Trends in 2022 show a continued decline in tobacco use rates globally. With about 1 in 5 adults worldwide consuming tobacco compared to 1 in 3 in 2000. The report shows that 150 countries are successfully reducing tobacco use.

Cigarette shipment volume has fallen from 915 billion units in 2011 to 613 billion units in 2023, with an annual decline every year for the past 10 years.

Current smoking rates ranged from a low of 7.7% in British Columbia to a high of 14.8% in Newfoundland and Labrador. Between 1999 and 2020, smoking prevalence decreased substantially in all provinces, although not consistently (Table 2.1).

However, research has shown that smoking actually increases anxiety and tension. Nicotine creates an immediate sense of relaxation, so people smoke in the belief it reduces stress and anxiety. This feeling is temporary and soon gives way to withdrawal symptoms and increased cravings.