Tobacco use in Georgia 2019

• In 2017, 17.5% of adults smoked. Nationally, the rate was 17.1%.¹
• In 2017, 7.7% of high school students in Georgia smoked cigarettes on at least one day in the past 30 days. Nationally, the rate was 8.8%.^2,3

• In 2017, 4.4% of adults used e-cigarettes and 4.5% used smokeless tobacco.⁴
• In 2017, 12.7% of high school students in Georgia used e-cigarettes on at least one day in the past 30 days.²
• In 2017, 7.9% of high school students in Georgia used chewing tobacco, snuff or dip on at least one day in the past 30 days.²
• In 2017, 14.2% of high school students in Georgia smoked cigars, cigarillos or little cigars on at least one day in the past 30 days.²

• Georgia received $393.3 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.⁵

• Of this, the state allocated $750,000 in state funds to tobacco prevention in fiscal year 2019, just 0.7% of the Centers for Disease Control and Prevention’s annual spending target.⁵
• Smoking-related health care costs: $3.18 billion per year.⁵
• Smoking-related losses in productivity: $3.99 billion per year.⁶

Tobacco taxes

• Georgia is ranked 49th in the U.S. for its cigarette tax of 37 cents per pack (enacted July 2003), compared to the national average of $1.81. (The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.) ^7-9
• Loose or smokeless tobacco is taxed at 10% of the wholesale cost price. Little cigars are taxed at 5 cents per pack of 20 cigars. All other cigars are taxed at 23% of the manufacturer’s list price.^7,8

Clean indoor air ordinances

• Smoking is prohibited in all government workplaces, schools, childcare facilities and recreational/cultural facilities.⁸
• Smoking restrictions are required in private workplaces, restaurants, bars and retail stores.⁸
• The use of e-cigarettes is prohibited by food service employees at work, except in designated areas.¹⁰

Youth access laws

• The minimum age to purchase tobacco products in Georgia is 21. In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately.
• Establishments are required to post signs stating that sales to minors are prohibited.^7,8
• The sale of alternative nicotine products, including e-cigarettes, to minors is prohibited.^7,8

• The CDC estimates 48.8% of daily adult smokers in Georgia quit smoking for one or more days in 2017.¹¹
• In 2014, the Affordable Care Act required all Medicaid programs cover all quit medications.^8**
• Georgia’s quit line invests $1.06 per smoker; compared to the national average of $2.21.⁸
• Georgia does not have a private insurance mandate for quitting tobacco.⁸

Updated April 2019

* National and state-level prevalence numbers reflect the most recent data available. This may differ across state fact sheets.

** The seven recommended cessation medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban).
Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service: May 2008.

1. CDC, Behavioral Risk Factor Surveillance System, 2017.

2. Chung, A., Bayakly, R. 2018 Georgia Youth Tobacco Surveillance Report. Georgia Department of Public Health, Health Protection, Epidemiology, Chronic Disease, Health Behaviors and Injury Epidemiology Section, July 2018.

3. CDC, Youth Risk Behavior Surveillance System, 2017.

4. Hu SS, Homa DM, Wang T, et al. State-Specific Patterns of Cigarette Smoking, Smokeless Tobacco Use, and E-Cigarette Use Among Adults - United States, 2016. Preventing chronic disease. 2019;16:E17.

5. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 20 Years Later FY2019, 2018.

6. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States.

7. American Lung Association, State Legislated Actions on Tobacco Issues (SLATI).

8. American Lung Association, State of Tobacco Control, 2019.

9. Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings.  https://www.tobaccofreekids.org/assets/factsheets/0097.pdf.

10. Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review.  http://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review.

11. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2017.