State of Smoking in Brazil | Foundation for a Smoke-Free World

state of smoking in brazil

This page was last edited on: August 9, 2022 at 9:44am 

smoking rate

12.6% (2019)


12.8% (2019)


  • In 2019, there were approximately 20.4 million adults aged 15 and older that used tobacco in Brazil (12.6% reported using smoked tobacco products while 0.2% reported using smokeless or other forms of tobacco).
  • Smoking prevalence has declined sharply by 73.4% over the past three decades (see Figure 1: Adult Smoking Prevalence in Brazil).
  • Tobacco use is more prevalent among men (10.9%) versus women (6.9%), among those in the 45 to 64 year age group and among those with lower levels of education.
  • The prevalence of smoking in Brazil varies by region, ranging from 5.1% in the city of Salvador, located in the northeastern region, to 14.0% in the city of Curitiba, located in the southeastern region.

Figure 1: Adult Smoking Prevalence in Brazil

Source: IHME 2019


  • Tobacco was responsible for 191,127 deaths in 2019, or about 24.7% of all deaths in Brazil (2019).
  • It is worth noting that in 2017, 22.8% of smokers in Brazil experienced major depression while 20.2% reported experiencing minor depression.
  • In 2020 the direct cost to the health system attributed to smoking was estimated to be 50,28 billion BRL (USD 8.9 billion) or 0.7% of GDP, representing a heavy burden on the economy.


  • Brazil is a signatory of the World Health Organization’s Framework Convention on Tobacco Control (WHO FCTC) since 2006. Since the adoption of the treaty, Brazil is one of two countries that has adopted all MPOWER measures at best practice levels, except for mass media where it was assessed to have made ‘minimal’ progress.
  • Therefore, it is not surprising that the country has achieved a significant reduction in smoking prevalence through a combination of tobacco control policies.
  • From 2006 to 2020, total cigarette sales decreased by 37% and illicit trade doubled from 26.8% in 2006 to 53.4% in 2020.
  • In 2012, Brazil became the first country to outlaw flavored cigarettes, additives such as menthol, and other flavors in tobacco products.
  • The retail sale, importation and advertising of e-cigarettes, including e-cigarette accessories and refills, have been banned since 2009.


  • In 2020, Brazil was the third largest producer of tobacco and accounted for 11.9% of all global tobacco production. Most tobacco production in Brazil is concentrated in the southern region of the country, responsible for 98% of national tobacco production.
  • Unlike other leading producers of tobacco, Brazil exports a majority of its tobacco – between 62% to 70% of all tobacco grown in any given year over the past two decades – and has been the leading exporter for the past two decades.
  • Studies estimate that tobacco generated approximately 13.5 billion BRL (USD 2.84 billion) in tax revenues in 2018. In 2016, tobacco production employed 168,000 families, with the majority of them (144,320) located in the southern region of Brazil. Many of these employees are directly contracted by tobacco companies.
  • In 2005, after signing the WHO FCTC, the Brazilian government created The National Program for Diversification of Tobacco Cultivation Areas, which aims to develop economically viable alternatives for tobacco producers in case of decreasing demand, which is already being observed.

As research findings become available that are inclusive of additional gender identities, the Foundation will update the information presented. 

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