Per a court order, HHS is required to restore this website to its version as of 12:00 AM on January 29, 2025. Information on this page may be modified and/or removed in the future subject to the terms of the court’s order and implemented consistent with applicable law. Any information on this page promoting gender ideology is extremely inaccurate and disconnected from truth. The Trump Administration rejects gender ideology due to the harms and divisiveness it causes. This page does not reflect reality and therefore the Administration and this Department reject it.

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

Reduce current tobacco use in adults — TU‑01 Data

National Status: Improving

  
Learn more about our data release schedule

Most Recent Data:
20.2 percent (2023) *

National Target:
17.4 percent  1  *

Desired Direction:
Decrease desired

National Baseline:
21.3 percent of adults aged 18 years and over used at least 1 form of cigarettes; cigars, cigarillos, filtered little cigars; regular pipes, water pipes, hookah; e-cigarettes; and/or smokeless tobacco products every day or some days in 2019 2 *

* Age adjusted to the year 2000 standard population.

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:

Adult tobacco use, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Total
21.3
CI 20.7 / 21.9
SE 0.313
19.5
CI 19.0 / 20.1
SE 0.336
19.3
CI 18.7 / 19.8
SE 0.310
20.4
CI 19.8 / 21.0
SE 0.335
20.2
CI 19.6 / 20.8
SE 0.328

Adult tobacco use by Sex, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Male
26.6
CI 25.7 / 27.5
SE 0.470
25.1
CI 24.1 / 26.0
SE 0.510
24.7
CI 23.8 / 25.6
SE 0.478
25.5
CI 24.6 / 26.4
SE 0.488
25.9
CI 25.0 / 26.7
SE 0.477
Female
16.2
CI 15.5 / 16.9
SE 0.384
14.3
CI 13.6 / 15.0
SE 0.379
14.1
CI 13.5 / 14.7
SE 0.332
15.5
CI 14.8 / 16.2
SE 0.412
14.7
CI 14.0 / 15.4
SE 0.385

