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Tobacco

Latest Data

Explore the latest data and disparities for each indicator.

View data for TU-1.1 in DATA2020
View data for TU-2.2 in DATA2020

Where We’ve Been and Where We’re Going

Between 2008 and 2017, the current cigarette smoking rate among adults aged 18 years and over decreased by 31.6%, from 20.6% to 14.1% (age adjusted). This is the first time the observed rate has fallen below 15.0%. However, more progress needs to be made to reach the target of 12.0%. Several population groups in selected demographic categories had the lowest rate of current cigarette smoking among adults, including those with an advanced degree, Asian persons, women, those born outside of the U.S., those without disabilities, those living in metropolitan areas, and adults aged 65 years and over.

Between 2009 and 2017, the rate of cigarette smoking in the last 30 days among students in grades 9–12 decreased by 54.9%, from 19.5% to 8.8%. Several population groups in selected demographic categories had the lowest rate of cigarette smoking in the last 30 days among students in grades 9–12, including Asian students, female students, and those in 9th grade.

Adults who are current cigarette smokers (TU-1.1)

  • Healthy People 2020 objective TU-1.1 tracks the proportion of adults who are current cigarette smokers.
    • HP2020 Baseline: In 2008, 20.6% of adults aged 18 years and over were current cigarette smokers (age adjusted).
    • HP2020 Target: 12.0% (retained from HP2010), a 41.7% improvement over the baseline.
    • The percentage of adults aged 18 years and over who were current cigarette smokers decreased by 31.6% between 2008 and 2017, from 20.6% to 14.1% (age adjusted).
  • Asian adults aged 18 years and over had the lowest rate of current cigarette smoking among racial and ethnic groups, 7.4% (age adjusted) in 2017. Rates for other racial and ethnic groups in 2017 were (age adjusted):
    • 20.3% among adults of 2 or more races; more than 2.5 times the best group rate
    • 17.1% among American Indian or Alaska Native adults; more than twice the best group rate
    • 15.8% among non-Hispanic white adults; more than twice the best group rate
    • 14.8% among non-Hispanic black adults; twice the best group rate
    • 9.8% among Hispanic or Latino adults; 32.3% higher than the best group rate
    • The estimate for Native Hawaiian or Other Pacific Islander adults was not statistically reliable and could not be compared.
  • Women aged 18 years and over had a lower rate of current smoking than men in 2017 (12.3% versus 16.0%, age adjusted). The rate for men was 30.5% higher than that for women.

     

    Current Cigarette Smoking Among Adults by Sex, 2017

    Web Graphic 1MarchTobacco.png

    Data source: National Health Interview Survey (NHIS), CDC/NCHS.

  • In 2017, adults aged 18 years and over living in families with incomes at 600% of the poverty threshold or higher had the lowest rate of current cigarette smoking among family income groups, 6.5% (age adjusted). Rates for adults in other income groups were (age adjusted):
    • 23.8% for those with incomes under the poverty threshold; more than 3.5 times the best group rate
    • 20.1% for those with incomes at 100–199% of the poverty threshold; more than 3 times the best group rate
    • 15.6% for those with incomes at 200–399% of the poverty threshold; more than twice the best group rate
    • 11.1% for those with incomes at 400–599% of the poverty threshold; 69.4% higher than the best group rate
  • Adults aged 18 years and over born outside of the U.S. had a lower rate of current cigarette smoking than adults born in the U.S. (7.6% versus 15.8%, age adjusted) in 2017. The rate for adults born in the U.S. was more than twice that of adults born outside of the U.S.
  • Adults aged 18 years and over without disabilities had a lower rate of current cigarette smoking than adults with disabilities (12.4% versus 24.1%, age adjusted) in 2017. The rate for adults with disabilities was 94.0% higher than that of adults without disabilities.
  • Adults aged 18 years and over who lived in metropolitan areas had a lower rate of current cigarette smoking than adults living in non-metropolitan areas (12.9% versus 22.7%, age adjusted) in 2017. The rate for adults living in non-metropolitan areas was 75.7% higher than that of adults living in metropolitan areas.
  • In 2017, adults aged 18 years and over who identified as straight had the lowest rate of current cigarette smoking (13.9%, age adjusted) among sexual orientation groups. Rates for other sexual orientation groups were (age adjusted):
    • 21.9% among adults who identified as bisexual; 58.1% higher than the best group rate
    • 18.0% among adults who identified as gay/lesbian; 29.7% higher than the best group rate
  • In 2017, adults aged 18 years and over who were married had the lowest rate of current cigarette smoking (10.9%, age adjusted) among marital status groups. Rates for other marital status groups were (age adjusted):
    • 26.8% among widowed adults; 2.5 times the best group rate
    • 25.5% among cohabiting partners; more than twice the best group rate
    • 24.1% among divorced or separated adults; more than twice the best group rate
    • 17.7% among never-married adults; 62.5% higher than the best group rate

