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220621
Table 2.1A – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Substance Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
LIFETIME              
Tobacco Product or Nicotine Vaping 163,513 4,293 159,220 16,537 142,682 9,441 154,072
Tobacco Products 159,037 2,435 156,602 14,658 141,944 6,580 152,457
Cigarettes 143,440 1,788 141,652 11,873 129,779 4,998 138,443
Daily Cigarettes 81,850 159 81,691 3,644 78,047 844 81,006
Smokeless Tobacco 38,662 613 38,049 4,134 33,915 1,629 37,032
Cigars 78,957 890 78,067 7,936 70,131 2,790 76,167
Pipe Tobacco 28,528 236 28,292 1,826 26,466 641 27,886
Nicotine Vaping 35,859 3,142 32,717 9,408 23,310 6,426 29,433
Alcohol 219,153 5,963 213,190 24,678 188,512 13,432 205,721
Binge Alcohol Use -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- --
PAST YEAR              
Tobacco Product or Nicotine Vaping2 74,017 2,913 71,104 11,266 59,839 6,689 67,328
Tobacco Products2 66,839 1,418 65,421 8,670 56,751 3,993 62,845
Cigarettes 52,364 944 51,420 6,225 45,195 2,770 49,594
Daily Cigarettes -- -- -- -- -- -- --
Smokeless Tobacco 9,835 352 9,483 1,559 7,924 760 9,075
Cigars 18,756 551 18,204 3,778 14,426 1,691 17,065
Pipe Tobacco2 -- -- -- -- -- -- --
Nicotine Vaping 18,916 2,206 16,710 6,617 10,093 4,734 14,182
Alcohol 174,339 4,624 169,715 22,438 147,277 11,135 163,204
Binge Alcohol Use -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- --
PAST MONTH              
Tobacco Product or Nicotine Vaping 61,624 1,731 59,892 8,276 51,617 4,305 57,318
Tobacco Products 54,697 683 54,014 5,614 48,399 2,109 52,588
Cigarettes 43,615 392 43,222 3,839 39,383 1,331 42,284
Daily Cigarettes 27,017 55 26,961 1,059 25,902 253 26,764
Smokeless Tobacco 7,340 150 7,191 973 6,218 368 6,973
Cigars 10,297 176 10,121 1,775 8,346 699 9,598
Pipe Tobacco 1,782 65 1,717 324 1,393 170 1,612
Nicotine Vaping 13,213 1,364 11,849 4,730 7,119 3,150 10,063
Alcohol 133,058 1,820 131,239 16,774 114,464 5,917 127,141
Binge Alcohol Use3 60,039 995 59,045 9,754 49,290 3,242 56,797
Heavy Alcohol Use 16,336 103 16,233 2,371 13,862 613 15,723
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco.
2 Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use (as well as the estimate for tobacco product use or nicotine vaping) in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
3 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.1B – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Substance Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
LIFETIME              
Tobacco Product or Nicotine Vaping 58.4 16.5 62.7 49.4 64.7 24.1 64.0
Tobacco Products 56.8 9.4 61.7 43.8 64.4 16.8 63.3
Cigarettes 51.3 6.9 55.8 35.5 58.9 12.8 57.5
Daily Cigarettes 29.2 0.6 32.2 10.9 35.4 2.2 33.6
Smokeless Tobacco 13.8 2.4 15.0 12.4 15.4 4.2 15.4
Cigars 28.2 3.4 30.8 23.7 31.8 7.1 31.6
Pipe Tobacco 10.2 0.9 11.1 5.5 12.0 1.6 11.6
Nicotine Vaping 12.8 12.1 12.9 28.1 10.6 16.4 12.2
Alcohol 78.3 22.9 84.0 73.8 85.5 34.4 85.4
Binge Alcohol Use -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- --
PAST YEAR              
Tobacco Product or Nicotine Vaping2 26.4 11.2 28.0 33.7 27.2 17.1 28.0
Tobacco Products2 23.9 5.5 25.8 25.9 25.8 10.2 26.1
Cigarettes 18.7 3.6 20.3 18.6 20.5 7.1 20.6
Daily Cigarettes -- -- -- -- -- -- --
Smokeless Tobacco 3.5 1.4 3.7 4.7 3.6 1.9 3.8
Cigars 6.7 2.1 7.2 11.3 6.5 4.3 7.1
Pipe Tobacco2 -- -- -- -- -- -- --
Nicotine Vaping 6.8 8.5 6.6 19.8 4.6 12.1 5.9
Alcohol 62.3 17.8 66.9 67.1 66.8 28.5 67.8
Binge Alcohol Use -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- --
PAST MONTH              
Tobacco Product or Nicotine Vaping 22.0 6.7 23.6 24.7 23.4 11.0 23.8
Tobacco Products 19.5 2.6 21.3 16.8 22.0 5.4 21.8
Cigarettes 15.6 1.5 17.0 11.5 17.9 3.4 17.6
Daily Cigarettes 9.7 0.2 10.6 3.2 11.8 0.6 11.1
Smokeless Tobacco 2.6 0.6 2.8 2.9 2.8 0.9 2.9
Cigars 3.7 0.7 4.0 5.3 3.8 1.8 4.0
Pipe Tobacco 0.6 0.2 0.7 1.0 0.6 0.4 0.7
Nicotine Vaping 4.7 5.2 4.7 14.1 3.2 8.1 4.2
Alcohol 47.5 7.0 51.7 50.1 51.9 15.1 52.8
Binge Alcohol Use3 21.5 3.8 23.3 29.2 22.4 8.3 23.6
Heavy Alcohol Use 5.8 0.4 6.4 7.1 6.3 1.6 6.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco.
