Prevalence of tobacco use

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Prevalence of tobacco use is reported by the World Health Organization (WHO), which focuses on cigarette smoking due to reported data limitations. [1] Smoking has therefore been studied more extensively than any other form of consumption. [2]

Contents

Smoking is generally five times more prevalent among men than women; [3] [4] however, the gender gap differs across countries and is smaller in younger age groups. [5] [6] In developed countries smoking rates for men have peaked and have begun to decline, and also started to stall or decline for women. [7] Smoking prevalence has changed little since the mid-1990s, before which time it declined in English-speaking countries due to the implementation of tobacco control. However, the number of smokers worldwide has increased from 721 million in 1980 to 967 million in 2012 and the number of cigarettes smoked increased from 4.96 trillion to 6.25 trillion due to population growth. [8]

In Western countries, smoking is more prevalent among populations with mental health problems, with alcohol and drug problems, among criminals, and among the homeless. [9] In 2002, about 20% of young teens (aged 13–15) smoked worldwide. 80,000 to 100,000 children begin smoking every day. Half of those who begin smoking in adolescent years are projected to go on to smoke for 15 to 20 years. [10]

One of the targets of the Sustainable Development Goal 3 of the United Nations (to be achieved by 2030) is to "Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate." The indicator that is used to measure progress is the prevalence of tobacco use. [11]

Background

WHO states that "Much of the disease burden and premature mortality attributable to tobacco use disproportionately affect the poor". Of the 1.22 billion smokers, 1 billion of them live in developing or transitional economies. Rates of smoking have leveled off or declined in the developed world. [12] In the developing world, tobacco consumption is rising by 3.4% per year as of 2002. [10]

The WHO in 2004 projected 58.8 million deaths to occur globally, from which 5.4 million are tobacco-attributed, and 4.9 million as of 2007. [13] As of 2002, 70% of the deaths are in developing countries. [13]

One of the targets of the Sustainable Development Goal 3 of the United Nations (to be achieved by 2030) is to "Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate." The indicator that is used to measure progress is the "age-standardized prevalence of current tobacco use among persons aged 15 years and older". [14]

Worldwide

Prevalence of tobacco use (% of adults) worldwide [15]

Countries

The following is a list of countries by the percentage of age-standardized prevalence of tobacco use (including products such as snus) among persons 15 years and older as published by the World Health Organization. [16]