Adult tobacco use by Race/Ethnicity, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
American Indian or Alaska Native only
26.3
CI 16.4 / 38.3
SE 5.282
31.1
CI 22.7 / 40.5
SE 4.567
22.4
CI 12.2 / 35.8
SE 5.765
26.1
CI 19.6 / 33.6
SE 3.512
19.7
CI 13.1 / 27.6
SE 3.580
Asian only
10.8
CI 8.9 / 12.8
SE 0.993
11.3
CI 9.4 / 13.5
SE 1.024
8.7
CI 7.1 / 10.5
SE 0.894
8.6
CI 7.1 / 10.4
SE 0.812
9.6
CI 7.9 / 11.6
SE 0.919
Native Hawaiian or Other Pacific Islander only
15.3
CI 7.3 / 26.8
SE 4.259
24.7
CI 16.2 / 35.1
SE 4.848
19.2
CI 10.6 / 30.6
SE 5.021
17.1
CI 9.6 / 27.1
SE 3.827
28.2
CI 16.6 / 42.3
SE 5.950
Black or African American only
20.8
CI 19.2 / 22.5
SE 0.864
19.6
CI 17.8 / 21.6
SE 1.018
18.1
CI 16.5 / 19.8
SE 0.876
22.1
CI 20.5 / 23.7
SE 0.847
20.7
CI 19.1 / 22.4
SE 0.916
White only
23.1
CI 22.4 / 23.7
SE 0.373
20.9
CI 20.2 / 21.5
SE 0.398
20.8
CI 20.2 / 21.5
SE 0.370
22.0
CI 21.3 / 22.7
SE 0.416
22.0
CI 21.3 / 22.7
SE 0.396
2 or more races
30.5
CI 25.9 / 35.5
SE 2.379
27.4
CI 22.7 / 32.5
SE 2.399
24.2
CI 20.5 / 28.2
SE 1.888
26.3
CI 22.1 / 30.9
SE 2.237
21.3
CI 17.4 / 25.5
SE 2.018
Hispanic or Latino
12.7
CI 11.5 / 14.0
SE 0.637
11.3
CI 10.1 / 12.7
SE 0.650
12.1
CI 11.0 / 13.3
SE 0.573
12.3
CI 11.2 / 13.5
SE 0.589
13.0
CI 11.8 / 14.2
SE 0.601
Not Hispanic or Latino
23.1
CI 22.5 / 23.8
SE 0.353
21.3
CI 20.7 / 22.0
SE 0.368
20.9
CI 20.2 / 21.5
SE 0.358
22.4
CI 21.7 / 23.0
SE 0.381
22.0
CI 21.3 / 22.7
SE 0.380
American Indian or Alaska Native only, not Hispanic or Latino
29.0
CI 17.1 / 43.4
SE 6.533
33.2
CI 23.0 / 44.7
SE 5.630
DSU
30.4
CI 20.6 / 41.6
SE 5.259
20.2
CI 12.2 / 30.5
SE 4.426
Asian only, not Hispanic or Latino
10.8
CI 9.0 / 12.9
SE 1.002
11.4
CI 9.5 / 13.6
SE 1.040
8.7
CI 7.1 / 10.6
SE 0.906
8.6
CI 7.0 / 10.3
SE 0.819
9.4
CI 7.7 / 11.4
SE 0.920
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
DSU
24.5
CI 15.3 / 35.8
SE 5.413
17.2
CI 9.1 / 28.4
SE 4.824
16.3
CI 8.7 / 26.8
SE 3.735
29.9
CI 17.0 / 45.5
SE 6.795
Black or African American only, not Hispanic or Latino
20.8
CI 19.1 / 22.5
SE 0.878
19.6
CI 17.7 / 21.6
SE 1.046
18.3
CI 16.6 / 20.0
SE 0.905
22.6
CI 21.0 / 24.3
SE 0.867
21.0
CI 19.3 / 22.7
SE 0.938
White only, not Hispanic or Latino
24.7
CI 24.0 / 25.4
SE 0.408
22.4
CI 21.7 / 23.1
SE 0.423
22.5
CI 21.8 / 23.2
SE 0.412
23.6
CI 22.9 / 24.4
SE 0.463
23.7
CI 23.0 / 24.5
SE 0.448
2 or more races, not Hispanic or Latino
30.1
CI 25.2 / 35.3
SE 2.507
29.6
CI 24.4 / 35.2
SE 2.643
25.8
CI 21.6 / 30.3
SE 2.178
27.4
CI 22.7 / 32.5
SE 2.488
20.3
CI 16.4 / 24.7
SE 2.089

Adult tobacco use by Age group, 2019-2023 † ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
18-44 years
23.5
CI 22.5 / 24.4
SE 0.488
21.5
CI 20.5 / 22.6
SE 0.524
20.8
CI 19.9 / 21.8
SE 0.467
22.7
CI 21.7 / 23.8
SE 0.516
22.4
CI 21.4 / 23.4
SE 0.507
18-24 years
18.2
CI 16.2 / 20.2
SE 1.009
17.6
CI 15.4 / 20.0
SE 1.151
17.0
CI 15.1 / 19.0
SE 0.967
19.8
CI 17.6 / 22.1
SE 1.132
16.8
CI 14.8 / 18.9
SE 1.008
25-44 years
25.3
CI 24.2 / 26.4
SE 0.546
22.9
CI 21.7 / 24.0
SE 0.579
22.1
CI 21.1 / 23.2
SE 0.524
23.7
CI 22.6 / 24.9
SE 0.572
24.4
CI 23.3 / 25.5
SE 0.567
45-64 years
23.0
CI 22.0 / 24.0
SE 0.503
20.4
CI 19.4 / 21.5
SE 0.513
21.1
CI 20.1 / 22.1
SE 0.517
21.2
CI 20.1 / 22.2
SE 0.531
21.0
CI 20.0 / 22.0
SE 0.513
45-54 years
24.4
CI 22.9 / 25.9
SE 0.772
21.4
CI 19.8 / 22.9
SE 0.781
21.8
CI 20.3 / 23.3
SE 0.774
22.2
CI 20.7 / 23.7
SE 0.768
21.2
CI 19.8 / 22.7
SE 0.738
55-64 years
21.6
CI 20.4 / 22.9
SE 0.641
19.5
CI 18.3 / 20.8
SE 0.622
20.4
CI 19.1 / 21.8
SE 0.669
20.2
CI 18.9 / 21.6
SE 0.677
20.8
CI 19.5 / 22.1
SE 0.659
65 years and over
11.4
CI 10.6 / 12.2
SE 0.392
11.8
CI 10.9 / 12.7
SE 0.443
11.0
CI 10.3 / 11.9
SE 0.403
11.7
CI 10.9 / 12.5
SE 0.404
11.6
CI 10.9 / 12.4
SE 0.384
65-74 years
14.5
CI 13.4 / 15.7
SE 0.561
14.8
CI 13.6 / 16.1
SE 0.644
13.9
CI 12.8 / 15.1
SE 0.567
15.1
CI 14.0 / 16.3
SE 0.593
15.2
CI 14.1 / 16.3
SE 0.544
75-84 years
8.0
CI 6.8 / 9.4
SE 0.653
8.5
CI 7.3 / 9.9
SE 0.650
8.0
CI 6.9 / 9.3
SE 0.590
7.5
CI 6.5 / 8.7
SE 0.553
7.8
CI 6.7 / 8.9
SE 0.552
85 years and over
3.4
CI 2.2 / 5.0
SE 0.678
3.5
CI 2.1 / 5.4
SE 0.787
3.1
CI 2.0 / 4.4
SE 0.590
3.4
CI 2.3 / 4.8
SE 0.591
2.8
CI 1.7 / 4.2
SE 0.597