2 Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use (as well as the estimate for tobacco product use or nicotine vaping) in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
3 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.2A – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 163,513 74,017 61,624
12-201 9,441 6,689 4,305
21 or Older1 154,072 67,328 57,318
12-17 4,293 2,913 1,731
12-13 591 354 160
14-15 1,318 924 501
16-17 2,384 1,635 1,070
18 or Older 159,220 71,104 59,892
18-25 16,537 11,266 8,276
18-20 5,148 3,776 2,574
21-25 11,390 7,489 5,702
26 or Older 142,682 59,839 51,617
26-49 66,455 34,070 28,392
26-29 10,619 6,298 4,778
30-34 14,727 8,239 6,663
35-39 14,688 7,319 6,387
40-44 13,692 6,724 5,649
45-49 12,728 5,490 4,914
50 or Older 76,227 25,768 23,225
50-54 12,677 5,689 5,184
55-59 13,713 5,943 5,367
60-64 15,118 5,957 5,367
65 or Older 34,719 8,180 7,307
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.2B – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 58.4 26.4 22.0
12-201 24.1 17.1 11.0
21 or Older1 64.0 28.0 23.8
12-17 16.5 11.2 6.7
12-13 6.6 3.9 1.8
14-15 15.6 10.9 5.9
16-17 27.9 19.1 12.5
18 or Older 62.7 28.0 23.6
18-25 49.4 33.7 24.7
18-20 39.4 28.9 19.7
21-25 55.9 36.7 28.0
26 or Older 64.7 27.2 23.4
26-49 65.0 33.3 27.7
26-29 60.9 36.1 27.4
30-34 64.8 36.2 29.3
35-39 65.7 32.7 28.6
40-44 67.1 32.9 27.7
45-49 65.7 28.3 25.4
50 or Older 64.6 21.8 19.7
50-54 65.4 29.3 26.7
55-59 64.4 27.9 25.2
60-64 67.0 26.4 23.8
65 or Older 63.3 14.9 13.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.3A – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 159,037 66,839 54,697
12-201 6,580 3,993 2,109
21 or Older1 152,457 62,845 52,588
12-17 2,435 1,418 683
12-13 279 151 45
14-15 703 400 168
16-17 1,452 867 470
18 or Older 156,602 65,421 54,014
18-25 14,658 8,670 5,614
18-20 4,146 2,575 1,426
21-25 10,513 6,095 4,188
26 or Older 141,944 56,751 48,399
26-49 65,844 31,735 25,922
26-29 10,391 5,712 4,133
30-34 14,525 7,551 6,002
35-39 14,583 6,802 5,814
40-44 13,647 6,421 5,331
45-49 12,697 5,248 4,642
50 or Older 76,100 25,016 22,477
50-54 12,628 5,558 5,074
55-59 13,679 5,760 5,171
60-64 15,075 5,760 5,128
65 or Older 34,718 7,938 7,103
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.3B – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 56.8 23.9 19.5
12-201 16.8 10.2 5.4
21 or Older1 63.3 26.1 21.8
12-17 9.4 5.5 2.6
12-13 3.1 1.7 0.5
14-15 8.3 4.7 2.0
16-17 17.0 10.1 5.5
18 or Older 61.7 25.8 21.3
18-25 43.8 25.9 16.8
18-20 31.7 19.7 10.9
21-25 51.6 29.9 20.5
26 or Older 64.4 25.8 22.0
26-49 64.4 31.0 25.3
26-29 59.6 32.8 23.7
30-34 63.9 33.2 26.4
35-39 65.2 30.4 26.0
40-44 66.8 31.5 26.1
45-49 65.5 27.1 24.0
50 or Older 64.5 21.2 19.0
50-54 65.1 28.7 26.2
55-59 64.2 27.0 24.3
60-64 66.8 25.5 22.7
65 or Older 63.3 14.5 13.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.4A – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 143,440 52,364 43,615
12-201 4,998 2,770 1,331
21 or Older1 138,443 49,594 42,284
12-17 1,788 944 392
12-13 194 121 28
14-15 507 252 80
16-17 1,087 572 284
18 or Older 141,652 51,420 43,222
18-25 11,873 6,225 3,839
18-20 3,210 1,826 938
21-25 8,664 4,399 2,901
26 or Older 129,779 45,195 39,383
26-49 59,714 25,014 20,838
26-29 9,063 4,271 3,123
30-34 12,935 5,782 4,677
35-39 13,500 5,565 4,814
40-44 12,579 5,066 4,307
45-49 11,637 4,329 3,916
50 or Older 70,065 20,181 18,545
50-54 11,537 4,603 4,278
55-59 12,345 4,446 4,115
60-64 13,760 4,848 4,420
65 or Older 32,423 6,284 5,732
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.4B – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 51.3 18.7 15.6
12-201 12.8 7.1 3.4
21 or Older1 57.5 20.6 17.6
12-17 6.9 3.6 1.5
12-13 2.1 1.3 0.3
14-15 6.0 3.0 0.9
16-17 12.7 6.7 3.3
18 or Older 55.8 20.3 17.0
18-25 35.5 18.6 11.5
18-20 24.5 14.0 7.2
21-25 42.5 21.6 14.2
26 or Older 58.9 20.5 17.9
26-49 58.4 24.4 20.4
26-29 52.0 24.5 17.9
30-34 56.9 25.4 20.6
35-39 60.4 24.9 21.5
40-44 61.6 24.8 21.1
45-49 60.0 22.3 20.2
50 or Older 59.4 17.1 15.7
50-54 59.5 23.7 22.1
55-59 58.0 20.9 19.3
60-64 61.0 21.5 19.6
65 or Older 59.2 11.5 10.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.5A – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 38,662 9,835 7,340
12-201 1,629 760 368
21 or Older1 37,032 9,075 6,973
12-17 613 352 150
12-13 62 26 4
14-15 166 104 52
16-17 385 223 94
18 or Older 38,049 9,483 7,191
18-25 4,134 1,559 973
18-20 1,016 408 218
21-25 3,118 1,151 755
26 or Older 33,915 7,924 6,218
26-49 18,889 5,030 3,713
26-29 3,132 1,040 707
30-34 4,390 1,203 882
35-39 3,941 1,045 797
40-44 3,891 993 684
45-49 3,535 749 643
50 or Older 15,026 2,894 2,505
50-54 3,439 781 556
55-59 4,068 798 772
60-64 2,872 501 441
65 or Older 4,647 813 736
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.5B – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 13.8 3.5 2.6
12-201 4.2 1.9 0.9
21 or Older1 15.4 3.8 2.9
12-17 2.4 1.4 0.6
12-13 0.7 0.3 0.0
14-15 2.0 1.2 0.6
16-17 4.5 2.6 1.1
18 or Older 15.0 3.7 2.8
18-25 12.4 4.7 2.9
18-20 7.8 3.1 1.7
21-25 15.3 5.6 3.7
26 or Older 15.4 3.6 2.8
26-49 18.5 4.9 3.6
26-29 18.0 6.0 4.1
30-34 19.3 5.3 3.9
35-39 17.6 4.7 3.6
40-44 19.1 4.9 3.3
45-49 18.2 3.9 3.3
50 or Older 12.7 2.5 2.1
50-54 17.7 4.0 2.9
55-59 19.1 3.7 3.6
60-64 12.7 2.2 2.0
65 or Older 8.5 1.5 1.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.6A – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 78,957 18,756 10,297
12-201 2,790 1,691 699
21 or Older1 76,167 17,065 9,598
12-17 890 551 176
12-13 91 37 13
14-15 213 113 43
16-17 586 402 120
