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  5. Rates By State

Rates By State

Detailing the variation in tobacco use rates across states, including adult cigarette smoking, quit attempts, electronic cigarette use, and high school student tobacco use.

Adult Cigarette Smoking Rates by State

In 2022, cigarette smoking rates among adults by state ranged from a low of 6.7% in Utah to a high of 21.0% in West Virginia.

Adult Cigarette Smokers Who Made a Quit Attempt by State

In 2022, 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 46.3% in Kentucky to a high of 63.7% in the District of Columbia.

Adult Cigarette Smoking by State
State Current Tried to Quit Former Never
Alabama 590,423 15.6% 426,231 63.0% 891,517 2,296,686
Alaska 82,005 15.9% 53,397 58.1% 139,430 293,181
Arizona 661,867 12.7% 370,069 53.0% 1,374,729 3,186,932
Arkansas 388,531 18.7% 217,744 48.8% 559,997 1,124,807
California 2,644,835 9.7% 1,459,787 58.8% 5,812,322 18,691,645
Colorado 458,002 10.7% 298,477 56.6% 1,125,973 2,709,007
Connecticut 253,988 10.0% 201,029 63.6% 672,151 1,612,060
Delaware 95,157 12.9% 64,361 59.2% 182,668 459,419
District of Columbia 52,693 10.6% 38,895 63.7% 84,212 358,935
Florida 1,772,891 11.3% 1,297,816 54.7% 4,244,807 9,633,492
Georgia 932,114 12.5% 702,850 59.0% 1,624,158 4,883,859
Hawaii 106,993 10.0% 67,369 54.5% 275,229 690,591
Idaho 169,343 11.9% 93,294 52.5% 369,035 889,992
Illinois 1,134,877 12.4% 619,126 52.9% 2,164,375 5,839,570
Indiana 744,030 16.2% 490,232 52.1% 1,171,039 2,674,912
Iowa 345,604 14.7% 190,897 52.3% 568,868 1,430,119
Kansas 304,535 14.5% 180,132 52.3% 514,701 1,280,578
Kentucky 586,022 17.4% 328,706 46.3% 837,861 1,946,238
Louisiana 545,699 16.7% 340,761 57.1% 820,636 1,894,533
Maine 163,138 15.0% 83,550 48.2% 315,039 609,310
Maryland 414,820 9.6% 269,646 56.8% 932,269 2,975,884
Massachusetts 552,767 10.4% 332,074 57.5% 1,228,633 3,542,146
Michigan 1,083,797 15.2% 778,804 56.2% 1,903,877 4,134,823
Minnesota 530,344 13.0% 289,277 50.5% 1,037,125 2,516,103
Mississippi 372,157 17.4% 272,497 61.2% 485,393 1,284,014
Missouri 774,927 16.8% 427,555 52.4% 1,221,469 2,626,551
Montana 128,571 15.2% 67,680 50.6% 244,559 473,234
Nebraska 184,594 13.0% 103,569 52.8% 340,075 895,510
Nevada 337,469 14.8% 175,504 52.4% 557,171 1,389,924
New Hampshire 112,682 11.2% 75,733 53.5% 288,065 606,299
New Jersey 651,329 10.4% 411,889 60.4% 1,465,143 4,145,531
New Mexico 234,900 15.0% 143,453 57.6% 408,810 925,780
New York 1,551,197 11.3% 981,337 58.2% 3,220,451 9,012,106
North Carolina 1,150,551 14.5% 693,944 53.1% 1,988,689 4,814,159
North Dakota 87,020 15.1% 48,628 50.0% 144,390 343,954
Ohio 1,430,968 17.1% 855,889 52.2% 2,141,168 4,803,578
Oklahoma 441,892 15.6% 292,867 55.2% 769,365 1,621,323
Oregon 408,918 12.4% 209,335 49.1% 828,233 2,055,647
Pennsylvania 1,469,338 14.9% 811,969 53.5% 2,520,091 5,859,649
Rhode Island 94,203 11.8% 62,530 58.6% 221,326 484,903
South Carolina 556,443 15.4% 393,981 55.3% 955,208 2,104,532
South Dakota 93,722 14.0% 61,017 53.0% 154,558 420,401
Tennessee 935,109 18.5% 477,759 50.0% 1,333,489 2,774,324
Texas 2,359,962 11.8% 1,499,052 55.3% 4,320,027 13,258,974
Utah 151,876 6.7% 101,021 55.4% 399,898 1,720,745
Vermont 62,109 13.0% 33,740 52.7% 136,423 278,750
Virginia 760,542 12.1% 485,745 56.9% 1,445,120 4,075,322
Washington 564,828 10.0% 343,143 53.6% 1,457,551 3,623,190
West Virginia 284,354 21.0% 151,314 48.5% 348,820 721,188
Wisconsin 606,655 14.3% 350,171 52.2% 1,102,620 2,546,702
Wyoming 65,111 15.5% 40,420 51.4% 112,882 242,526

Source:
Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2022, analysed by the American Lung Association Epidemiology and Statistics Unit.

Note:
Never smokers reported having 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. Counts rounded to hundreds.

Adult E-Cigarette Use by State

In 2022, current use of e-cigarettes among adults ranged from a low of 4.5% in Maryland to a high of 10.9% in Oklahoma.

Youth Cigarette Smoking and Tobacco Use by State

  • In 2021, cigarette smoking rates among high school students from the 43 states with comparable data ranged from 1.3% in Connecticut to 7.6% in West Virginia.
Any Tobacco*
  Middle School High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2002 2004 2006 2009 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
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 6.9 4.2 4.8 6.6 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 23.8 13.9 16.8 12.6
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 6.8 3.8 4.0 5.7 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 24.9 13.5 15.7 11.2
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 7.0 4.6 5.6 7.5 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 22.8 14.3 18.0 14.1
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 5.8 3.5 4.3 4.1 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 26.0 16.6 18.8 13.6
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 7.0 5.2 6.8 8.5 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 18.5 11.5 16.0 9.8
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 9.6 5.8 5.9 10.3 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 23.8 9.6 15.7 12.4

Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2022. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009, 2023 from MMWRs.

  • * Any tobacco use is defined as use of any one or more of the products listed in this section for that year. Electronic cigarettes, hookah, snus, and dissolvable tobacco were added in 2011. Kreteks were removed after 2013. Heated tobacco products were added in 2019. Nicotine pouches were added in.
  • Page Last Updated: June 10, 2019
  • In 2022, use electronic cigarettes among high school students from the 43 states with comparable data ranged from 9.7% in Utah to 27.5% in West Virginia.
Cigarettes
  Middle School High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2002 2004 2006 2009 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
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 1.6 1.0 1.0 1.1 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 4.6 1.9 2.0 1.9
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 1.3 0.9 0.8 N/A 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 5.4 2.0 2.3 2.3
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 2.0 1.2 1.1 1.1 21.0 21.8 18.4 14.8 13.8 11.7 11.2 7.9 7.7 6.9 7.5 7.3 4.1 3.9 1.8 1.8 1.5
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 1.3 1.0 N/A 0.8 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 5.3 2.2 2.5 2.2
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 2.1 N/A 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 N/A N/A N/A 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 2.2 1.2 1.2 N/A 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 4.6 1.6 2.0 2.2

Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2022. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009, 2023 from MMWRs.

