Tobacco Use in Maryland 2020

Cigarette use in Maryland:

In 2018, 12.6% of adults in Maryland smoked cigarettes, while nationally, the rate was 16.1%.In 2018, 4.3% of adults in Maryland used e-cigarettes and 2.0% used smokeless tobacco.2 In contrast we see youth smoking at higher rates of e-cigarettes than traditional cigarettes. Specifically in2019, 5.0% of high school students in Maryland smoked cigarettes on at least one day in the past 30 days, while nationally, the rate was 6.0%.3 In 2019, 23.0% of high school students in Maryland used electronic vapor products on at least one day in the past 30 days, while nationally the rate was 32.7%.3

Maryland tobacco laws:

Laws and taxes associated with smoking are meant to help deter smokers. Maryland is ranked 17th in the U.S. for its cigarette tax of $2.00 per pack (enacted January 2008), compared with the national average of $1.82. (The District of Columbia has the highest tax at $4.50.)4-6 Clean indoor air ordinances prohibit smoking in all government and private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments, retail stores and recreational/cultural facilities,5 yet no smoke-free restrictions exist for e-cigarette use.Additionally, in December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products (including electronic smoking devices and e-cigarettes) to 21.4,5

Quitting smoking and vaping in Maryland:

Maryland is invested to aid smokers in quitting. The CDC estimates that 53.6% of daily adult smokers in Maryland quit smoking for one or more days in 2018.2 Maryland’s state quit line invests $3.73 per smoker, compared with the national average investment per smoker of $2.21.5


More information can be accessed here(link is external)


Notes and references

Updated August 2020

1. CDC, Behavioral Risk Factor Surveillance System, 2018.

2. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2020. 

3. CDC, Youth Risk Behavioral Surveillance System, 2019.

4. American Lung Association, State Legislated Actions on Tobacco Issues (SLATI).

5. American Lung Association, State of Tobacco Control, 2020.

6. Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings. is external). Accessed.

7. Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review. is external). Accessed.