 May 21].
- Centers for Disease Control and Prevention.Current Cigarette Smoking Among Adults—United States, 2011. Morbidity and Mortality Weekly Report 2012;61(44):889–94 [accessed 2013 May 21].
- Substance Abuse and Mental Health Administration. Results from the 2010 National Survey on Drug Use and Health: National Findings. Rockville (MD): Office of Applied Studies [accessed 2013 May 21].
- U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Office on Smoking and Health, 2012 [accessed 2013 May 21].
- Centers for Disease Control and Prevention. Quitting Smoking Among Adults—United States, 2001–2010. Morbidity and Mortality Weekly Report 2011;60(44):1513–9 [accessed 2013 May 21].
For Further Information
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Media Inquiries: Contact CDC's Office on Smoking and Health press line at 770-488-5493.
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