In Texas, 18.5% of the adult population (aged 18+ years)—over 3,257,000 individuals—are current cigarette smokers. Across all states, the prevalence of cigarette smoking among adults ranges from 9.3% to 26.5%. Texas ranks 27th among the states.
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Among youth aged 12–17 years, 9.5% smoke in Texas. The range across all states is 6.5% to 15.9%. Texas ranks 11th among the states.
Among adults aged 35+ years, over 24,600 died as a result of tobacco use per year, on average, during 2000–2004. This represents a smoking-attributable mortality rate of 273.1/100,000. Texas's smoking-attributable mortality rate ranks 31st among the states.
Texas does not have a statewide smoke-free law that provides adequate protection against exposure to secondhand smoke in public places.
Among adults who work indoors, the percentage who reported anyone smoking in their work area within the preceding 2 weeks has remained higher in Texas than in the nation overall. Currently, Texas ranks 30th among the states for workplace exposure, at 8.0%.
Best Practices estimates 8% of smokers could access quitlines each year. In Texas, 1.4% of smokers called their quitline.
The Medicaid fee-for-service program in Texas provides only partial coverage for tobacco dependence treatment. Texas's Medicaid policy provides coverage for both bupropion and varenicline. Texas's Medicaid policy does not provide coverage for individual, group, or telephone counseling.
Smoke-free home rules represent awareness of the dangers of secondhand smoke. In Texas, as in the nation, an increasing number of families have such a rule.
Currently, 81.3% of Texas homes have this rule. Texas ranks 13th among the states.
Rating point data were available for 42 states and the District of Columbia. Best Practices recommendations translate into an average of 800 targeted rating points (TRPs) in effective youth and 1,200 gross rating points (GRPs) in effective general audience antitobacco media campaigns per quarter. Texas's major media market(s) aired an average of 0 youth TRPs and less than 1 general audience GRP per quarter in 2008. Texas ranks 38th for the number of youth TRPs and ranks 39th among the states for the number of general audience GRPs aired.
Texas allows local regulation of tobacco industry promotions, sampling, and display of tobacco products in commercial establishments.
Texas requires all establishments selling tobacco products over the counter and by vending machine to be licensed. Currently, 38 states require licensure for both over the counter and vending machine sales.
Texas maintains a $1.41 per pack tax and ranks 21st among the states.
Texas does not have a minimum price law.
Approximately 25% of the annual revenue generated from state excise taxes and settlement payments would fund Texas's tobacco control program at the Best Practices recommended amount. However, in 2007, Texas's funding for tobacco control was 2.3% of the recommended level. Texas ranks 47th among the states.
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