That’s one of the lowest rates in the nation, but underscores the toll smoking continues to take on the population.
The study also showed a gender difference among smoking-linked cancer deaths.
About 32 percent of cancer deaths among Hawaii men 35 and older in 2014 were linked to smoking, while the rate among Hawaii women was 19 percent.
Nationally, 29 percent of cancer deaths in 2014 were linked to smoking.
The study found the highest rate among men in Arkansas, where 40 percent of cancer deaths were linked to cigarette smoking. Kentucky had the highest rate among women – 29 percent.
The lowest rates were in Utah, where 22 percent of cancer deaths in men and 11 percent in women were linked with smoking.
The study’s authors said while there are wide differences across the nation, “the human costs of cigarette smoking are high in all states, regardless of ranking.”
They analyzed 2014 health surveys and government data on smoking rates and deaths from about a dozen smoking-linked cancers. Lung, throat, stomach, liver, colon, pancreas and kidney cancers were among those included, along with leukemia.
The researchers estimated how many cancer deaths were likely attributable to smoking, and compared that with deaths from all cancers.
Their results were published Monday in the journal JAMA Internal Medicine.
While U.S. smoking rates have been falling, 40 million U.S. adults are cigarette smokers and smoking remains the top cause of preventable deaths.