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Earlier this summer, public health nonprofit the Truth Initiative released a new report on “Tobacco Nation,” the 12 contiguous states (including Ohio) that have smoking rates that are 50% higher than the national average. This list of states overlaps substantially with the states ranked in the bottom quartile for population health in HPIO's 2023 Health Value Dashboard. In fact, 11 of the 13 bottom quartile states are part of Tobacco Nation, as illustrated above.

Analysis from HPIO has found a strong link between smoking rates and overall population health and healthcare spending. Ohio reports higher rates of adult smoking than most other states (ranking near the bottom at 44th) and Dashboard analysis “found a strong correlation between adult smoking and health value, indicating that tobacco use is a leading driver of poor health and higher healthcare spending.” 

Previous analysis by HPIO also supports the link between tobacco use, population health and healthcare spending, “States with a lower adult smoking rate are more likely to have a better health value rank— meaning better population health outcomes and lower healthcare spending,” the analysis found.

All of HPIO’s work related to tobacco is available on the Institute’s website.