Tobacco has a long cultural, economic, and social history in the United States. Tobacco cultivation near Jamestown, Virginia Colony, in 1610 was the beginning of the plant's development as a cash crop with a strong demand in England. By the beginning of the 18th century, tobacco became a significant economic force in the American colonies, especially in Virginia's tidewater region surrounding Chesapeake Bay. Vast plantations were built along rivers, and socioeconomic systems were developed to grow and distribute the crop. In 1713, the Virginia General Assembly (under the leadership of Governor Alexander Spotswood) passed a Tobacco Act requiring the inspection of all tobacco intended for export or for use as legal tender. [1] American tobacco farmers sold their crops on consignment to merchants in London, which required them to take out loans for farm expenses from London guarantors in exchange for tobacco delivery and sale. [2] As the demand for tobacco grew in continental Europe, further colonization and tobacco production in British America saw a parallel increase, [3] and tobacco cultivation spread into Britain's other Southern Colonies and beyond. A brisk trade developed among wholesalers in Charleston and New Orleans to ship tobacco to London merchants. [4] Tobacco use had also become common in early American society and was heavily consumed before and after the declaration of American independence in 1776.
An estimated 34.3 million people in the United States, or 14% of all adults aged 18 years or older, smoked cigarettes in 2015, a figure that decreased to 13.7% of U.S. adults in 2018. [5] In 2015, the prevalence of smoking in individual U.S. states ranged from between 9.1% and 12.8% in Utah to between 23.7% and 27.4% in West Virginia. By region, smoking prevalence was highest in the Midwest (18.7%) and South (15.3%) and lowest in the West (12.4%). Men tended to smoke more than women: In 2015, 16.7% of men smoked compared to 13.6% of women. [6] Cigarette smoking is the leading cause of preventable death in the United States, accounting for approximately 443,000 deaths—1 of every 5 deaths—each year. [7] Cigarette smoking alone has cost the United States $96 billion in direct medical expenses and $97 billion in lost productivity per year, or an average of $4,260 per adult smoker.
In 1964 the Surgeon General of the United States published its landmark report, Smoking and Health , which identified smoking as the cause of many health problems. [8] Since then, the public perception of tobacco has shifted from that of a harmless product to a clear hazard for the health. From 1965 to 2022, smoking rates in the United States plummeted by some 73%, from 42.6% of all adult Americans to 11.6%. [9]
Commercial tobacco production in colonial America dates back to the 17th century, when the first commercial crops were planted. The industry originated in the production of tobacco to be used in pipes and snuff. With the advent of the American Revolution, trade with the colonies was interrupted, and this shifted the tobacco trade to other countries. There was, however, an increase in demand for tobacco in the United States, where the use of cigars and chewing tobacco increased. The War of 1812 would introduce the Andalusian cigarette to the rest of Europe, and from 1880, production of tobacco in the United States increasingly focused on the manufactured cigarette.
