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.

JTI’s Nordic Spirit Signs Co-op Live Partnership Ahead of New UK Nicotine Sponsorship Restrictions
JTI’s Nordic Spirit Signs Co-op Live Partnership Ahead of New UK Nicotine Sponsorship Restrictions
JTI nicotine pouch brand Nordic Spirit has entered a long-term partnership with Manchester’s Co-op Live, becoming the venue’s Official Nicotine Pouch Partner. The 23,500-capacity venue is the UK’s largest indoor live entertainment arena. Nordic Spirit will run in-venue activations for existing adult nicotine consumers and sell products at selected arena bars. The agreement was entered into before the relevant UK sponsorship restrictions were introduced, while the government intends to implement a comprehensive ban on advertising and sponsorship of vaping and nicotine products from June 1, 2027.
Sep.07
U.S. Customs Plan to Require Foreign Export Declarations Could Deal ‘Devastating’ Blow to China’s Vape Exports, Logistics gl Expert Says
U.S. Customs Plan to Require Foreign Export Declarations Could Deal ‘Devastating’ Blow to China’s Vape Exports, Logistics gl Expert Says
A U.S. Customs and Border Protection proposal to collect foreign export declarations and other overseas customs documents could expose discrepancies in the value, classification and description of China-made vape shipments entering the United States. A veteran Chinese logistics professional told 2Firsts that the measure, if implemented, could undermine the all-inclusive shipping model used by some unauthorized vape exporters and push parts of the trade toward costlier underground channels. The risk extends beyond higher duties: accurately declared products may also be more readily identified as unauthorized e-cigarettes subject to FDA enforcement.
Special Report
Sep.07
Spain Cigarette Volumes Fall 5.2% in August, BAT Drops 14.5%, JTI Gains Share; France Down 8.3% on Adjusted Basis
Spain Cigarette Volumes Fall 5.2% in August, BAT Drops 14.5%, JTI Gains Share; France Down 8.3% on Adjusted Basis
Spain's cigarette volumes declined 5.2% year over year in August 2026, according to government data cited by UBS and reported by Investing.com on October 7. British American Tobacco's volumes fell 14.5%, followed by Imperial Brands at 8.8%, Philip Morris International at 6.6% and Japan Tobacco at 4.6%. JTI was the only one of the four companies to gain cigarette market share, rising six basis points to 26.7%. In France, official customs data showed an unadjusted 3.7% decline in cigarette deliveries. Adjusting for the difference in delivery days produces a decline of approximately 8.3%, consistent with the UBS figure. The bank also estimated the earnings exposure of major tobacco companies to both markets.
Market
Oct.13
Malaysia Liquid Nicotine Returns to Poisons List, Leaving Vape Retail and RM354 Million Tax Collection in Legal Uncertainty
Malaysia Liquid Nicotine Returns to Poisons List, Leaving Vape Retail and RM354 Million Tax Collection in Legal Uncertainty
Malaysia’s withdrawal of its appeal in a landmark liquid-nicotine case has left a High Court ruling that struck down the 2023 nicotine exemption in force, bringing liquid and gel nicotine used in vaping products back under the Poisons Act 1952. At the same time, the Control of Smoking Products for Public Health Act 2024 continues to provide a regulatory framework for vaping products, creating uncertainty over retail sales, taxation and existing inventory. MPs are calling for nicotine vape sales and excise collection to stop, including refunds of more than RM354 million collected since 2023, while industry and consumer groups are asking the government to clarify the current legal position.
Sep.04
Australia Adds 6-Methylnicotine to Schedule 9 Prohibited Substances, Effective October 1
Australia Adds 6-Methylnicotine to Schedule 9 Prohibited Substances, Effective October 1
Australia's Therapeutic Goods Administration published a final decision on September 25 to classify 6-methylnicotine as a Schedule 9 prohibited substance under the Poisons Standard, effective October 1, 2026. TGA said the chemical has been reported in e-cigarette liquids sold in Australia and marketed as nicotine-free or nicotine alternatives, while evidence also indicates its use in preparations such as oral pouches. The government originally proposed a Schedule 7 classification but ultimately adopted the stricter Schedule 9 designation, citing acute toxicity, dependence risk, use in unapproved consumer products and misleading marketing.
News
Sep.29 by 2Firsts Perspectives
India Duty-Free Nicotine Pouch Sales Face Regulatory Test as ZYN, FOX Classification Remains Open
India Duty-Free Nicotine Pouch Sales Face Regulatory Test as ZYN, FOX Classification Remains Open
The Bombay High Court has ruled that airport duty-free shops are not exempt from India's domestic regulatory laws merely because they operate beyond the customs barrier, leaving in place a sales halt covering ZYN and FOX nicotine pouches at Mumbai's international airport. The court, however, did not determine that the products necessarily qualify as "drugs" under India's Drugs and Cosmetics Act. The retailers have four weeks to submit product information to the appropriate authorities, including CDSCO, which must complete its review within 30 days of receiving the submissions.
Sep.24