Tobacco Use Prevalence

Tobacco Industry Marketing and Targeting

Tobacco companies often target their advertising campaigns toward low-income neighborhoods and communities.3

  • Researchers have found a higher density of tobacco retailers in low-income neighborhoods.12
  • Tobacco companies have historically targeted women of low SES through distribution of discount coupons, point-of-sale discounts, direct-mail coupons, and development of brands that appeal to these women.13

Culturally appropriate anti-smoking health marketing strategies and mass media campaigns like CDC’s Tips From Former Smokers national tobacco education campaign, as well as CDC-recommended tobacco prevention and control programs and policies, can help reduce the burden of disease among people of low SES status.

Youth Surveys

Vape Data


1.      U.S. Census Bureau. Income and Poverty in the United States: 2016external icon. Last updated 2018 April 10 [accessed 2018 Jun 13].

2.      U.S. Census Bureau. Educational Attainment in the United States: 2017external icon. Last updated 2017 Dec 11 [accessed 2018 Jul 12].

3.      U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2016 Jun 13].

4.      Substance Abuse and Mental Health Services Administration. Results from the 2016 National Survey on Drug Use and Health: Detailed Tables. pdf icon[PDF–56.2 KB]external icon Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, 2014 [accessed 2018 Jul 12].

5.      Campaign for Tobacco-Free Kids. Tobacco and Socioeconomic Status pdf icon[PDF–56.2 KB]external icon. Washington, D.C.: Campaign for Tobacco-Free Kids, 2015 [accessed 2018 Jun 13].

6.      Singh GK, Williams SD, Siahpush M, Mulhollen A. Socioeconomic, Rural-Urban, and Racial Inequalities In US Cancer Mortality: Part I—All Cancers and Lung Cancer and Part II—Colorectal, Prostate, Breast, and Cervical Cancersexternal icon. Journal of Cancer Epidemiology 2011; [accessed 2018 Jun 13].

7.      Clegg LX, Reichman ME, Miller BA, Hankey BF, Singh GK, Lin YD, et al. Impact of Socioeconomic Status on Cancer Incidence and Stage at Diagnosis: Selected Findings from the Surveillance, Epidemiology, and End Results: National Longitudinal Mortality Studyexternal icon. Cancer Causes and Control 2009;20(4) [accessed 2018 Jun 13].

8.      Siahpush M, Singh GH, Jones PR, Timsina LR. Racial/Ethnic and Socioeconomic Variations in Duration of Smoking: Results from 2003, 2006 and 2007 Tobacco Use Supplement of the Current Population Surveyexternal icon. Journal of Public Health 2009;32(2):210-8 [accessed 2018 Jun 13].

9.      Ham DC, Przybeck T, Strickland JR, Luke DA, Bierut LJ, Evanoff BA. Occupation and Workplace Policies Predict Smoking Behaviors: Analysis of National Data from the Current Population Surveyexternal icon. Journal of Occupational and Environmental Medicine 2011;53(11):1337-45 [accessed 2018 Jun 13].

10. Centers for Disease Control and Prevention. Vital Signs: Disparities in Nonsmokers’ Exposure to Secondhand Smoke—United States, 1999–2012. Morbidity and Mortality Weekly Report 2015;64(04):103–8 [accessed 2018 Jun 13].

11. Arheart KL, Lee DJ, Dietz NA, Wilkinson JD, Clark III JD, LeBlanc WG, Serdar B, Fleming LE. Declining Trends in Serum Cotinine Levels in U.S. Worker Groups: The Power of Policy. Journal of Occupational and Environmental Medicine 2008;50(1):57–63 [cited 2018 Jun 13].

12. Yu D, Peterson NA, Sheffer MA, Reid RJ, Schneider JE. Tobacco Outlet Density and Demographics: Analysing the Relationships with a Spatial Regression Approach. Public Health, 2010;124(7):412–6 [cited 2018 Jun 13].

13. Brown-Johnson CG, England LJ, Glantz SA, Ling PM. Tobacco Industry Marketing to Low Socioeconomic Status Women in the USA. Tobacco Control. Published online first: 2014 Jan 21, doi:10.1136/tobaccocontrol-2013-051224 [cited 2018 Jun 13].

For Further Information

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Phone: 1-800-CDC-INFO

Media Inquiries: Contact CDC’s Office on Smoking and Health press line at 770-488-5493.

1-917-304-8230 text message or call
Vincenzo Gennaro
1-281-231-2483 Fax

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