- One in ten adults were current daily smokers in 2021-22 (10.1%)
- Young people were less likely to be current daily smokers (7.1%) than in 2011-12 (16.5%)
- People in areas of most disadvantage were more likely to be current daily smokers (16.1%) than those in areas of least disadvantage (5.3%)
Insights into Australian smokers, 2021-22
Snapshot of smoking in Australia
Key findings
Data sources and collection information
This article presents findings from Smoker Status, Australia 2021-22. This dataset combines current smoker status information from the National Health Survey (NHS), Survey of Income and Housing (SIH), National Study of Mental Health and Wellbeing (NSMHW) and Survey of Disability, Ageing and Carers (SDAC). For more information, see Methodology.
The surveys were conducted during the ongoing COVID-19 pandemic. With the easing of lockdowns and social distancing requirements over the course of 2021-22, the surveys were primarily collected via face-to-face interviews (54%) with online self-complete forms (41%) and telephone interviews (5%) as alternate modes of collection. Interviewer follow-up was used where it was feasible to do so, to reduce non-response of households.
Smoking
Tobacco smoking is one of the largest preventable causes of death and disease in Australia. Smoking is estimated to kill almost 20,500 Australians a year (13% of all deaths) and was responsible for 8.6% of the total burden of disease in Australia in 2018[1]. It is associated with an increased risk of a wide range of health conditions, including: heart disease, diabetes, stroke, cancer, renal disease, eye disease and respiratory conditions such as asthma, emphysema and bronchitis.
Definitions
Smoker status refers to the frequency of smoking of tobacco, including manufactured (packet) cigarettes, roll-your-own cigarettes, cigars and pipes. Respondents were asked to describe their smoking status at the time of interview, categorised as:
- Current daily smoker – a respondent who regularly smoked one or more cigarettes, cigars or pipes per day
- Current smoker - Other – a respondent who smoked cigarettes, cigars or pipes, less frequently than daily
- Current non-smoker – a respondent who did not smoke cigarettes, cigars or pipes (either regularly or less frequently than daily). This includes people who have never smoked or are ex-smokers.
Smoker status analysis excludes chewing tobacco, electronic cigarettes (and similar vaping devices) and smoking of non-tobacco products.
How many adults smoked in 2021-22?
- One in ten adults were current daily smokers (10.1% or 1.9 million)
- Men were more likely than women to be current daily smokers (12.0% compared to 8.2%)
- The proportion of current daily smokers gradually increased with age until 55-64 years where it peaked at 13.6%
- Older adults aged 75 years and over were less likely than any other adult age groups to be current daily smokers (3.0%)
- Overall, the proportion of adults who were current daily smokers has fallen over the last decade, from 16.1% in 2011-12 to 10.1% in 2021-22
- The proportion of people aged 18-44 years who were current daily smokers has almost halved from 2011-12 to 2021-22 (18.5% compared to 10.1%)
- Of those aged 45 years and over, the proportion of current daily smokers decreased from 13.8% to 10.0%.
Over the last decade, the average age of current daily smokers has increased. In 2021-22, the average age of current daily smokers was 46 years old. This was an increase from 42 years old in 2011-12.
(a) Australian Health Survey (AHS) 2011-12.
(b) National Health Survey (NHS) 2014-15.
(c) National Health Survey and Survey of income and Housing Survey (NHIH) 2017-18.
(d) Smoker Status, Australia 2021-22, includes data from the National Health Survey (NHS) 2022, Survey of Disability Ageing and Carers (SDAC) 2022, Survey of Income and Housing (SIH) 2021-22, and National Study of Mental Health and Wellbeing (NSMHW) 2021-22.
Since 2011-12, the proportion of current daily smokers has decreased in all age groups – except for those aged 55-64 years and 65 years and over. Over this same period, the proportion of young people aged 18-24 years who were current daily smokers has halved (16.5% in 2011-12 to 7.1% in 2021-22). The majority (96.8%) of people aged 15-17 years were current non-smokers in 2021-22 – this has increased from 94.2% in 2011-12.
Which Australians were more likely to smoke?
The characteristics of adults who were most likely to be current daily smokers in 2021-22 were:
- Adults born in Australia were more likely to be current daily smokers than those born overseas (11.1% compared to 8.1%)
- Those who speak English at home were more likely to be current daily smokers than those who speak a language other than English at home (10.6% compared to 6.9%)
- Almost one in five (18.6%) people who were unemployed were current daily smokers
- Adults who live in outer regional and remote Australia were more likely to be current daily smokers than those who live in major cities (15.7% compared to 8.9%)
- Those who reported their health as fair/poor were more than twice as likely to be current daily smokers than those who reported their health as excellent/very good (17.2% compared to 6.4%).
People who lived in areas of most disadvantage were more than three times as likely to be current daily smokers than those in areas of least disadvantage (16.1% compared to 5.3%). Over the last decade, the proportion of people in areas of most disadvantage who were current daily smokers has fallen from 23.4% in 2011-12 to 16.1% in 2021-22.
(a) A lower Index of Disadvantage quintile (e.g. the first quintile) indicates relatively greater disadvantage and a lack of advantage in general. A higher Index of Disadvantage (e.g. the fifth quintile) indicates a relative lack of disadvantage and greater advantage in general. See Socio-Economic Indexes for Areas (SEIFA), Australia, 2016 (abs.gov.au).
Data downloads
Smoker Status, Australia 2021-22
Footnotes
- Australian Institute of Health and Welfare, ‘Australian Burden of Disease Study 2018: Interactive data on risk factor burden’, https://www.aihw.gov.au/reports/burden-of-disease/abds-2018-interactive-data-risk-factors/contents/tobacco-use; accessed 22/11/2022.