Adult tobacco use by Educational attainment (25 years and over), 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Less than High school
29.1
CI 26.9 / 31.3
SE 1.279
26.6
CI 24.4 / 29.0
SE 1.411
25.0
CI 23.0 / 27.1
SE 1.235
28.4
CI 26.2 / 30.7
SE 1.330
27.8
CI 25.8 / 30.0
SE 1.301
High school
29.4
CI 28.1 / 30.7
SE 0.727
27.2
CI 25.9 / 28.5
SE 0.760
27.2
CI 26.0 / 28.5
SE 0.702
28.2
CI 26.9 / 29.5
SE 0.740
28.1
CI 26.8 / 29.4
SE 0.758
Some college or Associate degree
23.7
CI 22.7 / 24.8
SE 0.573
21.3
CI 20.3 / 22.4
SE 0.591
23.5
CI 22.4 / 24.6
SE 0.606
23.7
CI 22.5 / 24.9
SE 0.670
24.6
CI 23.5 / 25.8
SE 0.637
4-year college degree or more
11.5
CI 10.8 / 12.3
SE 0.373
10.4
CI 9.8 / 11.1
SE 0.355
10.8
CI 10.2 / 11.5
SE 0.358
10.6
CI 9.9 / 11.3
SE 0.369
11.4
CI 10.7 / 12.1
SE 0.368

Adult tobacco use by Family income (percent poverty threshold), 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
<100
29.0
CI 27.2 / 30.9
SE 0.986
27.6
CI 25.4 / 29.9
SE 1.147
27.6
CI 25.5 / 29.7
SE 1.104
30.2
CI 28.0 / 32.5
SE 1.179
27.8
CI 25.6 / 30.0
SE 1.161
100-199
26.7
CI 25.2 / 28.2
SE 0.811
24.0
CI 22.5 / 25.5
SE 0.853
24.6
CI 23.2 / 26.1
SE 0.787
25.3
CI 23.8 / 26.8
SE 0.838
25.0
CI 23.6 / 26.4
SE 0.812
200-399
21.8
CI 20.7 / 22.9
SE 0.588
20.7
CI 19.6 / 21.8
SE 0.631
19.6
CI 18.7 / 20.7
SE 0.546
22.3
CI 21.2 / 23.4
SE 0.614
20.8
CI 19.7 / 21.9
SE 0.602
400+
16.6
CI 15.9 / 17.4
SE 0.462
15.4
CI 14.6 / 16.2
SE 0.477
15.2
CI 14.5 / 16.0
SE 0.434
15.5
CI 14.7 / 16.3
SE 0.459
16.2
CI 15.4 / 17.0
SE 0.451

