Profile
Sao Tome and Principe Flag
Cigarettes
Traditional Smokeless
HTP
E-cigarettes
Snus
Pouches
NRT
Sao Tome and Principe Background
Profile
Sao Tome and Principe Flag
Cigarettes
Traditional Smokeless
HTP
E-cigarettes
Snus
Pouches
NRT
Data sourced: 2024.   Page updated: 2025-10-30

In Sao Tome and Principe, the 2024 estimates from the World Health Organization (WHO) indicate that the adult current smoking prevalence among males aged 15 years and older was 9.4%, while among females it was significantly lower with 1%. The overall adult current smoking prevalence was 5.2%. In comparison, the adult smoking prevalence in 2020 was reported to be 8.4% among males and 0.7% among females, with an overall prevalence of 4.5%. The total number of smokers was estimated to be 7,000 in 2024 and 5,500 in 2020. The adult daily tobacco smoking prevalence in 2019 was estimated to be 2.2%, with a prevalence of 5.5% among males and 0.6% among females.
In 2021, smoking-related mortality data shows that 32 deaths were caused by smoking, with males accounting for 27 and females for 5 of these deaths. Smoking-related deaths constituted 2.83% of all deaths, with 4.42% of males deaths and 0.96% of females deaths. These statistics underscore the ongoing public health challenge posed by tobacco smoking in Sao Tome and Principe, necessitating focused regulatory and public health interventions to curb smoking rates and associated mortalities.

Prevalence

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Year Value Reference/Comment
2019 6,914 1A
2024 7,000 1B
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) 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/
  2. 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 5.7% 1A
2020 4.5% 1B
2022 5.1% 1C A
2024 5.2% 1D
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
  4. 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:
  1. 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 1.1% 1A
2020 0.7% 1B
2022 0.8% 1C A
2024 1% 1D
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
  4. 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:
  1. 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 10.2% 1A
2020 8.4% 1B
2022 9.5% 1C A
2024 9.4% 1D
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
  4. 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:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
4,165
2 A
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Year Value Reference/Comment
2017 or earlier 3.5% 3A A
2019 2.2% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Sao Tomé et Principe Enquête STEPS, 2019; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. Age range varies from majority of WHO prevalence estimates. Data is drawn from the STEPS survey, 2008. Age range 25 - 64.
  2. Prevalence of daily tobacco smoking from the latest survey.
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Year Value Reference/Comment
2017 or earlier 0.8% 3A A
2019 0.6% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Sao Tomé et Principe Enquête STEPS, 2019; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. Age range varies from majority of WHO prevalence estimates. Data is drawn from the STEPS survey, 2008. Age range 25 - 64.
  2. Prevalence of daily tobacco smoking from the latest survey.
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Year Value Reference/Comment
2017 or earlier 6.5% 3A A
2019 5.5% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Sao Tomé et Principe Enquête STEPS, 2019; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. Age range varies from majority of WHO prevalence estimates. Data is drawn from the STEPS survey, 2008. Age range 25 - 64.
  2. Prevalence of daily tobacco smoking from the latest survey.
References:
  1. 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
  2. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  3. Sao Tomé et Principe Enquête STEPS, 2019; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. Age range varies from majority of WHO prevalence estimates. Data is drawn from the STEPS survey, 2008. Age range 25 - 64.
  2. Prevalence of daily tobacco smoking from the latest survey.

Smoking-related mortality

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Year Value Reference/Comment
2016 58 1A
2021 32 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.
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Year Value Reference/Comment
2016 16 1A
2021 5 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.
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Year Value Reference/Comment
2016 42 1A
2021 27 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.
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Year Value Reference/Comment
2016 6.8% 1A
2021 2.83% 1B B
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.
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Year Value Reference/Comment
2016 3.4% 1A
2021 0.96% 1B B
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.
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Year Value Reference/Comment
2016 8.1% 1A
2021 4.42% 1B B
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.