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South Dakota

US SD
The Toll of Tobacco in South Dakota
High school students who smoke (2025) 3.3% (1,700)
High school students who use e-cigarettes (2025) 9.5%
Male high school students who smoke cigars (female use much lower) (2025) 3.7%
Kids (under 18) who try cigarettes for the first time each year 1,700
Adults in South Dakota who smoke (2025) 13.7% (97,900)
Deaths in South Dakota from Smoking
Adults who die each year from their own smoking 1,300
Proportion of cancer deaths in South Dakota attributable to smoking 29.1%
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 South Dakota
Annual health care costs in the state directly caused by smoking $433 million
Portion covered by the state Medicaid program $75.5 million
Residents' state & federal tax burden from smoking-caused government expenditures $1,011 per household
Smoking-caused productivity losses in state $838.6 million
Amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, or use of non-cigarette tobacco products. Productivity losses are from smoking-caused premature death and illness that prevent people from working. Tobacco use also imposes costs such as damage to property.
Tobacco Industry Influence in South Dakota
Annual tobacco industry marketing expenditures nationwide $10.5 billion
Estimated portion spent for this state marketing each year $24.9 million
Published research studies have found that kids are twice as sensitive to tobacco advertising as 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.

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Last updated Oct. 13, 2026