18 or Older 78,067 18,204 10,121
18-25 7,936 3,778 1,775
18-20 1,900 1,139 523
21-25 6,036 2,639 1,252
26 or Older 70,131 14,426 8,346
26-49 36,327 9,325 5,418
26-29 6,021 2,170 1,071
30-34 8,411 2,450 1,418
35-39 8,200 1,774 1,066
40-44 7,380 1,714 1,096
45-49 6,315 1,216 766
50 or Older 33,804 5,101 2,928
50-54 5,730 1,117 656
55-59 6,760 1,276 775
60-64 7,083 1,362 720
65 or Older 14,231 1,346 776
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.6B – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 28.2 6.7 3.7
12-201 7.1 4.3 1.8
21 or Older1 31.6 7.1 4.0
12-17 3.4 2.1 0.7
12-13 1.0 0.4 0.1
14-15 2.5 1.3 0.5
16-17 6.9 4.7 1.4
18 or Older 30.8 7.2 4.0
18-25 23.7 11.3 5.3
18-20 14.5 8.7 4.0
21-25 29.6 12.9 6.1
26 or Older 31.8 6.5 3.8
26-49 35.5 9.1 5.3
26-29 34.6 12.5 6.1
30-34 37.0 10.8 6.2
35-39 36.7 7.9 4.8
40-44 36.2 8.4 5.4
45-49 32.6 6.3 4.0
50 or Older 28.6 4.3 2.5
50-54 29.5 5.8 3.4
55-59 31.7 6.0 3.6
60-64 31.4 6.0 3.2
65 or Older 26.0 2.5 1.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.7A – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 35,859 18,916 13,213
12-201 6,426 4,734 3,150
21 or Older1 29,433 14,182 10,063
12-17 3,142 2,206 1,364
12-13 451 283 144
14-15 978 729 417
16-17 1,713 1,194 803
18 or Older 32,717 16,710 11,849
18-25 9,408 6,617 4,730
18-20 3,284 2,528 1,786
21-25 6,123 4,089 2,944
26 or Older 23,310 10,093 7,119
26-49 16,970 7,685 5,368
26-29 4,121 1,934 1,314
30-34 4,630 2,277 1,568
35-39 3,299 1,440 1,079
40-44 2,753 1,251 820
45-49 2,167 783 586
50 or Older 6,340 2,408 1,752
50-54 1,252 540 404
55-59 1,527 613 422
60-64 1,708 615 474
65 or Older 1,853 639 452
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.7B – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 12.8 6.8 4.7
12-201 16.4 12.1 8.1
21 or Older1 12.2 5.9 4.2
12-17 12.1 8.5 5.2
12-13 5.0 3.1 1.6
14-15 11.6 8.6 4.9
16-17 20.0 14.0 9.4
18 or Older 12.9 6.6 4.7
18-25 28.1 19.8 14.1
18-20 25.1 19.3 13.7
21-25 30.0 20.1 14.4
26 or Older 10.6 4.6 3.2
26-49 16.6 7.5 5.2
26-29 23.6 11.1 7.5
30-34 20.4 10.0 6.9
35-39 14.8 6.4 4.8
40-44 13.5 6.1 4.0
45-49 11.2 4.0 3.0
50 or Older 5.4 2.0 1.5
50-54 6.5 2.8 2.1
55-59 7.2 2.9 2.0
60-64 7.6 2.7 2.1
65 or Older 3.4 1.2 0.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.8A – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 219,153 174,339 133,058
12-201 13,432 11,135 5,917
21 or Older1 205,721 163,204 127,141
12-17 5,963 4,624 1,820
12-13 840 566 173
14-15 1,771 1,348 486
16-17 3,353 2,710 1,160
18 or Older 213,190 169,715 131,239
18-25 24,678 22,438 16,774
18-20 7,469 6,511 4,098
21-25 17,209 15,928 12,677
26 or Older 188,512 147,277 114,464
26-49 89,009 74,760 58,822
26-29 15,107 13,314 10,634
30-34 19,848 17,059 13,331
35-39 19,528 16,145 12,565
40-44 17,735 14,547 11,761
45-49 16,790 13,694 10,532
50 or Older 99,503 72,517 55,642
50-54 16,887 13,867 10,846
55-59 18,273 13,957 10,874
60-64 19,320 13,929 10,781
65 or Older 45,023 30,764 23,142
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for alcohol.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.8B – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Lifetime
(2021)
Past Year
(2021)
Past Month
(2021)
TOTAL 78.3 62.3 47.5
12-201 34.4 28.5 15.1
21 or Older1 85.4 67.8 52.8
12-17 22.9 17.8 7.0
12-13 9.3 6.3 1.9
14-15 20.9 16.0 5.8
16-17 39.2 31.7 13.6
18 or Older 84.0 66.9 51.7
18-25 73.8 67.1 50.1
18-20 57.1 49.8 31.3
21-25 84.4 78.1 62.2
26 or Older 85.5 66.8 51.9
26-49 87.0 73.1 57.5
26-29 86.7 76.4 61.0
30-34 87.3 75.0 58.6
35-39 87.3 72.2 56.2
40-44 86.9 71.3 57.6
45-49 86.6 70.7 54.3
50 or Older 84.3 61.4 47.1
50-54 87.1 71.5 55.9
55-59 85.8 65.5 51.1
60-64 85.7 61.8 47.8
65 or Older 82.1 56.1 42.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for alcohol.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.9A – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2021
Age Category Alcohol Use
(2021)
Binge Alcohol Use1
(2021)
Heavy Alcohol Use
(2021)
TOTAL 133,058 60,039 16,336
12-202 5,917 3,242 613
21 or Older2 127,141 56,797 15,723
12-17 1,820 995 103
12-13 173 60 *
14-15 486 268 22
16-17 1,160 666 82
18 or Older 131,239 59,045 16,233
18-25 16,774 9,754 2,371
18-20 4,098 2,248 509
21-25 12,677 7,507 1,861
26 or Older 114,464 49,290 13,862
26-49 58,822 29,931 8,287
26-29 10,634 6,045 1,835
30-34 13,331 7,029 1,836
35-39 12,565 6,103 1,560
40-44 11,761 5,991 1,656
45-49 10,532 4,763 1,400
50 or Older 55,642 19,359 5,575
50-54 10,846 4,328 1,303
55-59 10,874 4,668 1,509
60-64 10,781 4,133 1,213
65 or Older 23,142 6,231 1,549
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for alcohol.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.9B – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category Alcohol Use
(2021)
Binge Alcohol Use1
(2021)
Heavy Alcohol Use
(2021)
TOTAL 47.5 21.5 5.8
12-202 15.1 8.3 1.6
21 or Older2 52.8 23.6 6.5
12-17 7.0 3.8 0.4
12-13 1.9 0.7 *
14-15 5.8 3.2 0.3
16-17 13.6 7.8 1.0
18 or Older 51.7 23.3 6.4
18-25 50.1 29.2 7.1
18-20 31.3 17.2 3.9
21-25 62.2 36.8 9.1
26 or Older 51.9 22.4 6.3
26-49 57.5 29.3 8.1
26-29 61.0 34.7 10.5
30-34 58.6 30.9 8.1
35-39 56.2 27.3 7.0
40-44 57.6 29.3 8.1
45-49 54.3 24.6 7.2
50 or Older 47.1 16.4 4.7
50-54 55.9 22.3 6.7
55-59 51.1 21.9 7.1
60-64 47.8 18.3 5.4
65 or Older 42.2 11.4 2.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for alcohol.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.10A – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 163,513 4,293 159,220 16,537 142,682 9,441 154,072
GENDER              
Male 88,443 2,003 86,440 8,870 77,570 4,735 83,708
