High Smoking Rates & Related Deaths in the US

Sep.06.2022
High smoking rates lead to addiction and health risks. Despite this, 22.3% of the global population still uses tobacco products.

A significant portion of the world's population are smokers. In fact, according to the World Health Organization's data, 22.3% of the global population use tobacco products. The main reason people smoke is to reduce stress, but it comes with the risk of addiction. This is because tobacco contains a chemical substance called nicotine, which creates a sense of relaxation when ingested.


Tobacco is one of the leading causes of death, with over 8 million deaths worldwide each year being attributed to tobacco use. It also increases the risk of various health issues such as stroke, cancer, and heart disease.


NiceRx has conducted a study on the countries and states with the highest smoking rates and the most deaths related to smoking in the year 2022.


The state with the highest smoking rate in the United States.


West Virginia state.


Smoking Rate in 2022: 23.8%


West Virginia, located in the southeastern region of the United States, is one of the smallest states with a population just exceeding 1.79 million, making it the twelfth least populous state. However, despite its small size, it has the highest smoking rate in the country, with a rate of 23.8%.


The smoking rate in Kentucky is projected to be 23.6% in 2022.


Kentucky borders West Virginia and is located in the southeastern United States. As of 2020, its population exceeded 4.5 million. Its smoking rate is comparable to West Virginia's, being only 0.2% lower.


Louisiana State


Smoking rate in 2022: 21.9%.


Louisiana, located in the southern region of the United States, is the 25th most populous state with a population of 4.65 million. As of 2022, Louisiana has a smoking rate of 21.9%, which is the third highest in the country.


Ohio State


Smoking rate in 2022: 20.8%


The Midwestern state of Ohio is the seventh most populous state in the United States, with a population just slightly below 11.8 million. As of 2022, Ohio has a smoking rate of 20.8% among its population, with over 2.4 million smokers.


Mississippi state


In 2022, the smoking rate in Mississippi, a state located in the southeastern region of the United States with a population of approximately 2.96 million and the lowest per capita income, ranks as the fifth highest in the country at 20.4%. This rate is almost three times that of Hawaii, which has one of the lowest smoking rates.


The state with the highest number of smoking-related deaths in the United States.


West Virginia.


Every year, 241 people die from smoking per 100,000 people.


West Virginia has the highest smoking rate in the United States, so it's not surprising that it also ranks highest in smoking-related deaths. This southeastern state reports 241 smoking-related deaths per 100,000 people annually.


In Kentucky, 197 people die annually from smoking per 100,000 individuals.


Despite West Virginia experiencing a population increase of over double, Kentucky comes in as a close second. High smoking rates often lead to an increased occurrence of smoking-related health issues. This has even resulted in the state seeing 197 deaths per 100,000 people annually.


Arkansas


192 people die each year from smoking per 100,000 individuals.


As the third largest state in the southern United States, Arkansas ranked sixth in smoking rates across the country in 2022. The state sees 192 smoking-related deaths per 100,000 residents each year, just slightly lower than Kentucky.


Oklahoma state.


188 people per 100,000 die every year due to smoking.


Oklahoma, located in the southern region of the United States and sharing its eastern border with Arkansas, has a smoking rate of 18.9% in 2022, ranking just outside the top ten highest smoking states. Despite this, the state still sees 188 smoking-related deaths per 100,000 people annually. Nevertheless, Oklahoma has been gradually tightening smoking laws, especially those targeting youth smoking.


5. Mississippi State


183 people die each year from smoking per 100,000 individuals.


To compile this data, NiceRX utilized the national rankings from the "World Population Review" and the state rankings from the "US World Population Review.


Statement


This article is compiled from information provided by a third party and is intended solely for the purpose of industry communication and learning.


This article does not represent the views of 2FIRSTS and 2FIRSTS cannot confirm the authenticity or accuracy of its content. The translation of this article is solely for industry exchange and research purposes.


Due to limitations in the translator's proficiency, the translated article may not fully reflect the original text. Please refer to the original article for accuracy.


2FIRSTS is fully aligned with the Chinese government in regards to any domestic, Hong Kong, Macau, Taiwan, or foreign related statements and positions.


The copyright of compiled information belongs to the original media and author. If there is any infringement, please contact us for deletion.



Disclaimer

This article is provided solely for professional research, industry discussion, and informational purposes. Any references to brands, companies, products, technologies, or policies are made for factual reporting and analytical purposes only, and do not constitute endorsement, recommendation, promotion, or advertising by 2Firsts.

