Data sourced:
2024.
Page updated:
2025-12-11
In North Korea, the current prevalence of tobacco smoking remains a critical public health issue. As of 2024, approximately 3,4 million individuals aged 15 years and older were reported to be smokers. This figure represents a slight decrease from 2020 when 3,573,389 individuals were reported to be smokers. The overall current prevalence of adult tobacco smoking in 2024 was 16.1%, which shows a negligible decline from 17.6% in 2020. The adult current smoking prevalence among males was recorded to be 32.9% in 2024, compared to 36.4% in 2020. For reference, the adult daily smoking prevalence in 2017 was 18.3%, with a prevalence of 38.4% males. This is , however, not reported among females.
In 2021, there were approximately 42,321 deaths attributed to smoking. This number represents 17.48% of all deaths in the country. The gender-specific data from 2021 shows that among males, 27.4% of all deaths were due to tobacco smoking, whereas for females, the figure was 8.13%. These statistics reflect the ongoing challenges in tobacco control in North Korea, necessitating targeted interventions and policies to reduce tobacco prevalence and its associated health impacts.
Prevalence
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 3.8 million | 1A |
| 2024 | 3.4 million | 1B |
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) Department of Economic and Social Affairs (Ed.). (2019). World Population Prospects 2019 (Online Edition Rev. 1.; Population Division). United Nations. https://population.un.org/wpp/Download/Standard/Population/
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 18.8% | 1A |
| 2020 | 17.6% | 1B |
| 2022 | 17.1% | 1C A |
| 2024 | 16.1% | 1D |
References:
- 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.
- 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
- 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
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 0% | 1A |
| 2020 | 0% | 1B |
| 2022 | 0% | 1C A |
| 2024 | 0% | 1D |
References:
- 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.
- 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
- 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
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 37.5% | 1A |
| 2020 | 36.4% | 1B |
| 2022 | 34.7% | 1C A |
| 2024 | 32.9% | 1D |
References:
- 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.
- 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
- 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
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
18.3%
2
A
2017
38.4%
2
A
2017
References:
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- National Adult Tobacco Survey, 2017; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
- Prevalence of daily tobacco smoking from the latest survey.
Smoking-related mortality
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 71,371 | 1A |
| 2021 | 42,321 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 30,616 | 1A |
| 2021 | 10,150 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 40,755 | 1A |
| 2021 | 32,171 | 1B A |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 31.72% | 1A |
| 2021 | 17.48% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 25.1% | 1A |
| 2021 | 8.13% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
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| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 36.7% | 1A |
| 2021 | 27.4% | 1B B |
References:
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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:
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
- 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.
- 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.
Product promotion
No
1
2023
References:
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-prk.pdf?sfvrsn=cabd85a8_3&download=true. Accessed: 5 December 2025.
Regulation
References:
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-prk.pdf?sfvrsn=cabd85a8_3&download=true. Accessed: 5 December 2025.
Comments:
- There are certain restrictions in place.
Availability
Yes
1
A
2023
Yes
1
2023
Yes
1
A
2023
No
1
2023
Yes
1
A
2023
References:
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-prk.pdf?sfvrsn=cabd85a8_3&download=true. Accessed: 5 December 2025.
Comments:
- There are certain restrictions in place.
Regulations and restrictions
YES
1
2023
Yes: 18 years
1
2023
YES
1
A
2023
References:
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-prk.pdf?sfvrsn=cabd85a8_3&download=true. Accessed: 5 December 2025.
Comments:
- Restrictions exist in places such as healthcare and educational facilities.
Tax
References:
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-prk.pdf?sfvrsn=cabd85a8_3&download=true. Accessed: 5 December 2025.
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