America's Health: State Health Rankings - 2004 Edition

Prevalence of Smoking

Prevalence of Smoking measures the percent of the population over age 18 that smokes tobacco products regularly. The information is obtained from the Behavioral Risk Factor Surveillance System (BRFSS) and measures the percentage of the population that has smoked at least 100 cigarettes and currently smokes regularly.

The prevalence of smoking in the population has an adverse impact on overall health by causing increased cases of respiratory diseases, cancer and other illnesses. It is a lifestyle behavior that an individual can directly influence.

Table 18 displays the 2004 ranks, based on 2003 data (Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention). The proportion of the population that smokes varies from a low of 11.9 percent in Utah to more than 30 percent in Kentucky. The national average is 22.0 percent of the population, a decrease of 1.0 percent from the revised rate for the past year. The prevalence of smoking decreased by more than 2.0 percent in Hawaii, Alaska, Delaware, Arizona, Virginia and Tennessee. It increased by more than 2.0 percent in Louisiana. Since the 1990 Edition, the prevalence of smoking has decreased in the United States by 7.5 percent. Rhode Island, Vermont, Connecticut, Virginia, Nevada, Hawaii, and Colorado have each lowered the prevalence of smoking since 1990 by 10 percent or more.

Every state has experienced a decrease since the 1990 Edition. Missouri, South Carolina and Utah have had the smallest decreases. Due to the limits of the BRFSS, caution must be used in comparing changes in prevalence of smoking in states with small populations.

Statistics Graph
 
Table 18

Prevalence of Smoking1

Rank (1-50)
State
Percent of Population
Score
 
Rank (1-50)
State
Percent of Population
Score
37
Alabama
25.3
15
1
Utah
11.9
-30
44
Alaska
26.2
19
2
California
16.8
-24
15
Arizona
20.8
-6
3
Hawaii
17.2
-22
34
Arkansas
24.8
13
4
Colorado
18.6
-16
2
California
16.8
-24
4
Connecticut
18.6
-16
4
Colorado
18.6
-16
6
Idaho
19.0
-14
4
Connecticut
18.6
-16
7
Massachusetts
19.1
-13
21
Delaware
21.9
-1
8
New Jersey
19.4
-12
31
Florida
23.9
9
9
Vermont
19.5
-11
29
Georgia
22.8
4
9
Washington
19.5
-11
3
Hawaii
17.2
-22
11
Montana
20.0
-9
6
Idaho
19.0
-14
11
Maryland
20.1
-9
32
Illinois
24.3
11
13
Kansas
20.4
-7
44
Indiana
26.1
19
13
North Dakota
20.5
-7
21
Iowa
21.7
-1
15
Arizona
20.8
-6
13
Kansas
20.4
-7
16
Oregon
20.9
-5
50
Kentucky
30.8
30
17
Minnesota
21.1
-4
47
Louisiana
26.5
21
17
Nebraska
21.2
-4
30
Maine
23.7
8
17
New Hampshire
21.2
-4
11
Maryland
20.1
-9
20
New York
21.6
-2
7
Massachusetts
19.1
-13
21
Iowa
21.7
-1
44
Michigan
26.1
19
21
Delaware
21.9
-1
17
Minnesota
21.1
-4
23
New Mexico
22.0
0
40
Mississippi
25.6
16
23
Virginia
22.0
0
48
Missouri
27.2
24
23
Wisconsin
22.0
0
11
Montana
20.0
-9
26
Texas
22.1
1
17
Nebraska
21.2
-4
27
Rhode Island
22.4
2
37
Nevada
25.2
15
28
South Dakota
22.7
3
17
New Hampshire
21.2
-4
29
Georgia
22.8
4
8
New Jersey
19.4
-12
30
Maine
23.7
8
23
New Mexico
22.0
0
31
Florida
23.9
9
20
New York
21.6
-2
32
Illinois
24.3
11
34
North Carolina
24.8
13
33
Wyoming
24.6
12
13
North Dakota
20.5
-7
34
Arkansas
24.8
13
37
Ohio
25.2
15
34
North Carolina
24.8
13
36
Oklahoma
25.1
14
36
Oklahoma
25.1
14
16
Oregon
20.9
-5
37
Nevada
25.2
15
40
Pennsylvania
25.4
16
37
Ohio
25.2
15
27
Rhode Island
22.4
2
37
Alabama
25.3
15
40
South Carolina
25.5
16
40
Pennsylvania
25.4
16
28
South Dakota
22.7
3
40
South Carolina
25.5
16
40
Tennessee
25.6
16
40
Mississippi
25.6
16
26
Texas
22.1
1
40
Tennessee
25.6
16
1
Utah
11.9
-30
44
Indiana
26.1
19
9
Vermont
19.5
-11
44
Michigan
26.1
19
23
Virginia
22.0
0
44
Alaska
26.2
19
9
Washington
19.5
-11
47
Louisiana
26.5
21
48
West Virginia
27.3
24
48
Missouri
27.2
24
23
Wisconsin
22.0
0
48
West Virginia
27.3
24
33
Wyoming
24.6
12
50
Kentucky
30.8
30
 
United States
22.0
     
United States
22.0
 

1 Source: 2003 data, Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention