- 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.
- 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.
- Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance—United States, 2017. Morbidity and Mortality Weekly Report. June 15, 2018; 67(SS-08).
- Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
- U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 2014.
- 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.
- Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System. Youth Risk Behavior Surveillance System, 2017.
- Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System. Youth Tobacco Survey, 2018.
Overall Tobacco Trends
Tobacco use rates have generally decreased over time. This page describes the change in cigarette and other tobacco rates among adults and youth, including current use, quitting, and average number of cigarettes smoked per day.
Trends in Cigarette Smoking Rates
Long term, cigarette smoking rates have fallen:
-
67 percent among adults, from 42.6 percent in 1965 to 14.0 percent in 2017.
Adult Cigarette Smoking Rate Trend by Sex, Race, and Age
1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 % Change
1965-2017‡Total 42.4 37.4 37.1 33.2 30.1 25.5 24.7 24.7 24.1 23.5 23.3 22.8 22.5 21.6 20.9 20.9 20.6 19.8 20.6 20.6 19.3 19.0 18.1 17.8 16.8 15.1 15.5 14.0 -67.0 Sex Male 51.9 44.1 43.1 37.6 32.6 28.4 27.0 27.6 26.4 25.7 25.7 25.2 25.2 24.1 23.4 23.9 23.6 22.3 23.1 23.5 21.5 21.6 20.5 20.5 18.8 16.7 17.5 15.8 -69.6 Female 33.9 31.5 32.1 29.3 27.9 22.8 22.6 22.1 22.0 21.5 21.0 20.7 20.0 19.2 18.5 18.1 17.8 17.4 18.3 17.9 17.3 16.5 15.8 15.3 14.8 13.6 13.5 12.2 -64.0 Race Non-Hispanic White 42.1 37.0 36.4 32.9 29.6 25.6 25.6 25.3 25.0 24.3 24.1 24.0 23.6 22.7 22.2 21.9 21.8 21.5 22.0 22.2 21.1 20.7 19.8 19.5 18.3 16.6 16.7 15.3 -63.7 Black 45.8 41.4 44.0 36.9 34.9 26.2 25.8 26.7 24.7 24.3 23.2 22.3 22.4 21.5 20.2 21.5 22.6 19.8 21.3 21.3 20.5 19.6 18.2 18.5 17.8 16.8 16.9 15.1 -67.0 American Indian/ Alaska Native N/A N/A N/A N/A N/A N/A N/A 34.1 40.0 40.8 36.0 32.7 40.8 39.7 33.4 32.0 32.2 36.4 32.4 23.2 31.4 31.5 21.8 26.1 29.2 21.9 34.1 24.6 -27.9 Asian N/A N/A N/A N/A N/A N/A N/A 16.9 13.7 15.1 14.4 12.4 13.3 11.7 11.3 13.3 10.3 9.6 9.9 12.0 9.2 9.9 10.7 9.6 9.5 7.0 9.4 7.0 -58.6 Hispanic N/A N/A N/A N/A N/A N/A N/A 20.4 19.1 18.1 18.6 16.7 16.7 16.4 15.0 16.2 15.1 13.3 15.8 14.5 12.5 12.9 12.5 12.1 11.2 10.1 10.7 9.9 -51.5 Age 18-24 45.5 38.0 37.8 33.3 29.3 24.5 24.8 28.7 27.9 27.9 26.8 26.9 28.5 23.9 23.6 24.4 23.7 22.2 21.4 21.8 20.1 18.9 17.3 18.7 16.7 13.0 13.1 10.4 -77.1 25-44 51.2 44.6 44.5 37.8 34.8 29.7 28.6 28.6 27.5 27.3 27.0 25.8 25.7 25.6 23.8 24.1 23.2 22.8 23.7 24.0 22.0 22.1 21.6 20.1 20.0 17.7 17.6 16.1 -68.6 45-64 41.6 38.6 37.7 35.6 31.6 27.0 25.5 24.4 25.0 23.3 24.0 23.8 22.7 22.0 22.4 21.9 21.5 21.0 22.5 21.9 21.1 21.4 19.5 19.9 18.0 17.0 18.0 16.5 -60.3 ≥65 17.9 16.1 17.3 17.2 16.0 12.8 13.0 12.0 10.9 10.6 9.7 10.1 9.3 9.1 8.8 8.6 10.0 8.3 9.3 9.5 9.5 7.9 8.9 8.8 8.5 8.4 8.8 8.2 -54.2 1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 % Change
1965-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2017. Analysis for years 1997-2017 by the American Lung Association Research Team using SPSS software.- N/A - Not Available
- * Persons 18 years or older.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- ‡ Percent changes for Hispanics, American Indians/Alaska Natives and Asians are from 1997-2017.
-
68 percent among youth, from 27.5 percent in 1991 to 8.8 percent in 2017.
High School Cigarette Smoking Rate Trend by Sex and Race
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Total 27.5 30.5 34.8 36.4 34.8 28.5 21.9 23.0 20.0 19.5 18.1 15.7 10.8 8.8 -75.8 Sex Male 27.6 29.8 35.4 37.7 34.7 29.2 21.8 22.9 21.3 19.8 19.9 16.4 11.8 9.8 -64.5 Female 27.3 31.2 34.3 34.7 34.9 27.7 21.9 23.0 18.7 19.1 16.1 15.0 9.7 7.8 -71.4 Race Non-Hispanic White 30.9 33.7 38.3 39.7 38.6 31.9 24.9 25.9 23.2 22.5 20.3 18.6 12.4 11.1 -64.1 Black 12.6 15.4 19.1 22.7 19.7 14.7 15.1 12.9 11.6 9.5 10.5 8.2 6.5 4.4 -65.1 American Indian/Alaska Native N/A 35.8 N/A 44.4 N/A 45.1 23.1 31.5 37.0 37.1 31.2 24.6 12.2 18.7 -31.3 Asian 14.6 20.5 24.7 21.1 22.9 15.2 13.0 9.9 9.9 7.5 7.6 10.3 7.0 2.2 -84.9 Hispanic 25.3 28.7 34.0 34.0 32.7 26.6 18.4 22.0 16.7 18.0 17.5 14.0 9.2 7.0 -72.3 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. Youth Risk Behavior Survey, 1991-2017.- N/A - Not Available
- ‡ Percent change for American Indians/Alaska Natives is from 1993-2017.
Over the last five years, cigarette smoking rates have fallen:
-
22 percent among adults, from 17.8 percent in 2013.
Adult Cigarette Smoking Rate Trend by Sex, Race, and Age
1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 % Change
1965-2017‡Total 42.4 37.4 37.1 33.2 30.1 25.5 24.7 24.7 24.1 23.5 23.3 22.8 22.5 21.6 20.9 20.9 20.6 19.8 20.6 20.6 19.3 19.0 18.1 17.8 16.8 15.1 15.5 14.0 -67.0 Sex Male 51.9 44.1 43.1 37.6 32.6 28.4 27.0 27.6 26.4 25.7 25.7 25.2 25.2 24.1 23.4 23.9 23.6 22.3 23.1 23.5 21.5 21.6 20.5 20.5 18.8 16.7 17.5 15.8 -69.6 Female 33.9 31.5 32.1 29.3 27.9 22.8 22.6 22.1 22.0 21.5 21.0 20.7 20.0 19.2 18.5 18.1 17.8 17.4 18.3 17.9 17.3 16.5 15.8 15.3 14.8 13.6 13.5 12.2 -64.0 Race Non-Hispanic White 42.1 37.0 36.4 32.9 29.6 25.6 25.6 25.3 25.0 24.3 24.1 24.0 23.6 22.7 22.2 21.9 21.8 21.5 22.0 22.2 21.1 20.7 19.8 19.5 18.3 16.6 16.7 15.3 -63.7 Black 45.8 41.4 44.0 36.9 34.9 26.2 25.8 26.7 24.7 24.3 23.2 22.3 22.4 21.5 20.2 21.5 22.6 19.8 21.3 21.3 20.5 19.6 18.2 18.5 17.8 16.8 16.9 15.1 -67.0 American Indian/ Alaska Native N/A N/A N/A N/A N/A N/A N/A 34.1 40.0 40.8 36.0 32.7 40.8 39.7 33.4 32.0 32.2 36.4 32.4 23.2 31.4 31.5 21.8 26.1 29.2 21.9 34.1 24.6 -27.9 Asian N/A N/A N/A N/A N/A N/A N/A 16.9 13.7 15.1 14.4 12.4 13.3 11.7 11.3 13.3 10.3 9.6 9.9 12.0 9.2 9.9 10.7 9.6 9.5 7.0 9.4 7.0 -58.6 Hispanic N/A N/A N/A N/A N/A N/A N/A 20.4 19.1 18.1 18.6 16.7 16.7 16.4 15.0 16.2 15.1 13.3 15.8 14.5 12.5 12.9 12.5 12.1 11.2 10.1 10.7 9.9 -51.5 Age 18-24 45.5 38.0 37.8 33.3 29.3 24.5 24.8 28.7 27.9 27.9 26.8 26.9 28.5 23.9 23.6 24.4 23.7 22.2 21.4 21.8 20.1 18.9 17.3 18.7 16.7 13.0 13.1 10.4 -77.1 25-44 51.2 44.6 44.5 37.8 34.8 29.7 28.6 28.6 27.5 27.3 27.0 25.8 25.7 25.6 23.8 24.1 23.2 22.8 23.7 24.0 22.0 22.1 21.6 20.1 20.0 17.7 17.6 16.1 -68.6 45-64 41.6 38.6 37.7 35.6 31.6 27.0 25.5 24.4 25.0 23.3 24.0 23.8 22.7 22.0 22.4 21.9 21.5 21.0 22.5 21.9 21.1 21.4 19.5 19.9 18.0 17.0 18.0 16.5 -60.3 ≥65 17.9 16.1 17.3 17.2 16.0 12.8 13.0 12.0 10.9 10.6 9.7 10.1 9.3 9.1 8.8 8.6 10.0 8.3 9.3 9.5 9.5 7.9 8.9 8.8 8.5 8.4 8.8 8.2 -54.2 1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 % Change
1965-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2017. Analysis for years 1997-2017 by the American Lung Association Research Team using SPSS software.- N/A - Not Available
- * Persons 18 years or older.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- ‡ Percent changes for Hispanics, American Indians/Alaska Natives and Asians are from 1997-2017.
-
44 percent among youth, from 15.7 percent in 2013.
High School Cigarette Smoking Rate Trend by Sex and Race
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Total 27.5 30.5 34.8 36.4 34.8 28.5 21.9 23.0 20.0 19.5 18.1 15.7 10.8 8.8 -75.8 Sex Male 27.6 29.8 35.4 37.7 34.7 29.2 21.8 22.9 21.3 19.8 19.9 16.4 11.8 9.8 -64.5 Female 27.3 31.2 34.3 34.7 34.9 27.7 21.9 23.0 18.7 19.1 16.1 15.0 9.7 7.8 -71.4 Race Non-Hispanic White 30.9 33.7 38.3 39.7 38.6 31.9 24.9 25.9 23.2 22.5 20.3 18.6 12.4 11.1 -64.1 Black 12.6 15.4 19.1 22.7 19.7 14.7 15.1 12.9 11.6 9.5 10.5 8.2 6.5 4.4 -65.1 American Indian/Alaska Native N/A 35.8 N/A 44.4 N/A 45.1 23.1 31.5 37.0 37.1 31.2 24.6 12.2 18.7 -31.3 Asian 14.6 20.5 24.7 21.1 22.9 15.2 13.0 9.9 9.9 7.5 7.6 10.3 7.0 2.2 -84.9 Hispanic 25.3 28.7 34.0 34.0 32.7 26.6 18.4 22.0 16.7 18.0 17.5 14.0 9.2 7.0 -72.3 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. Youth Risk Behavior Survey, 1991-2017.- N/A - Not Available
- ‡ Percent change for American Indians/Alaska Natives is from 1993-2017.
Trends in Number of People Who Smoke Cigarettes and Have Quit
The 34.3 million current cigarette smokers in 2017 marked the fourth time in a row there were less than 40 million current cigarette smokers in the United States since the government began collecting this date in 1997.
Trends in Average Number of Cigarettes Smoked Per Day
Between 1974 and 2017, among current cigarette smokers:
Percent of Adult Cigarette Smokers by the Number of Cigarettes Smoked Daily
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 1974-2017 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <15 | 31.6 | 29.1 | 31.6 | 34.5 | 40.9 | 42.3 | 42.4 | 45.2 | 45.8 | 46.7 | 48.6 | 51.1 | 50.4 | 51.7 | 52.6 | 55.0 | 55.1 | 58.0 | 58.9 | 59.5 | 60.3 | 63.2 | 65.5 | 63.9 | 64.6 | 65.3 | 106.6 |
| 15-24 | 43.2 | 42.1 | 41.8 | 42.6 | 39.0 | 39.7 | 39.9 | 39.1 | 38.8 | 38.5 | 37.0 | 36.1 | 37.2 | 36.6 | 35.3 | 34.1 | 34.9 | 32.9 | 33.7 | 31.8 | 33.2 | 30.5 | 28.2 | 29.7 | 28.6 | 29.3 | -32.2 |
| >24 | 25.3 | 28.8 | 26.6 | 22.9 | 20.1 | 18.0 | 17.7 | 15.7 | 15.4 | 14.8 | 14.4 | 12.9 | 12.3 | 11.7 | 12.1 | 10.9 | 10.1 | 9.1 | 7.4 | 8.6 | 6.5 | 6.3 | 6.3 | 6.4 | 6.7 | 5.4 | -78.6 |
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 1974-2017 |
Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2017. Analysis for years 1997-2017 by the American Lung Association Research Team using SPSS software.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- The proportion of people smoking more than 24 cigarettes a day decreased 79 percent from 25 percent to 5 percent.
- The proportion of people smoking 15-24 cigarettes a day decreased 32 percent from 43 percent to 30 percent.
- The proportion of people smoking fewer than 15 cigarettes a day increased 107 percent from 32 percent to 65 percent.
Decreases in heavy smoking rates (more than 24 cigarettes a day) from 1974 to 2017 have not been equal across the demographic groups depicted in the table.
Percent of Adults Who Smoked >24 Cigarettes Daily by Sex, Race, Hispanic Origin, Age and Education
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 1974-2017‡ |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sex | |||||||||||||||||||||||||||
| Male | 31.1 | 33.7 | 32.4 | 28.5 | 25.5 | 21.9 | 23.5 | 20.2 | 20.7 | 18.6 | 18.2 | 16.1 | 16.5 | 16.4 | 15.4 | 13.1 | 12.2 | 11.7 | 12.6 | 13.5 | 9.7 | 10.3 | 10.7 | 11.4 | 10.5 | 9.1 | |
| Female | 18.7 | 23.2 | 20.6 | 16.6 | 14.1 | 13.5 | 13.1 | 12.6 | 11.7 | 10.6 | 10.1 | 9.2 | 9.9 | 9.0 | 8.1 | 7.8 | 7.2 | 5.7 | 5.7 | 7.7 | 6.0 | 5.1 | 4.7 | 4.5 | 5.9 | 4.3 | |
| Race | |||||||||||||||||||||||||||
| White | 27.6 | 31.6 | 29.5 | 25.4 | 22.2 | 20.4 | 20.5 | 18.3 | 18.5 | 16.7 | 16.3 | 14.2 | 14.9 | 14.5 | 13.6 | 12.1 | 11.3 | 10.1 | 10.3 | 12.4 | 9.0 | 9.2 | 8.6 | 9.1 | 9.5 | 7.6 | |
| Black | 8.7 | 9.4 | 9.3 | 6.0 | 7.7 | 5.0 | 9.1 | 7.6 | 5.5 | 5.4 | 5.8 | 4.9 | 5.3 | 5.3 | 4.9 | 3.0 | 3.3 | 3.2 | 3.2 | 3.1 | 2.8 | 1.2 | 4.2 | 2.4 | 2.0 | 3.0 | |
| Hispanic Origin | |||||||||||||||||||||||||||
| Hispanic | NA | 13.4 | 15.8 | 6.8 | 8.6 | 5.3 | 5.7 | 5.8 | 5.9 | 4.5 | 4.0 | 3.0 | 3.4 | 4.3 | 2.9 | 2.4 | 1.9 | 1.5 | 3.8 | 4.5 | 1.4 | 2.6 | 3.7 | 0.7 | 1.2 | 3.3 | |
| Non-Hispanic | NA | 29.6 | 27.2 | 24.1 | 21.0 | 19.1 | 19.7 | 17.5 | 17.4 | 15.7 | 15.4 | 13.9 | 14.6 | 14.0 | 13.1 | 11.5 | 10.8 | 9.8 | 9.8 | 11.3 | 8.6 | 8.4 | 8.2 | 8.7 | 9.1 | 7.1 | |
| Age (Years) | |||||||||||||||||||||||||||
| 18-24 | 15.1 | 17.0 | 13.6 | 9.1 | 10.5 | 8.8 | 10.0 | 6.1 | 6.7 | 5.2 | 4.9 | 4.8 | 4.5 | 7.7 | 5.0 | 4.4 | 2.5 | 2.3 | 3.8 | 3.5 | 1.2 | 1.8 | 2.3 | 2.1 | 4.2 | 0.5 | |
| 25-44 | 29.2 | 31.5 | 29.5 | 22.9 | 18.1 | 17.4 | 16.4 | 15.9 | 15.9 | 14.3 | 14.1 | 11.5 | 12.0 | 11.0 | 10.5 | 9.0 | 9.0 | 7.3 | 7.0 | 8.2 | 5.1 | 6.8 | 6.0 | 6.1 | 6.3 | 4.4 | |
| 45-64 | 27.3 | 34.5 | 31.1 | 30.8 | 27.5 | 24.1 | 26.2 | 23.3 | 22.0 | 20.8 | 20.7 | 18.3 | 18.5 | 17.8 | 16.0 | 14.1 | 13.4 | 13.1 | 12.5 | 14.6 | 11.7 | 10.3 | 10.1 | 9.7 | 10.5 | 9.9 | |
| ≥65 | 17.7 | 18.2 | 19.4 | 18.9 | 22.6 | 16.9 | 19.2 | 16.1 | 16.9 | 12.4 | 10.7 | 13.7 | 16.1 | 14.3 | 17.2 | 16.5 | 11.0 | 10.1 | 13.0 | 14.4 | 12.8 | 10.1 | 12.1 | 13.3 | 10.5 | 7.3 | |
| Education (Years) | |||||||||||||||||||||||||||
| Less than High School | 25.8 | 29.4 | 29.0 | 24.5 | 27.5 | 20.3 | 23.5 | 19.0 | 19.0 | 16.0 | 19.1 | 14.3 | 15.3 | 14.1 | 15.6 | 14.5 | 12.3 | 13.1 | 13.0 | 13.6 | 10.9 | 10.1 | 10.9 | 13.1 | 9.3 | 9.6 | |
| High School Diploma or GED | 27.8 | 31.6 | 29.0 | 25.7 | 22.9 | 19.4 | 19.3 | 17.5 | 18.3 | 17.0 | 15.0 | 14.1 | 15.6 | 15.6 | 14.1 | 12.7 | 11.8 | 8.7 | 8.9 | 11.2 | 8.4 | 8.2 | 8.3 | 7.6 | 10.3 | 7.6 | |
| Some College | 32.5 | 32.7 | 29.3 | 25.5 | 17.2 | 15.6 | 15.7 | 15.3 | 13.6 | 13.8 | 12.8 | 12.2 | 11.1 | 11.3 | 9.7 | 7.0 | 7.3 | 8.4 | 8.6 | 10.2 | 5.8 | 7.3 | 6.7 | 6.3 | 6.8 | 4.3 | |
| Bachelors Degree or Higher | 27.3 | 33.3 | 28.7 | 22.6 | 13.5 | 13.0 | 12.3 | 11.4 | 11.0 | 8.4 | 8.2 | 8.2 | 9.3 | 6.9 | 5.9 | 7.5 | 6.8 | 4.8 | 5.4 | 5.5 | 7.7 | 5.1 | 4.2 | 5.8 | 5.2 | 6.7 | |
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 1974-2017‡ |
Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2017. Analysis for years 1997-2017 by the American Lung Association Research Team using SPSS software.
- N/A - Not Available
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- ‡ Percent changes for Hispanic origin are from 1980-2017.
Trends in Electronic Cigarette Use
From 2014 to 2017, the number of adults:
Adult Electronic Cigarette Ever and Current Use Trends by Sex, Race, and Age*
| 2014 | 2015 | 2016 | 2017 | % Change 2014-2017 |
2014 | 2015 | 2016 | 2017 | % Change 2014-2017 |
|
|---|---|---|---|---|---|---|---|---|---|---|
| Ever Use | Current Use | |||||||||
| Total | 12.6 | 13.1 | 15.2 | 14.4 | 14.3 | 3.7 | 3.2 | 3.2 | 2.8 | -24.6 |
| Male | 14.1 | 15.2 | 17.7 | 16.5 | 17.3 | 4.1 | 4.1 | 3.8 | 3.3 | -20.6 |
| Female | 11.1 | 11.1 | 12.9 | 12.4 | 11.7 | 3.4 | 2.5 | 2.6 | 2.4 | -30.7 |
| Sex Orientation | ||||||||||
| Straight | 12.4 | 13.1 | 14.9 | 14.0 | 13.3 | 3.7 | 3.2 | 3.1 | 2.6 | -28.9 |
| LGB | 24.0 | 30.4 | 22.6 | 27.1 | 13.0 | 7.3 | 8.7 | 4.1 | 7.5 | 3.1 |
| Race | ||||||||||
| Non-Hispanic | ||||||||||
| White | 13.3 | 14.9 | 17.3 | 16.3 | 22.8 | 4.5 | 3.9 | 3.7 | 3.3 | -27.2 |
| Black | 7.6 | 9.6 | 12.4 | 10.6 | 39.1 | 2.0 | 1.9 | 2.0 | 2.3 | 17.4 |
| American Indian/ Alaska Native | 20.2 | 15.1 | 25.0 | 18.7 | -7.3 | 10.7 | 2.9 | 9.1 | 3.7 | -65.0 |
| Asian | 6.2 | 7.6 | 8.3 | 7.9 | 27.6 | 1.5 | 2.1 | 2.7 | 0.9 | -37.8 |
| Hispanic | 8.6 | 9.7 | 11.0 | 11.7 | 35.9 | 2.1 | 1.9 | 1.6 | 1.8 | -15.2 |
| Age | ||||||||||
| 18-24 | 21.6 | 21.3 | 23.6 | 25.5 | 17.8 | 5.1 | 4.9 | 4.7 | 5.2 | 1.7 |
| 25-44 | 15.1 | 17.8 | 21.0 | 19.2 | 27.0 | 4.7 | 4.0 | 4.2 | 3.6 | -22.8 |
| 45-64 | 10.1 | 10.6 | 12.6 | 11.7 | 16.3 | 3.5 | 3.1 | 2.8 | 2.4 | -32.8 |
| ≥65 | 3.7 | 3.8 | 4.4 | 4.2 | 12.7 | 1.4 | 1.1 | 1.0 | 0.7 | -51.1 |
| 2014 | 2015 | 2016 | 2017 | % Change 2014-2017 |
2014 | 2015 | 2016 | 2017 | % Change 2014-2017 |
|
Sources:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 2014-2017. Analysis by the American Lung Association Research Team using SPSS software.
- N/A Not Available
- * Persons 18 years or older.
- Who had ever used electronic cigarettes increased 14 percent from 12.6 percent to 14.4 percent.
- Who were current users of electronic cigarettes decreased 25 percent from 3.7 percent to 2.8 percent.
- These changes were not consistent across the demographic groups depicted in the table.
From 2011, to 2019, current use of electronic cigarettes:
Electronic Cigarettes
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 0.6 | 1.1 | 1.1 | 3.9 | 5.3 | 4.3 | 3.3 | 4.9 | 10.5 | 1.5 | 2.7 | 4.5 | 13.4 | 16.0 | 11.3 | 11.7 | 20.7 | 27.5 |
| Male | 0.7 | 1.4 | 1.4 | 4.5 | 5.9 | 5.1 | 3.7 | 5.1 | 10.2 | 2.3 | 3.6 | 5.5 | 15.0 | 19.0 | 13.1 | 13.3 | 22.6 | 27.6 |
| Female | 0.4 | 0.8 | 0.9 | 3.3 | 4.8 | 3.4 | 2.9 | 4.8 | 10.8 | 0.7 | 1.9 | 3.5 | 11.9 | 12.8 | 9.5 | 9.9 | 18.8 | 27.4 |
| Non-Hispanic White | 0.6 | 0.9 | 0.9 | 3.1 | 4.4 | 3.7 | 3.4 | 4.9 | 10.3 | 1.8 | 3.3 | 4.8 | 15.3 | 17.2 | 13.7 | 14.2 | 26.8 | 32.4 |
| Non-Hispanic Black | N/A | N/A | N/A | 3.8 | 4.1 | 4.0 | 2.2 | 3.0 | 8.6 | N/A | 1.1 | 2.7 | 5.6 | 8.9 | 6.2 | 4.9 | 7.5 | 17.7 |
| Hispanic | N/A | 1.9 | 1.8 | 6.2 | 8.3 | 5.6 | 4.0 | 6.6 | 13.1 | 1.3 | 2.6 | 5.3 | 15.3 | 16.4 | 10.3 | 10.1 | 14.8 | 23.2 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Increased 1650 percent among middle school students, from 0.6 percent to 10.5 percent.
- Increased 1733 percent among high school students, from 1.5 percent to 27.5 percent. This was a 33 percent increase from the 2018 rate of 20.7 percent.
Trends in Adult Use of Other Tobacco Products
Any Tobacco Product
From 2002 to 2017, current use of any tobacco product (cigarettes, cigars, pipe tobacco, and smokeless tobacco):
Percent of Adults Who Use Any Tobacco† by Age and Sex, 2002-2017*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | |||||||||||||||||
| 18-25 | 45.3 | 44.8 | 44.6 | 44.3 | 43.9 | 41.8 | 41.4 | 41.6 | 40.8 | 39.5 | 38.1 | 37.0 | 35.0 | 33.0 | 30.0 | 29.1 | -35.8 |
| ≥26 | 29.9 | 29.3 | 28.5 | 29.0 | 29.4 | 28.5 | 28.3 | 27.3 | 27.2 | 26.3 | 27.0 | 25.7 | 25.8 | 24.5 | 24.6 | 23.4 | -21.7 |
| Male | |||||||||||||||||
| 18-25 | 52.1 | 51.7 | 51.7 | 51.6 | 51.0 | 50.0 | 48.8 | 49.9 | 48.9 | 47.5 | 46.6 | 46.3 | 43.7 | 40.0 | 37.5 | 36.2 | -30.5 |
| ≥26 | 37.3 | 36.0 | 35.7 | 36.0 | 36.9 | 35.6 | 35.0 | 33.1 | 33.8 | 32.3 | 33.6 | 31.3 | 31.8 | 30.7 | 30.7 | 30.2 | -19.0 |
| Female | |||||||||||||||||
| 18-25 | 38.4 | 37.8 | 37.4 | 36.9 | 36.8 | 33.6 | 33.8 | 33.3 | 32.7 | 31.4 | 29.4 | 27.7 | 26.3 | 25.9 | 22.4 | 21.8 | -43.2 |
| ≥26 | 23.2 | 23.1 | 22.0 | 22.6 | 22.5 | 22.0 | 22.2 | 21.9 | 21.1 | 20.8 | 21.0 | 20.6 | 20.2 | 18.8 | 19.1 | 17.2 | -25.9 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
- Decreased 36 percent among those ages 18-25, from 45.3 percent to 29.1 percent.
- Decreased 22 percent among those aged 26 or older, from 29.9 percent to 23.4 percent.
- Decreased 31 percent among men ages 18-25, from 52.1 percent to 46.2 percent.
- Decreased 19 percent among men aged 26 or older, from 37.3 percent to 30.2 percent.
- Decreased 43 percent among women ages 18-25, from 38.4 percent to 21.8 percent.
- Decreased 26 percent among women aged 26 or older, from 23.2 percent to 17.2 percent.
Smokeless Tobacco
From 2002 to 2015, current use of smokeless tobacco:
Percent of Adults Who Use Smokeless Tobacco by Age and Sex, 2002-2017*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | |||||||||||||||||
| 18-25 | 4.8 | 4.7 | 4.9 | 5.1 | 5.2 | 5.3 | 5.4 | 6.1 | 6.4 | 5.4 | 5.5 | 5.8 | 5.6 | 5.4 | 5.2 | 4.8 | 0.0 |
| ≥26 | 3.2 | 3.2 | 2.7 | 3.0 | 3.2 | 3.0 | 3.3 | 3.1 | 3.1 | 3.0 | 3.3 | 3.1 | 3.0 | 3.2 | 3.1 | 3.1 | -3.1 |
| Male | |||||||||||||||||
| 18-25 | 9.4 | 8.9 | 9.5 | 9.7 | 9.9 | 9.9 | 10.3 | 11.4 | 11.9 | 10.3 | 10.5 | 10.8 | 10.7 | 10.0 | 9.6 | 8.8 | -6.4 |
| ≥26 | 6.3 | 6.0 | 5.3 | 5.8 | 6.3 | 5.9 | 6.5 | 6.2 | 6.2 | 5.8 | 6.5 | 6.1 | 6.0 | 6.1 | 6.1 | 6.0 | -4.8 |
| Female | |||||||||||||||||
| 18-25 | 0.3 | 0.4 | 0.4 | 0.5 | 0.4 | 0.5 | 0.4 | 0.4 | 0.7 | 0.6 | 0.5 | 0.8 | 0.5 | 0.8 | 0.8 | 0.7 | 133.3 |
| ≥26 | 0.5 | 0.6 | 0.3 | 0.4 | 0.3 | 0.3 | 0.3 | 0.2 | 0.3 | 0.4 | 0.4 | 0.4 | 0.3 | 0.6 | 0.4 | 0.5 | 0.0 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
- N/A - Not Available
- * Current use ( within last month).
- Remained stable among those ages 18-25 at 4.8 percent.
- Decreased 3 percent among those aged 26 or older, from 3.2 percent to 3.1 percent.
- Decreased 6 percent among men ages 18-25, from 9.4 percent to 8.8 percent.
- Decreased 5 percent among men aged 26 or older, from 6.3 percent to 6.0 percent.
- Increased 133 percent among women ages 18-25, from 0.3 percent to 0.7 percent.
- Remained stable among women aged 26 or older at 0.5 percent.
Cigars
From 2002 to 2017, current use of cigars:
Percent of Adults Who Use Cigars by Age and Sex, 2002-2017*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | |||||||||||||||||
| 18-25 | 11.0 | 11.4 | 12.7 | 12.0 | 12.1 | 11.8 | 11.3 | 11.4 | 11.3 | 10.9 | 10.7 | 10.0 | 9.7 | 8.9 | 8.8 | 9.1 | -17.3 |
| ≥26 | 4.6 | 4.5 | 4.6 | 4.7 | 4.6 | 4.4 | 4.4 | 4.4 | 4.4 | 4.2 | 4.5 | 4.1 | 3.9 | 4.3 | 4.2 | 4.2 | -8.7 |
| Male | |||||||||||||||||
| 18-25 | 16.8 | 17.3 | 19.7 | 18.3 | 18.7 | 18.4 | 17.2 | 17.4 | 16.8 | 16.0 | 16.4 | 14.9 | 14.1 | 12.6 | 12.6 | 13.2 | -21.4 |
| ≥26 | 8.5 | 7.9 | 8.4 | 8.6 | 8.1 | 7.8 | 8.0 | 7.6 | 7.6 | 7.3 | 7.8 | 7.0 | 6.9 | 7.3 | 7.1 | 7.2 | -15.3 |
| Female | |||||||||||||||||
| 18-25 | 5.2 | 5.5 | 5.8 | 5.6 | 5.5 | 5.1 | 5.3 | 5.4 | 5.7 | 5.7 | 5.1 | 5.0 | 5.3 | 5.1 | 5.0 | 5.1 | -1.9 |
| ≥26 | 1.0 | 1.3 | 1.1 | 1.1 | 1.4 | 1.2 | 1.1 | 1.4 | 1.5 | 1.4 | 1.5 | 1.6 | 1.2 | 1.5 | 1.5 | 1.5 | 50.0 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
- Decreased 17 percent among those ages 18-25, from 11.0 percent to 9.1 percent.
