Data sourced:
2022.
Page updated:
2025-01-22
In South Africa, the prevalence of tobacco smoking among adults aged 15 years and older was recorded to be 20.3% in 2022. Comparatively, this prevalence was 20.2% in 2020 and 20.7% in 2019. Gender-specific data from 2022 indicate that 35.1% of males and 6.5% of females were tobacco smokers, illustrating a significant gender disparity in smoking habits. The adult daily tobacco smoking prevalence in 2021 was 21.2%, with 35.1% among males and 8.3% among females. In terms of mortality, smoking accounted for 4.42% of all deaths in 2021, with males experiencing a higher percentage (5.75%) compared to females (2.86%). The annual number of smoking-related deaths in 2021 was 32,442, including 22,817 males and 9,625 females. Additionally, the number of smokers in 2022 was approximately 8,617,084, showing an increase from 8,323,703 smokers in 2020. These statistics represent the ongoing public health challenge posed by tobacco smoking in South Africa, emphasizing the need for targeted interventions to reduce smoking prevalence and related mortality.
Prevalence
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 8.4 million | 1A |
| 2020 | 8.3 million | 1B |
| 2022 | 8.6 million | 1C 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. 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/
- 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/
- 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:
- 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 | 20.7% | 2A |
| 2020 | 20.2% | 2B |
| 2022 | 20.3% | 2C A |
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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 7.1% | 2A |
| 2020 | 6.5% | 2B |
| 2022 | 6.5% | 2C A |
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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 34.3% | 2A |
| 2020 | 34.6% | 2B |
| 2022 | 35.1% | 2C A |
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
Comments:
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
6.4 million
3
C
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 17% | 4A A |
| 2021 | 21.2% | 4B B |
References:
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- Global Adult Tobacco Survey (GATS), 2021; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
- Prevalence of daily tobacco smoking from the latest survey.
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 6.7% | 4A A |
| 2021 | 8.3% | 4B B |
References:
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- Global Adult Tobacco Survey (GATS), 2021; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
- Prevalence of daily tobacco smoking from the latest survey.
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 27.8% | 4A A |
| 2021 | 35.1% | 4B B |
References:
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- Global Adult Tobacco Survey (GATS), 2021; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
- Prevalence of daily tobacco smoking from the latest survey.
References:
- 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/
- 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 report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- Global Adult Tobacco Survey (GATS), 2021; National, ages 15+. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
- 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/
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
- Prevalence of daily tobacco smoking from the latest survey.
Smoking-related mortality
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 42.2 thousand | 1A |
| 2021 | 32.4 thousand | 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 13.5 thousand | 1A |
| 2021 | 9.6 thousand | 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 28.7 thousand | 1A |
| 2021 | 22.8 thousand | 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.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 8.59% | 1A |
| 2021 | 4.42% | 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:
- 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 | 5.4% | 1A |
| 2021 | 2.86% | 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:
- 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 | 10.1% | 1A |
| 2021 | 5.75% | 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:
- 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.
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