Country20002020
Flag of the Taliban.svg  Afghanistan 36.923.3
Flag of Albania.svg  Albania 3522.4
Flag of Algeria.svg  Algeria 22.221
Flag of Andorra.svg  Andorra 35.931.8
Flag of Argentina.svg  Argentina 3424.5
Flag of Armenia.svg  Armenia 3225.5
Flag of Australia (converted).svg  Australia 24.413.6
Flag of Austria.svg  Austria 52.326.4
Flag of Azerbaijan.svg  Azerbaijan 28.724
Flag of the Bahamas.svg  Bahamas 10.710.6
Flag of Bahrain.svg  Bahrain 22.214.9
Flag of Bangladesh.svg  Bangladesh 57.634.7
Flag of Barbados.svg  Barbados 10.28.5
Flag of Belarus.svg  Belarus 41.830.5
Flag of Belgium (civil).svg  Belgium 33.423.4
Flag of Belize.svg  Belize 158.5
Flag of Benin.svg  Benin 16.76.9
Bandera de Bolivia (Estado).svg  Bolivia 32.112.7
Flag of Bosnia and Herzegovina.svg  Bosnia and Herzegovina 46.635
Flag of Botswana.svg  Botswana 33.219.4
Flag of Brazil.svg  Brazil 23.812.8
Flag of Brunei.svg  Brunei 16.716.2
Flag of Bulgaria.svg  Bulgaria 47.539
Flag of Burkina Faso.svg  Burkina Faso 29.814.3
Flag of Burundi.svg  Burundi 2411.8
Flag of Cape Verde.svg  Cape Verde 20.611.4
Flag of Cambodia.svg  Cambodia 42.321.1
Flag of Cameroon.svg  Cameroon 12.87.3
Flag of Canada (Pantone).svg  Canada 28.413
Flag of Chad.svg  Chad 13.98.3
Flag of Chile.svg  Chile 46.929.2
Flag of the People's Republic of China.svg  China 26.725.6
Flag of Colombia.svg  Colombia 15.18.5
Flag of the Comoros.svg  Comoros 39.520.3
Flag of the Republic of the Congo.svg  Congo 11.914.5
Flag of the Cook Islands.svg  Cook Islands 44.324
Flag of Costa Rica.svg  Costa Rica 188.8
Flag of Cote d'Ivoire.svg  Ivory Coast 18.79.4
Flag of Croatia.svg  Croatia 34.436.9
Flag of Cuba.svg  Cuba 40.817.9
Flag of Cyprus.svg  Cyprus 40.935.1
Flag of the Czech Republic.svg  Czech Republic 34.230.7
Flag of Denmark.svg  Denmark 37.317.5
Flag of the Dominican Republic.svg  Dominican Republic 18.710.6
Flag of the Democratic Republic of the Congo.svg  DR Congo 18.812.8
Flag of Ecuador.svg  Ecuador 18.411.3
Flag of Egypt.svg  Egypt 24.324.3
Flag of El Salvador.svg  El Salvador 15.97.9
Flag of Eritrea.svg  Eritrea 13.37.5
Flag of Estonia.svg  Estonia 4629.7
Flag of Eswatini.svg  Eswatini 12.39.2
Flag of Ethiopia.svg  Ethiopia 6.85.1
Flag of Fiji.svg  Fiji 32.323.1
Flag of Finland.svg  Finland 35.721.6
Flag of France.svg  France 34.233.4
Flag of The Gambia.svg  Gambia 22.511.1
Flag of Georgia.svg  Georgia 32.831.7
Flag of Germany.svg  Germany 36.422
Flag of Ghana.svg  Ghana 73.5
Flag of Greece.svg  Greece 54.933.5
Flag of Guatemala.svg  Guatemala 14.310.9
Flag of Guinea-Bissau.svg  Guinea-Bissau 189
Flag of Guyana.svg  Guyana 30.212.1
Flag of Haiti.svg  Haiti 12.37.7
Flag of Hungary.svg  Hungary 37.431.8
Flag of Iceland.svg  Iceland 30.212
Flag of India.svg  India 54.527.2
Flag of Indonesia.svg  Indonesia 35.437.6
Flag of Iran.svg  Iran 21.513.6
Flag of Iraq.svg  Iraq 2218.5
Flag of Ireland.svg  Ireland 35.620.8
Flag of Israel.svg  Israel 31.721.2
Flag of Italy.svg  Italy 26.223.1
Flag of Jamaica.svg  Jamaica 17.49.4
Flag of Japan.svg  Japan 33.320.1
Flag of Jordan.svg  Jordan 30.734.8
Flag of Kazakhstan.svg  Kazakhstan 34.223.2
Flag of Kenya.svg  Kenya 19.311.1
Flag of Kiribati.svg  Kiribati 68.540.6
Flag of Kuwait.svg  Kuwait 2017.9
Flag of Kyrgyzstan (2023).svg  Kyrgyzstan 31.425.4
Flag of Laos.svg  Laos 52.531.8
Flag of Latvia.svg  Latvia 43.837
Flag of Lebanon.svg  Lebanon 40.238.2
Flag of Lesotho.svg  Lesotho 31.124.3
Flag of Liberia.svg  Liberia 16.38.2
Flag of Lithuania.svg  Lithuania 41.432
Flag of Luxembourg.svg  Luxembourg 3121.1
Flag of Madagascar.svg  Madagascar 46.727.8
Flag of Malawi.svg  Malawi 24.110.8
Flag of Malaysia.svg  Malaysia 29.522.5
Flag of Maldives.svg  Maldives 38.325.2
Flag of Mali.svg  Mali 16.38.3
