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Tobacco use in Indiana

CIGARETTE USE

In 2015, the prevalence of cigarette smoking among adults in Indiana was 20.6%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
In 2015, 11.2% of high school students (11.7% of male high school students and 10.4% of female high school students) in Indiana 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 Indiana compared to the national average

The prevalence of smokeless tobacco use among adults in Indiana was 4.2% in 2014.
In 2015, 4.6% of adults in Indiana used e-cigarettes at least one day in the past 30 days.
In 2015, 9.4% of high school students in Indiana 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, 11.4% of high school students in Indiana 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, 23.9% of high school students in Indiana 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 Indiana

In FY2017, Indiana allocated $5.9 million in state funds to tobacco prevention, which is 8% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
Indiana received an estimated $579 million in tobacco settlement payments and taxes in FY2017.
The health care costs in Indiana, directly caused by smoking, amount to $2.93 billion annually.
Indiana loses $3.17 billion in productivity each year due to smoking.

The state tax increased to $0.995 per pack of cigarettes in July 2007. Indiana is ranked 37th 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).
Moist snuff is taxed $0.40 per ounce. All other tobacco products are taxed 24% of the wholesale price.

Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, retail stores (retail tobacco and cigar specialty stores are exempt), and recreational/cultural facilities.
Smoking restrictions are required in bars.
There are no smoking restrictions in casinos/gaming establishments.

The minimum age requirement for the purchase of tobacco products is 18, 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.

The CDC estimates that 49.8% of adult every day smokers in Indiana 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.
Indiana state quitline invests $1.01 per smoker; the national average investment per smoker is $3.46.
Indiana does not have a private insurance mandate provision for cessation.