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Youth Smoking and Tobacco Use by State

Youth Cigarette Smoking and Tobacco Use by State

  High School Cigarette Smoking High School Tobacco Use Middle School Cigarette Smoking
State Rate Source Rate Source Rate Source
Alabama 10.9% Youth Tobacco Survey, 2016 35.5% Youth Risk Behavior Surveillance System, 2015 6.4% Youth Tobacco Survey, 2014
Alaska 10.9% Youth Risk Behavior Surveillance System, 2017 25.9% Youth Risk Behavior Surveillance System, 2017
Arizona 7.1% Youth Risk Behavior Surveillance System, 2017 21.6% Youth Risk Behavior Surveillance System, 2017 2.4% Youth Tobacco Survey, 2017
Arkansas 13.7% Youth Risk Behavior Surveillance System, 2017 26.3% Youth Risk Behavior Surveillance System, 2017 6.9% Youth Tobacco Survey, 2010
California 5.4% Youth Risk Behavior Surveillance System, 2017 27.4% Youth Risk Behavior Surveillance System, 2015 2.8% California Healthy Kids Survey (7th grade only), 2013-15
Colorado 7.0% Youth Risk Behavior Surveillance System, 2017 30.3% Colorado Healthy Kids Survey, 2015 1.9% Colorado Healthy Kids Survey, 2015
Connecticut 3.5% Youth Tobacco Survey, 2017 17.9% Youth Tobacco Survey, 2017 0.8% Youth Tobacco Survey, 2015
Delaware 6.2% Youth Risk Behavior Surveillance System, 2017 19.4% Youth Risk Behavior Surveillance System, 2017 2.7% Youth Tobacco Survey, 2015
District of Columbia 12.5% Youth Risk Behavior Surveillance System, 2011 9.4% Youth Tobacco Survey, 2000
Florida 3.6% Florida Youth Tobacco Survey, 2018 29.3% Florida Youth Tobacco Survey, 2018 2.0% Florida Youth Tobacco Survey, 2018
Georgia 8.2% Youth Tobacco Survey, 2017 3.2% Youth Tobacco Survey, 2013
Hawaii 6.0% Youth Tobacco Survey, 2017 23.2% Youth Tobacco Survey, 2017 3.1% Youth Tobacco Survey, 2017
Idaho 9.1% Youth Risk Behavior Surveillance System, 2017 18.5% Youth Risk Behavior Surveillance System, 2017 9.4% Youth Tobacco Survey, 2003
Illinois 7.6% Youth Risk Behavior Surveillance System, 2017 18.6% Youth Risk Behavior Surveillance System, 2017 2.0% Youth Tobacco Survey, 2015
Indiana 11.2% Youth Risk Behavior Surveillance System, 2017 32.4% Youth Risk Behavior Surveillance System, 2015 1.8% Youth Tobacco Survey, 2016
Iowa 9.9% Youth Risk Behavior Surveillance System, 2017 19.9% Youth Risk Behavior Surveillance System, 2017 1.5% Iowa Youth Survey (8th grade only), 2016
Kansas 7.2% Youth Risk Behavior Surveillance System, 2017 17.1% Youth Risk Behavior Surveillance System, 2017 1.2% Youth Tobacco Survey, 2013
Kentucky 14.3% Youth Risk Behavior Surveillance System, 2017 26.0% Youth Risk Behavior Surveillance System, 2017 9.0% Youth Tobacco Survey, 2010
Louisiana 12.3% Youth Risk Behavior Surveillance System, 2017 25.2% Youth Risk Behavior Surveillance System, 2017 3.8% Youth Tobacco Survey, 2017
Maine 8.7% Youth Risk Behavior Surveillance System, 2017 22.5% Youth Risk Behavior Surveillance System, 2017 1.9% Maine Integrated Youth Health Survey, 2017
Maryland 8.2% Youth Risk Behavior Surveillance System, 2017 21.6% Youth Risk Behavior Surveillance System, 2017 3.5% Maryland Youth Tobacco Survey, 2008
Massachusetts 6.4% Youth Risk Behavior Surveillance System, 2017 24.6% Youth Risk Behavior Surveillance System, 2017 1.4% Massachusetts Youth Health Survey, 2015
Michigan 10.5% Youth Risk Behavior Surveillance System, 2017 22.8% Youth Risk Behavior Surveillance System, 2017 7.2% Youth Tobacco Survey, 2003
Minnesota 9.6% Youth Tobacco Survey, 2017 26.4% Minnesota Youth Tobacco Survey, 2017 1.9% Youth Tobacco Survey, 2017
Mississippi 7.2% Youth Tobacco Survey, 2017 37.6% Youth Risk Behavior Surveillance System, 2015 1.5% Youth Tobacco Survey, 2017
Missouri 9.2% Youth Risk Behavior Surveillance System, 2017 20.8% Youth Risk Behavior Surveillance System, 2017 3.5% Youth Tobacco Survey, 2017
Montana 9.4% Montana Prevention Needs Assessment Survey (10th grade only), 2018 32.7% Youth Risk Behavior Surveillance System, 2017 3.9% Montana Prevention Needs Assessment Survey (8th grade only), 2018
Nebraska 7.2% Youth Tobacco Survey, 2017 16.1% Youth Risk Behavior Surveillance System, 2017 5.4% Youth Tobacco Survey, 2006
Nevada 6.4% Nevada Youth Risk Behavior Surveillance System, 2017 21.4% Youth Risk Behavior Surveillance System, 2017 2.2% Nevada Youth Risk Behavior Surveillance System, 2017
New Hampshire 7.8% Youth Risk Behavior Surveillance System, 2017 30.3% Youth Risk Behavior Surveillance System, 2015 3.6% New Hampshire Youth Tobacco Survey, 2007
