Burden of Cigarette Use in the U.S.
Cigarette smoking remains the leading cause of preventable disease and death in the United States.
Cigarette smoking kills more than 480,000 Americans each year.1 Cigarette smoking cost the United States more than $600 billion in 2018, including more than $240 billion in healthcare spending and nearly $372 billion in lost productivity.1,2,3,4
In 2021, an estimated 11.5% (28.3 million) of U.S. adults currently smoked cigarettes. Current cigarette smoking was defined as smoking ≥100 cigarettes during a lifetime and now smoking cigarettes either every day or some days.5
Percentage of persons aged ≥18 years who reported cigarette use “every day” or “some days” at time of survey and reported smoking at least 100 cigarettes during their lifetime.5
|By Age Group (yrs)||Percentage|
NOTE: 2021 tobacco product estimates for American Indian/Alaska Native adults were not statistically reliable.
|By U.S. Census Region||Percentage|
|By Education (adults aged ≥25 yrs)||Percentage|
|0–12 yrs (no diploma)||20.1%|
|High school diploma||17.1%|
|Some college, no degree||16.1%|
|Associate degree (academic or technical/vocational)||13.7%|
|Undergraduate degree (bachelor’s)||5.3%|
|Graduate degree (Master’s, doctoral or professional)||3.2%|
|By Marital Status||Percentage|
|Married/Living with partner||10.4%|
|Single/Never married/Not living with partner||10.9%|
|By Annual Household Income||Percentage|
|By Sexual Orientation||Percentage|
|By Health Insurance Coverage||Percentage|
|Medicare only (aged ≥65 yrs)||8.4%|
|Other public insurance||13.9%|
|Has a Disability||Percentage|
|Regularly Having Feelings of Severe Psychological Distress††††||Percentage|
|Were ever told by a healthcare provider that they had depression§§§§§||Percentage|
††††Serious psychological distress was assessed using the recoded question “Experienced serious psychological distress – K6 scale”, which was recoded from the answers to the 6-item Kessler scale: https://pubmed.ncbi.nlm.nih.gov/22351472/
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- Xu X, Shrestha SS, Trivers KF, Neff L, Armour BS, King BA. U.S. Healthcare Spending Attributable to Cigarette Smoking in 2014. Preventive Medicine. https://doi.org/10.1016/j.ypmed.2021.106529. [accessed 2021 May 17].
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- U.S. Department of Health and Human Services. Tobacco Use Among U.S. Racial/Ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, Hispanics: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1998 [accessed 2019 Feb 1].
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- Centers for Disease Control and Prevention. Trends in Smoking Before, During, and After Pregnancy—Pregnancy Risk Assessment Monitoring System, United States, 40 Sites, 2000–2010. Morbidity and Mortality Weekly Report 2013;62(SS06)1–19 [accessed 2019 Feb 1].
- U.S. Department of Health and Human Services. AIDS.gov: HIV and Smoking [last updated 2018 Nov 8; accessed 2019 Feb 1].
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- Centers for Disease Control and Prevention. Tobacco Use Among Adults with Mental Illness and Substance Use Disorders. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. [updated 2019 Jan 7; last accessed 2019 Feb 7].
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- National Institutes of Health, National Cancer Institute. Cancer Trends Progress Report, Adult Tobacco Use. July 2021. https://progressreport.cancer.gov/prevention/adult_smoking