Oregon Tobacco Facts

One of the primary responsibilities of the Oregon Tobacco Prevention and Education Program is to collect and report data about tobacco use and related topics among Oregon adults and youth.

The Oregon Tobacco Facts publication is a collection of this data. It includes tables, graphs and maps that describe tobacco use, economic burden, related diseases, and retail marketing in Oregon.

Fact sheets for each county can be found in Oregon County Tobacco Facts.

Oregon Tobacco Facts Table of Contents

The Oregon Tobacco Facts report includes the following sections.

Executive summary: Overview of the problem of tobacco, and the Oregon Tobacco Prevention and Education Program
Health and economic burden of tobacco: Includes leading causes of preventable death, tobacco-related death rates and tobacco-related economic costs
Tobacco-related diseases: Includes chronic diseases among smokers, and tobacco-related cancer diagnoses and death rates
Adult cigarette smoking: Includes overall tobacco use, per capita cigarette pack sales over time and cigarette smoking by age, sex, county and other demographics
Youth tobacco use: Includes cigarette smoking and e-cigarette use by grade and county
Tobacco marketing and its effect in communities: Includes tobacco use by race, ethnicity, sexual orientation and other targeted demographics
Retail tobacco environment and marketing: Includes advertising exposure, price information, marketing expenditures and characteristics of stores that sell tobacco
Citations

Suggested citation: Oregon Health Authority Public Health Division, Health Promotion and Chronic Disease Prevention Section. Oregon tobacco facts [Internet]. Salem (OR): Oregon Health Authority; 2026 [cited (YEAR) (MONTH) (DAY)]. Available from: https://www.oregon.gov/oha/ph/preventionwellness/tobaccoprevention/pages/oregon-tobacco-facts.aspx

Section 1: Executive summary

The Oregon Tobacco Prevention and Education Program (TPEP) is a comprehensive program that works to decrease tobacco use across the state.

Together with partners, TPEP works to improve policies and environments that prevent youth use, help adults quit and counter the tobacco industry's targeting of stressed communities. Although communities have taken great strides toward decreasing tobacco use, some Oregonians have benefited more from these changes than others. To find out more about the work that Oregon's TPEP is doing visit https://www-auth.oregon.gov/oha/ph/preventionwellness/tobaccoprevention/pages/index.aspx.

Since TPEP began in 1997, cigarette sales in Oregon have declined by about three-quarters (Figure 4.1). However, tobacco use remains the number one cause of preventable death and disease in Oregon. It kills more than 8,000 people each year (Table 2.1). Tobacco use costs Oregonians an estimated $5.7 billion a year in medical expenses and lost productivity (Table 4.2).

This website describes current tobacco use, tobacco-related diseases, disparities and issues impacting tobacco use throughout Oregon. Some key findings on this site are:

Youth (Figure 5.1) and adult (Table 4.2) cigarette smoking has decreased from 1997 to 2024 However, use of non-cigarette products is on the rise (Table 4.3; Figure 5.1), including products we don't have Oregon specific data on yet, such as oral nicotine pouches.
Data show that more than two-thirds of youth and young adults who use tobacco are using flavored tobacco or vaping products (Figure 5.4).
On March 17, 2022, the Federal Trade Commission (FTC) published their first report on e-cigarettes. The data show, similar to cigarettes and smokeless tobacco, the retail setting is where e-cigarette companies are spending most of their money (1).
Almost 80% of the tobacco industry's total marketing expenditures for cigarettes and smokeless tobacco products (2) and 61% of e-cigarette products (1) are in the retail environment including convenience stores, pharmacies and grocery stores.
The tobacco industry spends more than $190 million every year to advertise and promote its products in Oregon's stores (Figure 7.1).
The tobacco industry targets people who have faced racism and other discrimination, people with lower incomes and people who are stressed or struggling. For example, about one in five Oregonians with a household income of less than $25,000 a year smoke compared to less than one in 20 Oregonians with a household income of more than $150,000 a year smoke (Table 6.1).

When OHA refers to tobacco in this report, it is in reference to commercial tobacco and not the sacred and traditional tobacco used by some American Indian communities for medicinal, ceremonial or religious purposes.

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Section 2: Health and economic burden of tobacco

Tobacco use impacts all Oregonians. Tobacco use is the number-one cause of preventable death and disease in Oregon. Each year, tobacco use kills over 8,000 Oregonians (Table 2.1) and costs almost $5.7 billion in medical expenses and lost productivity (Table 2.3).

The burden of tobacco is not distributed equally. People living with lower incomes, less education, and groups that have been socially marginalized smoke at higher rates than other social groups. Consequently, they suffer a disproportionate burden of tobacco-related illness and death. They are also the most exploited victims of predatory marketing practices that capitalize on their lack of education and other vulnerabilities. Additionally, many of the groups experiencing disproportionate impact of tobacco us do not receive adequate access to treatment or protection through public health policy interventions.

Table 2.1 Underlying causes of tobacco-related deaths, Oregon, 2024

Tobacco-related deaths by cause
Cause of death	Number of deaths	Tobacco-related deaths (%)
Cancers	2,160	27
Chronic lower respiratory diseases	1,395	17
Diseases of the heart	1,708	21
Stroke	362	5
Other	2,391	30
Total tobacco-related deaths	8,016	100

Source: Oregon Center for Health Statistics, Death data.

Table 2.2 Tobacco-related death rates per 100,000 population by county, Oregon

Oregon vs U.S. rates over time
County	Number of deaths	Rate
Oregon	33,174	142.0
Baker	237	195.3
Benton	469	96.7
Clackamas	2,455	99.7
Clatsop	484	180.2
Columbia	666	210.4
Coos	1,190	255.1
Crook	370	205.9
Curry	398	182.3
Deschutes	1,635	138.0
Douglas	1,918	237.4
Gilliam	24	142.3
Grant	73	111.1
Harney	85	155.5
Hood River	126	98.2
Jackson	1,992	138.1
Jefferson	290	218.0
Josephine	1,194	180.3
Klamath	1,213	291.4
Lake	144	257.3
Lane	3,626	163.8
Lincoln	883	217.9
Linn	1,398	191.5
Malheur	324	201.3
Marion	1,061	113.7
Morrow	112	194.8
Multnomah	4,624	128.0
Polk	478	96.9
Sherman	21	136.6
Tillamook	279	132.9
Umatilla	731	186.9
Union	235	154.7
Wallowa	91	155.7
Wasco	289	179.0
Washington	2,365	87.1
Wheeler	23	155.1
Yamhill	771	128.6

Source: Oregon Center for Health Statistics, Death data.

Note: Rates are per 100,000 population and are age-adjusted to the 2000 standard population.

Table 2.3 Estimated costs of tobacco-related medical treatment and lost productivity (in millions of dollars), Oregon, 2021

Costs by Oregon and Oregon counties
County	Total Costs	Cost of Lost Productivity	Medical Costs
Oregon	5,691.7	5,453.0	238.5
Baker	17.8	16.9	0.9
Benton	35.9	32.9	3.0
Clackamas	245.0	232.5	12.5
Clatsop	46.2	41.6	4.6
Columbia	49.0	43.7	5.3
Coos	114.2	103.8	10.4
Crook	30.3	25.3	5.0
Curry	34.6	30.9	3.7
Deschutes	103.3	94.0	9.3
Douglas	172.0	161.0	11.0
Gilliam	1.9	1.8	0.1
Grant	8.6	7.4	1.2
Harney	5.3	4.6	0.7
Hood River	12.3	10.9	1.4
Jackson	213.4	200.6	12.8
Jefferson	20.9	18.1	2.8
Josephine	113.9	105.6	8.3
Klamath	90.5	82.7	7.8
Lake	8.5	6.9	1.6
Lane	310.3	295.3	15.0
Lincoln	75.0	67.9	7.1
Linn	135.6	126.0	9.6
Malheur	20.8	20.1	0.7
Marion	243.1	228.8	14.3
Morrow	8.3	8.0	0.3
Multnomah	531.3	505.8	25.5
Polk	52.3	48.3	4.0
Sherman	1.5	1.2	0.3
Tillamook	38.5	33.8	4.7
Umatilla	48.0	44.4	3.6
Union	19.6	18.6	1.0
Wallowa	4.7	4.3	0.4
Wasco	32.6	28.8	3.8
Washington	227.8	215.9	11.9
Wheeler	1.5	1.2	0.3
Yamhill	85.5	77.5	8.0

Source: Oregon Health Authority. Economic Costs of Tobacco Use in Oregon. Calculations Based on Oregon Population Data 2015-2019 and the Department of Health and Human Services (US) Smoking-Attributable Mortality, Morbidity, and Economic Costs (SAMMEC) data, 2021. Unpublished data.