According to research by the U.S. Centers for Disease Control (CDC), for every 100 U.S adults age 18 or older, more than 15 smoked cigarettes in 2016. In other words, there were about 37.8 million cases of cigarette smokers in the United States. At the same time, more than 16 million Americans were living with a smoking-related disease. Nonetheless, the number of smokers in 2016 has decreased to 15.5% from 2005, a difference of 5.4% difference. This pointed to an increase in the number of smokers who have quit. [10]
In 2020, the Journal of the American Medical Association (JAMA) estimated that 5.66 million adults, or 2.3% of the U.S population, reported that they were vaping. Among users in the U.S. population, more than 2.21 million were also current cigarette smokers (39.1%), more than 2.14 million were former smokers (37.9%), and more than 1.30 million had never smoked (23.1%). [11] Previous 2018 statistics estimated that about 14.9% of adults aged 18 and over had ever used electronic cigarettes, and around 3.2% of all adults in the United States were current e-cigarette users. The study also noted that 34 million U.S. adults were current smokers, with e-cigarette usage at its highest among current smokers and former smokers who are attempting to quit smoking cigarettes or had recently quit. [12]
The decade of the 2010s saw both the advent and uptick in the prevalence of vaping among American youths, as e-cigarettes became the latest nicotine-delivery device for U.S. consumers. The first commercial e-cigarette hit the markets in 2006. [13] Reports in 2018 estimated that youth vaping is present among 27.5% of the youth population. This is a stark comparison to the 5.5% of reported youths within the United States who smoke combustible nicotine such as cigarettes. [14]
According to a U.S. government survey data released in April 2023, smoking rates in the United States fell even further by 2022, with 1 of 9 U.S. adults reporting to be a smoker. In 2022, the percentage of U.S. adult smokers dropped from 12.5 percent in 2020–2021 to about 11 percent. The survey data also showed that e-cigarette use increased to nearly 6 percent in 2022 from about 4.5 percent the previous year. Only about 2 percent of high school students smoked traditional cigarettes in 2022, but about 14 percent used e-cigarettes, according to other CDC data. [15]
The prevalence of smoking by age [16] | |
18 – 24 years old | 8.0% |
25 – 44 years old | 16.7% |
45 – 64 years old | 17.0% |
65 and older | 8.2% |
Age | % of population who vape [14] |
---|---|
13 year olds | 6% |
14 year olds | 10% |
15 year olds | 15% |
16 year olds | 22% |
17 year olds | 24% |
18 year olds | 25% |
The prevalence of smoking by educational level [16] | |
Fewer years of education (no diploma) | 24.1% |
GED certificate | 35.3% |
High school diploma | 19.6% |
Some college (no degree) | 17.7% |
Associate degree | 14.0% |
Undergraduate degree | 6.9% |
Graduate degree | 4.0% |
The prevalence of smoking by race/ethnicity [16] | |
Non-Hispanic American Indians/Alaska Natives | 20.9% |
Non-Hispanic Other races | 19.7% |
Non-Hispanic Blacks | 14.9% |
Non-Hispanic Whites | 15.5% |
Hispanics | 8.8% |
Non-Hispanic Asian | 7.2% |
On February 4, 2009, the Children's Health Insurance Program Reauthorization Act of 2009 was signed into law, raising the federal tax rate on cigarettes on from $0.39 per pack to $1.01 per pack, beginning April 1, 2009. [17] [18]
The U.S. tobacco industry, from its earliest advertising to its more recent public relations campaigns, has long portrayed smoking to be a harmless activity. A 1999 feature film, The Insider , centered on the production of a news segment about "Big Tobacco" and its communications methods. In the 21st century, the rising influence of social media in the United States has provided new generations of teenagers and young adults with a new platform for anti-smoking information. A prime example is TruthOrange, an organization that has approached YouTube's content creators with requests to sponsor their ads. Former and current tobacco and anti-tobacco lobbies in the United States include:
The CDC reported in 2011 that 443,000 Americans died of smoking or exposure to secondhand smoke each year. For every smoking-related death, another 20 people suffered with a smoking-related disease. (2011) [19]
California's adult smoking rate has dropped nearly 50% since the state began the nation's longest-running tobacco control program in 1988. California's state government reported saving a total of $86 billion in healthcare costs after allocating $1.8 billion for tobacco control; this was a 50:1 return on investment compared to total cost of the state's tobacco control program in its first 15 years. [19]
Some of the notable tobacco companies in the US are:
