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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Eliminate cigarette smoking initiation in adolescents and young adults — TU‑10 Data

National Status: Improving

  
Learn more about our data release schedule

Most Recent Data:
3.5 percent (2019)

National Target:
0.0 percent

Desired Direction:
Decrease desired

National Baseline:
4.0 percent of adolescents and young adults aged 12 to 25 years who had not previously smoked cigarettes in their lifetime first smoked cigarettes in the past 12 months in 2018

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Adolescents and young adults initiating cigarette smoking in past 12 months, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Total
4.0
CI 3.7 / 4.4
SE 0.185
3.5
CI 3.2 / 3.8
SE 0.162

Adolescents and young adults initiating cigarette smoking in past 12 months by Sex, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Male
4.1
CI 3.6 / 4.6
SE 0.264
3.9
CI 3.5 / 4.4
SE 0.244
Female
4.0
CI 3.5 / 4.5
SE 0.236
3.0
CI 2.7 / 3.5
SE 0.202

Adolescents and young adults initiating cigarette smoking in past 12 months by Race/Ethnicity, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
American Indian or Alaska Native only
4.0
CI 2.5 / 6.3
SE 0.928
4.0
CI 2.6 / 6.1
SE 0.859
Asian only
2.4
CI 1.6 / 3.7
SE 0.524
2.3
CI 1.4 / 3.8
SE 0.574
Native Hawaiian or Other Pacific Islander only
2.7
CI 1.3 / 5.6
SE 1.026
DSU
Black or African American only
2.5
CI 1.9 / 3.2
SE 0.330
1.8
CI 1.3 / 2.4
SE 0.273
White only
4.6
CI 4.1 / 5.0
SE 0.230
4.0
CI 3.6 / 4.4
SE 0.204
2 or more races
3.9
CI 2.7 / 5.6
SE 0.728
3.2
CI 2.0 / 5.0
SE 0.746
Hispanic or Latino
3.7
CI 3.1 / 4.5
SE 0.359
3.0
CI 2.5 / 3.7
SE 0.326
Not Hispanic or Latino
4.1
CI 3.7 / 4.5
SE 0.210
3.6
CI 3.3 / 4.0
SE 0.181
American Indian or Alaska Native only, not Hispanic or Latino
5.1
CI 2.4 / 10.7
SE 1.980
3.6
CI 1.6 / 7.9
SE 1.463
Asian only, not Hispanic or Latino
2.5
CI 1.6 / 3.8
SE 0.531
2.3
CI 1.4 / 3.8
SE 0.583
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
3.6
CI 1.2 / 10.0
SE 1.921
DSU
Black or African American only, not Hispanic or Latino
2.4
CI 1.8 / 3.1
SE 0.339
1.8
CI 1.3 / 2.4
SE 0.279
White only, not Hispanic or Latino
4.9
CI 4.4 / 5.4
SE 0.275
4.4
CI 3.9 / 4.9
SE 0.249
2 or more races, not Hispanic or Latino
4.5
CI 3.0 / 6.5
SE 0.870
3.3
CI 2.0 / 5.5
SE 0.867

Adolescents and young adults initiating cigarette smoking in past 12 months by Age group, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
12-13 years
0.6
CI 0.4 / 0.9
SE 0.128
0.9
CI 0.6 / 1.3
SE 0.163
14-15 years
2.6
CI 2.1 / 3.3
SE 0.292
2.1
CI 1.6 / 2.7
SE 0.259
16-17 years
4.3
CI 3.6 / 5.1
SE 0.379
4.2
CI 3.5 / 5.0
SE 0.393
18-20 years
8.5
CI 7.4 / 9.6
SE 0.557
6.9
CI 6.1 / 7.9
SE 0.459
21-25 years
3.5
CI 2.9 / 4.2
SE 0.336
2.8
CI 2.3 / 3.5
SE 0.298