*State and county estimates are calculated on different measures.

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Section 3: Tobacco-related diseases

Tobacco use is a major risk factor for developing chronic diseases such as cancer, cardiovascular disease, diabetes and asthma (3). Oregonians who smoke are about 35% more likely to have one or more chronic diseases compared to nonsmokers - i.e. 67% vs 47% (4).

When people experience severe or long-lasting forms of stress, health problems like high blood pressure, elevated heart rate, and anxiety develop. People who are part of marginalized social groups experience prejudice and discrimination which can lead to using tobacco to relieve stress. Additionally, under the pressure of this stress, it is harder for people to quit using tobacco.

About one out of seven Oregonians with a chronic disease smoke cigarettes (Table 3.1). Using tobacco worsens outcomes for people living with chronic diseases. Quitting tobacco use and reducing exposure to secondhand smoke decreases the risk of developing certain chronic diseases and improves the health outcomes of those already living with chronic diseases. To advance better health for communities experiencing disadvantage, tobacco cessation efforts must be tailored to communities that might not be reached by general efforts.

Table 3.1 Percentage of adults with chronic diseases who smoke cigarettes, Oregon, 2024

Prevalence of chronic diseases
Condition	Percent (%)
One or more chronic diseases(1)	13.5
Arthritis	16.5
Asthma	13.9
Cancer	16.6
Cardiovascular disease(2)	24.1
Chronic obstructive pulmonary disease (COPD)	35.6
Depression	15.6
Diabetes	13.0

(1) One or more chronic disease includes arthritis, asthma, diabetes, cancer, cardiovascular disease, depression or chronic obstructive pulmonary disorder.

(2) Cardiovascular disease includes coronary heart disease, angina, heart attack or stroke.

Source: Oregon Behavioral Risk Factor Surveillance System.

Note: Estimates are age-adjusted to the 2000 standard population.

Table 3.2 Rate of lung and bronchus cancer diagnoses and death per 100,000 population by county, Oregon

Rates by Oregon and Oregon counties
County	Rate of new diagnoses	Death rate
Oregon	47.3	30.1
Baker	41.2	43.8
Benton	27.5	23.3
Clackamas	43.3	25.7
Clatsop	51.2	28.8
Columbia	65.5	38.3
Coos	62.2	43.0
Crook	62.2	34.0
Curry	46.6	38.8
Deschutes	41.1	22.7
Douglas	50.1	41.9
Gilliam	27.6*	25.1
Grant	38.7	30.8
Harney	46.6	31.9
Hood River	34.0	20.8
Jackson	48.4	28.5
Jefferson	56.9	34.2
Josephine	62.2	40.8
Klamath	46.5	38.8
Lake	38.3	26.0
Lane	39.1	32.9
Lincoln	52.0	29.7
Linn	55.0	42.6
Malheur	43.7	34.6
Marion	54.4	31.3
Morrow	52.1	34.0
Multnomah	51.6	27.7
Polk	43.6	29.3
Sherman	37.2	—
Tillamook	54.8	39.6
Umatilla	48.5	35.0
Union	36.2	21.4
Wallowa	28.9	27.4
Wasco	56.5	42.3
Washington	42.0	22.2
Wheeler	55.3	29.4
Yamhill	48.3	29.6

Source: Diagnosis data from Oregon State Cancer Registry 2018-2022, death data from Oregon Center for Health Statistics 2019-2023.
Note: Rates are per 100,000 population and age‐adjusted to the 2000 standard population.
* Data may be unreliable due to the small numbers of deaths.
-- Data not reported due to the small numbers of deaths.

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Section 4: Adult cigarette smoking

Tobacco prevention and education programs across Oregon began in 1997 and have increased access to tobacco free environments and evidence-based quitting support. Since 1996 (the year prior to the inception of TPEP), the percentage of Oregon adults who smoke cigarettes has declined by 53%. The decline in adult smoking corresponds with a 80% decrease in per capita cigarette sales since 1996 (Table 4.1). Oregonians are smoking less or quitting entirely. Over half of adult cigarette smokers say they have tried to quit in the past year (Table 4.6).

Despite progress, smoking affects some communities more than others.

About one in four Oregonians with a household income of less than $25,000 a year smoke. In comparison, less than one in 10 Oregonians with a household income of more than $150,000 a year smoke (Table 6.1).
Race and ethnicity are also important factors. Twenty-seven percent of non-Latino/a/x/e American Indian and Alaska Native in Oregon smoke compared to 13% of non-Latino/a/x/e whites (Figure 6.1).

The environments and systems that have contributed to these disparities must be addressed to reduce tobacco use and tobacco-related diseases. To learn more about smoking disparities, see section six of this website.

Table 4.1: Per capita cigarette pack sales, Oregon and the United States, 1993−2025

Oregon vs U.S. rates over time
Year	Oregon	U.S.
1993	98.7	97.5
1994	96.6	90.1
1995	94.6	91.6
1996	94.3	91.0
1997	89.5	90.2
1998	84.2	86.8
1999	79.9	81.1
2000	72.0	77.6
2001	68.6	75.6
2002	66.6	74.5
2003	60.9	71.7
2004	55.2	68.1
2005	53.2	66.0
2006	54.7	64.7
2007	55.5	62.4
2008	50.4	58.6
2009	48.4	55.1
2010	44.7	50.1
2011	47.0	48.5
2012	44.7	46.0
2013	43.3	44.7
2014	41.4	42.1
2015	40.5	41.8
2016	40.0	41.0
2017	38.3	39.4
2018	37.2	36.7
2019	35.0	35.1
2020	33.6	34.2
2021	29.6	33.5
2022	25.6	31.0
2023	23.3	27.9
2024	21.0	25.3
2025	18.6	23.5

Source: Orzechowski and Walker, The Tax Burden on tobacco. Historical compilation. Fairfax and Richmond, Virginia.

Figure 4.1: Per capita cigarette pack sales, Oregon and the United States, 1993−2025

Source: Orzechowski and Walker, The Tax Burden on tobacco. Historical compilation. Fairfax and Richmond, Virginia.

Table 4.2. Percentage of adult cigarette smoking by sex and total, Oregon, 1996–2024

Smoking prevalence by sex and year
Year	Total (%)	Male (%)	Female (%)
1996	23.7	24.2	23.1
1997	20.9	22.0	19.7
1998	22.0	22.9	21.1
1999	21.4	22.0	20.9
2000	21.0	22.3	19.8
2001	20.9	21.9	19.8
2002	21.4	22.6	20.1
2003	21.1	23.2	18.8
2004	20.1	21.4	18.7
2005	18.8	20.6	17.0
2006	18.6	20.1	17.2
2007	17.0	18.8	15.3
2008	15.7	16.1	15.4
2009	17.5	18.5	16.4
2010	20.7	22.3	19.1
2011	20.5	22.6	18.4
2012	18.5	19.9	17.2
2013	17.8	18.6	17.0
2014	16.9	18.2	15.7
2015	17.7	18.9	16.5
2016	17.1	19.4	14.9
2017	17.0	19.0	15.0
2018	16.3	16.0	16.7
2019	15.1	15.9	14.3
2020	14.1	15.2	13.0
2021	12.6	13.9	11.1
2022	12.6	13.8	11.3
2023	11.0	11.7	10.2
2024	11.0	12.8	9.1

Source: Adult Tobacco Use: Oregon Behavioral Risk Factor Surveillance System. Available from: https://www-auth.oregon.gov/oha/PH/DISEASESCONDITIONS/CHRONICDISEASE/DATAREPORTS/Pages/Substance-use.aspx.

Note: Estimates are age-adjusted to the 2000 standard population. Data collection and weighting methods changed in 2010. Estimates beginning in 2010 should not be compared to those from earlier years.

Table 4.3: Percentage of adult tobacco use, by product type, Oregon, 2014-2024

Tobacco product use by year
Year	Cigarettes (%)	E-cigarettes (%)	Smokeless Tobacco (%)	Any Tobacco Product (%)
2014	16.9	8.1	3.8	24.3
2015	17.7	6.5	4.1	25.7
2016	17.1	4.4	4.6	24.5
2017	17.0	4.9	4.0	26.4
2018	16.3	6.0	4.6	25.4
2019	15.1	6.6	3.9	24.6
2020	14.1	5.3	4.1	23.0
2021	12.6	6.9	4.1	24.0
2022	12.6	7.8	3.8	23.1
2023	11.0	9.4	3.5	22.4
2024	11.0	8.8	3.9	21.7

Any tobacco product includes cigarette, e-cigarette, smokeless tobacco, large or small cigars or hookah.

