Smoking in Scotland

19% of men and 16% of women in Scotland smoke.

Smoking rates

Smoking rates have dropped significantly from 52% in 1974 to 28% in 2003 and 17% in 2019.

1.6% of 13-year-olds and 4.3% of 15-year-olds in Scotland are regular smokers.

11% of pregnant women in Scotland smoke at the time of their first antenatal appointment, a 14% decline over the last 20 years.

Two thirds of Scottish smokers say they would like to stop smoking.

An estimated 28 young adults (aged 18-25) start smoking every day.

People who smoke use an average of 11.4 cigarettes a day.

Death and disease

In 2022, there were 8,942 smoking-attributable deaths, accounting for 20% of all deaths in Scotland. Smoking is linked to more deaths than suicide, alcohol, homicide, drug, fire and accidental deaths combined.

A hospital ward has two empty beds on the left of the room, one empty bed partially obscured by privacy curtain

There were 88,779 smoking-related hospital admissions, equating to 243 people every day. Smoking-attributable admissions accounted for around 8% of all hospital admissions in 2022.

An average of 22 years of life are lost for every smoking-related death in Scotland.

It is estimated that the smoking costs NHS Scotland between £250 and 500 million.

Deprivation and inequalities

People in the poorest communities are 3.5 times more likely to smoke (25%) than those in the wealthiest communities (7%).

20% of people with a long-term mental health disorder smoke compared to 15% without.

Pregnant women in the most deprived SIMD quintile were 8.5 times more likely to report smoking at their first antenatal appointment (20.4%) compared to those in the least deprived quintile (2.4%).

72% of all smokers are from the 40% most deprived communities in Scotland (SIMD 1+2)

Finances and poverty

An ASH Scotland report from 2023 showed that the average smoking household spends 8% of its income on tobacco.

In contrast, households in the most deprived communities spend 12% and those in the least deprived spend 4.9%.

The average smoker will spend around £2,450 a year on smoking in 2024.

Around 60,600 households would be lifted out of relative poverty if they quit smoking.

Read more about smoking in deprived areas

You can download a PDF file of the 'Smoking in Scotland' factsheet which includes references.

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