Worldwide, tobacco smoking (including second-hand smoke) was the second-leading
risk of mortality and contributed to an estimated 8.7 million deaths in 2019. In 2019,
smoking ranked third in causing global disability-adjusted life years (DALYs).
• In the US, tobacco use was the second leading risk factor for death and the leading
cause of DALYs in 2016.
• A meta-analysis of 23 prospective and 17 case-control studies of cardiovascular risks
associated with secondhand smoke exposure demonstrated 18%, 23%, 23%, and 29%
increased risks for total mortality, total CVD, CHD, and stroke, respectively, in those
exposed to secondhand smoke.
• Tobacco use is one of the leading preventable causes of deaths in the US and globally.
• According to a 2013 study, overall mortality among US smokers was 3 times higher than
that for never smokers.
• In 2019, 31.2% of high school students and 12.5% of middle school students used any
tobacco products. Additionally, 5.8% of high school students and 2.3% of middle school
students smoked cigarettes in the past 30 days.
• In 2018, 13.7% of adults were current smokers (15.6% of males and 12.0% of females)
• Among adults in 2018, 22.6% of American Indians or Alaska Native adults, 14.6% of NH
Black adults, 7.1% of NH Asian adults, 9.8% of Hispanic adults, and 15.0% of NHwere White adults .