Source: Adult Tobacco Use: Oregon Behavioral Risk Factor Surveillance System. Available from: https://www-auth.oregon.gov/oha/PH/DISEASESCONDITIONS/CHRONICDISEASE/DATAREPORTS/Pages/Substance-use.aspx.

Note: Estimates are age-adjusted to the 2000 standard population.

Table 4.4 Percentage of adult tobacco use by age and sex, Oregon, 2024

Key: CS = Cigarette smoking EC = E-cigarette AOTP = Any other tobacco product ATP = Any tobacco product

M = Male F = Female T = Total

Cigarette and E-cigarette use by grade and year
Age groups	CS‑M	CS‑F	CS‑T	EC‑M	EC‑F	EC‑T	AOTP‑M⁽¹⁾	AOTP‑F⁽¹⁾	AOTP‑T⁽¹⁾	ATP‑M⁽²⁾	ATP‑F⁽²⁾	ATP‑T⁽²⁾
18–24	7.1	7.0^	7.1	14.1	26.2	19.9	10.7	8.7^	9.8	19.4	35.7	27.1
25–34	13.7	8.5	11.2	14.2	12.0	13.1	13.5	3.4^	8.6	32.1	19.3	25.9
35–44	19.2	9.2	14.4	9.3	10.5	9.9	12.8	1.7^{^}	7.3	32.8	19.0	26.0
45–54	11.9	11.9	11.9	4.3	7.6	6.0	12.5	—	6.3	24.7	16.4	20.5
55–64	13.7	12.7	13.2	3.6	3.8	3.7	12.5	—	7.0	25.3	16.6	21.1
65–74	11.1	8.2	9.5	1.5	1.1^	1.3	7.8	—	3.8	17.1	8.9	12.8
75+	4.0	3.4^	3.7	1.1^{^}	—	—	4.5^{^}	—	2.2	8.8	4.6	6.5

^ Indicates data may be unreliable because of the small number of people surveyed.
-- Indicates data are unavailable because of the small number of people surveyed.
(1) Other tobacco products include smokeless tobacco, large cigars or small cigars.
(2) Any tobacco product includes cigarette, e-cigarette, smokeless tobacco, large cigars or small cigars.
Source: Oregon Behavioral Risk Factor Surveillance System.

Figure 4.2 Percentage of adult cigarette smoking, by county, Oregon, 2020-2023

Counties filled in white are suppressed because they have statistically unreliable data.

Source: Oregon Behavioral Risk Factor Surveillance System County Combined dataset, 2018 –2023.
Note: Estimates are age-adjusted to the 2000 standard population.

Table 4.5 Percentage of adult cigarette smoking, by county, Oregon, 2020-2023

Percentage by Oregon county
County	Percent (%)
Oregon	12.7
Baker	15.9
Benton	8.0
Clackamas	11.4
Clatsop	13.9
Columbia	15.3
Coos	17.3
Crook	16.5
Curry	18.9
Deschutes	8.9
Douglas	19.8
Gilliam	11.2^
Grant	27.6
Harney	—
Hood River	8.5
Jackson	14.9
Jefferson	8.6
Josephine	18.0
Klamath	12.7
Lake	10.3^{^}
Lane	13.1
Lincoln	20.6
Linn	14.1
Malheur	14.4
Marion	13.3
Morrow	12.3^{^}
Multnomah	13.0
Polk	11.7
Sherman	16.7^{^}
Tillamook	23.2
Umatilla	12.5
Union	18.1
Wallowa	15.2
Wasco	16.9
Washington	8.0
Wheeler	—
Yamhill	9.3

^ indicates the estimate may be statistically unreliable and should be interpreted with caution.
-- Indicates data are unavailable because of the small number of people surveyed.
Source: Oregon Behavioral Risk Factor Surveillance System County Combined dataset, 2018 –2021. Unpublished data.
Note: Estimates are age-adjusted to the 2000 standard population.

Table 4.6 Percentage of adult smokers by quit status and county, Oregon, 2020–2023

Attempted to Quit Cigarette Smoking by County
County	Attempted to quit cigarette smoking during previous year (%)
Oregon	53.1
Baker	—
Benton	56.4
Clackamas	50.3
Clatsop	37.3
Columbia	50.2
Coos	63.4
Crook	—
Curry	—
Deschutes	70.3
Douglas	43.4
Gilliam	—
Grant	—
Harney	—
Hood River	—
Jackson	53.8
Jefferson	—
Josephine	54.6
Klamath	50.4
Lake	—
Lane	54.1
Lincoln	57.7
Linn	60.5
Malheur	—
Marion	51.9
Morrow	—
Multnomah	52.2
Polk	46.9
Sherman	—
Tillamook	—
Umatilla	51.4
Union	53.5
Wallowa	—
Wasco	—
Washington	59.9
Wheeler	—
Yamhill	52.2

-- this number is suppressed because it is statistically unreliable.
Source: Oregon Behavioral Risk Factor Surveillance System County Combined dataset, 2020 –2023. Unpublished data.
Note: Estimates are age-adjusted to the 2000 standard population.

Table 4.7 Percentage of births to mothers who used tobacco during pregnancy, Oregon and the United States, 1993–2024

Percent by year: U.S. vs Oregon
Year	U.S. (%)	Oregon (%)
1993	15.8	18.9
1994	14.6	18.2
1995	13.9	17.9
1996	13.6	17.8
1997	13.2	16.2
1998	12.9	15.2
1999	12.6	14.5
2000	12.2	13.5
2001	12.0	12.8
2002	11.4	12.6
2003	10.7	12.0
2004	10.2	12.6
2005	10.7	12.4
2006	10.0	12.3
2007	10.4	11.7
2008	9.7	11.8
2009	9.3	11.3
2010	9.2	11.3
2011	8.9	10.7
2012	8.7	10.6
2013	8.5	10.2
2014	8.4	10.4
2015	7.7	10.0
2016	7.2	9.6
2017	6.9	9.0
2018	6.5	8.4
2019	5.9	7.5
2020	5.5	6.8
2021	4.6	5.6
2022	3.7	4.5
2023	3.0	3.5
2024	2.4	2.8

Sources Oregon Center for Health Statistics; National Center for Health Statistics.

Figure 4.3 Percentage of births to mothers who used tobacco during pregnancy by county, Oregon, 2022–2024

Counties filled in white are suppressed because they have statistically unreliable data.

Source: Oregon Center for Health Statistics, Birth data. Unpublished data.

Table 4.8 Percentage of births to mothers who smoke cigarettes during pregnancy by county, Oregon, 2022–2024

Percent by Oregon county
County	Percent (%)
Oregon	2.3
Baker	6.9
Benton	3.3
Clackamas	2.2
Clatsop	6.8
Columbia	5.4
Coos	8.1
Crook	7.4
Curry	6.8
Deschutes	3.3
Douglas	8.6
Gilliam	—
Grant	10.2
Harney	7.8
Hood River	1.2
Jackson	4.8
Jefferson	6.8
Josephine	7.1
Klamath	7.4
Lake	9.7
Lane	5.1
Lincoln	7.6
Linn	5.3
Malheur	5.6
Marion	2.7
Morrow	4.0
Multnomah	2.4
Polk	3.6
Sherman	—
Tillamook	5.4
Umatilla	5.1
Union	8.1
Wallowa	4.9
Wasco	6.0
Washington	1.0
Wheeler	—
Yamhill	3.9

-- this number is suppressed because it is statistically unreliable.
Source: Oregon Center for Health Statistics, Birth data.

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Section 5: Youth tobacco use

Most addiction to tobacco starts in adolescence. In fact, nine of 10 adults who smoke report that they started smoking before turning 18 (5). Studies show that the younger someone is when they start smoking, the harder it is to quit (6, 7). Teenager's developing brains are vulnerable to the highly addictive nicotine in tobacco products (8).

The truth is, where you see a young person, tobacco companies see a replacement smoker (9). Data show that the industry has increased nicotine concentrations by about 60% between 2015 and 2018 (1).

From 1996 to 2025, cigarette smoking among 11th-graders decreased more than 90% and among eighth graders by more than 96% (Table 5.1).
Despite these decreases in youth smoking, many young people still smoke. Many of them will continue to smoke into adulthood.

