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Tobacco use in Alabama 2017

CIGARETTE USE

  • In 2015, the prevalence of cigarette smoking among adults in Alabama was 21.4%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
  • In 2015, 14.0% of high school students (13.4% of male high school students and 14.3% of female high school students) in Alabama smoked cigarettes on at least one day in the past 30 days. Nationally, 10.8% of high school students smoked cigarettes on at least one day in the past 30 days. Graph showing smoking rates in Alabama compared to the national average

OTHER TOBACCO PRODUCT USE

  • The prevalence of smokeless tobacco use among adults in Alabama was 5.8% in 2014.
  • In 2015, 12.5% of high school students in Alabama used chewing tobacco, snuff, or dip on at least one day in the past 30 days. Nationally, 7.3% of high school students used smokeless tobacco on at least one day in the past 30 days.
  • In 2015, 13.4% of high school students in Alabama smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days. Nationally, 10.3% of high school students smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days.
  • In 2015, 24.5% of high school students in Alabama used electronic vapor products on at least one day in the past 30 days. Nationally, 24.1% of high school students used electronic vapor products on at least one day in the past 30 days.

Graph showing other tobacco product use among High School students in Alabama

ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL

  • In FY2017, Alabama allocated $1.5 million in state funds to tobacco prevention, which is 2.7% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
  • Alabama received an estimated $306.3 million in tobacco settlement payments and taxes in FY2017.
  • The health care costs in Alabama, directly caused by smoking, amount to $1.88 billion annually.
  • Alabama loses $2.71 billion in productivity each year due to smoking.

STATE TOBACCO LAWS

EXCISE TAXAlabama cigarette tax

  • The state tax increased to $0.675 per pack of cigarettes in October 2015. Alabama is ranked 40th in the United States for its cigarette tax. The national average cigarette tax is $1.71 per pack of cigarettes. The highest state cigarette tax is New York ($4.35) and the lowest state cigarette tax is Missouri ($0.17). 
  • Chewing tobacco is taxed $0.015 per ounce. All other tobacco products have varying taxes based on weight and price.

CLEAN INDOOR AIR ORDINANCES

  • Smoking restrictions are required in all government workplaces, schools, childcare facilities, retail stores, and recreational/cultural facilities. 
  • There are no smoking restrictions in private workplaces, restaurants, bars, or casinos/gaming establishments

YOUTH ACCESS LAWS

  • The minimum age requirement for the purchase of tobacco products is 19, and penalties exist for both minors and merchants who violate this law.
  • Establishments are required to post signs stating that sales to minors are prohibited.
  • The sale to minors of electronic smoking devices, including electronic cigarettes, is prohibited.

CESSATION STATISTICS AND BENEFITS

  • The CDC estimates that 56.2% of adult every day smokers in Alabama quit smoking for one or more days in 2015.
  • The Affordable Care Act requires all Medicaid programs cover all tobacco cessation medications beginning January 1, 2014.
  • Alabama’s state quitline invests $1.10 per smoker; the national average investment per smoker is $3.46.
  • Alabama does not have a private insurance mandate provision for cessation.

DOWNLOAD THE ALABAMA FACT SHEET

*last updated: May 1, 2017