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Current Cigarette Smoking Among Adults in the United States						Print
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			Current Smoking Among Adults in 2021 (Nation)Current Smoking Among Adults in 2018 (States)References
		
Cigarette smoking remains the leading cause of preventable disease, disability, and death in the United States, accounting for more than 480,000 deaths every year, or about 1 in 5 deaths.1
In 2021, nearly 12 of every 100 U.S. adults aged 18 years or older (11.5%) currently* smoked cigarettes. This means an estimated 28.3 million adults in the United States currently smoke cigarettes.2 More than 16 million Americans live with a smoking-related disease.1
Current smoking has declined from 20.9% (nearly 21 of every 100 adults) in 2005 to 11.5% (nearly 12 of every 100 adults) in 2021.1,2
*Current smokers are defined as people who reported smoking at least 100 cigarettes during their lifetime and who, at the time they participated in a survey about this topic, reported smoking every day or some days.Current Smoking Among Adults in 2021 (Nation)By Sex2Current cigarette smoking was higher among men than women.
About 13 of every 100 adult men (13.1%)
About 10 of every 100 adult women (10.1%)By Age2Current cigarette smoking was highest among people aged 25–44 years and 45–64 years. Current cigarette smoking was lowest among people aged 18-24 years.
About 5 of every 100 adults aged 18–24 years (5.3%)
Nearly 13 of every 100 adults aged 25–44 years (12.6%)
Nearly 15 of every 100 adults aged 45–64 years (14.9%)
About 8 of every 100 adults aged 65 years and older (8.3%)By Race/Ethnicity2Current cigarette smoking was highest among non-Hispanic adults from other racial groups and lowest among non-Hispanic Asian adults.
Nearly 15 of every 100 non-Hispanic adults from other racial groups* (14.9%)
Nearly 13 of every 100 non-Hispanic White adults (12.9%)
Nearly 12 of every 100 non-Hispanic Black adults (11.7%)
Nearly 8 of every 100 Hispanic adults (7.7%)
About 5 of every 100 non-Hispanic Asian adults** (5.4%)
2021 tobacco product estimates for American Indian/Alaska Native adults were not statistically reliable
* Non-Hispanic Other includes adults who were categorized as “non-Hispanic American Indian or Alaska Native and any other group” or “other single and multiple races”.**Non-Hispanic Asians does not include Native Hawaiians or Other Pacific Islanders.By Education2Current cigarette smoking was highest among people with a general education development (GED) certificate and lowest among those with a graduate degree.***
Nearly 31 of every 100 adults with a GED certificate (30.7%)
About 20 of every 100 adults with some high school (no degree) (20.1%)
About 17 of every 100 adults with a high school diploma (17.1%)
About 16 of every 100 adults with some college (no degree) (16.1%)
Nearly 14 of every 100 adults with an Associate degree (13.7%)
About 5 of every 100 adults with an undergraduate degree (5.3%)
About 3 of every 100 adults with a graduate degree (3.2%)
***Education estimates are limited to adults 25 years or older.By Annual Household Income2Current cigarette smoking was higher among people with a lower annual household income than those with higher annual household incomes.
About 18 of every 100 adults with low income (18.3%)
About 12 of every 100 adults with middle income (12.3%)
Nearly 7 of every 100 adults with high income (6.7%)By U.S. Census Region2Current cigarette smoking was highest in the Midwest and the South and lowest in the West.
14 of every 100 adults who live in the Midwest (14.0%)
About 12 of every 100 adults who live in the South (12.4%)
About 10 of every 100 adults who live in the Northeast (10.4%)
Nearly 9 of every 100 adults who live in the West (8.9%)By Marital Status2Current cigarette smoking was highest among persons who were divorced/separated or widowed and lowest among those who were married or living with a partner.
Nearly 17 of every 100 adults who were divorced/separated or widowed (16.8%)
Nearly 11 of every 100 adults who were single/never married or not living with a partner (10.9%)
About 10 of every 100 adults who were married or living with a partner (10.4%)By Sexual Orientation2Current cigarette smoking was higher among lesbian, gay, and bisexual adults than heterosexual/straight adults.
About 15 of every 100 lesbian, gay, or bisexual adults (15.3%)
About 11 of every 100 heterosexual/straight adults (11.4%)By Health Insurance Coverage2Current cigarette smoking was highest in adults and adults insured by Medicaid and uninsured adults and lowest in adults with Medicare only (aged ≥65 years) .
Nearly 22 of every 100 adults insured by Medicaid (21.5%)
20 of every 100 adults who were uninsured (20.0%)
Nearly 14 of every 100 adults who had other public insurance (13.9%)
Nearly 9 of every 100 adults with private insurance (8.6%)
About 8 of every 100 adults insured by Medicare only (8.4%)By Disability/Limitation2Current cigarette smoking was higher among adults with a disability than those without.
Nearly 19 of every 100 adults with a disability (18.5%)
Nearly 11 of every 100 adults without a disability (10.9%)By Mental Health Symptoms*2Current cigarette smoking was higher among adults who regularly had feelings of severe psychological distress than adults who did not.
About 28 of every 100 adults who regularly had feelings of severe psychological distress (28.1%)
Nearly 11 of every 100 adults who did not regularly have feelings of severe psychological distress (10.9%)Current cigarette smoking was higher among adults who were ever told by a healthcare provider that they had depression than adults who had not.
About 19 of every 100 adults who were ever told by a healthcare provider that they had depression (19.4%)
Nearly 10 of every 100 adults who were ever told by a healthcare provider that they had depression (9.9%)*The Washington Group Short Set on Functioning Enhanced. 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/.Top of PageCurrent Smoking Among Adults in 2018 (States)In 2018, current smoking ranged from nearly 9 of every 100 adults in Utah (9.0%) to 25 of every 100 adults in West Virginia (25.2%).3

The figure presents the percentage of adults in each state who were current smokers in 2018.3Note: These data are periodically updated on the following CDC Web sites:
Smoking and Tobacco Use
National Health Interview Survey
Behavioral Risk Factor Surveillance SystemReferencesU.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: 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, 2014 [accessed 2019 Jan 30].
Cornelius ME, Loretan CG, Jamal A, et al. Tobacco Product Use Among Adults — United States, 2021. MMWR Morb Mortal Wkly Rep 2023;72:475–483.
Centers for Disease Control and Prevention. State Tobacco Activities Tracking & Evaluation (STATE) System. Map of Current Cigarette Use Among Adults (Behavior Risk Factor Surveillance System) 2018[accessed 2020 Nov 12].Top of Page
							
					
							Last Reviewed:  May 4, 2023						Source: 	Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion
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