Toll of Tobacco in the United States

The Toll of Tobacco in Hawaii

Updated Jan. 8, 2015

The Toll of Tobacco in Hawaii

High school students who smoke 10.4% (6,600)
Male high school students who use smokeless or spit tobacco 4.8% (females use much lower)
Kids (under 18) who become new daily smokers each year 1,000
Packs of cigarettes bought or smoked by kids each year 1.3 million
Adults in Hawaii who smoke 13.3% (145,800)


U.S. National Data (2013)

High school smoking rate: 15.7%
Male high school students who use smokeless tobacco: 14.7%
Adult smoking rate 17.8%


Deaths in Hawaii from Smoking

Adults who die each year from their own smoking 1,400
Kids now under 18 and alive in Hawaii who will ultimately die prematurely from smoking 21,000

Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined — and thousands more die from other tobacco-related causes — such as fires caused by smoking (more than 1,000 deaths/year nationwide) and smokeless tobacco use.

Smoking-Caused Monetary Costs in Hawaii

Annual health care costs in Hawaii directly caused by smoking $526 million
Portion covered by the state Medicaid program $141.7 million
Residents' state & federal tax burden from smoking-caused government expenditures $834 per household
Smoking-caused productivity losses in Hawaii $387.3 million

Amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, smokeless tobacco use, or cigar and pipe smoking. Tobacco use also imposes additional costs such as workplace productivity losses and damage to property.

Tobacco Industry Influence in Hawaii

Annual tobacco industry marketing expenditures nationwide $8.8 billion
Estimated portion spent for Hawaii marketing each year $26.9 million

Published research studies have found that kids are twice as sensitive to tobacco advertising than adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure. One-third of underage experimentation with smoking is attributable to tobacco company advertising.

View sources of information.

More detailed fact sheets on tobacco's toll in each state are available by emailing