Female 75,070 2,290 72,780 7,667 65,113 4,706 70,365
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 140,760 3,243 137,516 13,246 124,271 7,271 133,488
White 114,034 2,571 111,463 10,139 101,324 5,703 108,331
Black or African American 16,391 343 16,048 1,708 14,341 841 15,550
AIAN 1,168 * 1,123 * * * 1,056
NHOPI * * * * * * *
Asian 5,386 66 5,319 647 4,672 203 5,182
Two or More Races 3,204 162 3,043 482 2,561 343 2,861
Hispanic or Latino 22,753 1,050 21,703 3,292 18,412 2,169 20,584
EDUCATION LEVEL              
< High School da da 16,571 1,770 14,801 da 15,671
High School Graduate da da 44,295 5,146 39,149 da 42,163
Some College/Associate’s Degree da da 50,774 6,850 43,924 da 48,661
College Graduate da da 47,580 2,771 44,809 da 47,577
EMPLOYMENT STATUS              
Full-Time da da 74,651 7,226 67,425 da 73,095
Part-Time da da 18,350 3,816 14,534 da 16,731
Unemployed da da 8,281 1,576 6,704 da 7,789
Other2 da da 57,938 3,919 54,019 da 56,458
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.10B – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 58.4 16.5 62.7 49.4 64.7 24.1 64.0
GENDER              
Male 64.7 15.1 70.0 53.0 72.7 23.6 71.7
Female 52.5 18.0 55.8 45.8 57.3 24.7 56.7
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 61.2 16.7 65.3 51.7 67.2 25.1 66.4
White 66.6 19.6 70.6 57.2 72.3 29.1 71.5
Black or African American 47.8 9.7 52.2 37.4 54.8 15.6 53.8
AIAN 65.1 * 69.3 * * * 69.3
NHOPI * * * * * * *
Asian 32.7 4.5 35.4 33.2 35.8 9.2 36.3
Two or More Races 59.4 17.6 68.0 53.0 71.8 25.7 70.5
Hispanic or Latino 45.7 15.8 50.3 42.1 52.1 21.4 51.9
EDUCATION LEVEL              
< High School da da 57.6 47.4 59.2 da 59.4
High School Graduate da da 63.4 48.4 66.1 da 65.4
Some College/Associate’s Degree da da 65.9 48.7 69.8 da 68.0
College Graduate da da 60.8 55.2 61.2 da 60.8
EMPLOYMENT STATUS              
Full-Time da da 65.4 57.3 66.4 da 65.8
Part-Time da da 60.1 46.6 65.0 da 62.9
Unemployed da da 62.6 50.1 66.5 da 65.6
Other2 da da 60.5 41.2 62.6 da 61.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.11A – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 74,017 2,913 71,104 11,266 59,839 6,689 67,328
GENDER              
Male 43,156 1,319 41,837 6,331 35,506 3,350 39,805
Female 30,861 1,594 29,267 4,935 24,333 3,339 27,523
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 63,847 2,260 61,586 9,303 52,283 5,292 58,555
White 49,451 1,810 47,641 7,099 40,542 4,157 45,294
Black or African American 9,532 229 9,303 1,241 8,062 605 8,927
AIAN 713 * 683 * 508 * 618
NHOPI * * * * * * *
Asian 1,923 45 1,878 378 1,500 143 1,780
Two or More Races 1,802 100 1,703 358 1,344 240 1,563
Hispanic or Latino 10,170 653 9,518 1,962 7,555 1,397 8,773
EDUCATION LEVEL              
< High School da da 10,244 1,339 8,905 da 9,586
High School Graduate da da 24,161 3,729 20,432 da 22,611
Some College/Associate’s Degree da da 24,249 4,737 19,512 da 22,682
College Graduate da da 12,450 1,460 10,990 da 12,449
EMPLOYMENT STATUS              
Full-Time da da 33,467 4,873 28,594 da 32,282
Part-Time da da 8,360 2,624 5,736 da 7,161
Unemployed da da 5,666 1,176 4,490 da 5,315
Other2 da da 23,611 2,593 21,018 da 22,571
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.11B – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 26.4 11.2 28.0 33.7 27.2 17.1 28.0
GENDER              
Male 31.6 9.9 33.9 37.9 33.3 16.7 34.1
Female 21.6 12.5 22.5 29.5 21.4 17.5 22.2
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 27.8 11.7 29.2 36.3 28.3 18.3 29.1
White 28.9 13.8 30.2 40.1 28.9 21.2 29.9
Black or African American 27.8 6.5 30.3 27.2 30.8 11.2 30.9
AIAN 39.7 * 42.1 * 39.2 * 40.6
NHOPI * * * * * * *
Asian 11.7 3.1 12.5 19.3 11.5 6.5 12.5
Two or More Races 33.4 10.8 38.0 39.4 37.7 17.9 38.5
Hispanic or Latino 20.4 9.8 22.1 25.1 21.4 13.8 22.1
EDUCATION LEVEL              
< High School da da 35.6 35.8 35.6 da 36.3
High School Graduate da da 34.6 35.1 34.5 da 35.1
Some College/Associate’s Degree da da 31.5 33.7 31.0 da 31.7
College Graduate da da 15.9 29.1 15.0 da 15.9
EMPLOYMENT STATUS              
Full-Time da da 29.3 38.7 28.1 da 29.1
Part-Time da da 27.4 32.1 25.6 da 26.9
Unemployed da da 42.8 37.4 44.5 da 44.8
Other2 da da 24.6 27.2 24.4 da 24.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.12A – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 61,624 1,731 59,892 8,276 51,617 4,305 57,318
GENDER              
Male 36,115 801 35,314 4,762 30,552 2,201 33,914
Female 25,509 930 24,578 3,514 21,065 2,104 23,404
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 54,224 1,401 52,823 7,031 45,792 3,564 50,660
White 42,069 1,147 40,922 5,418 35,504 2,848 39,221
Black or African American 8,084 121 7,962 876 7,086 380 7,704
AIAN 647 * 631 * 475 * 580
NHOPI 294 * * * * * *
Asian 1,526 19 1,508 236 1,272 64 1,462
Two or More Races 1,604 62 1,542 293 1,249 163 1,442
Hispanic or Latino 7,399 330 7,069 1,244 5,825 741 6,658
EDUCATION LEVEL              
< High School da da 9,337 1,087 8,250 da 8,867
High School Graduate da da 21,710 2,950 18,760 da 20,572
Some College/Associate’s Degree da da 20,144 3,283 16,861 da 19,179
College Graduate da da 8,702 956 7,746 da 8,701
EMPLOYMENT STATUS              
Full-Time da da 27,477 3,678 23,799 da 26,588
Part-Time da da 6,524 1,768 4,756 da 5,772
Unemployed da da 4,948 908 4,040 da 4,703
Other2 da da 20,943 1,922 19,021 da 20,256
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.12B – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 22.0 6.7 23.6 24.7 23.4 11.0 23.8
GENDER              
Male 26.4 6.0 28.6 28.5 28.6 11.0 29.1