- Decreased 9 percent among those aged 26 or older, from 4.6 percent to 4.2 percent.
- Decreased 21 percent among men ages 18-25, from 16.8 percent to 13.2 percent.
- Decreased 15 percent among men aged 26 or older, from 8.5 percent to 7.2.nbsp;percent.
- Decreased 2 percent among women ages 18-25, from 5.2 percent to 5.1 percent.
- Increased 50 percent among women aged 26 or older, from 1.0 percent to 1.5 percent.
Pipe Tobacco
From 2002 to 2017, current use of pipe tobacco:
Percent of Adults Who Use Pipe Tobacco by Age and Sex, 2002-2017*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | |||||||||||||||||
| 18-25 | 1.1 | 0.9 | 1.2 | 1.5 | 1.3 | 1.2 | 1.4 | 1.7 | 1.8 | 1.9 | 1.8 | 2.2 | 1.9 | 1.8 | 1.7 | 1.6 | 45.5 |
| ≥26 | 0.8 | 0.6 | 0.7 | 0.8 | 0.9 | 0.8 | 0.6 | 0.7 | 0.7 | 0.7 | 0.9 | 0.7 | 0.7 | 0.8 | 0.7 | 0.8 | 0.0 |
| Male | |||||||||||||||||
| 18-25 | 1.7 | 1.4 | 2.1 | 2.3 | 2.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| ≥26 | 1.3 | 1.2 | 1.3 | 1.6 | 1.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Female | |||||||||||||||||
| 18-25 | 0.4 | 0.4 | 0.4 | 0.6 | 0.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| ≥26 | 0.2 | 0.1 | 0.1 | 0.2 | 0.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | % Change 2002-2017 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2017.
- N/A - Not Available
- * Current use ( within last month).
- Increased 46 percent among those ages 18-25, from 1.1 percent to 1.6 percent.
- Remained stable among those aged 26 or older at 0.8 percent.
Trends in Youth Use of Other Tobacco Products
Any Tobacco Product
From 2002 to 2019, current use of any tobacco product:
Any Tobacco*
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 13.3 | 11.8 | 9.5 | 8.2 | 7.5 | 6.9 | 6.9 | 8.1 | 7.9 | 8.0 | 6.4 | 8.1 | 12.5 | 28.2 | 27.4 | 25.6 | 23.9 | 24.2 | 23.7 | 23.7 | 25.4 | 26.3 | 20.2 | 21.5 | 28.6 | 31.2 |
| Male | 14.7 | 12.7 | 10.9 | 9.6 | 9.0 | 8.1 | 7.0 | 9.3 | 9.0 | 9.6 | 7.6 | 9.2 | 12.5 | 32.6 | 30.7 | 30.2 | 29.4 | 29.4 | 28.9 | 28.3 | 29.4 | 31.4 | 23.5 | 25.3 | 31.1 | 31.8 |
| Female | 11.7 | 10.7 | 8.2 | 6.7 | 5.9 | 5.7 | 6.7 | 7.0 | 6.8 | 6.4 | 5.1 | 7.0 | 12.4 | 23.7 | 24.1 | 21.3 | 18.2 | 19.0 | 18.3 | 19.0 | 21.6 | 21.0 | 17.0 | 17.8 | 26.1 | 30.6 |
| Non-Hispanic White | 13.2 | 11.2 | 9.2 | 7.1 | 6.1 | 5.3 | 5.7 | 6.4 | 6.5 | 6.4 | 5.4 | 7.1 | 11.4 | 30.9 | 30.8 | 28.4 | 26.7 | 26.6 | 24.9 | 24.5 | 27.1 | 26.8 | 23.0 | 23.7 | 33.4 | 35.6 |
| Non-Hispanic Black | 13.5 | 12.3 | 9.8 | 8.3 | 8.5 | 8.0 | 7.4 | 7.8 | 7.1 | 9.3 | 6.0 | 7.6 | 12.3 | 21.7 | 16.8 | 15.7 | 14.0 | 18.9 | 23.1 | 21.9 | 18.3 | 23.3 | 16.4 | 18.3 | 19.2 | 25.4 |
| Hispanic | 12.5 | 14.8 | 10.9 | 11.1 | 11.5 | 10.8 | 10.6 | 12.7 | 11.7 | 10.7 | 9.1 | 11.0 | 16.1 | 24.1 | 25.7 | 24.7 | 24.8 | 23.8 | 22.9 | 24.9 | 27.9 | 26.6 | 18.3 | 20.2 | 24.2 | 26.6 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- Decreased 6 percent among middle school students, from 13.3 percent to 12.5 percent.
- Increased 11 percent among high school students, from 28.2 percent to 31.2 percent.
Cigarettes
From 2002 to 2019, current use of cigarettes:
Cigarettes
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 9.8 | 8.1 | 6.3 | 5.2 | 4.3 | 3.5 | 12.7 | 2.5 | 2.3 | 2.2 | 2.1 | 1.8 | 2.3 | 22.5 | 21.7 | 19.7 | 17.2 | 15.8 | 14.0 | 12.7 | 9.2 | 9.3 | 8.0 | 7.6 | 8.1 | 5.8 |
| Male | 9.8 | 7.7 | 6.3 | 5.6 | 4.5 | 3.8 | 14.1 | 3.0 | 2.3 | 2.5 | 2.0 | 2.1 | 2.1 | 23.9 | 21.6 | 21.2 | 19.6 | 17.7 | 16.3 | 14.1 | 10.6 | 10.7 | 9.1 | 7.6 | 8.8 | 7.3 |
| Female | 9.7 | 8.6 | 6.4 | 4.7 | 4.0 | 3.2 | 11.2 | 2.0 | 2.2 | 1.8 | 2.2 | 1.5 | 2.5 | 21.0 | 21.8 | 18.4 | 14.8 | 13.8 | 11.7 | 11.2 | 7.9 | 7.7 | 6.9 | 7.6 | 7.3 | 4.1 |
| Non-Hispanic White | 10.1 | 8.3 | 6.5 | 4.3 | 3.8 | 3.1 | 2.6 | 2.2 | 2.1 | 1.9 | 1.7 | 1.6 | 2.1 | 25.2 | 24.8 | 22.3 | 19.4 | 17.6 | 15.4 | 14.0 | 10.8 | 10.2 | 9.9 | 9.5 | 9.9 | 7.1 |
| Non-Hispanic Black | 9.0 | 7.5 | 5.5 | 5.2 | 3.6 | 2.6 | 1.7 | 1.7 | N/A | N/A | 2.1 | N/A | N/A | 13.8 | 10.9 | 9.9 | 7.4 | 10.6 | 9.6 | 9.0 | 4.5 | 5.7 | 3.9 | 2.8 | 3.2 | N/A |
| Hispanic | 8.7 | 9.4 | 6.8 | 6.7 | 6.7 | 5.4 | 5.1 | 3.7 | 2.8 | 2.5 | 3.5 | 2.4 | 3.1 | 19.8 | 20.5 | 18.8 | 19.2 | 15.8 | 14.3 | 13.4 | 8.8 | 9.0 | 6.4 | 6.2 | 7.2 | 3.8 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 77 percent among middle school students, from 9.8 percent to 2.3 percent.