  • N/A Estimate is unreliable due to a sample size of less than 20.
  • Page Last Updated: June 10, 2019
  • In 2022, use of any tobacco product among high school students from the 35 states with comparable data ranged from 9.5% in Utah to 27.0% in West Virginia.
Youth Cigarette Smoking and Tobacco Use by State
State High School Smoking High School E-Cigarette Use High School Tobacco Use
  Rate Source Rate Source Rate Source
Alabama 5.7% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021 18.6% Youth Risk Behavior Surveillance System, 2021
Alaska 8.4% Youth Risk Behavior Surveillance System, 2019 26.1% Youth Risk Behavior Surveillance System, 2019 33.7% Youth Risk Behavior Surveillance System, 2019
Arizona 3.4% Youth Risk Behavior Surveillance System, 2021 17.2% Youth Risk Behavior Surveillance System, 2021 17.4% Youth Risk Behavior Surveillance System, 2021
Arkansas 4.9% Youth Risk Behavior Surveillance System, 2021 19.6% Youth Risk Behavior Surveillance System, 2021 20.0% Youth Risk Behavior Surveillance System, 2021
California 1.2% California Student Tobacco Survey, 2022 5.6% California Student Tobacco Survey, 2022 6.6% California Student Tobacco Survey, 2022
Colorado 4.5% Youth Risk Behavior Surveillance System, 2021 18.5% Youth Risk Behavior Surveillance System, 2021 18.9% Youth Risk Behavior Surveillance System, 2021
Connecticut 1.3% Youth Risk Behavior Surveillance System, 2021 10.6% Youth Risk Behavior Surveillance System, 2021 10.6% Youth Risk Behavior Surveillance System, 2021
Delaware 2.7% Youth Risk Behavior Surveillance System, 2021 17.9% Youth Risk Behavior Surveillance System, 2021 18.3% Youth Risk Behavior Surveillance System, 2021
District of Columbia 3.2% Youth Risk Behavior Surveillance System, 2021 10.1% Youth Risk Behavior Surveillance System, 2021 11.6% Youth Risk Behavior Surveillance System, 2021
Florida 1.7% Florida Youth Tobacco Survey, 2022 18.5% Florida Youth Tobacco Survey, 2022 18.3% Florida Youth Tobacco Survey, 2022
Georgia 3.3% Youth Risk Behavior Surveillance System, 2021 18.2% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021
Hawaii 3.0% Youth Risk Behavior Surveillance System, 2021 14.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Idaho 3.8% Youth Risk Behavior Surveillance System, 2021 17.9% Youth Risk Behavior Surveillance System, 2021 18.5% Youth Risk Behavior Surveillance System, 2021
Illinois 2.5% Youth Risk Behavior Surveillance System, 2021 16.7% Youth Risk Behavior Surveillance System, 2021 17.1% Youth Risk Behavior Surveillance System, 2021
Indiana 4.2% Youth Risk Behavior Surveillance System, 2021 19.1% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Iowa 4.1% Youth Risk Behavior Surveillance System, 2021 16.4% Youth Risk Behavior Surveillance System, 2021 16.2% Youth Risk Behavior Surveillance System, 2021
Kansas 4.6% Youth Risk Behavior Surveillance System, 2021 14.4% Youth Risk Behavior Surveillance System, 2021 14.9% Youth Risk Behavior Surveillance System, 2021
Kentucky 4.9% Youth Risk Behavior Surveillance System, 2021 21.9% Youth Risk Behavior Surveillance System, 2021 22.5% Youth Risk Behavior Surveillance System, 2021
Louisiana 7.0% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021
Maine 4.3% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021 18.1% Youth Risk Behavior Surveillance System, 2021
Maryland 3.6% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 15.6% Youth Risk Behavior Surveillance System, 2021
Massachusetts 3.5% Youth Risk Behavior Surveillance System, 2021 17.2% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Michigan 1.7% Youth Risk Behavior Surveillance System, 2021 14.0% Youth Risk Behavior Surveillance System, 2021 14.1% Youth Risk Behavior Surveillance System, 2021
Minnesota 3.6% Minnesota Youth Tobacco Survey (11th grade only), 2022 13.9% Minnesota Youth Tobacco Survey (11th grade only), 2022 6.6% Minnesota Youth Tobacco Survey (11th grade only), 2022
Mississippi 5.9% Youth Risk Behavior Surveillance System, 2021 20.9% Youth Risk Behavior Surveillance System, 2021 21.6% Youth Risk Behavior Surveillance System, 2021