Adult tobacco use by Health insurance status (18-64 years), 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Insured
22.1
CI 21.4 / 22.9
SE 0.385
20.1
CI 19.4 / 20.8
SE 0.394
19.8
CI 19.1 / 20.5
SE 0.376
21.4
CI 20.7 / 22.2
SE 0.411
21.3
CI 20.6 / 22.1
SE 0.397
Private
19.6
CI 18.8 / 20.4
SE 0.404
17.8
CI 17.0 / 18.6
SE 0.421
17.5
CI 16.7 / 18.2
SE 0.402
19.1
CI 18.3 / 20.0
SE 0.450
19.0
CI 18.2 / 19.8
SE 0.420
Public
32.1
CI 30.2 / 34.0
SE 0.987
29.1
CI 27.2 / 30.9
SE 0.983
29.4
CI 27.7 / 31.1
SE 0.885
30.1
CI 28.2 / 32.0
SE 0.993
29.7
CI 28.0 / 31.5
SE 0.894
Uninsured
30.3
CI 28.2 / 32.6
SE 1.117
27.7
CI 25.5 / 30.1
SE 1.184
28.6
CI 26.4 / 30.9
SE 1.145
27.9
CI 25.7 / 30.1
SE 1.124
27.2
CI 25.0 / 29.5
SE 1.139

Adult tobacco use by Geographic location, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Metropolitan
20.0
CI 19.4 / 20.7
SE 0.342
18.0
CI 17.4 / 18.7
SE 0.353
18.0
CI 17.4 / 18.6
SE 0.336
19.1
CI 18.5 / 19.8
SE 0.356
19.1
CI 18.5 / 19.7
SE 0.341
Non-metropolitan
29.1
CI 27.5 / 30.7
SE 0.925
30.0
CI 28.2 / 31.8
SE 1.114
28.0
CI 26.2 / 30.0
SE 1.104
29.0
CI 27.1 / 31.0
SE 1.184
27.8
CI 25.8 / 29.8
SE 1.212

Adult tobacco use by Marital status, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Married/​Cohabiting partner
20.0
CI 19.3 / 20.7
SE 0.452
18.7
CI 17.9 / 19.4
SE 0.514
18.9
CI 18.2 / 19.6
SE 0.507
19.9
CI 19.1 / 20.6
SE 0.523
19.2
CI 18.4 / 20.0
SE 0.476
Divorced, separated, widowed
30.6
CI 29.5 / 31.8
SE 1.856
26.2
CI 25.1 / 27.4
SE 2.523
27.6
CI 26.3 / 28.9
SE 2.542
27.0
CI 25.8 / 28.1
SE 1.991
25.9
CI 24.9 / 26.9
SE 1.619
Never married
25.0
CI 23.6 / 26.4
SE 0.774
23.1
CI 21.6 / 24.6
SE 0.817
21.5
CI 20.2 / 22.8
SE 0.690
23.4
CI 22.1 / 24.8
SE 0.734
23.3
CI 22.0 / 24.6
SE 0.691

Adult tobacco use by Country of birth, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
US
24.0
CI 23.3 / 24.6
SE 0.357
21.8
CI 21.0 / 22.7
SE 0.448
21.7
CI 21.1 / 22.4
SE 0.362
22.9
CI 22.3 / 23.6
SE 0.383
22.7
CI 22.0 / 23.3
SE 0.377
Outside US
10.9
CI 9.9 / 12.0
SE 0.590
10.3
CI 9.0 / 11.7
SE 0.757
9.2
CI 8.3 / 10.2
SE 0.504
10.3
CI 9.2 / 11.4
SE 0.573
10.7
CI 9.8 / 11.8
SE 0.562

