In Italy, smoking is legal but tobacco products are subject to national tobacco control regulations. Cigarettes are regulated as tobacco products and may be sold through retail outlets, online platforms, and vending machines. The importation of cigarettes for trade is allowed with a license. However, health warnings on packaging are required, the minimum legal age for purchase is 18 years, and there are no legal restrictions on smoking in public places. A comprehensive ban on all tobacco advertising is in place. Cigarettes are taxed at a total rate of 76.69%, with an excise component of 7.42%.
Smoking remains a significant public health issue in Italy. In 2024, there were approximately 10.6 million current smokers, representing an adult smoking prevalence of 20.3%. In the same year, smoking prevalence was higher among males (23.8%) than among females (16.9%). In 2022, the adult smoking prevalence was reported to be 20.4%. In 2023, the adult daily tobacco smoking prevalence was reported to be 18.7%, with an estimated 12.6 million daily smokers. Mortality data show that in 2021, smoking caused 61,365 deaths in Italy, including 45,844 deaths among males and 15,521 deaths among females. Overall, tobacco smoking accounted for 8.78% of all deaths in the country in 2021. These figrures represent 13.47% of all male deaths and 4.33% of all female deaths, demonstrating the substantial health burden associated with cigarette smoking in Italy.
Prevalencia
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 12.3 million | 1A |
| 2024 | 10.6 million | 1B |
- (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
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 23.4% | 1A |
| 2020 | 21.2% | 1B |
| 2022 | 20.4% | 1C A |
| 2023 | 24% | 1D B |
| 2024 | 20.3% | 1E |
- 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
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- 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
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
- Smoking cigarettes, cigars, cigarillos or a pipe
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 19.6% | 1A |
| 2020 | 17.3% | 1B |
| 2022 | 16.8% | 1C A |
| 2024 | 16.9% | 1D |
- 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
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 27.1% | 1A |
| 2020 | 25.3% | 1B |
| 2022 | 24.1% | 1C A |
| 2024 | 23.8% | 1D |
- 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
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2017 or earlier | 24% | 3A A |
| 2023 | 18.7% | 3B B |
- Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. 2017. Available at :http://data.europa.eu/euodp/en/data/dataset/S2146_87_1_458_ENG
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
- Boxed cigarettes
- 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
- Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. 2017. Available at :http://data.europa.eu/euodp/en/data/dataset/S2146_87_1_458_ENG
- European Commission. (2024). Special Eurobarometer 539: Attitudes of Europeans towards tobacco and related products [Dataset]. European Commission. https://europa.eu/eurobarometer/surveys/detail/2995
- Calculated using Eurobarometer QB1 for current smoking & QB4aT for gender & frequency of smoking any tobacco item.
- Boxed cigarettes
Mortalidad
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 93,342 | 1A |
| 2021 | 61,365 | 1B A |
- 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/
- 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 | 27,548 | 1A |
| 2021 | 15,521 | 1B A |
- 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/
- 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 | 65,794 | 1A |
| 2021 | 45,844 | 1B A |
- 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/
- 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 | 16.85% | 1A |
| 2021 | 8.78% | 1B A |
- 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/
- 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 | 7.9% | 1A |
| 2021 | 4.33% | 1B A |
- 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/
- 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 | 20.6% | 1A |
| 2021 | 13.47% | 1B A |
- 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/
- 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.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- 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.
Promoción de productos
- 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-ita.pdf?sfvrsn=690e6af7_3&download=true. Accessed: 26 November 2025.
Regulación
- 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-ita.pdf?sfvrsn=690e6af7_3&download=true. Accessed: 26 November 2025.
- There are certain restrictions in place.
Disponibilidad
- 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-ita.pdf?sfvrsn=690e6af7_3&download=true. Accessed: 26 November 2025.
- World Integrated Trade Solution. World Bank. Cigarettes containing tobacco imports by country in 2023. Available at: https://wits.worldbank.org/trade/comtrade/en/country/ALL/year/2023/tradeflow/Imports/partner/WLD/product/240220. Accessed: 27 November 2025.
- There are certain restrictions in place.
- An import license is required.
Regulaciones y restricciones
- 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-ita.pdf?sfvrsn=690e6af7_3&download=true. Accessed: 26 November 2025.
- Complete smoke-free laws don't exist in public places.
Impuesto
- 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-ita.pdf?sfvrsn=690e6af7_3&download=true. Accessed: 26 November 2025.
- 0.07
- Total taxation rate: 76.69%