Botswana Background
Data sourced: 2022.   Page updated: 2025-01-24

According to the World Health Organization (WHO), the prevalence of tobacco smoking among adults aged 15 years and older in Botswana was estimated to be 14.7% as of 2022. This figure reflects a slight increase from 14.4% in 2020 but remains significantly lower than 18.9% reported in 2019. In terms of gender-specific prevalence in 2022, males had a higher smoking rate of 26.4%, while females had a considerably lower rate of 3.4%. These figures have shown a gradual decline from previous years, where smoking prevalence among men was 33.3% in 2019 and 26.5% in 2020, and the prevalence among females was 4.5% in 2019 and 3.6% in 2020. Additionally, the number of smokers in the country was estimated at 234,642 in 2022, representing an increase from 218,774 in 2020 but a decrease from 279,691 in 2019. The adult daily tobacco smoking prevalence in 2017 was estimated to be 9.9%, with 18.2% among males and 2.2% among females.
Tobacco smoking-related mortality data in Botswana, from 2021 indicates that smoking accounts for 4.23% of all deaths, with 909 male and 278 female deaths, totaling 1,188 deaths. This data underscores the ongoing challenge of tobacco smoking in the country, with a gender disparity in smoking prevalence and a persistent public health impact.

Prevalence

Year Value Reference/Comment
2019 279.7 thousand 1A
2020 218.8 thousand 1B
2022 234.6 thousand 1C A
References:
  1. 1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition. 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
  2. 1. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
  3. 1. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%). World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
Year Value Reference/Comment
2019 18.9% 2A
2020 14.4% 2B
2022 14.7% 2C A
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
Year Value Reference/Comment
2019 4.5% 2A
2020 3.6% 2B
2022 3.4% 2C A
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
Year Value Reference/Comment
2019 33.3% 2A
2020 26.5% 2B
2022 26.4% 2C A
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
136.3 thousand
3 C
Year Value Reference/Comment
2017 or earlier 9.9% 4A A
2017 9.9% 4B B
References:
  1. Global Adult Tobacco Survey, 2017. Available at:https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DataReports.aspx?CAID=1
  2. Global Adult Tobacco Survey (GATS), 2017; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. GATS was conducted for the first time in 2017 as a household survey of persons 15 years of age and older.A multi-stage, geographically clustered sample design was used to produce nationally representative data. There were a total of 4643 completed individual interviews.
  2. Prevalence of daily tobacco smoking from the latest survey.
Year Value Reference/Comment
2017 or earlier 2.2% 4A A
2017 2.2% 4B B
References:
  1. Global Adult Tobacco Survey, 2017. Available at:https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DataReports.aspx?CAID=1
  2. Global Adult Tobacco Survey (GATS), 2017; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. GATS was conducted for the first time in 2017 as a household survey of persons 15 years of age and older.A multi-stage, geographically clustered sample design was used to produce nationally representative data. There were a total of 4643 completed individual interviews.
  2. Prevalence of daily tobacco smoking from the latest survey.
Year Value Reference/Comment
2017 or earlier 18.2% 4A A
2017 18.2% 4B B
References:
  1. Global Adult Tobacco Survey, 2017. Available at:https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DataReports.aspx?CAID=1
  2. Global Adult Tobacco Survey (GATS), 2017; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. GATS was conducted for the first time in 2017 as a household survey of persons 15 years of age and older.A multi-stage, geographically clustered sample design was used to produce nationally representative data. There were a total of 4643 completed individual interviews.
  2. Prevalence of daily tobacco smoking from the latest survey.
References:
  1. 1. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
  2. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
  3. Global Adult Tobacco Survey, 2017. Available at:https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DataReports.aspx?CAID=1
  4. Global Adult Tobacco Survey (GATS), 2017; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%). World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
  2. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
  3. GATS was conducted for the first time in 2017 as a household survey of persons 15 years of age and older.A multi-stage, geographically clustered sample design was used to produce nationally representative data. There were a total of 4643 completed individual interviews.
  4. Prevalence of daily tobacco smoking from the latest survey.

Smoking-related mortality

Year Value Reference/Comment
2016 1.6 thousand 1A
2021 1.2 thousand 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Year Value Reference/Comment
2016 419 1A
2021 278 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Year Value Reference/Comment
2016 1.1 thousand 1A
2021 909 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Year Value Reference/Comment
2016 9.64% 1A
2021 4.23% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Year Value Reference/Comment
2016 5.7% 1A
2021 2.2% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Year Value Reference/Comment
2016 11.1% 1A
2021 5.9% 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
References:
  1. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
  2. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
The GSTHR database is updated regularly by our team. However, please be aware that the information we provide does not constitute legal advice. We cannot guarantee that the information is up to date or accurate, as the regulatory status of different product categories can change at short notice and with little publicity. If you wish to check the legal status of use or possession of any safer nicotine product in a specific country or region, you should verify the information independently. If you have reason to think that the information supplied on the GSTHR is inaccurate, please contact us with details and any references and we will rectify any errors.