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Wales smoking evidence hub

Smoking statistics and facts in Wales

Quick, sourced Wales statistics on smoking, health, inequality, pregnancy, prevention and young people, quitting and illegal tobacco.

Last reviewed: 27th September 2026

Quick facts

The numbers people most often need. Every figure links straight to its source.

10%

of people aged 16+ in Wales currently smoke

19% → 10%

fall in smoking prevalence since 2016–17

3,845

estimated smoking-attributable deaths per year among adults aged 35+, 2020–22

17,195

estimated smoking-attributable hospital admissions a year among adults aged 35+, 2020–22

£1.56bn

modelled annual cost of smoking to Wales using Public Health Wales’ 2022–23 cost framework

≤5%

Wales’ definition of smokefree by 2030

Adults and smoking trends

10%

of people aged 16+ currently smoke

32%

describe themselves as ex-smokers

19%

smoked in 2016–17

≤5%

is the 2030 smokefree goal

Why figures can differ: different surveys use different samples and methods. For national prevalence, this page uses the National Survey for Wales as the headline measure. The 2024–25 National Survey smoking figures are official statistics in development, and Welsh Government advises care with subgroup estimates and comparisons with earlier years. ASH Wales polling is labelled separately.

Smoking and inequality

The national average hides much higher smoking rates in some groups. For the wider context behind these differences, see Smoking & Health Inequalities in Wales.

23%

of people living in social housing smoke

7%

of owner-occupiers smoke

24%

of people with a mental health condition smoke

20%

among people with below GCSE C / no qualifications

22%

among people reporting bad or very bad health

22.6% vs 6.8%

estimated prevalence in the most vs least deprived fifth of communities

Smoking during pregnancy

12%

recorded as smoking at initial maternity assessment

11%

recorded as smoking at the time of birth

25%

of pregnant women aged under 20 smoked at initial assessment

Data note: Welsh Government advises care when comparing years because changes in carbon monoxide monitoring affected recording during and after the pandemic.

Prevention and young people

Latest national school picture — Wales, 2025

Public Health Wales analysis of the 2025 School Health Research Network survey is the national picture to use for Years 7–11 in Wales. The report is based on 129,761 learners from 201 schools. In 2025, 5.2% reported vaping at least weekly, 21.0% had ever vaped and 1.8% reported smoking at least weekly. Weekly vaping was 12.8% among Year 11 learners.

5.2%

of Years 7–11 learners reported vaping at least weekly

21.0%

of Years 7–11 learners reported ever vaping

1.8%

of Years 7–11 learners reported smoking at least weekly

ASH Wales original research — fieldwork 2023

ASH Wales surveyed 12,524 pupils in Years 7–13 between 20 September and 20 December 2023, with responses from 14 Welsh local authority areas. Published in May 2024, the study adds detail on access, self-reported nicotine use and school-day experience. It should not be read as the national prevalence estimate for Wales.

24%

of Years 7–11 respondents in this survey sample had ever vaped

7%

of Years 7–11 respondents in this survey sample were current vapers

92%

of respondents in the study’s current-vaper group who answered this question said their vapes contained nicotine

45%

of respondents in the study’s current-vaper group who answered this question said they could not go through the whole school day without vaping

55%

of current vapers reported product characteristics that the 2024 study classified as highly likely to be illegal

Health harm and cost

How to read these figures: smoking-attributable deaths and hospital admissions are estimates calculated using smoking-attributable fractions; the cost figures come from an economic model. They are not direct counts of every smoking-caused event or audited NHS, council or business expenditure.

3,845

estimated smoking-attributable deaths per year among adults aged 35+, 2020–22

10.7%

of all deaths among people aged 35+ were attributable to smoking

17,195

estimated smoking-attributable hospital admissions a year among adults aged 35+, 2020–22

£1.56bn

modelled total annual cost of smoking to Wales using Public Health Wales’ 2022–23 cost framework

£650m+

modelled annual health and social-care cost components linked to smoking in Wales

£4,661

modelled annual cost per adult who smokes

Local Wales: health board rates

Public Health Wales publishes smoking-attributable mortality and hospital-admission rates by health board. These are European age-standardised rates (EASRs) per 100,000 people aged 35+, which are designed for comparing places with different age structures.

