Smoking
Smoking exacts a terrible toll in lives and health and carries a severe economic price tag. The prevalence of smoking in Virginia has steadily dropped since 2002 and is now below the national average, but much work is still needed.
Why is This Important?
Smoking can result in a number of health problems, including cancer, cardiovascular disease, reproductive troubles, and increased infant mortality. According to a 2008 report from the Centers for Disease Control and Prevention, each year in the United States nearly 450,000 people die of a smoking-related illness, resulting in 5.1 million years of potential life lost, $96 billion in direct medical costs, and $96.8 billion in lost productivity.
How is Virginia Doing?
In 2008, Virginia's smoking rate of 16.4 percent of adults was below the national average of 18.3 percent. This is down from 24.6 percent in 2002, but still well above Utah's 9.3 percent, the lowest rate in the nation. In 2008, Virginia had the 11th lowest smoking rate among the states. The percent of people smoking in Virginia in 2008 was lower than in Tennessee (23.1%) and North Carolina (20.9%), but higher than in Maryland (14.9%).
What Influences Smoking?
The smoking rate tends to vary by age, income, and education level. In 2008, smoking prevalence was highest in Virginia among those aged 45-54 and 18-24 (19.3 percent) and lowest among those aged 65 and older (9.3 percent). Adults who had not completed high school had the highest smoking rate (28 percent). In 2008, only 11.2 percent of people with incomes of $50,000 or more smoked, while 37.4 percent of people with incomes less than $15,000 smoked.
What is the State's Role?
The state can influence smoking behaviors in a variety of ways:
- increase taxes on tobacco products and smoking bans in proscribed areas
- create public education programs about the risks of tobacco use
- support smoking cessation programs
- mobilize communities to identify and reduce the commercial availability of tobacco products to youth
- place restrictions
on advertising aimed
at young people.

Data and Definitions
- Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System
- Centers for Disease Control and Prevention (CDC), Smoking-Attributable Mortality report, 2000-2004
(updated annually in May)
See the Data Sources and Updates Calendar for a detailed list of the data resources used for indicator measures on Virginia Performs.



