Tobacco use in Missouri 2017
- In 2015, the prevalence of cigarette smoking among adults in Missouri was 22.3%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
- In 2015, 11.0% of high school students (13.7% of male high school students and 8.1% of female high school students) in Missouri 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.
OTHER TOBACCO PRODUCT USE
- The prevalence of smokeless tobacco use among adults in Missouri was 4.8% in 2014.
- In 2014, 7.0% of adults in Missouri reported currently using e-cigarettes every day or some days.
- In 2015, 10.0% of high school students in Missouri 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, 12.1% of high school students in Missouri 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, 22.0% of high school students in Missouri 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.
ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL
- In FY2017, Missouri allocated $109,341 in state funds to tobacco prevention, which is 0.1% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
- Missouri received an estimated $254.2 million in tobacco settlement payments and taxes in FY2017.
- The health care costs in Missouri, directly caused by smoking, amount to $3.03 billion annually.
- Missouri loses $3.04 billion in productivity each year due to smoking.
STATE TOBACCO LAWS
- The state tax increased to $0.17 per pack of cigarettes in August 1993. Missouri has the lowest cigarette tax in the United States. The national average cigarette tax is $1.71 per pack of cigarettes. The highest state cigarette tax is New York ($4.35).
- All other tobacco products are taxed 10% of the manufacturer’s invoice price.
CLEAN INDOOR AIR ORDINANCES
- Smoking is prohibited in public schools and childcare facilities.
- Smoking restrictions are required in government workplaces, private workplaces, restaurants, retail stores, and recreational/cultural facilities.
- There are no smoking restrictions for bars and casinos/gaming establishments.
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.
- Establishments are required to post signs stating that sales to minors are prohibited.
- Tobacco products must be displayed behind a register or within sight of store clerks.
- The sale to minors of electronic cigarettes is prohibited.
LOCAL TOBACCO LAWS
- 11 municipalities in Missouri, including St. Louis County and Kansas City, have prohibited the sale of tobacco products to people under age 21.
- St. Louis prohibits the use of smokeless tobacco products at all sports venues, including Cardinals games at Busch Stadium.
CESSATION STATISTICS AND BENEFITS
- The CDC estimates that 49.7% of adult every day smokers in Missouri 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.
- Missouri’s state quitline invests $0.41 per smoker; the national average investment per smoker is $3.46.
- Missouri does not have a private insurance mandate provision for cessation.