Tobacco use in Alabama 2018

Cigarette use: Alabama*

• In 2016, 21.5 percent of adults smoked. Nationally, the rate was 17.1 percent.¹
• In 2015, 14.0 percent of high school students smoked on at least one day in the past 30 days. Nationally, the rate was 10.8 percent.²

Other tobacco product use: Alabama

• In 2015, 3.8 percent of adults used e-cigarettes, 3.3 percent used smokeless tobacco and 2.9 percent smoked cigars.³
• In 2015, 24.5 percent of high school students used e-cigarettes, 12.5 percent used smokeless tobacco and 13.4 percent smoked cigars at least one day in the past 30 days. Nationally, the rates were 24.1 percent, 7.3 percent and 10.3 percent, respectively.²

Economics of tobacco use and tobacco control

• Alabama received $309.9 million (estimated) in tobacco settlement payments and taxes in fiscal year 2018.⁴
• Of this, the state allocated $1.3 million in state funds to tobacco prevention in fiscal year 2018, just 2.3 percent of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-related health care costs: $1.88 billion per year⁴
• Smoking-related losses in productivity: $2.71 billion per year⁵

Alabama tobacco laws

Tobacco taxes

• Alabama is ranked 40th in the U.S. for its cigarette tax of 67.5 cents per pack (enacted October 2015), compared with the national average of $1.73. (Connecticut and New York have the highest tax at $4.35 and Missouri has the lowest at 17 cents.)⁶ ⁷ ⁸
• Chewing tobacco is taxed at 0.015 cent per ounce. All other tobacco products have varying taxes based on weight and price.⁶ ⁷

Clean indoor air ordinances

• Smoking is prohibited in all government workplaces, schools, childcare facilities, retail stores and recreational/cultural facilities.⁷
• Smoking restrictions are not required in private workplaces, restaurants, bars, or casinos/gaming establishments.⁷

Youth access laws

• The minimum age of sale for tobacco products in Alabama is 19.⁷
• Establishments are required to post signs stating that sales to minors are prohibited.⁶
• Minors are prohibited from buying electronic smoking devices, including e-cigarettes.⁶

Quitting statistics and benefits

• The CDC estimates 49.4 percent of daily adult smokers in Alabama quit smoking for one or more days in 2016.⁹
• In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.⁷**
• Alabama’s state quit line invests $1.44 per smoker, compared with the national average of $2.10.⁷
• Alabama does not have a private insurance mandate provision for quitting tobacco.⁷

Notes and references

Updated June 2018

*National and state-level prevalence numbers reflect the most recent data available. This may differ across state fact sheets.

**The seven recommended quitting medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban). Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service: May 2008.

1. CDC, Behavioral Risk Factor Surveillance System, 2016.
2. CDC, Youth Risk Behavioral Surveillance System, 2015.
3. CDC, State-Specific Prevalence of Tobacco Product Use Among Adults - United States, 2014-2015, MMWR.
4. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 19 Years Later FY2018, 2017.
5. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States, 2018.
6. American Lung Association, SLATI State Reports, 2017.
7. American Lung Association, State of Tobacco Control, 2018.
8. Campaign for Tobacco-Free Kids, State Cigarette Excise Tax Rates & Rankings, 2018.
9. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2016.