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2021 Annual Report

Click the picture below to access the 2021 Community Health Assessment

2021 CHA

Click the picture below to access the 2016 Implementation Plan

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Click the picture below to access the DCHD 2016-2021 Strategic Plan

Montana Tobacco Facts

The Toll of Tobacco in Montana

Updated June 20, 2016


High school students who smoke 13.1% (6,600)
Male high school students who smoke cigars (female use much lower) 16.8%
High school students who use e-cigarettes 29.5%
High school students who use smokeless tobacco 12%
Kids (under 18) who become new daily smokers each year 700
Packs of cigarettes bought or smoked by kids each year 2.0 million
Adults in Montana who smoke 19.9% (160,400)


U.S. National Data  

Montana   High school smoking rate (2015): 10.8%
Male high school students who smoke cigars (2015): 14.0%
Adult smoking rate (2015): 15.1%

Deaths in Montana from Smoking

Adults who die each year from their own smoking 1,600
Kids now under 18 and alive in Montana who will ultimately die prematurely from smoking 19,000
Smoking kills more people that alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined--and thousands more die from other tobacco-related causes--such as fires caused by smoking (more than 1,000 deaths/year nationwide) and smokeless tobacco use.


Smoking-Caused Monetary Costs in Montana

Annual health care costs in Montana directly caused by smoking $440 million
Medicaid costs caused by smoking in Montana $81.1 million
Residents' state & federal tax burden from smoking-caused government expenditures $829 per household
Smoking-caused productivity losses in Montana $368.9 million
Amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, smokeless tobacco use, or cigar and pipe smoking.  Tobacco use also imposes additional costs such as workplace productivity losses and damage to property.


Tobacco Industry Influence in Montana

Annual tobacco industry marketing expenditures nationwide $9.5 billion
Estimated portion spent for Montana marketing each year $30.0 million
Published research studies have found that kids are twice as sensitive to tobacco advertising than adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure.  One-third of underage experimentation with smoking is attributable to tobacco company advertising.


View sources of information.

More detailed fact sheets on tobacco's toll in each state are available by emailing