Key Points:

• In 2023, 111,248 Montana adults (12.4 percent) were currently smoking. This is an 18.4 percent decrease from 2022 and represents 23,474 fewer adults smoking.

• Among all smoking adults in Montana in 2023, 7.1 percent were 18 to 24 years old, 38.5 percent were 25 to 44 years old, 36.1 percent were 45 to 64 years old, and 18.3 percent were 65 years or older.

• Among all adults earning $25,000 or less in 2023, 30.1 percent were currently smoking compared to 6.3 percent of adults earning $50,000 or more.

• Among all smoking adults in Montana in 2023, 78.4 percent were White, 10.1 percent were American Indian/Alaska Native, 7.9 percent were Multiracial, and 3.6 percent were Hispanic.

• In 2023, 69,979 Montana adults (7.8 percent) were currently using e-cigarettes. This is a 1.3 percent increase from 2022 and represents 1,731 additional adults vaping.

• Among all vaping adults in Montana in 2023, 33.5 percent were 18 to 24 years old, 45.9 percent were 25 to 44 years old, 16.3 percent were 45 to 64 years old, and 4.3 percent were 65 years or older.

• In 2023, for every one Montana high school student who was smoking, more than 31 adults were currently using cigarettes.

• In 2023, for every one Montana high school student who was vaping, more than four adults were currently using e-cigarettes.

• The introduction of e-cigarettes has not led to increases in cigarette smoking, but rather, correlates with significant declines in smoking rates among young adults.

• Between 2007 and 2023, smoking rates among Montana adults aged 18 to 24 years old decreased by 74.8 percent.

• E-cigarette use has decreased among Montana young adults. Between 2022 and 2023, e-cigarette use among 18- to 24-year-olds decreased by 13.2 percent.

• Cigarette excise taxes in Montana disproportionately impact low income and low education persons, while failing to significantly reduce smoking rates among that class.

• Among Montana adults earning $25,000 or less, smoking rates increased on average by 0.1 percent annually between 2003 and 2023, while rates among adults earning $50,000 or more decreased by 3 percent during the same period.

• In 2023, low-income adults were 4.8 times more likely to smoke than high income earners.

• In 2023, among Montana adults who did not graduate high school, 24.2 percent were currently smoking, while only 4.9 percent of college graduates were smoking.

• In 2023, adults lacking a high school diploma were 4.9 times more likely to smoke than college graduates.

• Montana woefully underfunds programs to prevent youth use of tobacco and/or vapor products and help adults quit smoking, while simultaneously receiving millions of dollars from the pockets of the adults who smoke. In 2023, for every $1 the state received in tobacco monies, it spent only $0.06 on tobacco control efforts.