They are estimates based on smoking-attributable fractions, not direct counts of individual cases caused solely by smoking.

Smoking-attributable mortality

EASR per 100,000, 2020–22

Aneurin Bevan: 206
Betsi Cadwaladr: 188
Cardiff & Vale: 165
Cwm Taf Morgannwg: 220
Hywel Dda: 172
Powys: 152
Swansea Bay: 200

Wales: 190

Smoking-attributable hospital admissions

EASR per 100,000, 2020–22

Aneurin Bevan: 915
Betsi Cadwaladr: 984
Cardiff & Vale: 719
Cwm Taf Morgannwg: 925
Hywel Dda: 734
Powys: 902
Swansea Bay: 742

Wales: 862

How to use these figures: compare rates, not raw numbers. Public Health Wales notes that COVID affected mortality and healthcare use during 2020–22, and that health-board estimates should be interpreted carefully — particularly for smaller populations such as Powys. These figures are best used as context, not as a league table.

Public Health Wales source ↗

Quitting smoking and NHS support

15,471

smokers treated by NHS smoking cessation services in 2025–26

5.9%

of the estimated smoking population made a quit attempt through NHS services

3,606

CO-validated quits recorded at four weeks among people treated in 2025–26

Trend note: carbon-monoxide (CO) validation was suspended by Welsh health boards from 2020–21 to 2023–24 because of COVID-19 transmission risk. All health boards resumed CO validation from April–June 2024. That means CO-validated quit figures should not be shown as one continuous trend across the pandemic gap.

For context, 17,763 people were treated in 2024–25 and 3,202 had a CO-validated quit recorded at four weeks. In 2025–26, 15,471 were treated and 3,606 had a CO-validated quit recorded at four weeks. These are recent service measures, not proof of permanent abstinence.

Welsh Government methodology and quality notes ↗

Illegal tobacco and community intelligence

No Ifs. No Butts. shows what communities are reporting to the service. These figures are not an estimate of the total illegal market in Wales.

882

reports submitted from Wales between 2022 and 2025

271

Welsh reports received in 2025

51.7%

of Welsh reports in 2025 flagged underage sales

64%

of Welsh reports in 2025 mentioned illegal tobacco

What people in Wales think

Public attitudes to tobacco and vape regulation in Wales — 2026

Public-attitude findings conducted by YouGov for ASH Wales. These are kept separate from official national prevalence statistics.

63%

supported progressively raising the age of sale for tobacco

86%

supported a licensing scheme for tobacco retailers

80%

supported a ban on point-of-sale vape advertising and promotion

80%

supported restrictions on sweet names, cartoons and bright colours on vape packaging

NEW RESEARCH • SEPTEMBER 2026

Explore our two latest Wales reports

Public attitudes to tobacco and vape regulation in Wales brings together the latest ASH Wales/YouGov findings on regulation, smoke-free places and perceptions of vaping harm. Smoking and Social Housing in Wales examines smoking, vaping, health and household smoking within the social-housing subgroup.

Key Wales research and reports

Need more than a headline figure? Go straight to the underlying research.

ASH WALES • 2024

Youth Vaping Survey

Detailed evidence on vaping, nicotine, access, dependence and illegal products among pupils in Wales.

PUBLIC HEALTH WALES • 2026

The Cost of Smoking in Wales

Current economic analysis of the health, social care, environmental and productivity costs of smoking.

ASH WALES • 2022–2025

No Ifs. No Butts.

Community intelligence on illegal tobacco, illegal vapes and underage sales.

ASH WALES • 2014–2025

Nicotine product trends

A decade of awareness and use of emerging nicotine products in Wales.

ASH WALES • 2025

Annual Adult Population Survey

Public attitudes to smoking, tobacco policy and vaping in Wales.

ASH WALES

Reports & publications

Browse the wider ASH Wales research library.

About the data

We use the most recent Wales-specific evidence available and name the source and year beside every statistic. Different surveys may produce different estimates because they use different samples, questions and methods. Where an official national prevalence measure exists, we use that as the headline figure and clearly label ASH Wales research separately.

Last evidence review: September 2026.