Seniors and smoking: a challenge on two fronts
Australians who can’t quit tobacco are facing health issues and being targeted by a thriving illicit cigarette trade.
Despite decades of public health campaigns and rising tobacco taxes, smoking remains a stubborn habit among older Australians.
While national smoking rates have declined significantly – from 24% in 1991 to just 8.3% in 2023 – older people continue to smoke at higher rates than their younger counterparts. People aged 50–59 are now the most likely to smoke daily, with 21% reporting daily use in 2022–23.
This trend is concerning given the severe health consequences of smoking.
Tobacco use is the leading risk factor for disease burden among Australians aged 55–84, contributing to 10.5% of the total burden for those aged 55–64 and 12% for those aged 65–84.
Smoking is linked to heart disease, stroke, cancer, and chronic respiratory conditions, and smokers lose an average of 10 years of life compared to non-smokers.
Yet, quitting remains elusive for many older smokers. Data shows that older Australians are the least likely to intend to quit, with 57% of those aged 70+ reporting no plans to stop smoking.
Enjoyment of smoking is cited as the main reason, suggesting that deeply ingrained habits and social factors play a role.
Adding to the complexity is the skyrocketing cost of tobacco. In 2025, a pack of cigarettes costs around $50, with premium brands exceeding $60.
These prices are driven by government excises, which now account for up to 70% of the retail price.
While the intent is to deter smoking, the financial burden has pushed many smokers toward the illegal tobacco market.
Illicit tobacco is now believed to account for 50% of all cigarette consumption in Australia, up from 39.4% in 2024.
This black market, worth an estimated $10 billion annually, undermines public health efforts and deprives the government of billions in tax revenue.
Illegal cigarettes sell for as little as $10 per pack, making them an attractive alternative for price-sensitive smokers – especially older Australians on fixed incomes.
In response, the government has ramped up enforcement. The National Tobacco Strategy 2023–2030 outlines a comprehensive plan to reduce smoking rates and tackle the illicit trade through stronger regulation and public education.
However, experts warn that enforcement alone is not enough. A balanced approach, including accessible support services for those wanting to quit the habit and targeted outreach to older Australians, is essential.
The challenge is clear: support older Australians in quitting smoking while advocating for policies that address affordability, addiction, and the growing illegal tobacco trade.
With nearly two million Australians still smoking, and older adults disproportionately affected, the fight against tobacco is far from over.
Related reading: Tobacco in Australia, AIHW, Quitwise, Tobacco Insider, Health Department
Photo by Comstock on Freeimages.com
Disclaimer: This article is for information purposes only and should not be considered medical advice. Consult a healthcare professional about any health concerns or before making any changes to your medication, diet, or exercise routine.