- Decreased 74 percent among high school students, from 22.5 percent to 5.8 percent.
Cigars
From 2002 to 2019, current use of cigars:
Cigars
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 6.0 | 5.2 | 4.0 | 3.9 | 3.4 | 2.8 | 3.1 | 1.9 | 1.6 | 2.2 | 1.5 | 1.7 | 2.3 | 11.6 | 12.9 | 11.8 | 10.9 | 11.6 | 12.6 | 11.9 | 8.2 | 8.6 | 7.7 | 7.7 | 7.5 | 7.6 |
| Male | 7.9 | 6.6 | 5.3 | 4.6 | 4.3 | 3.2 | 3.3 | 2.4 | 1.8 | 2.7 | 1.6 | 1.7 | 2.7 | 16.9 | 18.4 | 16.6 | 15.0 | 15.7 | 16.7 | 15.4 | 10.8 | 11.5 | 9.0 | 9.0 | 9.0 | 9.0 |
| Female | 4.1 | 3.8 | 2.7 | 3.2 | 2.5 | 2.4 | 2.9 | 1.4 | 1.4 | 1.7 | 1.4 | 1.6 | 2.0 | 6.2 | 7.6 | 7.2 | 6.7 | 7.4 | 8.4 | 8.3 | 5.5 | 5.6 | 5.6 | 6.3 | 6.0 | 6.2 |
| Non-Hispanic White | 5.5 | 4.4 | 3.1 | 3.0 | 2.3 | 1.6 | 2.2 | 1.4 | 1.2 | 1.4 | 1.1 | 1.1 | 1.8 | 11.8 | 13.7 | 12.5 | 11.9 | 12.1 | 12.2 | 11.4 | 8.3 | 8.4 | 7.9 | 8.4 | 7.8 | 7.6 |
| Non-Hispanic Black | 7.3 | 6.9 | 5.8 | 4.7 | 5.7 | 5.0 | 4.5 | 2.0 | 2.0 | 4.5 | 1.9 | 2.9 | N/A | 12.0 | 10.0 | 8.9 | 7.1 | 11.7 | 16.7 | 14.7 | 8.8 | 12.8 | 9.5 | 7.8 | 9.2 | 12.3 |
| Hispanic | 6.3 | 8.0 | 6.1 | 6.2 | 6.1 | 4.9 | 4.7 | 2.9 | 2.2 | 2.8 | 2.4 | 2.2 | 3.1 | 10.8 | 13.5 | 12.4 | 11.8 | 11.3 | 12.4 | 12.1 | 8.0 | 7.3 | 7.2 | 6.7 | 7.3 | 6.2 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- Decreased 62 percent among middle school students, from 6.0 percent to 2.3 percent.
- Decreased 34 percent among high school students, from 11.6 percent to 6.5 percent.
Hookah
From 2011 to 2019, current use of hookahs:
Hookah
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 1.0 | 1.2 | 1.1 | 2.5 | 2.0 | 2.0 | 1.3 | 1.2 | 1.6 | 4.0 | 5.2 | 5.2 | 9.3 | 7.2 | 4.8 | 3.2 | 4.1 | 3.4 |
| Male | 1.0 | 1.5 | 0.9 | 2.4 | 1.9 | 2.1 | 1.6 | 1.5 | 1.3 | 4.5 | 5.9 | 5.6 | 8.9 | 7.4 | 4.5 | 3.3 | 4.0 | 3.6 |
| Female | 0.9 | 1.0 | 1.3 | 2.6 | 2.0 | 1.9 | 1.1 | 1.0 | 1.8 | 3.4 | 4.4 | 4.8 | 9.8 | 6.9 | 5.1 | 3.2 | 4.1 | 3.2 |
| Non-Hispanic White | 0.9 | 0.8 | 0.7 | 1.4 | 1.6 | 0.9 | 0.6 | 0.8 | N/A | 4.1 | 5.9 | 5.3 | 9.4 | 6.9 | 4.5 | 2.8 | 3.3 | 2.5 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | 2.8 | 1.8 | N/A | N/A | N/A | 2.1 | 2.4 | 5.6 | 6.4 | 4.1 | 3.1 | 3.7 | 6.4 |
| Hispanic | 1.5 | 2.9 | 2.4 | 5.6 | 3.2 | 3.7 | 2.7 | 2.2 | 2.4 | 4.8 | 6.3 | 7.1 | 13.0 | 8.7 | 6.4 | 4.6 | 6.0 | 4.0 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 2 percent among middle school students.
- Remained the same at about four percent among high school students.
