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Tobacco use in Texas 2017

CIGARETTE USE

  • In 2015, the prevalence of cigarette smoking among adults in Texas was 15.2%. Nationally, the prevalence of cigarette smoking among adults was 17.5%.
  • In 2013, 14.1% of high school students (16.5% of male high school students and 11.7% of female high school students) in Texas smoked cigarettes on at least one day in the past 30 days. Nationally, 15.7% of high school students smoked cigarettes on at least one day in the past 30 days.

Graph showing smoking rates in Texas compared to the national average

OTHER TOBACCO PRODUCT USE

  • The prevalence of smokeless tobacco use among adults in Texas was 4.2% in 2014.
  • In 2013, 8.1% of high school students in Texas used chewing tobacco, snuff or dip on at least one day in the past 30 days. A total of 6.1% of high school students in Houston used smokeless tobacco on at least one day in the past 30 days. Nationally, 8.8% of high school students used smokeess tobacco on at least one day in the past 30 days.
  • In 2013, 13.7% of high school students in Texas smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days. A total of 16.6% of high school students in Houson smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days. Nationally, 12.6% of high school students smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days.  
  • In 2016, 6.2% of middle school students and 14.4% of high school students in Texas used electronic 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 Texas

ECONOMICS OF TOBACCO USE AND TOBACCO CONTROL

  • In FY2017, Texas allocated $10.2 million in state funds to tobacco prevention, which is 3.9% of the Centers for Disease Control and Prevention’s (CDC) Annual Spending Target.
  • Texas received an estimated $1.924 billion in tobacco settlement payments and taxes in FY2017.
  • The health care costs in Texas, directly caused by smoking, amount to $8.85 billion annually.
  • Texas loses $8.22 billion in productivity each year due to smoking.

STATE TOBACCO LAWS

EXCISE TAXTexas cigarette tax

  • The state tax increased to $1.41 per pack of cigarettes in January 2007. Texas is ranked 28th 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 are taxed $0.01 per ten or fraction of ten for those weighing less than three pounds per thousand. Cigars weighing more than three pounds per thousand are taxed $7.50 to $15 per thousand depending on their factory list price and whether they contain a substantial amount of non-tobacco ingredients. All other tobacco products are taxed $1.22 per ounce.

CLEAN INDOOR AIR ORDINANCES

  • Smoking is prohibited in all childcare facilities.
  • Smoking is restricted in specific public places, such as elevators, libraries and museums.
  • Smoking restrictions are required in schools, recreational/cultural facilities and health care facilities.

YOUTH ACCESS LAWS

  • The minimum age requirement for the purchase of tobacco products is 18, and penalties exist for minors who violate this law. Merchants who violate this law are found guilty of a misdemeanor.
  • Establishments are required to post signs stating that sales to minors are prohibited. 
  • The sale to minors of electronic cigarettes is prohibited.

CESSATION STATISTICS AND BENEFITS

  • The CDC estimates that 50.1% of adult every day smokers in Texas tried to quit smoking for one or more days in 2014.
  • The Affordable Care Act requires all Medicaid programs cover all tobacco cessation medications beginning January 1, 2014. 
  • Texas’s state quitline invests $0.69 per smoker; the national average investment per smoker is $3.46.
  • Texas has no private insurance mandate provision for cessation.

DOWNLOAD THE TEXAS FACT SHEET

*last updated: May 1, 2017