Flag of Malta.svg  Malta 34.324
Flag of the Marshall Islands.svg  Marshall Islands 28.528.5
Flag of Mauritania.svg  Mauritania 21.310.7
Flag of Mauritius.svg  Mauritius 25.520.2
Flag of Mexico.svg  Mexico 2413.1
Flag of Moldova.svg  Moldova 25.329
Flag of Mongolia.svg  Mongolia 34.129.4
Flag of Montenegro.svg  Montenegro 38.731.4
Flag of Morocco.svg  Morocco 22.514.5
Flag of Mozambique.svg  Mozambique 29.414.3
Flag of Myanmar.svg  Myanmar 66.944.1
Flag of Namibia.svg  Namibia 25.615.1
Flag of Nauru.svg  Nauru 63.448.5
Flag of Nepal.svg    Nepal 64.530.4
Flag of the Netherlands.svg  Netherlands 34.322.2
Flag of New Zealand.svg  New Zealand 29.613.7
Flag of Niger.svg  Niger 9.77.4
Flag of Nigeria.svg  Nigeria 9.33.7
Flag of North Korea.svg  North Korea 19.818.8
Flag of Norway.svg  Norway 4416.2
Flag of Oman.svg  Oman 7.68
Flag of Pakistan.svg  Pakistan 37.520.2
Flag of Palau.svg  Palau 26.117.6
Flag of Panama.svg  Panama 13.45
Flag of Papua New Guinea.svg  Papua New Guinea 54.139.3
Flag of Paraguay.svg  Paraguay 29.111.5
Flag of Peru.svg  Peru 32.98.1
Flag of the Philippines.svg  Philippines 34.922.9
Flag of Poland.svg  Poland 39.624
Flag of Portugal.svg  Portugal 25.725.4
Flag of Qatar.svg  Qatar 13.511.8
Flag of Romania.svg  Romania 3528
Flag of Russia.svg  Russia 33.326.8
Flag of Rwanda.svg  Rwanda 24.813.7
Flag of Samoa.svg  Samoa 3925.3
Flag of Sao Tome and Principe.svg  São Tomé and Príncipe 7.85.7
Flag of Saudi Arabia.svg  Saudi Arabia 14.214.3
Flag of Senegal.svg  Senegal 14.36.9
Flag of Serbia.svg  Serbia 45.139.8
Flag of Seychelles.svg  Seychelles 28.720.2
Flag of Sierra Leone.svg  Sierra Leone 43.713.5
Flag of Singapore.svg  Singapore 16.416.5
Flag of Slovakia.svg  Slovakia 3231.5
Flag of Slovenia.svg  Slovenia 25.122
Flag of the Solomon Islands.svg  Solomon Islands 43.536.5
Flag of South Africa.svg  South Africa 23.520.3
Flag of South Korea.svg  South Korea 28.517.4
Flag of Spain.svg  Spain 36.827.7
Flag of Sri Lanka.svg  Sri Lanka 28.522
Flag of Sweden.svg  Sweden 43.824
Flag of Switzerland (Pantone).svg   Switzerland 28.325.5
Flag of Tanzania.svg  Tanzania 27.88.7
Flag of Thailand.svg  Thailand 31.722.1
Flag of East Timor.svg  East Timor 53.539.2
Flag of Togo.svg  Togo 14.46.8
Flag of Tonga.svg  Tonga 33.531
Flag of Tunisia.svg  Tunisia 34.324.6
Flag of Turkey.svg  Turkey 32.930.7
Flag of Turkmenistan.svg  Turkmenistan 125.5
Flag of Tuvalu.svg  Tuvalu 48.835.6
Flag of Uganda.svg  Uganda 24.78.4
Flag of Ukraine.svg  Ukraine 37.725.8
Flag of the United Arab Emirates.svg  United Arab Emirates 19.418.2
Flag of the United Kingdom.svg  United Kingdom 37.915.4
Flag of the United States.svg  United States 33.823
Flag of Uruguay.svg  Uruguay 35.321.5
Flag of Uzbekistan.svg  Uzbekistan 24.917.6
Flag of Vanuatu.svg  Vanuatu 25.617.8
Flag of Vietnam.svg  Vietnam 29.824.8
Flag of Yemen.svg  Yemen 27.320.3
Flag of Zambia.svg  Zambia 19.914.4
Flag of Zimbabwe.svg  Zimbabwe 2111.7
Prevalence of daily smoking in 2012 Daily-smoking-prevalence-bounds.png
Prevalence of daily smoking in 2012
The share adults who smoke any tobacco product on a daily or non-daily basis in 2016 Share-of-adults-who-smoke.png
The share adults who smoke any tobacco product on a daily or non-daily basis in 2016
Share of men versus women who smoke in 2016 Comparing-the-share-of-men-and-women-who-are-smoking.png
Share of men versus women who smoke in 2016
Consumption per smoker per day in 2012 Consumption-per-smoker-per-day.png
Consumption per smoker per day in 2012
Percentages of smoking adult population in Finland, Norway, USA, Japan and the Netherlands in 2011 Smokers-as-a-percentage-of-adult-pop.jpg
Percentages of smoking adult population in Finland, Norway, USA, Japan and the Netherlands in 2011