Non-cigarette use

The rise in use of other tobacco products, such as little cigars, e-cigarettes and hookah, is also a concern.

In Oregon from 2013 to 2019, e-cigarette use among 11th graders increased over four-fold from 5% to 23% (Table 5.1). 2020 marked the first year that we saw a decrease in e-cigarette use among 11th graders and use has continued to decline through 2025 (8%).
Nearly three quarters (72%) of 11^th graders who have ever used tobacco report e-cigarettes as the first product used (Figure 5.2).

Less regulation

Non-cigarette tobacco products such as little cigars, electronic cigarettes, oral nicotine pouches and hookah are less regulated than cigarettes. Laws in the United States limit flavors, labeling and marketing of cigarettes. Cigarettes can no longer contain flavors other than menthol. Accordingly, cigarette use has declined. Non-cigarette tobacco products by comparison are cheap, available in flavors and come in packaging that appeals to young people. Non-cigarette tobacco products are heavily promoted in convenience stores and other locations accessible to youth.

Flavor appeal

Products with flavors such as electronic cigarettes, little cigars and hookah are more popular among youth and young adults compared to older adults (Table 5.6). More than two in three Oregon youths who use tobacco use flavored tobacco compared to about 18% of adults who use tobacco over the age of 35 (Figure 5.4). Flavors appear to be a key component for youth to start using tobacco (10).

Widely available

Nearly all stores in Oregon that sell tobacco sell flavored tobacco products (Table 7.2). More than half of Oregon 11th-graders (61%) report having seen advertising promoting tobacco or vaping products (11).

Cheap

Flavored non-cigarette tobacco products are cheap. Oral nicotine pouches, which are nearly all flavored, are cheaper than most other tobacco products. For example, a can of 15 nicotine pouches average at $5.37 compared to an average of $10.17 for a pack of 20 menthol cigarettes (Table 7.2). Low prices make these products more affordable for young people.

Table 5.1 Percentage of youth cigarette smoking and e-cigarette use, Oregon, 1996–2025

Cigarette and E-cigarette use by grade and year
Year	Cigarettes 8th grade (%)	Cigarettes 11th grade (%)	E‑cigarettes 8th grade (%)	E‑cigarettes 11th grade (%)
1996	21.6	27.6	—	—
1997	23.0	24.4	—	—
1998	20.2	31.7	—	—
1999	14.8	26.3	—	—
2000	12.9	22.3	—	—
2001	12.3	19.6	—	—
2002	10.7	19.9	—	—
2003	10.5	18.7	—	—
2004	8.1	16.5	—	—
2005	9.8	16.9	—	—
2006	8.7	15.4	—	—
2007	9.0	16.1	—	—
2008	8.6	16.0	—	—
2009	9.9	14.9	—	—
2010	8.2	14.3	—	—
2011	6.6	11.5	1.3	1.8
2012	5.6	11.9	—	—
2013	4.3	9.8	1.8	5.2
2014	4.5	10.0	—	—
2015	4.3	8.8	9.3	17.1
2016	3.3	7.7	—	14.0
2017	3.0	7.7	6.3	12.9
2018	2.8	5.8	—	20.8
2019	2.6	4.9	11.8	23.4
2020	1.2	2.9	5.1	11.9
2022	1.3	3.2	4.7	10.8
2024	1.0	2.8	4.1	8.9
2025	0.8	2.5	3.6	7.7

Source: Student Drug Use Survey (1996, 1998, 2000); Youth Risk Behavior Survey (1997, 1999); Oregon Healthy Teens (2001-2009, 2011, 2013, 2015,2017,2019); Student Wellness Survey (2012, 2014, 2016,2018); Student Health Survey (2020,2022, 2024, 2025). Unpublished data.

Figure 5.1 Percentage of youth cigarette smoking and e-cigarette use, Oregon, 1996–2025

Table 5.2 Percentage of youth exposed to tobacco, Oregon, 2019

Exposure type by grade
Exposure type	8th graders (%)	11th graders (%)
Saw someone smoking or vaping on school property (current school year)	42.7	70.0
Secondhand smoke or vape exposure in the home	9.1	8.6

Source: Oregon Healthy Teens (2019). Unpublished data.

Table 5.3 Percentage of youth tobacco use by product type, Oregon, 2025

Tobacco product use by grade
Type of tobacco product	6th graders (%)	8th graders (%)	11th graders (%)
Any tobacco product ⁽¹⁾	1.7	3.8	8.3
E-cigarettes ⁽²⁾	1.5	3.6	7.7
Cigarettes	0.3	0.8	2.5
Smokeless tobacco	—	0.3	0.6
Little cigars	—	0.3	0.6
Hookah	—	0.2	0.4

Table 5.4 Percentage of youth tobacco product type use by grade and county, Oregon, 2025

Tobacco product use by grade and county
County	Any tobacco product (1) 8th (%)	Cigarette smoking 8th (%)	E‑cigarette use (2) 8th (%)	Any tobacco product (1) 11th (%)	Cigarette smoking 11th (%)	E‑cigarette use (2) 11th (%)
Oregon	3.8	0.7	3.6	8.3	2.2	7.7
Baker	6.6	—	6.6	—	—	—
Benton	3.0	—	2.0	6.3^	—	6.0^
Clackamas	3.4	1.1	3.1	9.0	3.2^	8.6
Clatsop	4.8	—	4.8	10.1^	—	9.2^
Columbia	6.8	—	6.5^	8.5	2.0^	7.2
Coos	—	—	—	7.0^	—	7.0^
Crook	—	—	—	—	—	—
Curry	3.8	0.9^	3.8	9.4	—	9.4
Deschutes	2.0	—	1.9	9.0	3.3^	7.7
Douglas	—	—	—	—	—	—
Gilliam	—	—	—	—	—	—
Grant	—	—	—	—	—	—
Harney	—	—	—	—	—	—
Hood River	—	—	3.4	—	—	—
Jackson	4.1	0.5^	3.4	10.6	2.6	10.0
Jefferson	—	—	—	12.3	4.5^	12.3
Josephine	6.1	—	5.9	13.3	2.7^	13.1
Klamath	6.5	—	6.2	18.5	2.1^	18.1
Lake	—	—	—	—	—	31.2
Lane	4.9	0.7^	4.5	8.5^	1.7^	8.1^
Lincoln	5.6^	—	5.3^	12.1^	—	12.1^
Linn	5.2	1.3^	5.1	7.0	1.9^	6.2
Malheur	—	—	—	—	—	—
Marion	4.8	0.6^	4.7	7.4	—	7.3
Morrow	8.5^	—	8.5^	8.3	—	7.1
Multnomah	3.8	1.0	3.6	8.7	2.7	8.0
Polk	—	—	—	3.6	—	—
Sherman	—	—	—	—	—	—
Tillamook	—	—	—	5.8^	1.8^	5.8^
Umatilla	—	—	3.3^	7.2^	—	6.4
Union	—	—	2.0^	12.9^	4.5^	12.9
Wallowa	—	—	—	—	—	—
Wasco	2.2^	—	2.6^	11.8	—	10.8
Washington	2.2	0.5	2.0	5.2	1.8	4.7
Wheeler	—	—	—	—	—	—
Yamhill	2.6	—	2.3	9.0	2.7^	9.0

(1) Any tobacco product includes cigarettes, large or little cigars, hookah tobacco, smokeless tobacco or electronic cigarettes or other vaping products.
(2) E-cigarettes includes those shaped like USB flash drives and Juul.
^ indicates the estimate may be statistically unreliable and should be interpreted with caution.
-- this number is suppressed because it is statistically unreliable.
Source: Oregon Student Health Survey, unpublished data

Figure 5.2 Percentage of first tobacco product type used among 11th graders who have ever used tobacco, Oregon, 2024

Source: Oregon Student Health Survey

Table 5.5 Percentage of sources of tobacco products among youth who have ever used tobacco, Oregon, 2024

Sources of tobacco products by grade
Source type	8th grade (%)	11th grade (%)
Social sources (1)	78.1	68.4
Friends under 21 years of age	57.9	46.8
Friends 21 years old or older	29.3	33.1
A store or gas station	9.7	18.0
The Internet	9.3	7.1
Some other source	19.6	26.3

(1) Social sources include friends under 21, friends 21 or older or a family member.

Source: Oregon Student Health Survey

Figure 5.3 Percentage of cigarette and e-cigarettes use among Oregon youth and adults, 2024

Sources: Oregon Student Health Survey; Behavioral Risk Factors Surveillance System. Unpublished data.
Notes: Adult data are age-adjusted to the 2000 standard population.