Historian Keith Wailoo argues that the U.S. cigarette industry especially targeted African Americans, starting in the 1960s. It took advantage of several converging trends: First was the increased national attention on the dangers of smoking itself. Cigarette companies then took the initiative in fighting back, developing and promoting menthol-flavored brands that they advertised as more soothing to the throat. The industry also advertised these as better for health. A second trend was the federal ban on tobacco advertising on radio and television in the 1970s. There was no corresponding ban on advertising in the print media, however, so cigarette makers responded with large-scale advertising in Black newspapers and magazines. They also erected billboards in inner-city neighborhoods. The third trend was the U.S. civil rights movement of the 1960s. Big Tobacco responded by investing heavily in the civil rights movement, winning the gratitude of many national and local leaders. Menthol-flavored cigarette brands systematically sponsored local events in the Black community and subsidized major black organizations, notably the National Association for the Advancement of Colored People (NAACP). Cigarette makers also subsidized churches and schools. Their marketing initiatives were a success, as the rate of smoking in the Black community grew, even while it declined among whites. Eventually, three out of four Black smokers in the United States purchased menthol cigarettes. [20]
An estimated half a million children worked in the fields of America picking food as of 2012, although the precise number working in tobacco fields is unknown. U.S. federal law provides no minimum age for work on small farms, and children ages twelve and up may work for hire on any size farm for unlimited periods outside school hours and with parental permission. According to Human Rights Watch, farm work is the most hazardous occupation open to children. [21] In eastern North Carolina, a major tobacco state, children have been interviewed as young as 14 who worked harvesting tobacco, and recent news reports describe children as young as nine and ten doing such work. [22]
A cigarette is a narrow cylinder containing a combustible material, typically tobacco, that is rolled into thin paper for smoking. The cigarette is ignited at one end, causing it to smolder; the resulting smoke is orally inhaled via the opposite end. Cigarette smoking is the most common method of tobacco consumption. The term cigarette, as commonly used, refers to a tobacco cigarette, but the word is sometimes used to refer to other substances, such as a cannabis cigarette or a herbal cigarette. A cigarette is distinguished from a cigar by its usually smaller size, use of processed leaf, different smoking method, and paper wrapping, which is typically white.
Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists, where it followed common trade routes. The practice encountered criticism from its first import into the Western world onwards but embedded itself in certain strata of a number of societies before becoming widespread upon the introduction of automated cigarette-rolling apparatus.
Nicotine marketing is the marketing of nicotine-containing products or use. Traditionally, the tobacco industry markets cigarette smoking, but it is increasingly marketing other products, such as electronic cigarettes and heated tobacco products. Products are marketed through social media, stealth marketing, mass media, and sponsorship. Expenditures on nicotine marketing are in the tens of billions a year; in the US alone, spending was over US$1 million per hour in 2016; in 2003, per-capita marketing spending was $290 per adult smoker, or $45 per inhabitant. Nicotine marketing is increasingly regulated; some forms of nicotine advertising are banned in many countries. The World Health Organization recommends a complete tobacco advertising ban.
Prevalence of tobacco use is reported by the World Health Organization (WHO), which focuses on cigarette smoking due to reported data limitations. Smoking has therefore been studied more extensively than any other form of consumption.
A menthol cigarette is a cigarette infused with the compound menthol which imparts a “minty” flavor to the smoke. Menthol also decreases irritant sensations from nicotine by desensitizing receptors, making smoking feel less harsh compared to regular cigarettes. Some studies have suggested that they are more addictive. Menthol cigarettes are just as hard to quit and are just as harmful as regular cigarettes.
Tobacco harm reduction (THR) is a public health strategy to lower the health risks to individuals and wider society associated with using tobacco products. It is an example of the concept of harm reduction, a strategy for dealing with the use of drugs. Tobacco smoking is widely acknowledged as a leading cause of illness and death, and reducing smoking is vital to public health.
An electronic cigarette (e-cigarette), or vape, is a device that simulates smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor. As such, using an e-cigarette is often called "vaping".
Smoking is a practice in which a substance is combusted and the resulting smoke is typically inhaled to be tasted and absorbed into the bloodstream of a person. Most commonly, the substance used is the dried leaves of the tobacco plant, which have been rolled with a small rectangle of paper into an elongated cylinder called a cigarette. Other forms of smoking include the use of a smoking pipe or a bong.
Flavored tobacco products — tobacco products with added flavorings — include types of cigarettes, cigarillos and cigars, hookahs and hookah tobacco, various types of smokeless tobacco, and more recently electronic cigarettes. Flavored tobacco products are especially popular with youth and have therefore become targets of regulation in several countries.
