Tobacco use in Vermont 2018

Cigarette use: Vermont*

• In 2016, 17.0 percent of adults smoked. Nationally, the rate was 17.1 percent.¹
• In 2017, 9.3 percent of high school students smoked on at least one day in the past 30 days. Nationally, the rate was 8.8 percent.²

Other tobacco product use: Vermont

• In 2015, 1.8 percent of adults used e-cigarettes, 1.8 percent used smokeless tobacco and 1.8 percent smoked cigars.³
• In 2017, 12.0 percent of high school students used e-cigarettes, 5.2 percent used smokeless tobacco and 9.4 percent smoked cigars on at least one day in the past 30 days. Nationally, the rates were 13.2 percent, 5.5 percent and 8.0 percent, respectively.²

Economics of tobacco use and tobacco control

• Vermont received $106.1 million (estimated) in tobacco settlement payments and taxes in fiscal year 2018.⁴
• Of this, the state allocated $3.6 million in state funds to tobacco prevention in fiscal year 2018, just 42.4 percent of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-caused health care costs: $348 million per year⁴
• Smoking-caused losses in productivity: $232.8 million per year⁵

Vermont tobacco laws

Tobacco taxes

• Vermont is ranked 6th in the U.S. for its cigarette tax of $3.08 per pack (enacted July 2015), compared to 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
• Little cigars are taxed at $15.40 per cigar. Roll-your-own tobacco is taxed at $3.08 per 0.0325 ounces. Snuff is taxed at $2.57 per ounce. New smokeless tobacco is taxed at $2.57 per ounce, but if it is sold in a package weighing less than 1.2 ounces it is taxed at $3.08 per package. Cigars with a wholesale price greater than $2.17 and less than $10 are taxed at $2 per cigar. Cigars with a wholesale price of $10 or more are taxed at $4 per cigar. All other tobacco products are taxed at 92 percent of the wholesale 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

Youth access laws

• The minimum age of sale for tobacco products in Vermont is 18.⁷
• Establishments are required to post signs stating that sales to minors are prohibited.⁶
• Minors and adults are prohibited from buying bidis.⁶
• Minors are prohibited from buying tobacco substitutes, including e-cigarettes.⁶

Quitting statistics and benefits

• The CDC estimates that 43.1 percent of daily adult smokers in Vermont 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
• Vermont’s state quit line invests $5.27 per smoker, compared to the national average of $2.10.⁷**
• Vermont has 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 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, 2016.
2. CDC, Youth Risk Behavior Surveillance System, 2017.
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.