U.S. states with highest adult smoking rates 2018

As of 2018, the U.S. states with the highest smoking rates included West Virginia, Kentucky, Arkansas, and Indiana. In West Virginia, around a quarter of all adults smoked as of this time. The percentage of the U.S. population who are smokers has decreased over the past decades, dropping to 14 percent in 2017.

Who smokes?

The smoking rates for both genders have decreased for many years, but males continue to smoke at higher rates than females. Smoking is also more prevalent among those aged 25 to 64 years, and less so among the younger and older. Concerning race and ethnicity, smoking is by far most prevalent among American Indians, and least prevalent among Asians.

Health impacts of smoking

The negative health impacts of smoking are vast. Smoking increases the risk of heart disease, stroke, and many different types of cancers. For example, smoking is estimated to be attributable to 81 percent of all deaths from lung cancer among adults 30 years and older in the United States. Smoking is currently the leading cause of preventable death in the U.S.

U.S. states with the highest smoking rates among adults in 2018

Percentage of adults
West Virginia25.3%
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Release date

January 2020


United States

Survey time period


Age group

18 years and older

Supplementary notes

The data shows adults who reported that they currently smoked every day or some days. Percentages are weighted to reflect population characteristics.

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Statistics on "Smoking in the U.S."

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