New Jersey 4.7% Youth Tobacco Survey, 2017 14.2% Youth Tobacco Survey, 2017 1.2% Youth Tobacco Survey, 2015
New Mexico 10.6% Youth Risk Behavior Surveillance System, 2017 31.9% Youth Risk Behavior Surveillance System, 2017 6.8% New Mexico Youth Risk Behavior Surveillance System, 2011
New York 5.5% Youth Risk Behavior Surveillance System, 2017 19.3% Youth Risk Behavior Surveillance System, 2017 1.2% New York Youth Tobacco Survey, 2014
North Carolina 8.9% Youth Tobacco Survey, 2017 28.8% North Carolina Youth Tobacco Survey, 2017 2.5% North Carolina Youth Tobacco Survey, 2017
North Dakota 9.0% Youth Tobacco Survey, 2017 28.8% Youth Risk Behavior Surveillance System, 2017 2.4% Youth Tobacco Survey, 2017
Ohio 8.4% Youth Tobacco Survey, 2017 1.0% Youth Tobacco Survey, 2017
Oklahoma 12.5% Youth Risk Behavior Surveillance System, 2017 25.6% Youth Risk Behavior Surveillance System, 2017 4.1% Youth Tobacco Survey, 2016
Oregon 7.7% Oregon Healthy Teens Survey (11th grade only), 2017 18.9% Oregon Healthy Teens Survey (11th grade only), 2017 3.0% Oregon Healthy Teens Survey (8th grade only), 2017
Pennsylvania 8.7% Youth Risk Behavior Surveillance System, 2017 18.7% Youth Risk Behavior Surveillance System, 2017 1.3% Youth Tobacco Survey, 2015
Rhode Island 6.1% Youth Risk Behavior Surveillance System, 2017 25.9% Youth Risk Behavior Surveillance System, 2017 1.9% Rhode Island Youth Risk Behavior Surveillance System, 2017
South Carolina 10.0% Youth Risk Behavior Surveillance System, 2017 21.6% Youth Risk Behavior Surveillance System, 2017 3.2% Youth Tobacco Survey, 2017
South Dakota 10.1% Youth Risk Behavior Surveillance System, 2015 30.3% Youth Risk Behavior Surveillance System, 2015 2.0% Youth Tobacco Survey, 2017
Tennessee 9.4% Youth Risk Behavior Surveillance System, 2017 20.3% Youth Risk Behavior Surveillance System, 2017 9.7% Youth Tobacco Survey, 2004
Texas 7.4% Youth Risk Behavior Surveillance System, 2017 16.8% Youth Risk Behavior Surveillance System, 2017 2.4% Texas School Survey, 2016
Utah 3.8% Youth Risk Behavior Surveillance System, 2017 9.7% Youth Risk Behavior Surveillance System, 2017 2.3% Youth Tobacco Survey, 2007
Vermont 9.3% Youth Risk Behavior Surveillance System, 2017 18.9% Youth Risk Behavior Surveillance System, 2017 2% Vermont Youth Risk Behavior Surveillance System (rounded to the nearest whole number), 2017
Virginia 6.5% Youth Risk Behavior Surveillance System, 2017 16.3% Youth Risk Behavior Surveillance System, 2017 2.4% Virginia Youth Risk Behavior Surveillance System, 2017
Washington 6.3% Washington State Healthy Youth Survey (10th grade only), 2016 3.1% Washington State Healthy Youth Survey (8th grade only), 2016
West Virginia 10.3% Youth Tobacco Survey, 2017 26.6% Youth Risk Behavior Surveillance System, 2017 4.5% Youth Tobacco Survey, 2017
Wisconsin 7.8% Youth Risk Behavior Surveillance System, 2017 17.3% Youth Risk Behavior Surveillance System, 2017 1.3% Youth Tobacco Survey, 2016
Wyoming 15.7% Youth Risk Behavior Surveillance System, 2015 38.4% Youth Risk Behavior Surveillance System, 2015 5.4% Wyoming Youth Risk Behavior Surveillance System, 2013
State Rate Source Rate Source Rate Source
  • Smoking was defined as having smoked on at least one day during the 30 days before the survey. Tobacco use was defined as having used cigarettes, smokeless tobacco, cigars, or electronic vapor products on at least one day during the 30 days before the urvey.

    Page Last Updated: January 25, 2019

    • Sources
      1. Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey, 1965-2017. Analysis performed by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
      2. Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2017. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
      3. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance—United States, 2017. Morbidity and Mortality Weekly Report. June 15, 2018; 67(SS-08).
      4. Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
      5. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 2014.
      6. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance Survey, 2017. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
      7. Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System. Youth Risk Behavior Surveillance System, 2017.
      8. Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System. Youth Tobacco Survey, 2017.
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