Tobacco use in Indiana 2020

• In 2018, 21.1% of adults smoked. Nationally, the rate was 16.1%.¹
• In 2018, 5.2% of high school students in Indiana smoked cigarettes on at least one day in the past 30 days.²

• In 2018, 6.7% of adults in Indiana used e-cigarettes and 4.3% used smokeless tobacco.³
• In 2018, 18.5% of high school students in Indiana used e-cigarettes on at least one day in the past 30 days.²
• In 2018, 3.8% of high school students in Indiana used chewing tobacco, snuff or dip on at least one day in the past 30 days.²
• In 2018, 6.7% of high school students in Indiana smoked cigars, cigarillos or little cigars on at least one day in the past 30 days.²

• Indiana received $554.7 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2020.⁴
• Of this, the state allocated $7.5 million in state funds to tobacco prevention in fiscal year 2020, 10.2% of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-related health care costs: $2.93 billion per year⁴
• Smoking-related losses in productivity: $3.17 billion per year⁵

Tobacco taxes

• Indiana is ranked 38th in the U.S. for its cigarette tax of 99.5 cents per pack of 20 cigarettes (enacted July 2007), compared with the national average of $1.82. (The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.) ^6-8
• Moist snuff is taxed at 40 cents per ounce. All other tobacco products are taxed at 24% of the wholesale price.^6,7

Clean indoor air ordinances

• Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, retail stores (retail tobacco and cigar specialty stores exempt) and recreational/cultural facilities.^6,7
• Smoking restrictions are required in bars.^6,7
• There are no smoking restrictions in casinos/gaming establishments.^6,7
• There are no smoke-free restrictions for e-cigarette use.⁹

Licensing laws

• Retailers and wholesalers are required to obtain a license to sell tobacco products.⁶
• A license is required to sell e-cigarette products.⁹

Youth access laws

• In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately.
• Establishments are required to post signs stating that sales to minors are prohibited.^6,7
• Minors are prohibited from buying electronic smoking devices, including e-cigarettes.^6,7

• The CDC estimates 49.6% of adult every day smokers in Indiana quit smoking for one or more days in 2018.³
• In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.⁷**
• Indiana’s state quit line invests $1.42 per smoker, compared with the national average of $2.14.⁷
• Indiana does not have a private insurance mandate provision for quitting tobacco.⁷

Updated August 2020

*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, 2018.

2. Indiana Youth Tobacco Survey, 2018.

3. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2020.

4. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 21 Years Later FY2020, 2019.

5. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States.

6. American Lung Association, State Legislated Actions on Tobacco Issues (SLATI).

7. American Lung Association, State of Tobacco Control, 2020.

8. Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings. https://www.tobaccofreekids.org/assets/factsheets/0097.pdf. Accessed.

9. Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review. http://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review. Accessed.