Table 5.6 Percentage of current tobacco product use by type and selected age groups, Oregon, 2024

Tobacco product use by age group
Type of tobacco product	8th graders (%)	11th graders (%)	Young adults (18–24) (%)	Older adults (25+) (%)
Cigarettes	1.0	2.8	7.1	12.6
Electronic cigarettes	4.1	8.9	19.9	4.4
Small cigars	0.3	0.6	1.6	1.6
Hookah	0.3	0.4	Not asked	Not asked
Smokeless tobacco	0.3	0.7	5.4	3.1

Sources: Oregon Student Health Survey; Behavioral Risk Factors Surveillance System. Unpublished data.
Note: Estimates for older adults are age-adjusted to the 2000 standard population.

Figure 5.4 Percentage of flavored tobacco or vaping product use among current tobacco users by selected age groups, Oregon, 2024

Sources: Oregon Student Health Survey; Behavioral Risk Factors Surveillance System. Unpublished data.

Back to Table of Contents

Section 6: Tobacco Marketing and Its Effect in Communities

Tobacco use and the health problems that come from it are not equal in communities in Oregon. The tobacco industry focuses on certain groups. To promote and sell products, they use community values and culture of people, such as those who:

Face systemic racism and discrimination
Have low income
Deal with stress or have mental health challenges, and
Are LGBTQIA2S+ folks.

Many of these same communities did not get enough protection from policies or programs to:

Quit smoking, and
Make healthier choices.

Among these groups, this has led to great disparities in:

Smoking rates, and
Health outcomes.

American Indian and Alaska Native communities Many Tribal communities view traditional tobacco as sacred. They use it for healing, prayer and celebration (12). However, the tobacco industry has used this tradition to their advantage (13). They did so by adding harmful chemicals to sell commercial tobacco to these communities. Over the years, this caused harm to Tribes and Tribal communities in Oregon. The industry misused cultural imagery and falsely represented sacred traditions in its marketing. As sovereign nations, Tribes are not required to comply with state and local smoke-free laws. The tobacco industry views these communities as markets without protection and uses them to make profits.

In Oregon, 27 percent of American Indians and Alaska Natives smoke cigarettes (Figure 6.1).
The nine Federally Recognized Tribes in Oregon have commercial tobacco prevention and education programs. They are reclaiming traditional tobacco cultural practices.

Black, African and African American communities In the 1950s, the tobacco industry used Black empowerment and identity themes to create the “Kool" brand and other ads. It saturated Black and African American magazines and neighborhoods with ads of people smoking menthols. It made it seem part of the community's culture and experience (14).

More than 63% of Black smokers in Oregon use menthols (Table 6.4).
Menthol cigarettes have a cooling mint flavor. That makes it easier to inhale more nicotine and harder to quit than other cigarettes (14).

People living in low-income multi-unit housing Everyone deserves protection from the smoke of others. This includes those in multi-unit housing. Residents, including children, may inhale smoke from close units even if family members don't smoke. Families in apartments often don't have control over their spaces, which exposes them to more smoke from others than those who live in a house.
Smoke-free policies can help. But they may not protect all communities the same way. Some populations are at higher risk of exposure to smoke from others. This includes people of color, low-income and other groups.
Different factors add to the higher risk in these communities. This includes:

Limited access to information and resources
Fear of retaliation
Lack of trust in the government and enforcement programs, and

Historical and current traumas stemming from systematic racism and oppression.

These factors together create barriers to reporting violations and access to safe, smoke-free housing.
In Oregon, 18 percent of those who rent are exposed to secondhand smoke. This compares to 15 percent of those who own their homes (Table 6.6).

People experiencing mental health challenges
About 25 percent of people in Oregon are living with at least one mental health challenge (4). This includes:

Depression
Anxiety, and
Substance use problems (4).

These communities often live in areas with more tobacco stores and ads.

About one in five or 20 percent of people who report experiencing poor mental health also smoke (Table 6.1).

The industry has funded misleading research that promote two false claims. They claim it is bad for people living with mental health challenges to quit tobacco and that nicotine helps improve overall mood. These are not true (13). The tobacco industry continues to engage groups that help patients by donating money in exchange for promoting their tobacco products (13).

LGBTQIA2S+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, Two-Spirit +)
To sell their products, the tobacco industry has used values such as freedom, pride and a sense of belonging.
Today, the industry continues to appeal to the LGBTQIA2S+ community with the financial support of events, media and organizations (13). These tactics are an effort to normalize tobacco use within queer communities. Gay, lesbian and bisexual adults are more likely to use tobacco compared to heterosexual adults (Table 6.2).

Table 6.1: Percentage of adult cigarette smoking, by select demographic groups, Oregon

Percent by demographic category
Demographic information	Percent (%)
Annual household income (2024)
Less than $25,000	22.5
$25,000 – $49,999	18.2
$50,000 – $99,999	8.6
$100,000 – $149,999	7.7
$150,000 or more	4.0
Education (2024)
Less than high school graduate	22.4
High school graduate or GED	14.7
Some college	12.3
College graduate	4.3
Housing status (2024)
Rent	18.3
Own	8.2
Insurance (2024)
No health insurance	25.6
Have health insurance (1)	9.8
Reporting mental health not good for 14 or more days in past 30 days (2024)
Experiencing poor mental health	21.3
Not experiencing poor mental health	9.8
Urban or rural residency (2020–2023) (2)
Rural	15.6
Urban	11.7

(1) Includes Oregon Health Plan members
(2) Urban or rural residency was designated using ZIP code level rural-urban commuting area (RUCA) codes. For more information on RUCA codes see http://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes.aspx.
Source: Oregon Behavioral Risk Factor Surveillance System. Unpublished data.
Notes: Estimates are age-adjusted to the 2000 standard population.

Table 6.2: Percentage of adult cigarette smoking, by sexual orientation, Oregon, 2020-2023

Percent by sexual orientation
Sexual orientation	Percent (%)
Women
Lesbian women	8.1
Bisexual women	12.7
Heterosexual women	5.9
Men
Gay men	10.1
Bisexual men	12.4
Heterosexual men	7.8

Source: Oregon Behavioral Risk Factor Surveillance System. Unpublished data.
Notes: Estimates are age-adjusted to the 2000 standard population.

Figure 6.1 Percentage of adult cigarette smoking by race and ethnicity, Oregon, 2020-2023

Source: Oregon Behavioral Risk Factor Surveillance System.

Note: Estimates are age-adjusted to the 2000 standard population.

Table 6.3 Percentage of adult tobacco use⁽¹⁾among Oregon Health Plan members, by race and ethnicity, Oregon, 2020-2023

Percent by race and ethnicity
Race/Ethnicity	Percent (%)
American Indian and Alaska Native, non-Latino/a/x/e	60.2
Asian, non-Latino/a/x/e	26.1^
Black and African American, non-Latino/a/x/e	39.9
Latino/a/x/e	16.4
Native Hawaiian and Pacific Islander, non-Latino/a/x/e (2016–2021)	35.4
White, non-Latino/a/x/e	38.8

^ Indicates the estimate may be statistically unreliable and should be interpreted with caution.
(1) Any tobacco product includes cigarettes, e-cigarettes, smokeless tobacco, large or small cigars or hookah.
Source: Oregon Behavioral Risk Factor Surveillance System

Table 6.4. Percentage of adult menthol cigarette use among cigarette smokers, by race, Oregon, 2020-2023

Percent by race and ethnicity
Race/Ethnicity	Percent (%)
American Indian and Alaska Native, non-Latino/a/x/e	22.4
Asian, non-Latino/a/x/e	33.0
Black and African American, non-Latino/a/x/e	63.9
Latino/a/x/e	33.8
Native Hawaiian and Pacific Islander, non-Latino/a/x/e (2016–2021)	21.1^
White, non-Latino/a/x/e	16.7

^ Indicates the estimate may be statistically unreliable and should be interpreted with caution.
Source: Oregon Behavioral Risk Factor Surveillance System

Note: Estimates for adults are age-adjusted to the 2000 standard population.

Table 6.5. Percentage of menthol cigarette use among cigarette smokers, by age group, Oregon 2024

Percentages by age group
Group	Percent (%)
Adults (25 and older)	16.7
Young adults (18-24)	17.6
11th grade	48.8

Sources: Student Health Survey (2024); Oregon Behavioral Risk Factor Surveillance System (2024)

Note: Estimates for adults are age-adjusted to the 2000 standard population.

