


October 29, 2025

4 min to read
 Top 5 tobacco use states: Georgia: 27%, Kentucky: 26%, West Virginia: 25%, Mississippi: 24%, Arkansas: 24%.
 
Top 5 least tobacco use states: Massachusetts: 11%, California: 11%, Utah: 12%, Hawaii: 12%, New Jersey: 13%.
Tobacco usage across America is highly regional, and examining state-level data shows just how wide the gap can be between communities. From the deeply entrenched tobacco traditions of the Southeast to the health-conscious coasts, the difference is both cultural and economic.
Smoking rate below is defined as self-reported smoking among adults aged 18 years and older. Data is collected in 2020.
1. Georgia: 27%
2. Kentucky: 26%
3. West Virginia: 25%
4. Mississippi: 24%
5. Arkansas: 24%
6. Tennessee: 23%
7. Alabama: 22%
8. Louisiana: 22%
9. Oklahoma: 22%
10. South Carolina: 21%
Intriguing fact: Georgia edges past even Kentucky and West Virginia, both states famous for their ties to tobacco farming. In Georgia and across much of the Southeast, high tobacco usage often correlates with lower incomes, historical dependence on tobacco crops, and local social norms that make smoking more acceptable.
1. Massachusetts: 11%
2. California: 11%
3. Utah: 12%
4. Hawaii: 12%
5. New Jersey: 13%
6. Connecticut: 13%
7. New York: 13%
8. Washington: 14%
9. Maryland: 14%
10. Colorado: 15%
Intriguing fact: Massachusetts and California lead as the states with the lowest tobacco usage. The bottom of the list is dominated by states with rigorous tobacco control programs, cultural aversion to smoking, and higher education and income levels. Utah’s low rate is also driven by religious and community norms that strongly discourage tobacco.
States at the top of tobacco usage, especially in the Southeast, are shaped by a long history of tobacco as a crop and less aggressive anti-smoking campaigns. Economic factors and rural lifestyles also play a role. In contrast, states with the lowest use benefit from aggressive public health campaigns, strict law enforcement, higher cigarette taxes, and, in some cases like Utah, powerful religious values.
America’s tobacco use map tells the story of regional legacy, public health policy, economics, and culture. The nearly threefold difference between Georgia and Massachusetts is a stark reminder of how place shapes health behaviors. Knowing a state’s tobacco risk profile is crucial for residents, healthcare planners, and anyone considering a move or investment.
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Retirement-friendly

or dominated by young professionals.

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Check my neighborhoodHere’s why school rankings matter and how Map AI can help you make the best choice.
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Compare neighborhoodsHow Map AI makes сrime heatmaps easy to use
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Then select “Filters” from the menu on the right side, choose "Housing" – “Median gross rent” / “ Median home value”, and set your budget.

The map highlights these towns in green, showing median home prices and rental rates.

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This blog explores the link between smoking, drinking habits, and life expectancy across America, highlighting geographic disparities from state to county level using detailed Map AI data.
Read moreUse Map AI to explore, compare, and find the best fit - all with detailed insights and smart reports on any neighborhood.