The report grades states according to their spending on tobacco prevention and control programs, smoke-free air laws, cigarette taxes, and coverage of programs to help smokers quit.
Missouri was one of six states to receive an “F” grade in all four categories.
A higher percentage of Missouri's workers are exposed to secondhand cigarette smoke than in any other state.
A 2007 telephone survey funded by the Missouri Foundation for Health looked at the tobacco use, health, and demographics of close to 24,000 indoor Missouri workers. About 12 percent were exposed to secondhand smoke, compared to about 7 percent of workers nationwide.