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Tobacco has a long cultural, economic, and social impact on the United States. Tobacco cultivation in Jamestown, Virginia, in 1610 lead to the expansion of British colonialism in the Southern United States.[1] As the demand for Tobacco grew in Europe, further colonization in British America and Tobacco production saw a parallel increase.[2] Tobacco use became normalized in American society and was heavily consumed before and after American independence.
Tobacco distribution is measured in the United States using the term, "tobacco outlet density."[3] An estimated 34.3 million people, or 14% of all adults (aged 18 years or older), in the United States smoked cigarettes in 2015. By state, in 2015, smoking prevalence ranged from between 9.1% and 12.8% in Utah to between 23.7% and 27.4% in West Virginia. By region, in 2015, smoking prevalence was highest in the Midwest (18.7%) and South (15.3%) and lowest in the West (12.4%). Men tend to smoke more than women. In 2015, 16.7% of men smoked compared to 13.6% of women.[4] In 2018, 13.7% of U.S. adults were smokers.[5]
Cigarette smoking is the leading cause of preventable death in the United States, accounting for approximately 443,000 deaths, or 1 of every 5 deaths, in the United States each year.[6] Cigarette smoking alone has cost the United States $96 billion in direct medical expenses and $97 billion in lost productivity per year or an average of $4,260 per adult smoker.
In 1964 the Surgeon General of the United States published the Smoking and Health report, which identified smoking as the cause of many health problems.[7] The report greatly changed the public perception of tobacco use from being safe to hazardous.[7]
^Land, Jeremy (2023-07-06), "Inter-colonial Trade", Colonial Ports, Global Trade, and the Roots of the American Revolution (1700 — 1776), BRILL, pp. 100–119, ISBN 978-90-04-54269-3, retrieved 2024-03-19
^Yu, D; Peterson, N. A; Sheffer, M. A; Reid, R. J; Schnieder, J. E (2010). "Tobacco outlet density and demographics: Analysing the relationships with a spatial regression approach". Public Health. 124 (7): 412–6. doi:10.1016/j.puhe.2010.03.024. PMID 20541232.
^"Smoking and Tobacco Use Fact Sheet". Centers for Disease Control and Prevention. 1 December 2015. Retrieved 24 September 2017.
^"Current Cigarette Smoking Among Adults in the United States". 15 December 2020.
^Adult Cigarette Smoking in the United States: Current Estimate Centers for Disease Control and Prevention (CDC)
^ abHughes, Dominic (March 6, 2012). "Smoking and health 50 years on from landmark report". BBC. Archived from the original on 24 September 2022.
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