Tobacco use in Utah 2020

• In 2018, 9.0% of adults smoked. Nationally, the rate was 16.1%.¹
• In 2019, 2.2% of high school students in Utah smoked cigarettes on at least one day in the past 30 days. Nationally, the rate was 6.0%.²

• In 2018, 6.1% of adults in Utah used e-cigarettes and 3.0% used smokeless tobacco.³
• In 2019, 9.7% of high school students in Utah used electronic vapor products on at least one day in the past 30 days. Nationally, the rate was 32.7%.²
• In 2019, 1.7% of high school students in Utah used chewing tobacco, snuff or dip on at least one day in the past 30 days. Nationally the rate was 3.8%.²
• In 2019, 1.2% of high school students in Utah smoked cigars, cigarillos or little cigars on at least one day in the past 30 days. Nationally, the rate was 5.7%.²

• Utah received $139.9 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2020.⁴
• Of this, the state allocated $7.0 million in state funds to tobacco prevention in fiscal year 2020, 36.4% of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-caused health care costs: $542 million per year.⁴
• Smoking-caused losses in productivity: $355.6 million per year.⁵

Tobacco taxes

• Utah is ranked 25th in the U.S. for its cigarette tax of $1.70 per pack (enacted July 2010), compared to 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
• Little cigars are taxed at 8.5 cents per cigar and moist snuff is taxed at $1.83 per ounce.
• All other tobacco products are taxed at 86% of the manufacturer’s selling price.^6,7

Clean indoor air ordinances

• Smoking is prohibited in government workplaces, private workplaces, schools, childcare facilities, restaurants, bars, retail stores and recreational/cultural facilities.^6,7
• There are no smoking restrictions in casinos/gaming establishments.⁷
• E-cigarettes are included in the state’s definition of smoking.⁹
• School boards are required to adopt rules prohibiting the use and possession of e-cigarettes on school property and at sponsored activities.⁹

Flavor restrictions

• The sale of flavored e-cigarettes, except mint and menthol flavors, is restricted to adult-only retail tobacco specialty stores.¹⁰

Licensing laws

• Retailers and wholesalers are required to obtain a license to sell tobacco products.⁶
• Retailers and wholesalers are required to obtain a license to sell tobacco 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.
• Only sales clerks are allowed access to tobacco products prior to sale.⁶
• Minors are prohibited from buying e-cigarettes.⁶

• The CDC estimates 53.1% of daily adult smokers in Utah quit smoking for one or more days in 2018.³
• In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.^7**
• Utah’s state quit line invests $5.10 per smoker, compared to the national average of $2.14.⁷
• Most private health plans in Utah have a mandate provision for cessation.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 cessation 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. CDC, Youth Risk Behavioral Surveillance System, 2019.

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.

10. Truth Initiative, Local restrictions on flavored tobacco and e-cigarette products. https://truthinitiative.org/research-resources/emerging-tobacco-products/local-restrictions-flavored-tobacco-and-e-cigarette.