Missouri 5.1% Youth Risk Behavior Surveillance System, 2021 19.3% Youth Risk Behavior Surveillance System, 2021 21.3% Youth Risk Behavior Surveillance System, 2021
Montana 7.0% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021 27.0% Youth Risk Behavior Surveillance System, 2021
Nebraska 3.6% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 14.9% Youth Risk Behavior Surveillance System, 2021
Nevada 4.8% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Hampshire 5.5% Youth Risk Behavior Surveillance System, 2019 16.2% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Jersey 3.7% Youth Risk Behavior Surveillance System, 2021 21.6% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Mexico 3.7% Youth Risk Behavior Surveillance System, 2021 25.4% Youth Risk Behavior Surveillance System, 2021 25.6% Youth Risk Behavior Surveillance System, 2021
New York 5.0% Youth Risk Behavior Surveillance System, 2021 15.7% Youth Risk Behavior Surveillance System, 2021 16.9% Youth Risk Behavior Surveillance System, 2021
North Carolina 3.9% Youth Risk Behavior Surveillance System, 2021 23.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
North Dakota 5.9% Youth Risk Behavior Surveillance System, 2021 21.2% Youth Risk Behavior Surveillance System, 2021 23.0% Youth Risk Behavior Surveillance System, 2021
Ohio 3.3% Youth Risk Behavior Surveillance System, 2021 20.0% Youth Risk Behavior Surveillance System, 2021 20.4% Youth Risk Behavior Surveillance System, 2021
Oklahoma 4.0% Youth Risk Behavior Surveillance System, 2021 21.7% Youth Risk Behavior Surveillance System, 2021 22.1% Youth Risk Behavior Surveillance System, 2021
Oregon 4.9% Oregon Healthy Teens Survey (11th grade only), 2019 21.4% Oregon Healthy Teens Survey (11th grade only), 2019 23.1% Oregon Healthy Teens Survey (11th grade only), 2019
Pennsylvania 4.2% Youth Risk Behavior Surveillance System, 2021 19.2% Youth Risk Behavior Surveillance System, 2021 19.7% Youth Risk Behavior Surveillance System, 2021
Rhode Island 3.0% Youth Risk Behavior Surveillance System, 2021 17.8% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021
South Carolina 3.3% Youth Risk Behavior Surveillance System, 2021 16.7% Youth Risk Behavior Surveillance System, 2021 0.0% ,
South Dakota 5.5% Youth Risk Behavior Surveillance System, 2021 15.8% Youth Risk Behavior Surveillance System, 2021 16.5% Youth Risk Behavior Surveillance System, 2021
Tennessee 4.9% Youth Risk Behavior Surveillance System, 2021 19.0% Youth Risk Behavior Surveillance System, 2021 20.7% Youth Risk Behavior Surveillance System, 2021
Texas 3.7% Youth Risk Behavior Surveillance System, 2021 18.7% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021
Utah 1.9% Youth Risk Behavior Surveillance System, 2021 9.7% Youth Risk Behavior Surveillance System, 2021 9.5% Youth Risk Behavior Surveillance System, 2021
Vermont 5.4% Youth Risk Behavior Surveillance System, 2021 16.1% Youth Risk Behavior Surveillance System, 2021 16.2% Youth Risk Behavior Surveillance System, 2021
Virginia 2.8% Youth Risk Behavior Surveillance System, 2021 14.3% Youth Risk Behavior Surveillance System, 2021 15.5% Youth Risk Behavior Surveillance System, 2021
Washington 2.2% Washington State Healthy Youth Survey (10th grade only), 2023 7.7% Washington State Healthy Youth Survey (10th grade only), 2023 0.0% ,
West Virginia 7.6% Youth Risk Behavior Surveillance System, 2021 27.5% Youth Risk Behavior Surveillance System, 2021 27.0% Youth Risk Behavior Surveillance System, 2021
Wisconsin 4.5% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 15.9% Youth Risk Behavior Surveillance System, 2021
Wyoming 4.0% Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 2022 24.2% Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 2022 0.0% ,

Note:
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 survey.

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Page last updated: May 23, 2024

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