Go to the Table Of Contents

4. Tobacco Use

Tobacco is the second most commonly used substance in the United States next to alcohol. The National Survey on Drug Use and Health (NSDUH) includes a series of questions on the use of several tobacco products, including cigarettes, smokeless tobacco (chewing tobacco and snuff), cigars, and pipe tobacco. This chapter includes State estimates on past month use of tobacco, past month use of cigarettes, and the perceptions of risk of heavy use of cigarettes. The latter is defined as smoking one or more packs of cigarettes per day.

Most tobacco users are cigarette smokers. However, differences in past month prevalence estimates for cigarettes and tobacco in 2007-2008 (around 4.4 percent nationally) represent persons who do not smoke cigarettes, but who use one of the other forms of tobacco (chewing tobacco, snuff, cigars, or pipe tobacco) (see Tables B.13 and B.14 in Appendix B). Nationally, both the percentage of tobacco use (from 29.1 to 28.5 percent) and the percentage of cigarette use in the past month (from 24.6 to 24.1 percent) decreased between 2006-2007 and 2007-2008 for the total population aged 12 or older (see Tables C.13 and C.14 in Appendix C). There were significant decreases in tobacco use among youths aged 12 to 17 (from 12.7 to 11.9 percent) and among young adults aged 18 to 25 (from 42.9 to 41.6 percent). Cigarette use also decreased in those two age groups nationally (from 10.1 to 9.5 percent among 12 to 17 year olds and from 37.3 to 35.9 percent among 18 to 25 year olds).

4.1 Tobacco

Nationally among persons aged 12 or older, the rate for past month use of tobacco in 2007-2008 was 28.5 percent (Table B.13). The State with the highest prevalence rate for tobacco use among persons aged 12 or older was Kentucky (38.5 percent). Utah had the lowest rate in the Nation for tobacco use among persons aged 12 or older (17.9 percent). Of the top 10 States for past month tobacco use among persons 12 or older, 6 States were in the South region. Arkansas, Kentucky, Ohio, West Virginia, and Wyoming ranked in the highest fifth for all three age groups (12 to 17, 18 to 25, and 26 or older) and among persons aged 12 or older (Figures 4.1 to 4.4).

Among the 12 or older age group, decreases in tobacco use from 2006-2007 to 2007-2008 were seen in the Northeast (from 27.1 to 26.3 percent) and South (from 31.1 to 30.2 percent) regions. At the State level among the 12 or older population, decreases were seen in Oklahoma (from 36.3 to 33.2 percent) and Texas (from 29.5 to 27.8 percent). The only increase in tobacco use among the 12 or older population was seen in Oregon (from 27.5 to 29.9 percent).

4.2 Cigarettes

In 2007-2008, the national rate for past month use of cigarettes among persons aged 12 or older was 24.1 percent. (Table B.14). Because cigarettes are the main tobacco product, States that ranked high for past month tobacco use also ranked high for past month cigarette use. Of the 10 States in the highest fifth for past month use of tobacco, 8 States also were in the highest fifth for past month cigarette use among persons aged 12 or older (Figures 4.1 and 4.5). Similarly, all of the 10 States that were ranked in the lowest fifth among persons 12 or older were the same for both measures. As was the case for past month tobacco use, Kentucky had the highest rate of past month cigarette use in the Nation (32.2 percent), and Utah had the lowest rate (15.3 percent) for persons aged 12 or older (Table B.14).

Among persons 12 or older, Oklahoma (from 30.6 to 27.3 percent), Texas (from 24.9 to 23.4 percent), and Utah (from 17.5 to 15.3 percent) showed declines in cigarette use from 2006-2007 to 2007-2008. Across the 3 age groups (12 to 17, 18 to 25, and 26 or older) and across all States, there were 22 significant changes in cigarette use between 2006-2007 and 2007-2008 (7 States among persons aged 12 to 17, 13 States among persons aged 18 to 25, and 2 States among persons aged 26 or older). All of these changes were declines. No States had any increases in past month cigarette use.

4.3 Perceptions of Risk of Heavy Cigarette Use

States with high prevalence rates for cigarette use tended to have low rates of perceived risk of heavy cigarette use (i.e., smoking one or more packs a day). Five States (Arkansas, Kentucky, Ohio, West Virginia, and Wisconsin) that ranked in the lowest fifth for perceptions of great risk of smoking one or more packs of cigarettes a day also were ranked in the highest fifth for past month cigarette use among persons aged 12 or older (Figures 4.5 and 4.9). Kentucky had the lowest rate of perception of great risk for heavy cigarette use (65.0 percent), and New York had the highest rate (79.6 percent) among persons aged 12 or older (Table B.15).

The rates of perception of great risk of smoking one or more packs of cigarettes a day remained almost the same from 73.9 percent in 2006-2007 to 73.7 percent in 2007-2008 among persons 12 or older (Table C.15). Among youths aged 12 to 17, there was a significant increase in the perception of risk of smoking one or more packs of cigarettes a day in the Northeast (from 70.6 to 72.0 percent); among young adults aged 18 to 25, there was a significant decrease in the Midwest (from 67.0 to 66.0 percent) and West (from 73.3 to 72.1 percent). Across the three age groups (12 to 17, 18 to 25, and 26 or older), there were seven significant changes in the perception of risk of heavy cigarette use. New Jersey, Pennsylvania, Rhode Island, and Virginia showed increases among youths aged 12 to 17. Wisconsin showed a decrease among young adults aged 18 to 25. Among persons aged 26 or older, Kentucky's rate decreased, while New York's rate increased.

Below is a map; click here for the text describing this map.

Figure 4.1 Tobacco Product Use in Past Month among Persons Aged 12 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.1

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.2 Tobacco Product Use in Past Month among Youths Aged 12 to 17, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.2

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.3 Tobacco Product Use in Past Month among Persons Aged 18 to 25, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.3

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.4 Tobacco Product Use in Past Month among Persons Aged 26 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.4

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.5 Cigarette Use in Past Month among Persons Aged 12 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.5

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.6 Cigarette Use in Past Month among Youths Aged 12 to 17, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.6

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.7 Cigarette Use in Past Month among Persons Aged 18 to 25, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.7

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.8 Cigarette Use in Past Month among Persons Aged 26 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.8

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.9 Perceptions of Great Risk of Smoking One or More Packs of Cigarettes Per Day among Persons Aged 12 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.9

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.10 Perceptions of Great Risk of Smoking One or More Packs of Cigarettes Per Day among Youths Aged 12 to 17, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.10

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.11 Perceptions of Great Risk of Smoking One or More Packs of Cigarettes Per Day among Persons Aged 18 to 25, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.11

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Below is a map; click here for the text describing this map.

Figure 4.12 Perceptions of Great Risk of Smoking One or More Packs of Cigarettes Per Day among Persons Aged 26 or Older, by State: Percentages, Annual Averages Based on 2007 and 2008 NSDUHs

Figure 4.12

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.

Go to Top of PageGo to the Table of Contents

This is the page footer.

This page was last updated on .