Adult tobacco use by Veteran status (20 years and over), 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Veteran
35.7
CI 33.8 / 37.7
SE 1.648
30.7
CI 28.6 / 32.8
SE 1.955
28.9
CI 26.9 / 30.9
SE 1.658
28.8
CI 26.8 / 30.9
SE 1.604
31.2
CI 29.3 / 33.2
SE 1.544
Non-veteran
20.8
CI 20.2 / 21.4
SE 0.326
19.1
CI 18.5 / 19.8
SE 0.347
19.0
CI 18.4 / 19.6
SE 0.321
20.1
CI 19.5 / 20.8
SE 0.349
19.9
CI 19.3 / 20.5
SE 0.344

Adult tobacco use by Disability status, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
People with disabilities
34.5
CI 32.5 / 36.6
SE 1.629
33.1
CI 31.0 / 35.3
SE 1.763
32.0
CI 30.1 / 33.9
SE 1.502
33.3
CI 31.3 / 35.4
SE 1.563
28.6
CI 26.8 / 30.4
SE 1.302
People without disabilities
20.4
CI 19.8 / 21.0
SE 0.315
18.7
CI 18.1 / 19.3
SE 0.338
18.5
CI 17.9 / 19.1
SE 0.310
19.5
CI 18.9 / 20.1
SE 0.334
19.5
CI 18.9 / 20.1
SE 0.331

Adult tobacco use by Sexual orientation, 2019-2023 * ◊
(percent)
Decrease desired

Population 2019 2020 2021 2022 2023
Straight
21.0
CI 20.4 / 21.6
SE 0.326
19.3
CI 18.7 / 19.9
SE 0.344
18.9
CI 18.4 / 19.5
SE 0.326
20.2
CI 19.5 / 20.8
SE 0.359
19.8
CI 19.2 / 20.4
SE 0.346
Straight, Male
26.7
CI 25.8 / 27.6
SE 0.485
25.0
CI 24.1 / 26.0
SE 0.521
24.8
CI 23.9 / 25.8
SE 0.502
25.6
CI 24.7 / 26.6
SE 0.519
25.9
CI 25.0 / 26.8
SE 0.499
Straight, Female
15.5
CI 14.8 / 16.2
SE 0.392
13.7
CI 13.0 / 14.4
SE 0.383
13.2
CI 12.6 / 13.8
SE 0.341
14.6
CI 13.9 / 15.4
SE 0.438
13.6
CI 13.0 / 14.4
SE 0.402
Gay/​Lesbian
25.0
CI 20.1 / 30.4
SE 2.543
22.6
CI 18.2 / 27.4
SE 2.328
21.0
CI 17.4 / 24.9
SE 1.885
18.8
CI 15.3 / 22.8
SE 1.814
24.1
CI 20.2 / 28.3
SE 2.016
Gay, Male
24.5
CI 18.8 / 31.0
SE 2.963
24.5
CI 18.7 / 31.1
SE 3.095
21.6
CI 16.9 / 27.0
SE 2.510
17.7
CI 13.4 / 22.7
SE 2.300
24.4
CI 19.2 / 30.1
SE 2.692
Gay/​Lesbian, Female
25.1
CI 17.7 / 33.8
SE 3.801
18.6
CI 12.8 / 25.6
SE 3.148
19.8
CI 14.6 / 25.9
SE 2.774
20.9
CI 15.5 / 27.2
SE 2.767
23.6
CI 17.9 / 30.0
SE 2.957
Bisexual
30.6
CI 25.5 / 36.1
SE 2.725
25.5
CI 20.0 / 31.7
SE 3.407
31.5
CI 27.2 / 36.1
SE 2.507
30.9
CI 26.5 / 35.6
SE 2.764
30.8
CI 26.5 / 35.4
SE 2.790
Bisexual, Male
22.7
CI 13.7 / 34.1
SE 5.159
23.0
CI 13.9 / 34.3
SE 5.213
28.7
CI 21.0 / 37.3
SE 4.146
30.8
CI 22.2 / 40.4
SE 4.674
34.0
CI 25.0 / 43.9
SE 5.257
Bisexual, Female
32.0
CI 26.2 / 38.4
SE 3.078
26.0
CI 19.4 / 33.5
SE 4.410
32.9
CI 27.9 / 38.2
SE 3.090
31.4
CI 26.2 / 37.0
SE 3.603
30.1
CI 25.0 / 35.6
SE 3.376

Disparity