Female 17.8 7.3 18.9 21.0 18.5 11.1 18.9
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 23.6 7.2 25.1 27.4 24.7 12.3 25.2
White 24.6 8.7 25.9 30.6 25.3 14.5 25.9
Black or African American 23.6 3.4 25.9 19.2 27.1 7.1 26.7
AIAN 36.1 * 38.9 * 36.7 * 38.1
NHOPI 28.6 * * * * * *
Asian 9.3 1.3 10.0 12.1 9.7 2.9 10.2
Two or More Races 29.7 6.7 34.5 32.3 35.0 12.2 35.5
Hispanic or Latino 14.9 5.0 16.4 15.9 16.5 7.3 16.8
EDUCATION LEVEL              
< High School da da 32.5 29.1 33.0 da 33.6
High School Graduate da da 31.1 27.8 31.7 da 31.9
Some College/Associate’s Degree da da 26.2 23.3 26.8 da 26.8
College Graduate da da 11.1 19.0 10.6 da 11.1
EMPLOYMENT STATUS              
Full-Time da da 24.1 29.2 23.4 da 23.9
Part-Time da da 21.4 21.6 21.3 da 21.7
Unemployed da da 37.4 28.9 40.1 da 39.6
Other2 da da 21.9 20.2 22.0 da 22.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.13A – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 159,037 2,435 156,602 14,658 141,944 6,580 152,457
GENDER              
Male 86,773 1,295 85,478 8,181 77,297 3,635 83,138
Female 72,264 1,140 71,124 6,477 64,647 2,945 69,319
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 137,345 1,889 135,457 11,822 123,635 5,201 132,144
White 111,471 1,529 109,943 9,079 100,864 4,130 107,341
Black or African American 15,921 172 15,750 1,528 14,222 593 15,328
AIAN 1,135 * 1,111 * * * 1,048
NHOPI * * * * * * *
Asian 5,208 35 5,173 536 4,637 114 5,094
Two or More Races 3,063 96 2,966 426 2,540 236 2,826
Hispanic or Latino 21,691 546 21,145 2,837 18,309 1,379 20,313
EDUCATION LEVEL              
< High School da da 16,344 1,588 14,756 da 15,592
High School Graduate da da 43,538 4,551 38,987 da 41,827
Some College/Associate’s Degree da da 49,651 6,001 43,650 da 47,970
College Graduate da da 47,070 2,519 44,550 da 47,068
EMPLOYMENT STATUS              
Full-Time da da 73,520 6,534 66,986 da 72,195
Part-Time da da 17,507 3,104 14,404 da 16,387
Unemployed da da 8,136 1,473 6,663 da 7,705
Other2 da da 57,439 3,548 53,891 da 56,171
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.13B – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 56.8 9.4 61.7 43.8 64.4 16.8 63.3
GENDER              
Male 63.4 9.7 69.2 48.9 72.4 18.1 71.2
Female 50.5 9.0 54.6 38.7 56.9 15.5 55.9
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 59.7 9.7 64.3 46.1 66.8 18.0 65.7
White 65.2 11.6 69.6 51.2 71.9 21.1 70.8
Black or African American 46.5 4.9 51.2 33.5 54.4 11.0 53.1
AIAN 63.3 * 68.5 * * * 68.8
NHOPI * * * * * * *
Asian 31.6 2.4 34.4 27.5 35.5 5.2 35.7
Two or More Races 56.8 10.5 66.3 46.8 71.2 17.7 69.7
Hispanic or Latino 43.6 8.2 49.0 36.3 51.8 13.6 51.2
EDUCATION LEVEL              
< High School da da 56.8 42.5 59.0 da 59.1
High School Graduate da da 62.4 42.8 65.9 da 64.9
Some College/Associate’s Degree da da 64.5 42.6 69.4 da 67.0
College Graduate da da 60.1 50.2 60.8 da 60.2
EMPLOYMENT STATUS              
Full-Time da da 64.4 51.8 65.9 da 65.0
Part-Time da da 57.3 37.9 64.4 da 61.6
Unemployed da da 61.5 46.8 66.1 da 64.9
Other2 da da 59.9 37.3 62.4 da 61.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.14A – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 66,839 1,418 65,421 8,670 56,751 3,993 62,845
GENDER              
Male 40,167 791 39,376 5,235 34,141 2,288 37,879
Female 26,672 627 26,044 3,435 22,610 1,705 24,966
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 57,760 1,131 56,629 7,160 49,469 3,215 54,545
White 44,525 947 43,579 5,415 38,164 2,557 41,968
Black or African American 8,958 86 8,872 1,003 7,869 357 8,600
AIAN 646 * 627 * 484 * 570
NHOPI * * * * * * *
Asian 1,734 23 1,711 272 1,439 69 1,665
Two or More Races 1,520 40 1,481 292 1,189 137 1,383
Hispanic or Latino 9,079 287 8,792 1,510 7,282 778 8,300
EDUCATION LEVEL              
< High School da da 9,860 1,129 8,731 da 9,360
High School Graduate da da 22,354 2,870 19,484 da 21,303
Some College/Associate’s Degree da da 21,784 3,503 18,281 da 20,761
College Graduate da da 11,423 1,168 10,254 da 11,422
EMPLOYMENT STATUS              
Full-Time da da 30,624 3,772 26,852 da 29,836
Part-Time da da 7,192 1,834 5,358 da 6,496
Unemployed da da 5,279 944 4,335 da 5,021
Other2 da da 22,326 2,120 20,206 da 21,492
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.14B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 23.9 5.5 25.8 25.9 25.8 10.2 26.1
GENDER              
Male 29.4 6.0 31.9 31.3 32.0 11.4 32.5
Female 18.6 4.9 20.0 20.5 19.9 9.0 20.1
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 25.1 5.8 26.9 27.9 26.7 11.1 27.1
White 26.0 7.2 27.6 30.6 27.2 13.1 27.7
Black or African American 26.1 2.4 28.9 22.0 30.1 6.6 29.8
AIAN 36.0 * 38.7 * 37.3 * 37.4
NHOPI * * * * * * *
Asian 10.5 1.6 11.4 13.9 11.0 3.1 11.7
Two or More Races 28.2 4.3 33.1 32.1 33.3 10.3 34.1
Hispanic or Latino 18.2 4.3 20.4 19.3 20.6 7.7 20.9
EDUCATION LEVEL              
< High School da da 34.3 30.2 34.9 da 35.5
High School Graduate da da 32.0 27.0 32.9 da 33.0
Some College/Associate’s Degree da da 28.3 24.9 29.1 da 29.0
College Graduate da da 14.6 23.3 14.0 da 14.6
EMPLOYMENT STATUS              
Full-Time da da 26.8 29.9 26.4 da 26.9
Part-Time da da 23.5 22.4 24.0 da 24.4
Unemployed da da 39.9 30.0 43.0 da 42.3
Other2 da da 23.3 22.3 23.4 da 23.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.15A – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 54,697 683 54,014 5,614 48,399 2,109 52,588
GENDER              
Male 32,834 381 32,452 3,476 28,976 1,231 31,603
Female 21,863 302 21,561 2,138 19,423 878 20,985
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 48,122 563 47,560 4,721 42,838 1,745 46,378
