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Tobacco use in Iowa 2017

CIGARETTE USE

  • In 2015, the prevalence of cigarette smoking among adults in Iowa was 18.1%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
  • In 2015, 10.0% of high school students (10.0% of male high school students and 10.0% of female high school students) in Iowa 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 Iowa compared to the national average

OTHER TOBACCO PRODUCT USE

  • The prevalence of smokeless tobacco use among adults in Iowa was 5.1% in 2014.
  • In 2014, 5.8% of 11th graders in Iowa used chewing tobacco, snuff, or dip on at least one day in the past 30 days. Nationally, in 2015, 7.3% of high school students used smokeless tobacco on at least one day in the past 30 days.
  • In 2014, 5.0% of 11th graders in Iowa smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days. Nationally, in 2015, 10.3% of high school students smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days.
  • In 2014, 10.9% of 11th grade students in Iowa used e-cigarettes on at least one day in the past 30 days. Nationally, in 2015, 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 Iowa

ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL

  • In FY2017, Iowa allocated $5.2 million in state funds to tobacco prevention, which is 17.4% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
  • Iowa received an estimated $300.3 million in tobacco settlement payments and taxes in FY2017.
  • The health care costs in Iowa, directly caused by smoking, amount to $1.28 billion annually.
  • Iowa loses $1.21 billion in productivity each year due to smoking.

STATE TOBACCO LAWS

EXCISE TAXIowa cigarette tax

  • The state tax increased to $1.36 per pack of cigarettes in March 2007. Iowa is ranked 29th 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).
  • Little cigars are taxed $1.36 per 20 cigars. Snuff is taxed $1.19 per ounce. All other tobacco products are taxed 50% of the wholesale price. 

CLEAN INDOOR AIR ORDINANCES

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

YOUTH ACCESS LAWS

  • The minimum age requirement for the purchase of tobacco products is 18, and penalties exist for both minors and merchants who violate this law.
  • The sale to minors of electronic cigarettes is prohibited. 

CESSATION STATISTICS AND BENEFIT

  • The CDC estimates that 48.6% of adult every day smokers in Iowa 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.
  • Iowa’s state quitline invests $3.22 per smoker; the national average investment per smoker is $3.46.
  • Iowa does not have a private insurance mandate provision for cessation.

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*last updated: May 1, 2017