Nicotine-containing products, including but not limited to cigarettes, e-cigarettes, heated tobacco products, and nicotine pouches, carry significant health risks. Readers are responsible for complying with all applicable laws and regulations in their respective jurisdictions, including age restrictions and access limitations.

The information contained in this article should not be regarded as investment, legal, medical, regulatory, or commercial advice. While 2Firsts strives to ensure the accuracy and reliability of its content, it does not assume liability for any direct or indirect loss arising from errors, omissions, inaccuracies, or reliance on the information contained herein.

This article is not intended for individuals below the legal age for accessing tobacco or nicotine-related information in their jurisdiction.

 

Copyright Notice

This article is either original content produced by 2Firsts or content reproduced, translated, summarized, or adapted from third-party sources with attribution where applicable. The intellectual property rights of the original content remain with 2Firsts or the respective original rights holders.

No individual or organization may copy, reproduce, distribute, republish, modify, translate, or otherwise use this content without prior authorization. Any unauthorized use may result in legal action.

For copyright-related inquiries, corrections, or removal requests, please contact: info@2firsts.com.

 

AI-Assisted Translation and Editing Notice

Portions of this article may have been translated, edited, or reviewed with the assistance of artificial intelligence tools to improve efficiency and readability. Due to the limitations of AI-assisted translation and editing, discrepancies, omissions, or inaccuracies may exist when compared with the original source.

Where applicable, readers are advised to refer to the original source for the most complete and accurate information. If you identify any errors or believe that any content infringes upon your rights, please contact us at info@2firsts.com, and we will review and address the matter promptly.

Trump’s Tobacco Investments and Industry Donations Draw Scrutiny as FDA Eases Vape and Nicotine Pouch Rules
Trump’s Tobacco Investments and Industry Donations Draw Scrutiny as FDA Eases Vape and Nicotine Pouch Rules
A report by KFF Health News says that as the Trump administration pursued a series of policies favorable to the nicotine and tobacco industry, President Donald Trump increased his holdings in tobacco companies while benefiting from substantial industry-linked political donations, prompting questions from public health advocates about potential conflicts of interest and regulatory direction.
Jun.12
FDA Posts Environmental Assessment for Nicotine Pouches, May Influence Future PMTA Reviews
FDA Posts Environmental Assessment for Nicotine Pouches, May Influence Future PMTA Reviews
The U.S. Food and Drug Administration released a programmatic environmental assessment covering nicotine pouches and other oral nicotine products, concluding that their overall environmental impact is generally minimal.
Regulations
May.22
Special Report | Russian Vape Compromise Faces First Hurdles
Special Report | Russian Vape Compromise Faces First Hurdles
Russia’s regional vape-ban model is facing early legal and political tests, as Perm Krai moves ahead before federal legislation is fully adopted. The case highlights uncertainty over regional authority, concerns from business groups about market fragmentation, and the risk that pressure against regional bans could revive calls for a stricter nationwide prohibition.
Industry Insight
May.28
Malaysian Court Rules Liquid Nicotine Exemption Irrational, Renewing Vape Regulation Debate
Malaysian Court Rules Liquid Nicotine Exemption Irrational, Renewing Vape Regulation Debate
Malaysia’s High Court ruled that the government’s earlier decision to remove liquid nicotine from the country’s Poisons List was “irrational,” reigniting debate over vape regulation, illicit trade, and youth protection.
Regulations
May.18
From Heating Blades to Heating Paper? CTHB Patent Points to Microwave Heated Tobacco Design
From Heating Blades to Heating Paper? CTHB Patent Points to Microwave Heated Tobacco Design
According to China’s patent office records, a patent owned by China Tobacco Hubei Industrial Corporation (CTHB) for “cigarette paper and a cigarette for microwave heating” was granted on May 19, 2026. The patent describes cigarette paper with an outer wrapping layer, a heating layer, and an isolation heat-conducting layer, allowing it to absorb microwave energy, convert it to heat, and transfer that heat to the aerosol-generating substrate.
Jun.10
FDA Warns Retailers Over Unauthorized Nicotine Pouches Resembling Candy and Everyday Products
FDA Warns Retailers Over Unauthorized Nicotine Pouches Resembling Candy and Everyday Products
The FDA issued warning letters to eight retailers selling unauthorized nicotine pouches and dissolvable tobacco products resembling candy, breath strips and cough drops. The action highlights rising scrutiny of packaging, youth appeal and accidental ingestion risks, as the agency clarifies enforcement priorities for unauthorized ENDS and nicotine pouch products while maintaining PMTA as the legal market pathway.
Special Report
May.21