Adolescents and young adults initiating cigarette smoking in past 12 months by Family income (percent poverty threshold), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
<100
4.1
CI 3.4 / 4.9
SE 0.382
3.8
CI 3.2 / 4.6
SE 0.367
100-199
4.1
CI 3.4 / 4.9
SE 0.387
3.4
CI 2.8 / 4.2
SE 0.338
200-399
3.3
CI 2.8 / 3.9
SE 0.286
3.2
CI 2.7 / 3.9
SE 0.299
400+
4.1
CI 3.4 / 4.8
SE 0.358
3.1
CI 2.6 / 3.7
SE 0.283

Adolescents and young adults initiating cigarette smoking in past 12 months by Health insurance status, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Insured
3.9
CI 3.5 / 4.3
SE 0.187
3.5
CI 3.2 / 3.9
SE 0.170
Private
4.1
CI 3.6 / 4.6
SE 0.240
3.7
CI 3.3 / 4.1
SE 0.217
Public
3.6
CI 3.1 / 4.2
SE 0.278
3.2
CI 2.8 / 3.7
SE 0.245
Uninsured
5.5
CI 4.2 / 7.2
SE 0.745
3.2
CI 2.4 / 4.2
SE 0.467

Adolescents and young adults initiating cigarette smoking in past 12 months by Geographic location, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Metropolitan
3.9
CI 3.5 / 4.3
SE 0.202
3.4
CI 3.1 / 3.8
SE 0.177
Non-metropolitan
4.9
CI 4.1 / 6.0
SE 0.472
4.1
CI 3.4 / 5.0
SE 0.388

Adolescents and young adults initiating cigarette smoking in past 12 months by Marital status (18-25 years), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Married/​Cohabiting partner
1.4
CI 0.7 / 2.5
SE 0.416
0.9
CI 0.4 / 1.9
SE 0.356
Divorced, separated, widowed
DSU
DSU
Never married
6.3
CI 5.6 / 7.0
SE 0.362
5.1
CI 4.6 / 5.7
SE 0.296

Adolescents and young adults initiating cigarette smoking in past 12 months by Country of birth, 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
US
4.1
CI 3.8 / 4.5
SE 0.196
3.6
CI 3.2 / 3.9
SE 0.167
Outside US
3.1
CI 2.3 / 4.3
SE 0.516
2.8
CI 1.9 / 4.0
SE 0.514

Adolescents and young adults initiating cigarette smoking in past 12 months by Veteran status (20-25 years), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Veteran
DSU
DSU
Non-veteran
4.1
CI 3.5 / 4.9
SE 0.357
2.9
CI 2.5 / 3.5
SE 0.266

Adolescents and young adults initiating cigarette smoking in past 12 months by Disability status (20-25 years), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Disability status (20-25 years)
DNC
DNC

Adolescents and young adults initiating cigarette smoking in past 12 months by Sexual orientation (18-25 years), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Straight
5.5
CI 4.8 / 6.2
SE 0.343
4.6
CI 4.0 / 5.1
SE 0.284
Straight, Male
6.1
CI 5.1 / 7.2
SE 0.525
5.7
CI 4.9 / 6.7
SE 0.456
Straight, Female
4.9
CI 4.1 / 5.8
SE 0.427
3.4
CI 2.8 / 4.2
SE 0.365
Gay/​Lesbian
10.9
CI 6.4 / 17.8
SE 2.828
5.8
CI 3.0 / 11.0
SE 1.925
Gay, Male
DSU
7.7
CI 3.5 / 16.1
SE 3.020
Gay/​Lesbian, Female
DSU
3.4
CI 1.1 / 10.5
SE 2.009
Bisexual
9.3
CI 6.8 / 12.5
SE 1.438
7.2
CI 4.8 / 10.7
SE 1.469
Bisexual, Male
6.9
CI 3.7 / 12.3
SE 2.105
7.9
CI 3.8 / 15.6
SE 2.835
Bisexual, Female
10.1
CI 7.2 / 14.0
SE 1.705
7.1
CI 4.7 / 10.4
SE 1.423

Adolescents and young adults initiating cigarette smoking in past 12 months by Gender identity (18-25 years), 2018-2019 ◊
(percent)
Decrease desired

Population 2018 2019
Gender identity (18-25 years)
DNC
DNC

Disparity