Smokeless Tobacco
From 2002 to 2019, current use of smokeless tobacco:
Smokeless Tobacco
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 3.6 | 2.9 | 2.6 | 2.6 | 2.2 | 1.7 | 1.4 | 1.6 | 1.4 | 1.8 | 1.4 | 1.3 | 1.8 | 5.9 | 5.5 | 6.1 | 6.7 | 7.3 | 6.4 | 5.7 | 5.5 | 5.6 | 4.3 | 4.1 | 4.3 | 4.8 |
| Male | 5.3 | 3.9 | 4.1 | 3.7 | 3.0 | 2.2 | 1.9 | 2.1 | 1.9 | 2.4 | 2.0 | 2.2 | 2.7 | 10.5 | 9.9 | 11.0 | 11.6 | 12.9 | 11.2 | 9.6 | 9.9 | 9.4 | 7.2 | 6.8 | 7.5 | 7.5 |
| Female | 1.6 | 1.9 | 1.2 | 1.4 | 1.4 | 1.2 | 0.8 | N/A | 0.8 | 1.1 | 0.8 | 0.3 | N/A | 1.2 | 1.2 | 1.5 | 1.8 | 1.6 | 1.5 | 1.7 | 1.2 | 1.6 | 1.4 | 1.3 | 1.3 | 1.8 |
| Non-Hispanic White | 3.8 | 3.1 | 2.8 | 2.5 | 2.3 | 1.6 | 1.4 | 1.7 | 1.2 | 1.6 | 1.2 | 1.4 | 1.9 | 7.3 | 6.9 | 7.5 | 8.5 | 9.2 | 8.1 | 7.5 | 7.8 | 7.5 | 5.7 | 5.7 | 6.0 | 6.5 |
| Non-Hispanic Black | 2.3 | 1.8 | 1.7 | 1.7 | 1.0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.8 | 1.4 | 1.8 | 1.7 | 3.0 | 2.2 | 2.4 | 1.1 | 1.9 | 1.6 | N/A | N/A | N/A |
| Hispanic | 2.7 | 3.7 | 3.4 | 2.5 | 2.9 | 2.4 | 1.8 | 1.3 | 1.9 | 2.4 | 2.3 | 1.4 | N/A | 3.3 | 3.2 | 4.6 | 4.8 | 5.1 | 5.1 | 4.0 | 3.1 | 3.8 | 2.7 | 2.2 | 2.5 | 2.5 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 50 percent among middle school students, from 3.6 percent to 1.8 percent.
- Decreased 19 percent among high school students, from 5.9 percent to 4.8 percent.
Snus
From 2011 to 2018, current use of snus:
Snus
| Middle School | High School | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | |
| Total | 0.8 | 0.7 | 0.4 | 0.5 | 0.5 | 0.9 | 0.6 | 0.5 | 2.8 | 2.4 | 1.8 | 1.9 | 1.2 | 2.2 | 2.0 | 2.4 |
| Male | 0.9 | 0.9 | 0.7 | 0.7 | N/A | 1.3 | 0.5 | 0.5 | 4.8 | 3.8 | 2.7 | 3.0 | 2.2 | 2.7 | 2.1 | 2.8 |
| Female | 0.7 | 0.5 | 0.2 | 0.3 | N/A | 0.5 | 0.6 | 0.6 | 0.7 | 0.9 | 0.9 | 0.8 | 1.2 | 1.8 | 1.9 | 1.9 |
| Non-Hispanic White | 0.9 | 0.7 | N/A | N/A | N/A | 1.0 | 0.5 | 0.6 | 3.6 | 3.2 | 2.4 | 2.4 | 1.5 | 2.7 | 2.7 | 2.9 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | N/A | N/A | N/A | N/A |
| Hispanic | 0.9 | 1.1 | N/A | 1.1 | N/A | 1.2 | 1.1 | 0.8 | 2.2 | 1.8 | 1.3 | 1.5 | 1.3 | 1.8 | 1.5 | 2.0 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2018. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 1 percent among middle school students.
- Decreased 16 percent among high school students, from 2.8 percent to 2.4 percent.
Dissolvable Tobacco
From 2011 to 2018, current use of dissolvable tobacco:
Dissolvable Tobacco
| Middle School | High School | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | |
| Total | 0.3 | 0.5 | N/A | 0.3 | N/A | 0.4 | 0.3 | 0.3 | 0.4 | 0.8 | 0.4 | 1.9 | 0.4 | 0.9 | 0.6 | 0.7 |
| Male | N/A | 0.6 | N/A | 0.4 | N/A | 0.5 | N/A | N/A | 0.6 | 1.0 | 0.6 | 3.0 | 0.7 | 1.0 | 0.7 | 0.9 |
| Female | N/A | 0.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | N/A | 0.8 | N/A | 0.8 | 0.5 | 0.5 |
| Non-Hispanic White | N/A | 0.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | 0.3 | 2.4 | N/A | 0.8 | 0.5 | 0.8 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Hispanic | N/A | 0.9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.4 | N/A | 1.5 | N/A | 1.2 | 1.0 | 0.9 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2018. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 1 percent among middle school students.
- Remained the same at less than 1 percent among high school students.
Pipes
From 2002 to 2019, current use of pipes:
Pipes
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 3.5 | 2.6 | 2.2 | 2.3 | 2.2 | 1.8 | 1.9 | 0.5 | 0.4 | 0.7 | 0.4 | 0.3 | N/A | 3.2 | 3.2 | 3.7 | 3.9 | 3.9 | 4.5 | 4.1 | 1.5 | 1.0 | 1.4 | 0.8 | 1.1 | 1.1 |
| Male | 5.1 | 3.3 | 3.0 | 2.7 | 2.7 | 1.9 | 1.6 | 0.6 | N/A | 0.8 | 0.6 | N/A | N/A | 5.0 | 4.8 | 5.6 | 5.3 | 5.1 | 5.8 | 5.0 | 2.1 | 1.4 | 1.8 | 1.0 | 1.4 | 1.5 |
| Female | 1.9 | 1.8 | 1.3 | 1.7 | 1.8 | 1.7 | 2.2 | 0.5 | N/A | 0.6 | N/A | 0.4 | N/A | 1.4 | 1.5 | 1.8 | 2.5 | 2.8 | 3.2 | 3.3 | 0.9 | 0.7 | 0.9 | 0.5 | 0.8 | N/A |
| Non-Hispanic White | 2.8 | 2.2 | 1.9 | 1.5 | 1.5 | 1.2 | 1.2 | 0.5 | N/A | N/A | N/A | N/A | N/A | 2.8 | 3.1 | 3.6 | 3.3 | 3.5 | 4.5 | 3.7 | 1.9 | 1.0 | 1.4 | 0.7 | 1.1 | 1.3 |
| Non-Hispanic Black | 3.9 | 2.0 | 1.5 | 1.9 | 1.3 | 1.2 | 1.7 | N/A | N/A | N/A | N/A | N/A | N/A | 3.7 | 1.7 | 2.2 | 3.6 | 2.4 | 2.9 | 3.5 | N/A | N/A | 1.2 | N/A | N/A | N/A |
| Hispanic | 4.3 | 5.3 | 4.3 | 4.5 | 5.0 | 3.7 | 4.3 | 0.9 | N/A | 1.7 | N/A | 0.6 | N/A | 4.6 | 4.8 | 5.3 | 6.8 | 6.3 | 6.2 | 6.5 | 1.5 | 1.5 | 1.2 | 1.3 | 1.4 | N/A |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased from 3.5 percent to too low to measure.
- Decreased 66 percent among high school students, from 3.2 percent to 1.1 percent.
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Sources