Tobacco Use Prevention and Control

Indiana State Facts

Adult Prevalence:
High School Smoking Rate:
Middle School Smoking Rate:
Smoking Attributable Deaths:
Smoking Attributable Lung Cancer Deaths:
Smoking Attributable Respiratory Disease Deaths:


Adult smoking rate is taken from CDC's Behavioral Risk Factor Surveillance System, 2008 Prevalence Data. High school smoking rate is taken from the 2007 Youth Risk Behavioral Surveillance System. Middle school smoking rate is taken from the 2008 Indiana Youth Tobacco Survey.

Health impact information is taken from the Smoking Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking attributable deaths reflect average annual estimates for the period 2000-2004 and are calculated for persons aged 35 years and older. They do not take into account deaths from burns or secondhand smoke. Respiratory diseases include pneumonia, influenza, bronchitis, emphysema and chronic airway obstruction. The estimated economic impact of smoking is based on smoking-attributable health care expenditures in 2004 and the average annual productivity losses for the period 2000-2004.


Throughout 2009, the American Lung Association in Indiana worked steadily as a coalition partner and leader to implement programs that support tobacco prevention and cessation, and to promote legislation that ensures smokefree indoor air for all workers. The Lung Association's work extended from community-based efforts for smokefree air ordinances and tobacco control to a push for a statewide comprehensive smokefree air law and large-scale partnerships with the Indiana Tobacco Prevention and Cessation Agency (ITPC) and other statewide partners.

During the 2009 legislative session, State Rep. Charlie Brown introduced a comprehensive smokefree workplace bill in the state legislature. Periodic polling indicates that public awareness and support for the issue is growing; however, during debate in the state House of Representatives, the comprehensive bill was watered down to exempt casinos and restaurants/bars that did not admit patrons under 18. The watered down bill passed out of the House on a 70-26 vote but was not heard in the Senate. The Indiana Campaign for Smoke Free Air was encouraged that the weak bill was not passed during the 2009 session and will continue to work to pass comprehensive legislation next session.

The Indiana legislature was forced to cut Indiana's state budget drastically due to a poor economy. Unfortunately, ITPC received a 33 percent cut in funding - reducing the annual allocation from $16.2 million to $10.85 million. This cut comes at an inopportune time. Statewide data was released showing a 21 percent decline in high school smoking rates, and a 47 percent decline in middle school smoking rates, within the past calendar year. This budget will be in effect until 2011. ITPC, however, remains confident that the efforts in prevention and cessation will continue to be effective with Indiana residents.

This year, the Lung Association, along with partners from the Indiana Campaign for Smoke Free Air and ITPC published two compelling studies that support the need for smokefree air. The first study showed that the average level of fine particle indoor air pollution on the casino gaming floors in Indiana's 11 casinos was 14 times higher than outdoor background levels.

The second study showed that combined healthcare costs and loss of life costs due to secondhand smoke exceeded $390 million for Indiana in 2007. Moreover, the study did not include any direct healthcare or loss of life costs from Indiana residents who do smoke, which is estimated to exceed $2 billion.

As we enter the 2010 session, the American Lung Association in Indiana is prepared to continue to push for a comprehensive smokefree law for the entire state and to work with tobacco control and prevention partners to emphasize the need for such policies and programs to make Indiana a healthy and forward-thinking state.

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