Also in 2017:

  • Among age groups, adults aged 65 years and over had the lowest rate of current cigarette smoking, 8.2%. Rates for other broad age groups were:
    • 14.6% among adults aged 18–44 years; 78.5% higher than the best group rate
    • 16.5% among adults aged 45–64 years; twice the best group rate
  • Among educational attainment groups, adults aged 25 years and over with an advanced degree had the lowest rate of current cigarette smoking, 4.1% (age adjusted). Rates for other educational attainment groups were (age adjusted):
    • 24.9% among adults with less than a high school education; 6 times the best group rate
    • 21.7% among high school graduates; more than 5 times the best group rate
    • 18.4% among adults with some college education, but without a college degree; more than 4 times the best group rate
    • 15.6% among adults with an associate’s degree; more than 3.5 times the best group rate
    • 7.0% among adults with a 4-year college degree; 69.2% higher than the best group rate
  • Among health insurance status groups, adults aged 18–64 years with private health insurance had the lowest age-adjusted rate of current cigarette smoking (11.0%) compared to adults with public or no health insurance (25.9% and 25.0%, respectively). The rates of current cigarette smoking for adults with public or no insurance were more than twice as high as the rate for those with private health insurance.

Endnotes

  • Unless otherwise specified, all disparities described are statistically significant at the 0.05 level of significance.
  • Unrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Data (except those by education, health insurance, and age group) are age adjusted to the 2000 standard population using the age groups 18–24, 25–34, 35–44, 45–64, and 65 years and over. Data by education are adjusted using the age groups 25–34, 35–44, 45–64, and 65 years and over. Data by health insurance coverage are adjusted using the age groups 18–24, 25–34, 35–44, 45–54, and 55–64. Data by age group are not age adjusted. Age-adjusted rates are weighted sums of age-specific rates.
  • Current cigarette smokers are defined as persons who have smoked at least 100 cigarettes in their lifetime and at the time of interview reported smoking cigarettes every day or some days.
  • Data for this measure are available annually and come from the National Health Interview Survey (NHIS), CDC/NCHS.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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Adolescents who smoked cigarettes in the past 30 days (TU-2.2)

  • Healthy People 2020 objective TU-2.2 tracks the proportion of students in grades 9–12 who smoked cigarettes in the last 30 days.
    • HP2020 Baseline: In 2009, 19.5% of students in grades 9–12 smoked cigarettes in the last 30 days.
    • HP2020 Target: 16.0% (retained from HP2010), a 17.9% improvement over the baseline.
    • The percentage of students in grades 9–12 who smoked cigarettes in the last 30 days decreased by 54.9%, from 19.5% in 2009 to 8.8% in 2017, exceeding the Healthy People 2020 target.

In 2017, among students in grades 9–12:

  • Asian students had the lowest rate of cigarette smoking in the past 30 days among racial and ethnic groups, 4.2%. Rates for other racial and ethnic groups were:
    • 11.1% among non-Hispanic white students; more than 2.5 times the best group rate
    • 9.8% among American Indian or Alaska Native students; more than twice the best group rate
    • 7.8% among students of 2 or more races; 84.0% higher than the best group rate
    • 7.0% among Hispanic or Latino students; 66.6% higher than the best group rate
    • 5.4% among Native Hawaiian or Other Pacific Islander students; not significantly different than the best group rate
    • 4.4% among non-Hispanic black students; not significantly different than the best group rate
  • There was no statistically significant difference between female and male students in the rate of cigarette smoking in the last 30 days (7.8% versus 9.8%).
  • Among high school students, those in 9th grade had the lowest rate of cigarette smoking in the last 30 days (5.2%). Rate for other grades were:
    • 7.6% among 10th-grade students; 45.5% higher than the best group rate
    • 9.5% among 11th-grade students; 82.1% higher than the best group rate
    • 13.4% among 12th-grade students; more than 2.5 times the best group rate
  • There was no statistically significant difference between students without obesity and those with obesity in the rate of cigarette smoking in the last 30 days (8.­2% versus 10.1%).​​
 
Cigarette Smoking in the Past 30 Days among High School Students by Grade, 2017
 
Web Graphic 2.png

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC/NCHHSTP.

  • There was no statistically significant difference between students without obesity and those with obesity in the rate of cigarette smoking in the last 30 days (8.2% versus 10.1%).

Endnotes

  • Unless otherwise specified, all disparities described are statistically significant at the 0.05 level of significance.
  • Unrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Students are classified as smoking cigarettes in the past 30 days if they report smoking cigarettes on 1 or more of the 30 days preceding the survey.
  • Data for this measure are available biennially from the Youth Risk Behavior Surveillance System (YRBSS), CDC/NCHHSTP.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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