White 36,914 476 36,438 3,511 32,927 1,365 35,550
Black or African American 7,668 45 7,623 695 6,928 218 7,451
AIAN 588 * 577 * 452 * 532
NHOPI * * * * * * *
Asian 1,396 * 1,382 150 1,233 39 1,357
Two or More Races 1,321 16 1,304 205 1,100 65 1,255
Hispanic or Latino 6,574 121 6,454 893 5,561 364 6,210
EDUCATION LEVEL              
< High School da da 8,909 848 8,061 da 8,602
High School Graduate da da 19,749 2,032 17,716 da 19,128
Some College/Associate’s Degree da da 17,676 2,080 15,596 da 17,179
College Graduate da da 7,680 654 7,026 da 7,679
EMPLOYMENT STATUS              
Full-Time da da 24,459 2,526 21,933 da 23,991
Part-Time da da 5,478 1,063 4,415 da 5,140
Unemployed da da 4,619 714 3,905 da 4,447
Other2 da da 19,458 1,312 18,146 da 19,010
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.15B – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 19.5 2.6 21.3 16.8 22.0 5.4 21.8
GENDER              
Male 24.0 2.9 26.3 20.8 27.1 6.1 27.1
Female 15.3 2.4 16.5 12.8 17.1 4.6 16.9
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 20.9 2.9 22.6 18.4 23.1 6.0 23.1
White 21.6 3.6 23.1 19.8 23.5 7.0 23.5
Black or African American 22.4 1.3 24.8 15.2 26.5 4.0 25.8
AIAN 32.8 * 35.6 * 34.9 * 34.9
NHOPI * * * * * * *
Asian 8.5 * 9.2 7.7 9.4 1.8 9.5
Two or More Races 24.5 1.8 29.1 22.5 30.8 4.9 30.9
Hispanic or Latino 13.2 1.8 15.0 11.4 15.7 3.6 15.7
EDUCATION LEVEL              
< High School da da 31.0 22.7 32.2 da 32.6
High School Graduate da da 28.3 19.1 29.9 da 29.7
Some College/Associate’s Degree da da 23.0 14.8 24.8 da 24.0
College Graduate da da 9.8 13.0 9.6 da 9.8
EMPLOYMENT STATUS              
Full-Time da da 21.4 20.0 21.6 da 21.6
Part-Time da da 17.9 13.0 19.7 da 19.3
Unemployed da da 34.9 22.7 38.7 da 37.5
Other2 da da 20.3 13.8 21.0 da 20.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.16A – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 143,440 1,788 141,652 11,873 129,779 4,998 138,443
GENDER              
Male 75,761 928 74,832 6,529 68,303 2,743 73,018
Female 67,680 860 66,820 5,345 61,475 2,255 65,425
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 123,803 1,368 122,436 9,480 112,956 3,902 119,901
White 101,435 1,154 100,281 7,508 92,773 3,245 98,190
Black or African American 13,360 81 13,279 942 12,337 283 13,077
AIAN 986 * 969 * 811 * 926
NHOPI * * * * * * *
Asian 4,733 23 4,710 442 4,268 97 4,636
Two or More Races 2,824 61 2,763 371 2,392 178 2,646
Hispanic or Latino 19,637 421 19,216 2,394 16,823 1,095 18,542
EDUCATION LEVEL              
< High School da da 15,147 1,409 13,738 da 14,529
High School Graduate da da 40,482 3,905 36,577 da 39,101
Some College/Associate’s Degree da da 45,138 4,637 40,501 da 43,929
College Graduate da da 40,885 1,923 38,962 da 40,883
EMPLOYMENT STATUS              
Full-Time da da 64,798 5,314 59,484 da 63,779
Part-Time da da 15,741 2,379 13,361 da 14,906
Unemployed da da 7,592 1,303 6,289 da 7,212
Other2 da da 53,521 2,876 50,645 da 52,545
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.16B – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 51.3 6.9 55.8 35.5 58.9 12.8 57.5
GENDER              
Male 55.4 7.0 60.6 39.0 64.0 13.7 62.6
Female 47.3 6.8 51.3 31.9 54.1 11.8 52.7
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 53.8 7.1 58.1 37.0 61.0 13.5 59.6
White 59.3 8.8 63.5 42.4 66.2 16.6 64.8
Black or African American 39.0 2.3 43.2 20.6 47.1 5.3 45.3
AIAN 55.0 * 59.8 * 62.5 * 60.8
NHOPI * * * * * * *
Asian 28.7 1.6 31.4 22.6 32.7 4.4 32.5
Two or More Races 52.3 6.6 61.7 40.8 67.1 13.3 65.2
Hispanic or Latino 39.4 6.3 44.6 30.6 47.6 10.8 46.8
EDUCATION LEVEL              
< High School da da 52.7 37.7 54.9 da 55.0
High School Graduate da da 58.0 36.8 61.8 da 60.6
Some College/Associate’s Degree da da 58.6 32.9 64.4 da 61.4
College Graduate da da 52.2 38.3 53.2 da 52.2
EMPLOYMENT STATUS              
Full-Time da da 56.7 42.2 58.5 da 57.4
Part-Time da da 51.5 29.1 59.7 da 56.0
Unemployed da da 57.4 41.4 62.4 da 60.8
Other2 da da 55.9 30.2 58.7 da 57.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.17A – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 52,364 944 51,420 6,225 45,195 2,770 49,594
GENDER              
Male 28,447 500 27,947 3,574 24,373 1,540 26,907
Female 23,917 444 23,473 2,651 20,822 1,230 22,687
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 44,934 725 44,210 5,102 39,107 2,199 42,736
White 34,636 635 34,001 3,988 30,013 1,818 32,818
Black or African American 6,748 31 6,717 540 6,177 168 6,580
AIAN 545 * 536 * 435 * 499
NHOPI * * * * * * *
Asian 1,493 12 1,481 221 1,260 55 1,438
Two or More Races 1,255 22 1,233 225 1,008 94 1,161
Hispanic or Latino 7,430 220 7,210 1,122 6,088 572 6,858
EDUCATION LEVEL              
< High School da da 8,681 902 7,780 da 8,325
High School Graduate da da 19,061 2,197 16,864 da 18,272
Some College/Associate’s Degree da da 16,617 2,365 14,252 da 15,936
College Graduate da da 7,061 761 6,299 da 7,061
EMPLOYMENT STATUS              
Full-Time da da 21,748 2,611 19,137 da 21,201
Part-Time da da 5,633 1,290 4,342 da 5,142
Unemployed da da 4,579 734 3,844 da 4,377
Other2 da da 19,460 1,589 17,871 da 18,874
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.17B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 18.7 3.6 20.3 18.6 20.5 7.1 20.6
GENDER              
Male 20.8 3.8 22.6 21.4 22.8 7.7 23.1
Female 16.7 3.5 18.0 15.8 18.3 6.5 18.3
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 19.5 3.7 21.0 19.9 21.1 7.6 21.3
White 20.2 4.8 21.5 22.5 21.4 9.3 21.7
Black or African American 19.7 0.9 21.9 11.8 23.6 3.1 22.8
