The Ohio Health Issues Poll (OHIP) is conducted every year to learn more about the health opinions, behaviors and status of Ohio adults. In 2018, OHIP asked Ohio adults about their tobacco use and whether they support several tobacco control policy changes.
OHIP asked Ohio adults, “Do you favor or oppose increasing the minimum legal age of sale for tobacco products from 18 to 21 years of age?” This policy is commonly known as Tobacco 21. About half of Ohio adults (54%) favor raising the minimum legal sale age of tobacco. This is lower than the nearly 8 in 10 adults nationwide (75%) who favor raising the minimum legal sale age of tobacco.1 Support for such a law in Ohio has not changed since this question was first asked in 2016.
Most Democrats (56%) and Republicans (55%) in Ohio favor raising the minimum legal sale age of tobacco products. Additionally, adults who are previous smokers (51%) or who have never smoked (63%) are more likely than current smokers (37%) to favor a Tobacco 21 policy.
In 2018, about 2 in 10 Ohio adults reported being current smokers (23%). About 5 in 10 Ohio adults (52%) said they had never smoked cigarettes. Two in 10 reported being previous smokers (25%). These percentages have remained relatively stable since OHIP began asking about smoking status in 2006. However, Ohio adults are more likely than adults nationwide to report being current smokers.
In 2017, fewer than 2 in 10 adults in the nation were current smokers (15%). Just more than 2 in 10 U.S. adults were previous smokers (25%). Six in 10 U.S. adults had never smoked (60%).2 Ohio adults who earn 200% of the Federal Poverty Guidelines (FPG)3 or less were about twice as likely to report being current smokers (35%) as adults earning more than 200% FPG (16%). Although the percentage of smokers among Ohio adults who earn more than 200% FPG has decreased since 2006, this percentage has not changed among Ohio adults who earn 200% FPG or less. (See graph)
OHIP asked Ohio adults whether they favored or opposed three other policies that could be useful to reduce tobacco use:
Tobacco control policies can be a very effective tool to reduce tobacco use. According to the Centers for Disease Control and Prevention (CDC), most cigarette users begin smoking before age 21.4 Making it more difficult for youth to access tobacco products and less likely to become addicted at a young age is part of a larger strategy to reduce tobacco use. In addition, monitoring the percentage of adults who smoke is important for understanding the burden of tobacco and nicotine addiction in our region.
1 King, B.A., Jama, A.O., Marynak, K.L., & Promoff, G.R. (2015). Attitudes Toward Raising the Minimum Age of Sale for Tobacco Among U.S. Adults. American Journal of Preventive Medicine. 49 (4), 583-588.
2 National Center for Health Statistics. (2018, June 26). 2017 National Health Interview Survey (NHIS) Sample Adult Public Use File (samadult). Retrieved from: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2017/samadult_freq.pdf.
3 In 2017, 200% FPG for a family of four was $49,200.
4 Centers for Disease Control and Prevention. (2018, June 25). Smoking & Tobacco Use – Youth and Tobacco Use. Retrieved from: https://www.
Interact for Health regularly conducts research and collects data in order to monitor and evaluate our region’s health status and to measure public opinions about health policy.
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