Table 6.6: Percentage of adult exposure to any secondhand smoke indoors in a typical week, by demographic groups, Oregon, 2020

Percentages by income, employment, housing, and residency
Category	Percent (%)
Annual household income
Less than $20,000	26.2
$20,000–$49,999	17.3
$50,000 or more	8.0
Employment status
Employed or self-employed	12.8
Unemployed	20.0
Not in workforce	12.3
Housing status
Rent	17.6
Own	10.4
Urban or rural residency (1)
Rural	18.9
Urban	14.5

(1) Urban or rural residency was designated using ZIP code level rural-urban commuting area (RUCA) codes. For more information on RUCA codes see http://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes.aspx

Source: Oregon Behavioral Risk Factor Surveillance System
Notes: Estimates are age-adjusted to the 2000 standard population.

Back to Table of Contents

Section 7: Retail tobacco environment and marketing

The tobacco industry spends more than one million per hour promoting its products in the United States. (15)

In Oregon, the industry spends about $91 million on marketing every year (Figure 7.1).
Nearly 80% of the tobacco industry's total marketing expenditures for cigarettes and smokeless tobacco products (16) and 61% for e-cigarette products (1) are in the retail environment including convenience stores, pharmacies and grocery stores.

In 2025, the average cost of a pack of cigarettes in Oregon was approximately $11.11 (Table 7.1). However, the price of a pack is often less than that to the buyer because the tobacco industry provides discounts to offset the price. To offer these discounts to consumers, retailers must follow tobacco company requirements on product placement and advertising in their stores. This increases exposure to promotional advertising and product displays (17). Approximately two thirds of tobacco retailers advertise sales, discounts or other price promotions on tobacco products (Table 7.3).

Appeal to Kids

Tobacco products are often marketed to appeal to kids with candy-like packaging, sweet flavors and placement or advertisements in areas where youth are likely to see them (Table 7.4). One in two high schoolers reported seeing tobacco product ads at a store within the last month (Table 7.5).

Among stores that sell tobacco in Oregon:

Nearly one in four display toys, candy or gum within 12 inches of tobacco products (Table 7.3).
More than on in four place advertisements for tobacco products within three feet of the floor (Table 7.3).
Nearly all stores sell flavored tobacco (Table 7.3), which are appealing to young people (18).

Youth Access to Tobacco

Most youth who use tobacco get tobacco from friends, family members or from their home (Table 7.6), and adults more often purchase their cigarettes at convenience stores or gas stations (Table 7.7).

In 2018, Oregon made it illegal to sell tobacco to people under the age of 21. Prior to 2018, it was illegal to sell to those under 18. The Oregon Legislature passed statewide Tobacco Retail Licensing (TRL) into law in 2021. As of January 2022, any business needs to get a tobacco retail license to sell tobacco and inhalant delivery system (vaping) products.

Among tobacco retailers inspected in 2025, 10% illegally sold tobacco to underage Oregonians.
Other tobacco products, cigarettes and e-cigarettes were illegally sold to underage youth more frequently than small cigars and cigarillos in 2025 (Table 7.8).
Retail sales to underage Oregonians was highest in certified smoke shops and cigar bars, followed by liquor stores, vape shops and tobacco shops in 2025 (Table 7.9).

In 2021, Oregon voters passed Measure 108. This law changed the definition of little cigars, added a tax on e-cigarette products and increased the tax on cigars as well as included cigarette tax increase from $1.33 per pack to $3.33 per pack. Revenue raised from Measure 108 is used to fund community-based organizations and the Oregon Health Plan.

Figure 7.1 Annual tobacco industry marketing expenditures and Oregon Tobacco Prevention and Education Program funding (in millions of dollars), Oregon, 1998–2022

Source: Expenditures in Oregon: Campaign for Tobacco-Free Kids. "The Toll of Tobacco in Oregon," 2020.

Oregon TPEP Funding: Unpublished data.

Note: Oregon Tobacco Prevention and Education program funding is per biennium.

Table 7.1 Average cigarette pack price in Oregon, Washington and California (1), 1990-2025

Price ($) by state and year: Oregon, Washington, California
Year	Oregon	Washington	California
1990	$1.57	$1.68	$1.64
1991	$1.60	$1.77	$1.87
1992	$1.77	$1.99	$2.02
1993	$1.92	$2.02	$2.05
1994	$1.78	$2.20	$1.90
1995	$1.90	$2.26	$1.95
1996	$1.91	$2.47	$1.98
1997	$1.98	$2.65	$2.00
1998	$2.34	$2.73	$2.08
1999	$2.58	$2.87	$2.25
2000	$3.24	$3.60	$3.51
2001	$3.46	$3.82	$3.66
2002	$3.62	$3.95	$3.98
2003	$4.05	$4.77	$4.08
2004	$4.24	$4.66	$3.95
2005	$4.14	$4.73	$3.84
2006	$4.23	$5.28	$3.95
2007	$4.21	$5.40	$3.95
2008	$4.29	$5.51	$4.20
2009	$4.29	$5.69	$4.29
2010	$5.10	$6.92	$5.09
2011	$5.41	$7.61	$5.37
2012	$5.52	$7.64	$5.40
2013	$5.47	$7.69	$5.40
2014	$5.68	$7.75	$5.51
2015	$5.71	$7.82	$5.48
2016	$5.91	$7.85	$5.61
2017	$6.00	$7.99	$5.61
2018	$6.12	$8.18	$7.66
2019	$6.33	$8.32	$7.86
2020	$6.50	$8.57	$8.14
2021	$6.82	$8.94	$8.41
2022	$9.56	$9.26	$8.87
2023	$10.33	$9.94	$9.56
2024	$10.83	$10.76	$10.28
2025	$11.11	$11.16	$10.58

(1) Price includes generic brand

Source: Orzechowski and Walker, The Tax Burden on tobacco. Historical compilation. Fairfax and Richmond, Virginia.

Figure 7.2 Average cigarette pack price in Oregon, Washington and California(1), 1990-2025

(1) Price includes generic brands.

Source: Orzechowski and Walker, The Tax Burden on tobacco. Historical compilation. Fairfax and Richmond, Virginia.

Table 7.2 Lowest average price of tobacco products in Oregon, 2025

Price of tobacco products in retail stores
Product type	Lowest average price
Regular cigarettes	$8.88
Menthol cigarettes (cheapest brand)	$10.17
Menthol cigarettes (Newport brand)	$12.10
E-cig (single, disposable)	$9.32
Oral nicotine pouch (Zyn brand)	$5.37
Chewing tobacco (Grizzly brand)	$7.42

Source: Oregon Tobacco and Alcohol Retail Assessment, 2025

Table 7.3 Percentage of Oregon retailers with tobacco product marketing, 2025

Tobacco retailer practices and percentage among retailers
Among tobacco retailers	(%)
Total number of tobacco retailers ⁽¹⁾	1,152
Advertised little cigars for under $1	13.6
Any tobacco product or advertisement displayed in a manner that appeals to youth	43.0
Tobacco advertisements displayed within 3 ft. of the floor	24.0
Tobacco products displayed within 12 inches of candy or toys	26.1
Price promotions displayed for any tobacco product (discounts, 2 for 1, etc.)	65.3
Sell flavored tobacco	99.4

(1) Number of stores assessed that sold tobacco or vaping products and were accessible to unaccompanied people under 21 (excludes liquor stores, bars, etc.).
Source: Oregon Tobacco and Alcohol Retail Assessment, 2025.