Australia

In the 20th century, smoking was common. There were social events like the smoke night which promoted the habit. In Australia the prevalence of smoking is in decline, with figures from the 2011-12 Australian Health Survey showing 18% of the population to be current smokers, [21] a decline from 28% in 1989–90. [22]

Among the indigenous population, the rate was much higher: 50% of men and 44% of women reported being current smokers in 2007–08. [23]

People aged 25 to 34 were the most likely to smoke (24%), with a marked decline in smoking rates as age increased past 45 years in 2011–12. [21]

In 2007–08, the prevalence of smoking was strongly associated with socioeconomic disadvantage: a greater proportion of men (33%) and women (26%) who live in the most disadvantaged 20% of areas were current smokers than those who live in the least disadvantaged 20% of areas (12% and 11% respectively). [22]

In 2016 the daily smoking rate was less than 13%. [24] By 2022, this number had fallen to 10.6% in Australian adults. [25]

Canada

In December 2002, Statistics Canada published a report on smoking prevalence from 1985 to 2001. In that report they found from 1985 to 1991, prevalence of "current smoking" (which they defined as daily smokers and occasional smokers) declined overall, for both sexes and all age groups except for those aged 15 to 24. Even larger declines occurred from 1991 to 2001. While current smoking prevalence for youths did not significantly change from 1985 to 1994–1995, there was a significant decrease of 6 percentage points from 1994–1995 to 2001 (from 28.5% to 22.5%). Provincially, Newfoundland and Labrador, Nova Scotia, Quebec, Ontario, Saskatchewan, Alberta and British Columbia, experienced most of their declines in current smoking prevalence from 1994 to 1995 onwards. All of the provinces experienced some level of declines over the entire 1985 to 2001 period. Declines in daily smoking prevalence occurred for both sexes and all age groups over the entire 17-year time span, although youth smoking did not start significantly declining until the mid-1990s. Overall, for daily cigarette consumption, smokers by 2001 had a significantly lower proportion of smoking 26 or more cigarettes daily compared with 1985 (14.0% to 5.8%). Most of the declines in the different sex or age groups occurred after 1991. At the same time however, smokers in 2001 had a significantly higher proportion of smoking 1 to 10 cigarettes daily compared with 1985 (18.6% to 31.1%). Most of the decline occurred after 1991. [26] As of 2008 the rate was estimated to be 18%, and declining. [27] A 2011 survey estimates that 17% of Canadians smoke. [28]

Germany

In 2005, 27% of the population admitted to being current smokers. 23% were daily smokers (28% of men and 19% of women,) while 4% smoked occasionally. The highest ratio of daily smokers was in the 20-24 age group: 38% of men and 30% of women. [29] According to a 2010 study by University of Bielefeld, 9.9% of all 15-year-old males and 10.8% of 15-year-old females smoked daily, which showed a strong decline during the previous decade. [30]

As in other industrial countries the prevalence of smoking in Germany is lower among people with higher education level.

A 2006 a comparative study found that 25.1% of male and 20.6% of female medical students in Göttingen smoked, while in London the percentages were only 10.9% and 9.1%. [31]

Germany had the largest number of cigarette vending machines per capita in the world: 1 per 102.5 people. [32]

Israel

In Israel, [33] smoking prevalence among males had remained relatively constant at 30% in the years 1994–2004. [34] Among females the prevalence has declined slightly from 25% in 1998 to 18% in 2003. [34] For the youth, 14% smoked at least once per week, according to a 2001 publication. [35]

In 2005, research has shown that Israeli youths have begun to use bidis and hookah, as alternative methods of tobacco use. [34] In 1990, smoking was the cause of about 1,800 male deaths in Israel which was around 12% of all male deaths. [36] Smoking has not been found to be significant cause of death among Israeli women. [36] The average number of cigarettes smoked per Israeli stands at 2162 (6). [34]

There are several anti-tobacco use legislations in effect. For instance, advertising is prohibited in youth publications and is forbidden on television and radio, [36] in addition to substantial increases in tobacco taxes, although the prices are still among the lowest compared to all of the European countries. [36] In addition, until 2004, there was no minimum age requirement for buying tobacco products in Israel; [37] however, an amendment to the tobacco marketing and advertisement law that became effective at 2004 has limited the sale of tobacco to people above the age of 18. [38]

According to Israel Central Bureau of Statistics, the smoking rate in the Israeli adult population in 2009 was 20.9%, down from 34% in 2000. [39] A Ministry of Health nationwide survey conducted in 2011 found that 20.6% of the population aged 21 and older were smokers. [40] The highest percentage of smokers was among Arab males, 44% percent of whom smoked, though this figure is down from 50% in 1996.

