Tobacco use in Indiana 2023

• In 2022, 16.2% of adults in Indiana smoked. Nationally, adult smoking prevalence was 14.0%¹
• In 2021, 4.2% of high school students in Indiana smoked cigarettes on at least one day in the past 30 days.²  Nationally, smoking prevalence among high school students was 3.8%.¹

• In 2022, 8.1% of adults in Indiana used e-cigarettes. Nationally, adult e-cigarette prevalence was 7.7%¹
• In 2022, 3.4% of adults in Indiana used smokeless tobacco every day or some days.  Nationally, adult smokeless tobacco use prevalence was 3.4%¹
• In 2021, 19.1% of high school students in Indiana used e-cigarettes on at least one day in the past 30 days. Nationally, e-cigarette use prevalence among high school students was 18.0%.²
• In 2018, 3.8% of high school grade students in Indiana used chewing tobacco, snuff or dip on at least one day in the past 30 days. Nationally, smokeless tobacco use prevalence among high school students was 2.5%.²
• In  2018, 6.7% of high school students in Indiana smoked cigars, cigarillos or little cigars on at least one day in the past 30 days. Nationally, cigar use prevalence among high school students was 3.1%²

• Indiana received $536.2 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.⁴
• Of this, the state allocated $7.5 million in state funds to tobacco prevention in fiscal year 2022, 10.2.% of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-related health care costs: $3.4 billion per year⁴
• Smoking-related losses in productivity: $7.5 billion per year⁵

Tobacco taxes

• Indiana is ranked 39th in the U.S. for its cigarette tax of $0.995 per pack of 20 cigarettes (enacted July 2007), compared with the national average of $1.93. (New York has the highest tax at $5.35 and Missouri has the lowest at 17 cents.)^6-8
• Moist snuff is taxed at 40 cents per ounce. All other tobacco products are taxed at 24% of the wholesale price.^6,7

Clean indoor air ordinances

• Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, retail stores (retail tobacco and cigar specialty stores exempt) and recreational/cultural facilities.^6,7
• Smoking is allowed in bars/taverns that do not employ persons under age 18 and do not allow persons under age 21 to enter.^6,7
• There are no smoking restrictions in casinos/gaming establishments.^6,7
• There are no smoke-free restrictions for e-cigarette use.⁹

Licensing laws

• Retailers and wholesalers are required to obtain a license to sell tobacco products.⁶
• A license is required to sell e-cigarette products.⁹

Youth access laws

• 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.^6,7
• Those under 21 years old are prohibited from buying electronic smoking devices, including e-cigarettes.^6,7,9
• A document with the statement ‘E-LIQUIDS: Indiana law prohibits the sale of this product to a person who is less than 21 years of age.’ Must be included in shipments from retailers of e-liquids. Delivery of sales of e-liquids must be prepaid by purchaser, shipped only to purchaser, and only after good faith effort to ascertain age.⁹
• A specialty e-cigarette/e-liquid store cannot be located within 1,000 feet of a school.⁹

• The CDC estimates 44.8% of adult every day smokers in Indiana quit smoking for one or more days in 2019.³
• In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.⁷**
• Indiana’s state quit line invests $2.19 per smoker, compared with the national median of $2.37.⁷
• Indiana does not have a private insurance mandate provision for quitting tobacco.⁷

Updated June 2023

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

**The seven recommended quitting 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, 2022.

2.         Indiana Youth Tobacco Survey, 2021.

3.         CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2023.

4.         Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 24 Years Later FY2023, 2023.

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

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

7.         American Lung Association, State of Tobacco Control, 2023.

8.         Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings. https://www.tobaccofreekids.org/assets/factsheets/0097.pdf. Accessed October 4th, 2023.

9.         Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review. http://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review. Accessed October 4th, 2023.