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Rates By State

Tobacco use rates vary tremendously between states. This page describes current adult cigarette smoking rates, adult cigarette quit attempts, adult electronic cigarette use, high school student cigarette smoking rates, high school student use of any tobacco rates, and middle school student cigarette smoking rates by state.

Adult Cigarette Smoking Rates by State

In 2018, cigarette smoking rates among adults by state ranged from a low of 9.0 percent in Utah to a high of 25.2 percent in West Virginia:

Adult Cigarette Smoking by State

State Current   Tried to Quit   Former Never
Alabama 698,229 19.2% 449,060 64.4% 897,818 2,044,059
Alaska 103,745 19.1% 58,068 56.4% 131,344 309,225
Arizona 733,399 14.0% 400,376 54.7% 1,375,563 3,130,692
Arkansas 507,468 22.7% 299,130 59.1% 542,882 1,182,250
California 3,216,882 11.2% 1,829,972 57.2% 6,319,028 19,084,329
Colorado 593,187 14.5% 345,720 58.6% 1,060,102 2,446,507
Connecticut 331,128 12.2% 204,165 61.8% 742,174 1,650,493
Delaware 120,928 16.5% 67,314 56.0% 188,137 423,093
District of Columbia 74,739 13.8% 51,456 69.1% 113,122 354,647
Florida 2,370,851 14.5% 1,345,062 57.0% 4,489,906 9,531,762
Georgia 1,216,077 16.1% 738,439 60.9% 1,625,916 4,725,137
Hawaii 142,750 13.4% 80,195 56.4% 277,670 647,410
Idaho 185,382 14.7% 101,922 55.0% 294,146 779,194
Illinois 1,478,094 15.5% 851,903 58.3% 2,180,604 5,900,743
Indiana 1,036,399 21.1% 595,668 58.0% 1,172,785 2,702,831
Iowa 390,844 16.6% 201,201 51.8% 574,281 1,389,313
Kansas 364,784 17.2% 199,879 54.9% 519,766 1,230,143
Kentucky 787,183 23.4% 424,962 54.5% 907,862 1,671,587
Louisiana 699,366 20.5% 423,231 60.5% 770,587 1,936,947
Maine 188,149 17.8% 104,773 55.8% 338,423 533,199
Maryland 569,871 12.5% 342,207 60.8% 1,065,129 2,907,025
Massachusetts 715,480 13.4% 426,739 59.9% 1,340,720 3,290,430
Michigan 1,419,864 18.9% 829,816 58.6% 1,985,896 4,107,146
Minnesota 635,747 15.1% 347,562 54.9% 1,089,514 2,481,890
Mississippi 452,555 20.5% 283,191 62.6% 489,819 1,261,439
Missouri 907,117 19.4% 498,594 55.3% 1,150,813 2,614,601
Montana 146,262 18.0% 73,538 50.6% 214,982 451,954
Nebraska 225,257 16.0% 130,883 58.3% 334,727 850,457
Nevada 360,124 15.7% 191,721 53.2% 589,624 1,344,311
New Hampshire 165,544 15.6% 100,458 60.7% 312,569 581,937
New Jersey 873,586 13.1% 550,271 63.2% 1,596,013 4,220,005
New Mexico 233,620 15.2% 129,667 55.7% 392,226 911,845
New York 1,887,148 12.8% 1,144,738 61.1% 3,445,354 9,391,498
North Carolina 1,356,956 17.4% 767,838 56.6% 1,990,373 4,438,473
North Dakota 107,819 19.1% 58,078 54.0% 133,170 323,047
Ohio 1,813,720 20.5% 968,625 53.7% 2,226,715 4,801,338
Oklahoma 564,389 19.7% 303,352 54.3% 712,653 1,591,561
Oregon 497,044 15.6% 265,003 53.8% 874,917 1,811,754
Pennsylvania 1,650,682 17.0% 931,938 56.6% 2,500,467 5,536,964
Rhode Island 119,469 14.6% 66,432 56.0% 224,839 472,897
South Carolina 697,136 18.0% 436,596 63.0% 985,626 2,183,770
South Dakota 122,345 19.0% 62,347 51.1% 162,054 359,952
Tennessee 1,037,144 20.7% 589,537 57.0% 1,242,769 2,740,597
Texas 2,918,025 14.4% 1,548,303 53.1% 4,385,735 13,005,976
Utah 196,066 9.0% 118,381 60.9% 347,827 1,638,471
Vermont 67,438 13.7% 38,451 57.2% 149,757 276,522
Virginia 960,700 14.9% 533,150 55.7% 1,465,716 4,001,815
Washington 667,830 12.0% 346,217 52.2% 1,439,790 3,439,033
West Virginia 354,990 25.2% 184,409 52.1% 339,954 711,129
Wisconsin 708,972 16.4% 402,973 57.2% 1,140,324 2,481,169
Wyoming 80,864 18.8% 44,107 54.9% 113,034 236,323

Source:
Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2017, analysed by the American Lung Association Epidemiology and Statistics Unit.

  • Never smokers reported have smoked less than 100 cigarettes in their life. Former smokers reported having smoked 100 or more cigarettes ever but none in the past 30 days. Current smokers reported having smoked 100 or more cigarettes ever and one or more cigarettes in the past 30 days. Tried to quit are current smokers who stopped smoking for one day or more in the past year because they were trying to quit. Counts rounded to hundreds.
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Adult Cigarette Smokers Who Made a Quit Attempt by State

In 2018, the percent of adult current cigarette smokers who stopped smoking for one day or more in the past year because they were trying to quit ranged from a low of 50.6 percent in Montana to a high of 69.1 percent in District of Columbia.

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Adult E-Cigarette Use by State

2017

In 2018, current use of e-cigarettes among adults ranged from a low of 2.3 percent in the District of Columbia to a high of 7.1 percent in Oklahoma.

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Youth Cigarette Smoking and Tobacco Use by State

  • In 2017, cigarette smoking rates among high school students from the 34 states with comparable data ranged from 3.5 percent in Connecticut to 14.3 percent in Kentucky.

    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.
  • In 2017, use of any tobacco product among high school students from the 32 states with comparable data ranged from 9.7 percent in Utah to 32.7 percent in Montana.

    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.
  • In 2017, cigarette smoking rates among middle school students from the 17 states with comparable data ranged from 0.8 percent in Connecticut to 9.7 percent in Tennessee.

    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.
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  • 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, 2018. 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, 2018.

    Page Last Updated: January 16, 2020

    • 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, 2018. 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, 2018.
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