Tobacco use in North Dakota 2017
- 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.
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.
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
- 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.