Tobacco use in North Carolina 2017
- In 2015, the prevalence of cigarette smoking among adults in North Carolina was 19.0%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
- In 2015, 13.1% of high school students (14.9% of male high school students and 10.9% of female high school students) in North Carolina 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 North Carolina was 4.5% in 2014.
- In 2015, 8.6% of high school students in North Carolina 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, 29.6% of high school students in North Carolina 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.
- In 2015, 3.1% of high school students in North Carolina used flavored little cigars on at least one day in the past 30 days.
ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL
- In FY2017, North Carolina allocated $1.1 million in state funds to tobacco prevention, which is 1.1% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
- North Carolina received an estimated $435.6 million in tobacco settlement payments and taxes in FY2017.
- The health care costs in North Carolina, directly caused by smoking, amount to $3.81 billion annually.
- North Carolina loses $4.24 billion in productivity each year due to smoking.
STATE TOBACCO LAWS
- The state tax increased to $0.45 per pack of cigarettes in September 2009. North Carolina is ranked 47th 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).
- All other tobacco products are taxed 12.8% of the sales price.
CLEAN INDOOR AIR ORDINANCES
- Smoking is prohibited in public schools, restaurants, and bars (except cigar bars).
- Smoking restrictions are required in all government workplaces, long-term health care facilities, and childcare facilities.
- There are no smoking restrictions in private workplaces, retail stores and recreational/cultural facilities.
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.
- The sale to minors of vapor products, including e-cigarettes, is prohibited.
CESSATION STATISTICS AND BENEFITS
- The CDC estimates that 57.3% of adult every day smokers in North Carolina tried to 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.
- North Carolina’s state quitline invests $0.97 per smoker; the national average investment per smoker is $3.46.
- North Carolina does not have a private insurance mandate provision for cessation.