AIAN 30.4 * 33.1 * 33.5 * 32.7
NHOPI * * * * * * *
Asian 9.1 0.8 9.9 11.3 9.6 2.5 10.1
Two or More Races 23.3 2.4 27.5 24.7 28.3 7.0 28.6
Hispanic or Latino 14.9 3.3 16.7 14.4 17.2 5.6 17.3
EDUCATION LEVEL              
< High School da da 30.2 24.1 31.1 da 31.5
High School Graduate da da 27.3 20.7 28.5 da 28.3
Some College/Associate’s Degree da da 21.6 16.8 22.6 da 22.3
College Graduate da da 9.0 15.2 8.6 da 9.0
EMPLOYMENT STATUS              
Full-Time da da 19.0 20.7 18.8 da 19.1
Part-Time da da 18.4 15.8 19.4 da 19.3
Unemployed da da 34.6 23.4 38.1 da 36.9
Other2 da da 20.3 16.7 20.7 da 20.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.18A – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 43,615 392 43,222 3,839 39,383 1,331 42,284
GENDER              
Male 23,482 226 23,255 2,184 21,071 764 22,717
Female 20,133 166 19,967 1,655 18,312 566 19,567
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 38,053 301 37,752 3,229 34,523 1,089 36,963
White 29,176 278 28,898 2,469 26,429 908 28,268
Black or African American 5,913 13 5,899 362 5,537 87 5,825
AIAN 476 1 475 * 395 * 451
NHOPI 162 * 162 * * * *
Asian 1,224 2 1,222 134 1,087 25 1,199
Two or More Races 1,102 6 1,095 156 939 42 1,060
Hispanic or Latino 5,562 91 5,471 610 4,860 241 5,321
EDUCATION LEVEL              
< High School da da 7,855 690 7,165 da 7,613
High School Graduate da da 16,817 1,495 15,323 da 16,400
Some College/Associate’s Degree da da 13,652 1,271 12,381 da 13,374
College Graduate da da 4,898 384 4,514 da 4,898
EMPLOYMENT STATUS              
Full-Time da da 17,872 1,608 16,264 da 17,594
Part-Time da da 4,321 701 3,619 da 4,094
Unemployed da da 3,958 545 3,413 da 3,821
Other2 da da 17,071 985 16,086 da 16,774
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.18B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 15.6 1.5 17.0 11.5 17.9 3.4 17.6
GENDER              
Male 17.2 1.7 18.8 13.1 19.7 3.8 19.5
Female 14.1 1.3 15.3 9.9 16.1 3.0 15.8
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 16.5 1.6 17.9 12.6 18.7 3.8 18.4
White 17.1 2.1 18.3 13.9 18.8 4.6 18.7
Black or African American 17.3 0.4 19.2 7.9 21.2 1.6 20.2
AIAN 26.5 0.5 29.3 * 30.5 * 29.6
NHOPI 15.7 * 18.3 * * * *
Asian 7.4 0.2 8.1 6.9 8.3 1.1 8.4
Two or More Races 20.4 0.7 24.5 17.2 26.3 3.1 26.1
Hispanic or Latino 11.2 1.4 12.7 7.8 13.8 2.4 13.4
EDUCATION LEVEL              
< High School da da 27.3 18.5 28.6 da 28.8
High School Graduate da da 24.1 14.1 25.9 da 25.4
Some College/Associate’s Degree da da 17.7 9.0 19.7 da 18.7
College Graduate da da 6.3 7.6 6.2 da 6.3
EMPLOYMENT STATUS              
Full-Time da da 15.6 12.8 16.0 da 15.8
Part-Time da da 14.1 8.6 16.2 da 15.4
Unemployed da da 29.9 17.3 33.9 da 32.2
Other2 da da 17.8 10.3 18.6 da 18.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.19A – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 38,662 613 38,049 4,134 33,915 1,629 37,032
GENDER              
Male 31,067 440 30,627 3,009 27,618 1,184 29,883
Female 7,595 173 7,422 1,125 6,297 446 7,149
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 35,078 508 34,570 3,548 31,022 1,376 33,702
White 30,485 441 30,045 2,996 27,049 1,159 29,326
Black or African American 2,372 24 2,348 231 2,117 122 2,251
AIAN 353 * 334 * 258 28 324
NHOPI * * * * * * *
Asian 655 1 653 96 558 14 641
Two or More Races 958 22 936 131 806 52 906
Hispanic or Latino 3,584 105 3,479 586 2,893 253 3,330
EDUCATION LEVEL              
< High School da da 3,431 414 3,017 da 3,259
High School Graduate da da 10,883 1,368 9,514 da 10,437
Some College/Associate’s Degree da da 13,264 1,619 11,645 da 12,865
College Graduate da da 10,472 732 9,739 da 10,471
EMPLOYMENT STATUS              
Full-Time da da 21,600 2,115 19,484 da 21,252
Part-Time da da 3,855 734 3,121 da 3,593
Unemployed da da 2,316 452 1,864 da 2,164
Other2 da da 10,278 832 9,446 da 10,023
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.19B – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 13.8 2.4 15.0 12.4 15.4 4.2 15.4
GENDER              
Male 22.7 3.3 24.8 18.0 25.9 5.9 25.6
Female 5.3 1.4 5.7 6.7 5.5 2.3 5.8
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 15.2 2.6 16.4 13.8 16.8 4.8 16.8
White 17.8 3.4 19.0 16.9 19.3 5.9 19.4
Black or African American 6.9 0.7 7.6 5.1 8.1 2.3 7.8
AIAN 19.6 * 20.6 * 19.9 10.4 21.3
NHOPI * * * * * * *
Asian 4.0 0.1 4.4 4.9 4.3 0.6 4.5
Two or More Races 17.8 2.4 20.9 14.4 22.6 3.9 22.3
Hispanic or Latino 7.2 1.6 8.1 7.5 8.2 2.5 8.4
EDUCATION LEVEL              
< High School da da 11.9 11.1 12.1 da 12.3
High School Graduate da da 15.6 12.9 16.1 da 16.2
Some College/Associate’s Degree da da 17.2 11.5 18.5 da 18.0
College Graduate da da 13.4 14.6 13.3 da 13.4
EMPLOYMENT STATUS              
Full-Time da da 18.9 16.8 19.2 da 19.1
Part-Time da da 12.6 9.0 14.0 da 13.5
Unemployed da da 17.5 14.4 18.5 da 18.2
Other2 da da 10.7 8.7 10.9 da 11.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.20A – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 9,835 352 9,483 1,559 7,924 760 9,075
GENDER              
Male 8,376 260 8,116 1,191 6,926 552 7,824
Female 1,459 92 1,366 368 998 208 1,250
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 8,959 299 8,660 1,378 7,283 641 8,318
White 7,855 254 7,601 1,192 6,410 548 7,307
Black or African American 669 16 653 107 546 56 613
AIAN 90 * 72 22 50 21 69
NHOPI * * * * * * *
Asian 106 * 106 22 84 1 105
Two or More Races 178 10 167 29 139 15 163
Hispanic or Latino 875 53 822 181 641 119 757
EDUCATION LEVEL              
< High School da da 1,388 186 1,202 da 1,309
