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Tobacco use in North Dakota 2017

CIGARETTE USE

  • In 2015, the prevalence of cigarette smoking among adults in North Dakota was 18.7%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
  • In 2015, 11.7% of high school students (11.9% of male high school students and 11.5% of female high school students) in North Dakota 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 North Dakota compared to the national average

OTHER TOBACCO PRODUCT USE

  • The prevalence of smokeless tobacco use among adults in North Dakota was 6.3% in 2014.
  • In 2015, 10.6% of high school students in North Dakota 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, 9.2% of high school students in North Dakota 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, 22.3% of high school students in North Dakota 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 North Dakota

ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL

  • In FY2017, North Dakota allocated $9.9 million in state funds to tobacco prevention, which is 100.9% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target. North Dakota had the highest percent of CDC-recommended funding levels.
  • North Dakota received an estimated $66.8 million in tobacco settlement payments and taxes in FY2017.
  • The health care costs in North Dakota, directly caused by smoking, amount to $326 million annually.
  • North Dakota loses $232.6 million in productivity each year due to smoking.

STATE TOBACCO LAWS

EXCISE TAXNorth Dakota cigarette tax

  • The state tax increased to $0.44 per pack of cigarettes in July 1993. North Dakota is ranked 48th 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).
  • Cigars and pipe tobacco are taxed 28% of the wholesale price. Chewing tobacco is taxed $0.16 per ounce and snuff is taxed $0.60 per ounce.

CLEAN INDOOR AIR ORDINANCES

  • Smoking is prohibited in government workplaces, private workplaces, schools, childcare facilities, restaurants, casinos (tribal establishments are exempt), bars, retail stores, healthcare facilities 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.
  • The sale to minors of bidis is prohibited.
  • The sale to minors of electronic cigarettes is prohibited.

CESSATION STATISTICS AND BENEFITS

  • The CDC estimates that 46.5% of adult every day smokers in North Dakota 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 Dakota’s state quitline invests $12.63 per smoker; the national average investment per smoker is $3.46.
  • North Dakota has a private insurance mandate provision for cessation.

DOWNLOAD THE NORTH DAKOTA FACT SHEET

*last updated: May 1, 2017