Tobacco smoking has serious negative effects on the body. A wide variety of diseases and medical phenomena affect the sexes differently, and the same holds true for the effects of tobacco. Since the proliferation of tobacco, many cultures have viewed smoking as a masculine vice, and as such the majority of research into the specific differences between men and women with regards to the effects of tobacco have only been studied in-depth in recent years.
Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco. As of 2022, there are around 300 million Chinese smokers, and 2.4 trillion cigarettes are sold there every year, 46% of the world total.
Smokingamong youth and adolescents is an issue that affects countries worldwide. While the extent to which smoking is viewed as a negative health behavior may vary across different nations, it remains an issue regardless of how it is perceived by different societies. The United States has taken numerous measures, ranging from changes in national policy surrounding youth cigarette access to changes in media campaigns, in attempts to eliminate the use of tobacco products among teenagers. Approximately 90% of smokers begin smoking prior to the age of 18.
Tobacco marketing targeting African-Americans is the practice of customizing tobacco products and advertising techniques specifically to African-American consumers. It is most commonly analyzed through the consumption of mentholated cigarettes, as it represents 47% of black adult smokers and 84% of adolescent black smokers.
SmokinginCanada is banned in indoor public spaces, public transit facilities and workplaces, by all territories and provinces, and by the federal government. As of 2010, legislation banning smoking within each of these jurisdictions is mostly consistent, despite the separate development of legislation by each jurisdiction. Notable variations between the jurisdictions include: whether, and in what circumstances ventilated smoking rooms are permitted; whether, and up to what distance away from a building is smoking banned outside of a building; and, whether smoking is banned in private vehicles occupied by children.
Smoking in the United Kingdom involves the consumption of combustible cigarettes and other forms of tobacco in the United Kingdom, as well as the history of the tobacco industry, together with government regulation and medical issues.
Tobacco smoking in the Philippines affects a sizable minority of the population. According to the 2015 Global Adult Tobacco Survey (GATS) conducted under the auspices of the Philippines' Department of Health, Philippine Statistics Authority, the World Health Organization, and the United States Centers for Disease Control and Prevention, 23.8 percent of the adult population were "current tobacco smokers". This figures represented 16.6 million of 69 million adult Filipinos.
The health effects of e-cigarettes (e-cigarettes) are generally claimed to be less than those of smoking, but worse than not smoking at all. However, health is a function not only of the inhaled materials, but of how and how often the products are used, over what period, manufacturing/distribution quality control, marketing, the regulatory environment, and the actual user population. Reported risks include exposure to toxic chemicals, increased likelihood of respiratory and cardiovascular diseases, and accelerated cancer development.
The scientific community in the United States and Europe are primarily concerned with the possible effect of electronic cigarette use on public health. There is concern among public health experts that e-cigarettes could renormalize smoking, weaken measures to control tobacco, and serve as a gateway for smoking among youth. The public health community is divided over whether to support e-cigarettes, because their safety and efficacy for quitting smoking is unclear. Many in the public health community acknowledge the potential for their quitting smoking and decreasing harm benefits, but there remains a concern over their long-term safety and potential for a new era of users to get addicted to nicotine and then tobacco. There is concern among tobacco control academics and advocates that prevalent universal vaping "will bring its own distinct but as yet unknown health risks in the same way tobacco smoking did, as a result of chronic exposure", among other things.
The history of nicotine marketing stretches back centuries. Nicotine marketing has continually developed new techniques in response to historical circumstances, societal and technological change, and regulation. Counter marketing has also changed, in both message and commonness, over the decades, often in response to pro-nicotine marketing.
Electronic cigarettes are marketed to smoking and non-smoking men, women, and children as being safer than cigarettes. In the 2010s, large tobacco businesses accelerated their marketing spending on vape products, similar to the strategies traditional cigarette companies used in the 1950s and 1960s.