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

January 26, 2018 / Vol. 67 / 03

MMWR Introduction

Despite recent declines in cigarette smoking prevalence, the tobacco product landscape has shifted to include emerging tobacco products. Previous research has documented adult use of smokeless tobacco and cigarettes by state; 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 (NCI) used data from the 2014–2015 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) to analyze self-reported use of six tobacco product types: cigarettes, cigars/cigarillos/filtered little cigars, smokeless tobacco products, regular pipes, water pipes, and electronic cigarettes (e-cigarettes) among adults aged ≥18 years.

Continued implementation of proven population-based interventions, including increasing tobacco product prices, implementing and enforcing comprehensive smoke-free laws, warning about the dangers of tobacco use, and increasing barrier-free access to cessation services, can help reduce tobacco use.

MMWR Highlights

State-specific prevalence of ever use among U.S. adults, by tobacco product, 2014-2015 (State Range)

• Any tobacco product: 27.0% (Utah) to 55.4% (Wyoming)
• Any combustible tobacco product: 25.8% (Utah) to 53.2% (Maine)
• Cigarettes: 22.0% (Utah) to 44.3% (Maine)
• Cigars (big cigars/cigarillos/ little cigars): 10.6% (Utah) to 26.3% (Oregon)
• E-cigarettes: 4.3% (Delaware) to 14.2% (Wyoming)
• Smokeless tobacco: 2.7% (New Jersey) to 20.5% (Wyoming)
• Regular pipes: 3.2% (New Jersey) to 12.0% (Oregon)
• Water pipes: 1.5% (Arkansas) to 16.7% (DC)

State-specific prevalence of current use among U.S. adults, by tobacco product, 2014-2015 (State Range)

• Any tobacco product: 10.2% (California) to 27.7% (Wyoming)
• Any combustible tobacco product: 8.9% (Utah) to 23.1% (West Virginia)
• Cigarettes: 8.0% (Utah) to 21.7% (West Virginia)
• Cigars (big cigars/cigarillos/little cigars): 1.0% (Utah) to 3.5% (Alaska)
• E-cigarettes: 1.3% (Delaware) to 4.4% (Wyoming)
• Smokeless tobacco: 0.6% (New York) to 6.4% (Wyoming)
• Water pipes: 0.4% (Florida) to 1.9% (DC)
• Regular pipes: 0.2% (Florida), to 1.0% (Oregon)