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Fact Sheet Fact Sheet

Tobacco use in North Dakota 2018

North Dakota cigarette use among adults and high school students

Cigarette use: North Dakota*

  • In 2016, 19.8 percent of adults smoked. Nationally, the rate was 17.1 percent.¹
  • In 2017, 12.6 percent of high school students smoked on at least one day in the past 30 days. Nationally, the rate was 8.8 percent.²

Other tobacco product use: North Dakota

  • In 2015, 2.2 percent of adults used e-cigarettes, 4.9 percent used smokeless tobacco and 2.1 percent smoked cigars.³
  • In 2017, 20.6 percent of high school students used e-cigarettes, 8.0 percent used smokeless tobacco and 8.2 percent smoked cigars on at least one day in the past 30 days. Nationally, the rates were 13.2 percent, 5.5 percent and 8.0 percent, respectively.²
North Dakota other tobacco product use among adults and high school students

Economics of tobacco use and tobacco control

  • North Dakota received $54.4 million (estimated) in tobacco settlement payments and taxes in fiscal year 2018.
  • Of this, the state allocated $5.3 million in state funds to tobacco prevention in fiscal year 2018, just 53.9 percent of the Centers for Disease Control and Prevention’s annual spending target.
  • Smoking-caused health care costs: $326 million per year
  • Smoking-caused losses in productivity: $232.6 million per year

North Dakota tobacco laws

Tobacco taxes

North Dakota 2018 tobacco taxes
  • North Dakota is ranked 48th in the U.S. for its cigarette tax of 44 cents per pack (enacted September 2009), compared to the national average of $1.73. (Connecticut and New York have the highest tax at $4.35 and Missouri has the lowest at 17 cents.)⁶ ⁷ ⁸
  • Cigars and pipe tobacco are taxed at 28 percent of the wholesale price, chewing tobacco is taxed at 16 cents per ounce and snuff is taxed at 60 cents per ounce.⁶ ⁷

Clean indoor air ordinances

  • Smoking is prohibited in government workplaces, private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments (tribal establishments exempt), retail stores and recreational/cultural facilities.⁶ ⁷

Youth access laws

  • The minimum age of sale for tobacco products in North Dakota is 18.
  • Minors are prohibited from buying bidis and e-cigarettes.

Quitting statistics and benefits

  • The CDC estimates that 42.8 percent of daily adult smokers in North Dakota quit smoking for one or more days in 2016.
  • In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.**
  • North Dakota’s state quit line invests $7.62 per smoker, compared to the national average of $2.10.
  • North Dakota has a private insurance mandate provision for quitting tobacco.

Notes and references

Updated June 2018

* 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, 2016.
  2. CDC, Youth Risk Behavior Surveillance System, 2017.
  3. CDC, State-Specific Prevalence of Tobacco Product Use Among Adults - United States, 2014-2015, MMWR.
  4. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 19 Years Later FY2018, 2017.
  5. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States, 2018.
  6. American Lung Association, SLATI State Reports, 2017.
  7. American Lung Association, State of Tobacco Control, 2018.
  8. Campaign for Tobacco-Free Kids, State Cigarette Excise Tax Rates & Rankings, 2018.
  9. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2016.