New Zealand

Tobacco consumption in New Zealand peaked in the mid-1970s when 60% of the population were smokers. By 2011 that number had fallen to 20% of the population, thanks to stringent tobacco control laws which are amongst the world's strictest. However, despite these laws, the number of smokers appears to be increasing as the global economy worsens and a recent spate of natural disasters have seen an increase in tobacco sales and although more males smoke than females, this gap is slowly narrowing. Tobacco consumption by Maori remains disproportionately high despite having decreased over recent years thanks to television, internet, radio and print media anti-smoking advertising aimed at Maori. The high rate of Maori tobacco consumption has been described by many Maori health advocates and academics as a "cultural genocide".

Romania

According to the Romanian Ministry of Health, the smoking rate among the general population declined from 36% in 2004 to 26% in 2011. [41] A report commissioned in 2012 revealed that 34.9% of men smoked daily, compared to 14.5% of women, and in the preceding 12 months, 37.8% of regular smokers had attempted to quit at least once. [42] Despite a general decline in smoking prevalence, the rate among women nearly doubled from 1991 to 2011, with 55% of women smokers belonging to the 15–34 age group. [43]

Spain

According to the 2017 National Health Survey [44] 22.1% of the population above the age of 15 reports smoking daily, 2.3% declares smoking occasionally, 24.9% reports being ex-smokers and 50,7% never smoked. The survey also revealed that 25,6% of men smoked, compared to 18.8% women. The historical data series shows the rate in Spain has fallen more than 10 points from 1993 to 2017, from 44% to 25.6% for men and from 20.8% to 18.8% for women. However, since 2014, the trend has slowed, with just less than 1 point improvement, from 23% to 22,1%.

Sweden

Swedish citizens, 16 years or older, that consumed snus or smoking tobacco on a daily basis in 2011 Swedishtobacco.png
Swedish citizens, 16 years or older, that consumed snus or smoking tobacco on a daily basis in 2011

The first research of smoking in Sweden was performed in 1946; it showed that 50% of men, and 9% of women were smokers. In 1977 41% of men and 32% of women were smokers. [46] By 2011, the use of smoking tobacco on a daily basis had decreased to only 12.5% among men and 14.3% among women. The use of snus, on a daily basis among men older than 15 years, was approximately 19.4% and only 3.0% for women. [45]

United Kingdom

The Health Survey for England in 2002 found a smoking rate of 26%. By 2007 the proportion of adult smokers in England had declined four percentage points to 22%. [47] In 2015, it was reported smoking rates in England had fallen to 16.9%, a record low. [48] The rate in England had fallen to 14.4% in 2018. [49]

Overall, the numbers of smokers in the UK in 2007 was estimated at 13.7 million. [50] In 2007 the rate of smoking amongst the most socioeconomically affluent patients was 14%, compared to 34% for the most deprived. [50] Figures from 2013 show that proportion of the British population (UK excluding Northern Ireland) who smoke has fallen to 19%. [51]

United States

Adult tobacco use by age (2013-2014 survey) 2014 NATS adult tobacco use by age.png
Adult tobacco use by age (2013-2014 survey)
High school student cigarette use (1991-2007) CDC-chart-current cigarette use-1991-2007.png
High school student cigarette use (1991–2007)

In 2005 23.9% of men and 18.1% of women were current smokers. Among racial and ethnic groups, Native Americans and Alaska Natives had the highest prevalence at 32.0%, followed by non-Hispanic whites at 21.9%, and non-Hispanic blacks at 21.5%. Hispanics at 16.2%, and Asians at 13.3% had the lowest rates. Based on education level, the highest percentage of smokers among adults had those who earned a General Educational Development (GED) diploma at 43.2% and those with 9–11 years of education at 32.6%. The prevalence of tobacco use was generally lower among those with higher education levels. Adults aged 18–24 years were at 24.4% and 25–44 years were at 24.1%, which were the highest prevalence indicators. The prevalence of current smoking was higher among adults living below the poverty line at 29.9% than among those at or above the poverty line at 20.6%. [53]

In November 2015, the Centers for Disease Control and Prevention noted in their report, "The percentage of U.S. adults who smoke cigarettes declined from 20.9 percent in 2005 to 16.8 percent in 2014. Cigarette smoking was significantly lower in 2014 (16.8 percent) than in 2013 (17.8 percent)." The CDC concluded this from data obtained by a survey of Americans. However, researchers said that they are not sure if products like e-cigarettes are in any way helpful to reduce smoking in the country. Around 4,000 minors start smoking in the US every day. [54]

As of 2022, a total of 11.2% of U.S. adults (11.7% of men and 10.8% of women) smoke. [55]

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References

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