State-Specific Patterns of Cigarette Smoking, Smokeless Tobacco Use, and E-Cigarette Use Among Adults — United States, 2016

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Hu, S. Sean ; Homa, David M. ; Wang, Teresa ; Gomez, Yessica ; Walton, Kimp ; Lu, Hua ; Neff, Linda
• Description:
  Introduction
  
  State-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults.
  
  Methods
  
  Data came from the 2016 Behavioral Risk Factor Surveillance System (BRFSS), a state-based telephone survey of US adults aged 18 years or older (N = 477,665). Prevalence estimates for current (every day or some days) cigarette smoking, smokeless tobacco use, and e-cigarette use were calculated for all 50 states and the District of Columbia (DC) and stratified by sex and race/ethnicity. Because the 2016 BRFSS measured e-cigarette use for the first time, estimates of ever e-cigarette use and concurrent use of cigarettes and e-cigarettes were also calculated. We assessed subgroup differences with χ2 tests.
  
  Results
  
  In 2016, prevalence of current cigarette smoking among US adults ranged from 8.8% (Utah) to 24.8% (West Virginia), while prevalence of current smokeless tobacco use ranged from 1.3% (DC) to 9.8% (Wyoming). For e-cigarettes, ever use ranged from 16.2% (DC) to 28.4% (Arkansas), and current use ranged from 2.4% (DC) to 6.7% (Oklahoma). Across all states, current e-cigarette use was significantly higher among current cigarette smokers than among former or never cigarette smokers. States with the highest prevalence of cigarette smoking generally had a high prevalence of current e-cigarette use.
  
  Conclusion
  
  Prevalence of adult cigarette smoking, smokeless tobacco use, and e-cigarette use varies across states. These findings underscore the importance of comprehensive statewide tobacco control and use prevention efforts that address the diverse tobacco products used among adults.
  
  
• Subjects:
  Adult Behavioral Risk Factor Surveillance System Cigarette Smoking Cross-Sectional Studies Electronic Nicotine Delivery Systems Female Humans Male Original Research Population Surveillance Prevalence Tobacco, Smokeless

  More +
• Source:
  Prev Chronic Dis. 16
• DOI:
  http://dx.doi.org/10.5888/pcd16.180362
• ISSN:
  1545-1151
• Pubmed ID:
  30730828
• Pubmed Central ID:
  PMC6395075
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:2fd1d61dd3537546e456e65fe59463a4a79c8d1ca1fec6710b70a7268faeb32b4d0e204b1968bf1f265d0e7304fcc5763b9bf2f916ee20a0f3db62b7f19b8372
• Download URL:
  https://stacks.cdc.gov/view/cdc/77056/cdc_77056_DS1.pdf
• File Type:
  [PDF - 579.25 KB ]