Chattanooga Times Free Press

Tennessee, Alabama among worst states for adult smoking

- BY KYM KLASS MONTGOMERY ADVERTISER

MONTGOMERY, Ala. — Alesa Ryals would spend close to $120 every month on her four-pack-a-day cigarette habit.

That is 80 cigarettes per day, and if she slept about seven hours every night, she smoked one cigarette on average every 15 minutes she was awake. That is one after another after another.

This was in the late 1970s, when she said cigarettes were about $1 per pack.

“I didn’t do it like every day,” she said of her habit. “I had gotten up to where I was smoking one after another.”

While many think the tobacco epidemic in the U.S. is solved, the truth is that 37 million Americans still smoke — including 22 percent of Tennessee adults and 21 percent of adults in Alabama — and a new report from Truth Initiative reveals rates of smoking found in a region dubbed “Tobacco Nation.” That group includes Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississipp­i, Missouri, Ohio, Oklahoma, Tennessee and West Virginia. What’s worse, is if placed alongside the most tobacco-affected countries in the world, “Tobacco Nation” would rank fourth in the Bloomberg Initiative list of countries most impacted by tobacco globally, with youth smoking rates falling only below Indonesia, Ukraine and Mexico, according to the report.

With more than 66 million residents, these 12 states include roughly 20 percent of the U.S. population and more than 20 percent of its residents are young people aged 10-24. And that’s not blowing smoke. Tobacco use is still the leading cause of preventabl­e death in the United States and in Alabama, according to the American Lung Associatio­n. There are more than 8,600 smoking-related deaths each year in the Yellowhamm­er State, costing more than $4 billion in health care costs and lost productivi­ty.

The high smoking rates, compounded with relative poor health outcomes, low cigarette taxes and lax regulation­s make Tobacco Nation a disadvanta­ged country within a country.

Ryals, formerly of Montgomery and who now lives in Fort Deposit, started smoking in her teens in the late 1960s. She stubbed her last cigarette Dec. 31, 1981.

“I needed to change my lifestyle,” she said. “One day, I got to where I was huffing and puffing when I got up my steps [to her house]. I realized then that I had to do something.”

“Over the past seven years, we’ve really seen a shift in the work that has been happening in Alabama that relates to prevention and control,” said Ashley Lyerly, regional director of Public Policy with the American Lung Associatio­n, and chair of the Coalition for a Tobacco Free Alabama.

“A lot is focused on smoke-free environmen­ts, and where we can eliminate exposure to second-hand smoke,” she said. “We want to start to change the norm around smoking so it becomes less of a norm.”

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STAFF FILE PHOTO/PHOTO ILLUSTRATI­ON

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