mind & bodyanalysisOur World in Data20th century
Smoking rose across rich countries in the 20th century, then fell steeply from the 1980s
Smoking spread rapidly across rich countries through the 20th century, as cigarettes became cheap, heavily marketed and socially normal, especially among men. From the 1980s, rates fell steeply. The turn followed growing scientific evidence linking cigarettes to lung cancer and heart disease, which made the risks widely known. Governments then added advertising bans, health warnings, higher taxes and smoke-free public places. The sequence of research, public awareness and policy is a clear example of how public health change happens over decades.
Nicotine addiction keeps people smoking, so demand stayed high while cigarettes were cheap and widely advertised. As evidence of harm spread, taxes, warnings and bans raised the cost and reduced the appeal of smoking. Over time, fewer young people started, and older smokers quit or died, pulling national averages down.
This decline is one of the great public health successes of the modern era, and it shows that policy can change behaviour at scale. The same tools are now spreading to lower-income countries.
