Summary
Read the full fact sheet- In 2018, almost 20,500 Australians died from smoking-related disease – that’s more than 50 preventable deaths every day.
- Cancer is the number one cause of smoking-related death and illness in Australia (56% of the total burden of disease).
- Quitting smoking reduces the risk of smoking-related diseases in people of all ages.
On this page
Smoking and disease
Smoking-related diseases killed almost 20,500 Australians in 2018. That's more than 50 preventable deaths every day. Smoking is the leading cause of preventable death and illness in Australia.
Cancer was the number one cause of tobacco-related death and was responsible for 56% of deaths due to smoking. Lung cancer currently causes the most cancer deaths in Australia and this is due mainly to smoking.
The major tobacco-related diseases include cancer, heart disease and chronic obstructive pulmonary disease (lung disease).
Smoking behaviours in Australia
In 2022-23, around 11% of people aged 18 years and over smoked. Of particular concern is the smoking rate among Aboriginal and Torres Strait Islander peoples, which in 2018-19 was reported to be 43% among people aged 18 years and over - almost 3 times that of the wider community.
Selected statistics from the 2022-23 National Drug Strategy Household Survey include:
- In 2022-23, the male smoking rate was 12% and the female smoking rate was 10% (where current smoking included people who smoked daily, weekly and less than weekly).
- Male smoking rates were higher in all adult age groups.
- People aged 40-59 years had higher smoking rates than other age groups, with a smoking rate of 14%.
- People aged 70 years and over were least likely to smoke (6%).
- Daily smoking rates for Australians aged 18 and over have dropped from 20% in 2001 to 9% in 2022-23.
- People who have quit smoking outnumber people who currently smoke. In 2022-23, 26% of Australians had quit smoking during their lifetime.
- By 2022-23, 70% of people who had ever smoked had quit.
The 2022-23 survey of Australian secondary school students estimated that 2% of 12-15 year old students had smoked in the week before the survey. Among 16-17 year old students, 3% currently smoked. The average age of adolescents taking up smoking is around 17 years old.
Among young people, vaping is associated with starting to smoke. Alarmingly, vaping rates among Australian secondary school students are much higher and the age of initiation much younger compared to smoking.
Smoking in Victoria
The Centre for Behavioural Research in Cancer estimates that in 2022, 12% of Victorian adults aged 18 and over smoked regularly (on a daily or weekly basis). Also:
- The smoking rate for men (15%) was higher than for women (10%).
- People who had quit smoking greatly outnumbered people who currently smoked: 28% of people had quit smoking in Victoria.
- Smoking rates were higher among people who had a healthcare card: 16% of healthcare card holders smoked compared to 11% of people who did not have a healthcare card.
Smoking costs the Victorian community $3.7 billion per year. This figure includes costs to businesses, households and healthcare, and losses from fires, litter and money spent on tobacco. If all Victorian smokers quit, they would have $1.3 billion per year to spend on other goods and services in our economy.
Comparative death rates for people who smoke
In 2018, 20,482 Australians died from smoking-related diseases, which is over 3 times the number of alcohol-related deaths (6,512) in the same year.
Death rates from tobacco-caused disease are higher among Aboriginal and Torres Strait Islander people, who are more likely to die from these diseases at a younger age.
The benefits of quitting smoking
Quitting smoking has immediate health benefits and dramatically reduces the risk of smoking-related diseases, whatever the person's age. Statistics include:
- Quitting before 40 years of age reduces your risk of dying from smoking-related disease by about 90%, compared to someone who continues to smoke throughout their life.
- After 20 years of not smoking, your risk of heart disease and stroke has reduced to close to that of a person who has never smoked.
- Within 5 years of quitting, there is a large drop in your risk of stroke.
Where to get help
- Your GP (doctor)
- Your pharmacist
- Quitline Tel. 13 78 48
- 'Chapter 1 - Trends in the prevalence of smoking', in Greenhalgh E, Scollo M, Winstanley M (eds), Tobacco in Australia: Facts and issues, Cancer Council Victoria.
- 'Chapter 7 - Smoking cessation', in Greenhalgh E, Scollo M, Winstanley M (eds), Tobacco in Australia: Facts and issues, Cancer Council Victoria.
- 'Chapter 8 - Tobacco use among Aboriginal peoples and Torres Strait Islanders', in Greenhalgh E, Scollo M, Winstanley M (eds), Tobacco in Australia: Facts and issues, Cancer Council Victoria.
- Tobacco control: Reversal of risk after quitting smoking, 2007, International Agency for Research on Cancer, IARC Handbooks of Cancer Prevention, vol. 11, World Health Organization.
- Australia's health 2022: in brief, 2022, Australian Institute of Health and Welfare, Australian Government.
- Pandeya N, Wilson LF, Bain CJ, et al. 2015, 'Cancers in Australia in 2010 attributable to tobacco smoke', Australian and New Zealand Journal of Public Health, vol. 39, no. 5, pp. 464-70.
- 'Chapter 2 - Tobacco smoking', in National Drug Strategy Household Survey 2022-23, 2024, Australian Institute of Health and Welfare, Australian Government.
- ‘ASSAD 2022/2023: Australian secondary school students’ use of tobacco and e-cigarettes,’ 2023, Centre for Behavioural Research in Cancer, Cancer Council Victoria.
- ‘Tobacco smoking prevalence, consumption and quitting among Victorian adults. Findings from the 2018-19 and 2022 Victorian Smoking and Health Surveys’, 2023, Centre for Behavioural Research in Cancer, Cancer Council Victoria.
- 'Health risk factors - waist circumference, smoking, alcohol consumption, substance use - Table 11.3', in National Aboriginal and Torres Strait Islander Health Survey, 2019, Australian Bureau of Statistics, cat no. 4715.0.
- Australian burden of disease study: Impact and causes of illness and death in Australia, 2018, Risk factor estimates for Australia: Supplementary tables, 2021, Australian Institute of Health and Welfare, Australian Government.
- 'Chapter 3 - The health effects of active smoking', in Greenhalgh E, Scollo M, Winstanley M (eds), Tobacco in Australia: Facts and issues, Cancer Council Victoria.
- Smoking cessation: a report of the Surgeon General, 2020, Centers for Disease Control and Prevention.
- Jha P, Ramasundarahettige C, Landsman V, et al. 2013, '21st-century hazards of smoking and benefits of cessation in the United States', New England Journal of Medicine, vol. 368, no. 4, pp. 341-50.
- Pirie K, Peto R, Reeves GK, et al. 2013, 'The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK', Lancet, vol. 381, no. 9861, pp. 133-41.
- Thun MJ, Carter BD, Feskanich D, et al. 2013, '50-year trends in smoking-related mortality in the United States', The New England Journal of Medicine, vol. 368, no. 4, pp. 351-64.
- Ding N, Sang Y, Chen J, et al. 2019, 'Cigarette smoking, smoking cessation, and long-term risk of 3 major atherosclerotic diseases', J Am Coll Cardiol, vol. 74, no. 4, pp. 498-507.
- Mons U, Muezzinler A, Gellert C, et al. 2015, 'Impact of smoking and smoking cessation on cardiovascular events and mortality among older adults: meta-analysis of individual participant data from prospective cohort studies of the CHANCES consortium', BMJ, vol. 350, no. h1551.