Table 7.4 Percentage and number of Oregon retailers with tobacco product marketing by county, 2015

Tobacco retailer practices and percentage among retailers by county
County	Appeals to youth (%)	Ads within 3 feet (%)	Products near toys (%)	Price promotion (%)	Flavored tobacco (%)	Total retailers
Oregon	43.0	24.0	26.1	65.3	99.4	2,885
Baker	4.8	NA	4.8	52.4	100.0	22
Benton	NA	NA	NA	52.5	100.0	45
Clackamas	39.1	19.6	21.7	58.7	100.0	222
Clatsop	35.1	13.5	29.7	5.4	97.3	48
Columbia	11.1	2.8	11.1	72.2	100.0	36
Coos	20.5	6.8	15.9	56.8	100.0	73
Crook	38.9	22.2	16.7	44.4	100.0	19
Curry	7.7	NA	3.8	42.3	100.0	29
Deschutes	54.8	16.7	15.2	76.2	100.0	104
Douglas	24.5	6.1	18.4	75.5	100.0	140
Gilliam	50.0	NA	50.0	50.0	100.0	4
Grant	7.7	NA	7.7	46.2	100.0	15
Harney	83.3	NA	83.3	91.7	100.0	14
Hood River	30.4	8.7	8.7	34.8	100.0	25
Jackson	54.8	40.5	42.9	61.9	100.0	172
Jefferson	22.2	16.7	11.1	44.4	100.0	21
Josephine	48.9	17.8	35.6	73.3	100.0	84
Klamath	21.7	4.3	17.4	34.8	100.0	78
Lake	16.7	NA	8.3	58.3	100.0	14
Lane	56.9	49.0	23.5	88.2	100.0	270
Lincoln	44.2	9.3	37.2	62.8	100.0	54
Linn	43.2	18.2	34.1	72.7	100.0	98
Malheur	15.0	5.0	10.0	60.0	100.0	23
Marion	50.0	18.2	45.5	72.7	100.0	205
Morrow	28.6	14.3	NA	78.6	100.0	14
Multnomah	61.5	45.8	24.0	66.7	99.0	547
Polk	54.3	25.7	51.4	80.0	100.0	38
Sherman	18.2	NA	9.1	72.7	100.0	11
Tillamook	7.7	NA	7.1	11.5	96.2	28
Umatilla	44.4	24.4	26.7	73.3	95.6	61
Union	38.1	4.8	33.3	66.7	100.0	25
Wallowa	NA	NA	NA	44.4	100.0	10
Wasco	29.6	7.4	25.9	77.8	100.0	27
Washington	30.2	11.6	16.3	65.1	97.7	228
Wheeler	50.0	NA	50.0	NA	100.0	2
Yamhill	3.91	17.4	28.3	52.2	97.8	75

(1) Number of stores that sell tobacco or vaping products that are accessible to unaccompanied people under 21 (excludes liquor stores, bars, etc.).

NA = Not applicable.

Source: Oregon Tobacco and Alcohol Retail Assessment, 2025. Oregon Tobacco Retailer Database, 2025

Table 7.5 Percentage of youths exposed to tobacco advertising, Oregon, 2024

11th graders exposure to tobacco advertisements
Measure	11th graders (%)
Saw a tobacco advertisement on a storefront or in a store in past 30 days	54.7

Source: Oregon Student Health Survey.

Table 7.6 Percentage of sources of tobacco products and ease of access among youth, Oregon, 2024

Sources of tobacco and ease of access for 8th and 11th graders
Measure	8th grade (%)	11th grade (%)
Source of tobacco ⁽¹⁾
A store or gas station	9.7	18.0
A social source: Friend or family over 21	29.3	33.1
A social source: Friend or family under 21	57.9	46.8
The internet	9.3	7.1
Some other source	19.6	26.3
Ease of access ⁽²⁾
Easy to get cigarettes	61.2	27.7
Easy to get e-cigarettes	23.0	40.8

(1) Youth that had used tobacco or vaping products in the past 30 days were asked where they had gotten their products. Responses do not add to 100% because respondents could select more than one source.

(2) Among all respondents, regardless of whether current tobacco users, percent indicating it would be very easy or sort of easy to get the tobacco product.

Source: Oregon Student Health Survey.

Table 7.7 Self-reported percentage of purchase locations for vaping products and cigarettes among adults, Oregon, 2025

Usual purchase sources for e-cigarettes and cigarettes among current users
Usual products purchase source (among current tobacco/nicotine users)	(%)
Store in Oregon	91.1
Store outside of Oregon	3.1
Internet	4.2
Other	1.6
Usual store type for tobacco/nicotine purchase (among current tobacco/nicotine users)	(%)
Convenience store or gas station	57.3
Tobacco shop	30.9
Grocery store or superstore	6.6
Drug store or pharmacy	2.6
Liquor store	1.5
Other (discount, newspaper stand)	1.1^

^ indicates the estimate may be statistically unreliable and should be interpreted with caution.

-- this number is suppressed because it is statistically unreliable.

Source: Oregon Health Matters Survey, Health Promotion and Chronic Disease Prevention section, Oregon Health Authority,

Figure 7.3 Rate of tobacco sales to underage people, Oregon, 2017-2025

* Inspections were stopped in March 2020 through 2021 because of COVID-19. In addition, the peak of the outbreak of e-cigarette, or vaping, product use-associated lung injury (EVALI) occurred in September of 2019, which is included in the 2020 data collection period. Because of these issues, retail violation rates may not be representative of a normal year.

Source: Oregon Tobacco Retail Database, 2017-2020. Oregon Tobacco Retail License Database, 2022-2025.

Note: From 2017 to 2020, years follow the state fiscal year, with inspections generally starting in September of the prior year and continue through June of the published year. Beginning in 2022, years follow the calendar year aside from Benton County (fiscal year; July - June 30). Beginning in 2025, Multnomah County follows the fiscal year (July - June 30). For 2022 and 2023, violation rates are based on a representative sample of inspections. For 2024 and 2025, the violation rate is based on all tobacco retailers inspected in the state.

Table 7.8 Retailer Violation Rate (RVR) of tobacco sales to underage people by Oregon county, 2025

Retailer Violation Rate (RVR) by county and product type
County	Overall RVR (%)	Cigarettes (%)	Cigarillos / Small cigars (%)	E-cigarettes (%)	Other (%)
Oregon	10.5	12.1*	9.0*	11.0*	17.9*
Baker	8.0	0.0	0.0	20.0	-
Benton	19.1	23.5	14.3	0.0	-
Clackamas	9.2	12.1	7.1	6.1	-
Clatsop	14.5	22.2	0.0	0.0	-
Columbia	9.3	0.0	15.0	7.7	-
Coos	13.9	15.6	10.0	12.5	-
Crook	9.5	11.1	0.0	11.1	-
Curry	12.9	11.5	-	20.0	-
Deschutes	12.4	15.7	3.2	14.9	-
Douglas	10.2	11.3	8.3	10.1	-
Gilliam	0.0	0.0	-	0.0	-
Grant	18.8	12.5	0.0	50.0	-
Harney	14.3	0.0	40.0	0.0	-
Hood River	8.3	20.0	0.0	0.0	-
Jackson	13.7	12.5	13.6	14.9	-
Jefferson	12.0	11.1	28.6	0.0	-
Josephine	13.6	12.2	11.5	17.9	-
Klamath	5.6	4.3	20.0	0.0	-
Lake	25.0	27.3	0.0	33.3	-
Lane	4.0	3.8	2.0	5.7	-
Lincoln	12.5	8.3	13.3	17.6	-
Linn	5.8	0.0	7.1	7.9	-
Malheur	7.7	20.0	0.0	0.0	-
Marion	8.5	6.8	11.9	6.9	0.0
Morrow	14.3	16.7	25.0	0.0	-
Multnomah	10.7	18.7*	7.9*	18.8*	16.0*
Polk	7.1	0.0	7.7	11.1	-
Sherman	16.7	16.7	0.0	50.0	-
Tillamook	16.7	13.3	14.3	28.6	-
Umatilla	33.3	35.7	33.3	30.4	-
Union	11.1	0.0	0.0	21.4	-
Wallowa	16.7	12.5	0.0	100.0	-
Wasco	25.8	27.3	12.5	33.3	-
Washington	7.8	6.6	8.5	7.5	50.0
Wheeler	0.0	0.0	0.0	0.0	-
Yamhill	8.4	12.0	5.9	8.3	-

Source: Oregon Tobacco Retail License Database, 2025.

Note: Violation rates are based on all tobacco retailers inspected in the state.

* Multnomah County did not collect product type data for all inspections.

- No data.

Table 7.9 Number of inspections and violation rate for tobacco sales to underage people by store type, Oregon, 2025

Store type inspections and Retailer Violation Rate (RVR)
Store type	Total inspections	RVR (%)
Bar/Restaurant	154	10.4
Certified Smoke Shop/Cigar Bar	18	27.8
Department store	228	4.4
Drug store	72	0.0
Grocery store/Market	441	11.6
Liquor store	153	15.0
Mini mart	1,061	9.6
Mini mart with gas	824	12.3
Tobacco shop	231	13.4
Vape shop	111	13.5
Other	267	7.1

Source: Oregon Tobacco Retail License Database, 2025.

Note: Dara are based on all tobacco retailers inspected in the state.

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Citations

Federal Trade Commission. Federal Trade Commission E-Cigarette Report for 2015-2018. Issued 2022. Available at https://www.ftc.gov/reports/e-cigarette-report-2015-2018. Accessed 2022 March 30.

