State-Specific Prevalence of Tobacco Product Use Among Adults - United States, 2014-2015

Abstract

Despite recent declines in cigarette smoking prevalence, the tobacco product landscape has shifted to include emerging tobacco products* (1,2). Previous research has documented adult use of smokeless tobacco and cigarettes by state (3); however, state-specific data on other tobacco products are limited. To assess tobacco product use in the 50 U.S. states and the District of Columbia (DC), CDC and the National Cancer Institute analyzed self-reported use of six tobacco product types: cigarettes, cigars, regular pipes, water pipes, electronic cigarettes (e-cigarettes), and smokeless tobacco products among adults aged ≥18 years using data from the 2014-2015 Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Prevalence of ever-use of any tobacco product ranged from 27.0% (Utah) to 55.4% (Wyoming). Current (every day or some days) use of any tobacco product ranged from 10.2% (California) to 27.7% (Wyoming). Cigarettes were the most common currently used tobacco product in all states and DC. Among current cigarette smokers, the proportion who currently used one or more other tobacco products ranged from 11.5% (Delaware) to 32.3% (Oregon). Differences in tobacco product use across states underscore the importance of implementing proven population-level strategies to reduce tobacco use and expanding these strategies to cover all forms of tobacco marketed in the United States. Such strategies could include comprehensive smoke-free policies, tobacco product price increases, anti-tobacco mass media campaigns, and barrier-free access to clinical smoking cessation resources (1,4).

FIGURE

Proportion of current cigarette smokers* who reported concurrent use of noncigarette product^† — Tobacco Use Supplement to the Current Population Survey, United States, 2014–2015 Abbreviation: DC = District of Columbia. * Current cigarette smokers were persons who reported having smoked ≥100 cigarettes during their lifetime and smoked “every day” or “some days” at the time of survey (n = 23,232). Data were weighted to adjust for nonresponse and to yield representative estimates at the state level. The proportion of current cigarette smokers that reported concurrent use of a noncigarette tobacco product ranged from 11.5% in Delaware to 32.3% in Oregon. ^† Noncigarette tobacco products were five tobacco product types assessed in Tobacco Use Supplement to the Current Population Survey (TUS-CPS): cigars (regular cigars, cigarillos, or little filtered cigars), regular pipes, water pipes, electronic cigarettes, and smokeless tobacco products (moist snuff, dip, spit, chew tobacco, snus, and dissolvable tobacco).