State-Specific Prevalence of Current Cigarette Smoking and Smokeless Tobacco Use Among Adults Aged ≥18 years – United States, 2014

October 7, 2016 / Vol. 65 / No. 39

MMWR Introduction

In recent years, cigarette smoking prevalence has declined in many states; however, there has been relatively little change in the prevalence of current smokeless tobacco use or concurrent use of cigarettes and smokeless tobacco in most states, and in some states prevalence has increased. CDC analyzed prevalence estimates from the 2014 Behavioral Risk Factor Surveillance System to assess state-specific prevalence estimates of current use of cigarettes, smokeless tobacco, and cigarette and/or smokeless tobacco (any cigarette/smokeless tobacco use) among U.S. adults.

Current cigarette smoking ranged from 9.7% (Utah) to 26.7% (West Virginia). Current smokeless tobacco use ranged from 1.4% (Hawaii) to 8.8% (Wyoming). Current use of any cigarette and/or smokeless tobacco product ranged from 11.3% (Utah) to 32.2% (West Virginia). Disparities in tobacco use by sex and race/ethnicity were observed; any cigarette and/or smokeless tobacco use was higher among males than females in all 50 states. By race/ethnicity, non-Hispanic whites had the highest prevalence of any cigarette and/or smokeless tobacco use in eight states, followed by non-Hispanic other races in six states, non-Hispanic blacks in five states, and Hispanics in two states; the remaining states did not differ by race/ethnicity.

These findings highlight the importance of enhanced implementation of evidence-based strategies to help smokers and other tobacco users quit completely. Cessation programs involving both medication and counseling, in combination with comprehensive tobacco control measures, as recommended by the World Health Organization and CDC’s Best Practices for Comprehensive Tobacco Control Programs, can help to reduce tobacco-related morbidity and mortality.

MMWR Highlights

Current cigarette smoking, smokeless tobacco use and any cigarette/smokeless tobacco use among US adults, by state, 2014

  • Current cigarette smoking: ranged from 9.7% in Utah to 26.7% in West Virginia.
  • Current smokeless tobacco use: ranged from 1.4% in Hawaii to 8.8% in Montana.
  • Current any cigarette/smokeless tobacco use: ranged from 11.3% in Utah to 32.2% in West Virginia.

Current cigarette smoking, smokeless tobacco use, and any cigarette/smokeless tobacco use among US adults by sex, 2014

  • Current cigarette smoking was higher among men than women in 34 states.
  • Current cigarette smoking among men ranged from 11.2% in Utah to 27.8% in West Virginia.
  • Current smokeless tobacco use was higher among men than women in all 44 states for which statistically stable estimates could be computed.
  • Current smokeless tobacco use among men ranged from 2.3% in Hawaii to 16.5% in West Virginia.
  • Any cigarette/smokeless tobacco use was significantly higher among men than women in all 50 states.
  • Any cigarette/smokeless tobacco use among men ranged from 14.1% in Utah to 39.2% in West Virginia.

Any cigarette/smokeless tobacco use among US adults by race/ethnicity, 2014

  • Among non-Hispanic whites, any cigarette/smokeless tobacco use ranged from 7.5% in the District of Columbia to 32.4% in West Virginia.
  • Among non-Hispanic blacks, any cigarette/smokeless tobacco use ranged from 14.6% in Texas to 36.1% in Vermont.
  • Among Hispanics, any cigarette/smokeless tobacco use ranged from 8.0% in Maryland to 45.5% in North Dakota.
  • Among non-Hispanic other races, any cigarette/smokeless tobacco use ranged from 9.6% in Maryland to 45.5% in North Dakota.