CounterTobacco.org. Spending at the point of sale: Federal Trade Commission Reports. Available at: https://countertobacco.org/the-war-in-the-store/#ftcreports. Accessed 2022 July 10.

U.S. Department of Health and Human Service Public Health Service Office of the Surgeon General. The health consequences of smoking—50 years of progress: A report of the surgeon general, 2014. Available at https://www.ncbi.nlm.nih.gov/books/NBK179276/. Accessed 2016 Oct 21.

Oregon Health Authority. Public Health Division. Oregon Health Promotion and Chronic Disease Prevention section. Oregon Behavioral Risk Factor Surveillance System. Unpublished data.

U.S. Department of Health and Human Services. Preventing tobacco use among youth and young adults: A report of the Surgeon General, 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, 2012.

Health and Human Services (HHS). Preventing tobacco use among youth and young adults: A report of the surgeon general, 2012. Available at https://www.ncbi.nlm.nih.gov/books/NBK99237/. Accessed 2024 Nov 22. See also, Hegmann KT, et al. The effect of age at smoking initiation on lung cancer risk. Epidemiology 4(5):444-48, September 1993; Lando HA, et al. Age of initiation, smoking patterns, and risk in a population of working adults. Preventive Medicine 29(6 Pt 1):590–98, December 1999.

U.S. Department of Health and Human Services, Preventing tobacco use among young people: A report of the surgeon general, 1994.

Centers for Disease Control and Prevention. (2012). Preventing tobacco use among youth and adults: a report of the surgeon general. Page 2. Available at: https://www.ncbi.nlm.nih.gov/books/NBK99237/.

Burrows, D. (1984). Strategic research report: Young adult smokers-strategies and opportunities. Legacy Tobacco Documents Library. RJ Reynolds. Bates No: 508783540. Available at: http://legacy.library.ucsf.edu/tid/swx83d00/pdf.

Myers ML. New study finds over 40 percent of youth smokers use flavored little cigars or cigarettes, shows need for FDA to regulate all tobacco products. Campaign for Tobacco-Free Kids. Oct. 22, 2013.

Oregon Health Authority. Public Health Division. Student Health Survey. Unpublished data.

Schaefer J, Coos H. Honoring the sacred: know the difference between traditional and commercial tobacco. Healthy Native Youth. Available at https://www.healthynativeyouth.org/resource/sacred-circle-of-tobacco/.

Achieving Health Equity in Tobacco Control. December 2015. Available at: https://truthinitiative.org/research-resources/targeted-communities/achieving-health-equity-tobacco-control.

Center for Black Health and Equity. The health justice guide: From tobacco addiction to community

Truth Initiative. The Truth About the Tobacco Industry and the Retail Environment. January 2025. Available at: https://truthinitiative.org/research-resources/tobacco-industry-marketing/truth-about-tobacco-industry-and-retail-environment. Accessed 2026, 16 Oct 21.

CounterTobacco.org. Spending at the point of sale: Federal Trade Commission Reports. Available at: https://countertobacco.org/the-war-in-the-store/#ftcreports. Accessed 2020 July 10.

Feighery EC, Ribisl KM, Clark PI, Haladjian HH. How tobacco companies ensure prime placement of their advertising and products in stores: interviews with retailers about tobacco company incentive programmes. Tobacco Control 2003; 12:184–188.

Kostygina G, Glantz SA, Ling PM. Tobacco industry use of flavours to recruit new users of little cigars and cigarillos. Tob Control. 2016;25(1):66–74.

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Oregon Tobacco Facts

Oregon Tobacco Facts

Oregon Tobacco Facts Table of Contents

Section 2: Health and economic burden of tobacco

Table 2.1 Underlying causes of tobacco-related deaths, Oregon, 2024

Table 2.2 Tobacco-related death rates per 100,000 population by county, Oregon

Table 2.3 Estimated costs of tobacco-related medical treatment and lost productivity (in millions of dollars), Oregon, 2021

Section 3: Tobacco-related diseases

Table 3.1 Percentage of adults with chronic diseases who smoke cigarettes, Oregon, 2024

Table 3.2 Rate of lung and bronchus cancer diagnoses and death per 100,000 population by county, Oregon

Section 4: Adult cigarette smoking

Table 4.1: Per capita cigarette pack sales, Oregon and the United States, 1993−2025

Table 4.2. Percentage of adult cigarette smoking by sex and total, Oregon, 1996–2024

Table 4.3: Percentage of adult tobacco use, by product type, Oregon, 2014-2024

Table 4.4 Percentage of adult tobacco use by age and sex, Oregon, 2024

Figure 4.2 Percentage of adult cigarette smoking, by county, Oregon, 2020-2023

Table 4.5 Percentage of adult cigarette smoking, by county, Oregon, 2020-2023

Table 4.6 Percentage of adult smokers by quit status and county, Oregon, 2020–2023

Table 4.7 Percentage of births to mothers who used tobacco during pregnancy, Oregon and the United States, 1993–2024

Figure 4.3 Percentage of births to mothers who used tobacco during pregnancy by county, Oregon, 2022–2024

Table 4.8 Percentage of births to mothers who smoke cigarettes during pregnancy by county, Oregon, 2022–2024

Section 5: Youth tobacco use

Table 5.1 Percentage of youth cigarette smoking and e-cigarette use, Oregon, 1996–2025

Figure 5.1 Percentage of youth cigarette smoking and e-cigarette use, Oregon, 1996–2025

Table 5.2 Percentage of youth exposed to tobacco, Oregon, 2019

Table 5.3 Percentage of youth tobacco use by product type, Oregon, 2025

Table 5.4 Percentage of youth tobacco product type use by grade and county, Oregon, 2025

Figure 5.2 Percentage of first tobacco product type used among 11th graders who have ever used tobacco, Oregon, 2024

Table 5.5 Percentage of sources of tobacco products among youth who have ever used tobacco, Oregon, 2024

Figure 5.3 Percentage of cigarette and e-cigarettes use among Oregon youth and adults, 2024

Table 5.6 Percentage of current tobacco product use by type and selected age groups, Oregon, 2024

Figure 5.4 Percentage of flavored tobacco or vaping product use among current tobacco users by selected age groups, Oregon, 2024

Section 6: Tobacco Marketing and Its Effect in Communities

Table 6.1: Percentage of adult cigarette smoking, by select demographic groups, Oregon

Table 6.2: Percentage of adult cigarette smoking, by sexual orientation, Oregon, 2020-2023

Figure 6.1 Percentage of adult cigarette smoking by race and ethnicity, Oregon, 2020-2023

Table 6.3 Percentage of adult tobacco use(1) among Oregon Health Plan members, by race and ethnicity, Oregon, 2020-2023

Table 6.4. Percentage of adult menthol cigarette use among cigarette smokers, by race, Oregon, 2020-2023

Table 6.5. Percentage of menthol cigarette use among cigarette smokers, by age group, Oregon 2024

Table 6.6: Percentage of adult exposure to any secondhand smoke indoors in a typical week, by demographic groups, Oregon, 2020

Section 7: Retail tobacco environment and marketing

Figure 7.1 Annual tobacco industry marketing expenditures and Oregon Tobacco Prevention and Education Program funding (in millions of dollars), Oregon, 1998–2022

Table 7.1 Average cigarette pack price in Oregon, Washington and California (1), 1990-2025

Figure 7.2 Average cigarette pack price in Oregon, Washington and California(1), 1990-2025

Table 7.2 Lowest average price of tobacco products in Oregon, 2025

Table 7.3 Percentage of Oregon retailers with tobacco product marketing, 2025

Table 7.4 Percentage and number of Oregon retailers with tobacco product marketing by county, 2015

Table 7.5 Percentage of youths exposed to tobacco advertising, Oregon, 2024

Table 7.6 Percentage of sources of tobacco products and ease of access among youth, Oregon, 2024

Table 7.7 Self-reported percentage of purchase locations for vaping products and cigarettes among adults, Oregon, 2025

Figure 7.3 Rate of tobacco sales to underage people, Oregon, 2017-2025

Table 7.8 Retailer Violation Rate (RVR) of tobacco sales to underage people by Oregon county, 2025

Table 7.9 Number of inspections and violation rate for tobacco sales to underage people by store type, Oregon, 2025

Citations

Table 6.3 Percentage of adult tobacco use⁽¹⁾among Oregon Health Plan members, by race and ethnicity, Oregon, 2020-2023