High School Graduate da da 3,295 516 2,779 da 3,121
Some College/Associate’s Degree da da 3,210 635 2,575 da 3,056
College Graduate da da 1,590 222 1,368 da 1,589
EMPLOYMENT STATUS              
Full-Time da da 5,568 834 4,735 da 5,423
Part-Time da da 868 279 589 da 765
Unemployed da da 648 161 487 da 594
Other2 da da 2,398 285 2,113 da 2,292
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.20B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 3.5 1.4 3.7 4.7 3.6 1.9 3.8
GENDER              
Male 6.1 2.0 6.6 7.1 6.5 2.8 6.7
Female 1.0 0.7 1.0 2.2 0.9 1.1 1.0
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 3.9 1.5 4.1 5.4 3.9 2.2 4.1
White 4.6 1.9 4.8 6.7 4.6 2.8 4.8
Black or African American 2.0 0.5 2.1 2.3 2.1 1.0 2.1
AIAN 5.0 * 4.5 6.9 3.9 7.8 4.6
NHOPI * * * * * * *
Asian 0.6 * 0.7 1.1 0.6 0.0 0.7
Two or More Races 3.3 1.1 3.7 3.1 3.9 1.1 4.0
Hispanic or Latino 1.8 0.8 1.9 2.3 1.8 1.2 1.9
EDUCATION LEVEL              
< High School da da 4.8 5.0 4.8 da 5.0
High School Graduate da da 4.7 4.9 4.7 da 4.8
Some College/Associate’s Degree da da 4.2 4.5 4.1 da 4.3
College Graduate da da 2.0 4.4 1.9 da 2.0
EMPLOYMENT STATUS              
Full-Time da da 4.9 6.6 4.7 da 4.9
Part-Time da da 2.8 3.4 2.6 da 2.9
Unemployed da da 4.9 5.1 4.8 da 5.0
Other2 da da 2.5 3.0 2.4 da 2.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.21A – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 7,340 150 7,191 973 6,218 368 6,973
GENDER              
Male 6,457 94 6,363 759 5,604 244 6,213
Female 884 56 828 214 614 124 760
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 6,868 140 6,728 891 5,837 338 6,530
White 6,084 122 5,962 794 5,168 291 5,793
Black or African American 473 3 470 52 419 25 448
AIAN 72 * 61 * 45 * 59
NHOPI 16 * 15 * * * 15
Asian 87 * 87 4 83 0 86
Two or More Races 137 4 133 19 113 7 130
Hispanic or Latino 472 9 463 82 381 29 443
EDUCATION LEVEL              
< High School da da 1,025 97 928 da 991
High School Graduate da da 2,566 328 2,238 da 2,483
Some College/Associate’s Degree da da 2,445 437 2,008 da 2,344
College Graduate da da 1,155 111 1,044 da 1,155
EMPLOYMENT STATUS              
Full-Time da da 4,311 569 3,741 da 4,228
Part-Time da da 655 126 529 da 601
Unemployed da da 476 114 362 da 446
Other2 da da 1,750 164 1,585 da 1,698
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.21B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 2.6 0.6 2.8 2.9 2.8 0.9 2.9
GENDER              
Male 4.7 0.7 5.2 4.5 5.2 1.2 5.3
Female 0.6 0.4 0.6 1.3 0.5 0.7 0.6
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 3.0 0.7 3.2 3.5 3.2 1.2 3.2
White 3.6 0.9 3.8 4.5 3.7 1.5 3.8
Black or African American 1.4 0.1 1.5 1.1 1.6 0.5 1.6
AIAN 4.0 * 3.8 * 3.5 * 3.8
NHOPI 1.5 * 1.7 * * * 1.8
Asian 0.5 * 0.6 0.2 0.6 0.0 0.6
Two or More Races 2.5 0.5 3.0 2.1 3.2 0.5 3.2
Hispanic or Latino 0.9 0.1 1.1 1.0 1.1 0.3 1.1
EDUCATION LEVEL              
< High School da da 3.6 2.6 3.7 da 3.8
High School Graduate da da 3.7 3.1 3.8 da 3.8
Some College/Associate’s Degree da da 3.2 3.1 3.2 da 3.3
College Graduate da da 1.5 2.2 1.4 da 1.5
EMPLOYMENT STATUS              
Full-Time da da 3.8 4.5 3.7 da 3.8
Part-Time da da 2.1 1.5 2.4 da 2.3
Unemployed da da 3.6 3.6 3.6 da 3.8
Other2 da da 1.8 1.7 1.8 da 1.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.22A – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 35,859 3,142 32,717 9,408 23,310 6,426 29,433
GENDER              
Male 18,613 1,332 17,281 4,809 12,473 2,938 15,675
Female 17,246 1,810 15,436 4,599 10,837 3,488 13,758
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 30,856 2,350 28,506 7,857 20,649 5,002 25,854
White 25,654 1,884 23,770 6,371 17,399 4,019 21,635
Black or African American 2,348 222 2,126 646 1,481 452 1,896
AIAN 342 * 307 * 178 * 266
NHOPI 97 * 54 * 31 * 48
Asian 1,237 54 1,183 380 803 167 1,071
Two or More Races 1,178 112 1,066 309 757 240 938
Hispanic or Latino 5,003 792 4,212 1,551 2,661 1,425 3,579
EDUCATION LEVEL              
< High School da da 2,433 824 1,609 da 1,967
High School Graduate da da 9,932 2,866 7,066 da 8,595
Some College/Associate’s Degree da da 12,887 4,217 8,670 da 11,408
College Graduate da da 7,464 1,500 5,964 da 7,463
EMPLOYMENT STATUS              
Full-Time da da 17,199 4,100 13,099 da 16,202
Part-Time da da 5,113 2,499 2,614 da 3,951
Unemployed da da 2,221 802 1,420 da 1,942
Other2 da da 8,184 2,007 6,177 da 7,338
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.22B – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 12.8 12.1 12.9 28.1 10.6 16.4 12.2
GENDER              
Male 13.6 10.0 14.0 28.8 11.7 14.6 13.4
Female 12.1 14.2 11.8 27.5 9.5 18.3 11.1
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 13.4 12.1 13.5 30.6 11.2 17.3 12.9
White 15.0 14.3 15.0 36.0 12.4 20.5 14.3
Black or African American 6.9 6.3 6.9 14.1 5.7 8.4 6.6
AIAN 19.0 * 18.9 * 13.7 * 17.5
NHOPI 9.4 * 6.1 * 4.3 * 5.7
Asian 7.5 3.7 7.9 19.5 6.1 7.6 7.5
Two or More Races 21.8 12.2 23.8 34.0 21.2 17.9 23.1
Hispanic or Latino 10.1 11.9 9.8 19.8 7.5 14.1 9.0
EDUCATION LEVEL              
< High School da da 8.5 22.0 6.4 da 7.4
High School Graduate da da 14.2 27.0 11.9 da 13.3
Some College/Associate’s Degree da da 16.7 30.0 13.8 da 15.9
College Graduate da da 9.5 29.9 8.1 da 9.5
EMPLOYMENT STATUS              
Full-Time da da 15.1 32.5 12.9 da 14.6
Part-Time da da 16.7 30.5 11.7 da 14.8
Unemployed da da 16.8 25.5 14.1 da 16.4
Other2 da da 8.5 21.1 7.2 da 8.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.23A – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 18,916 2,206 16,710 6,617 10,093 4,734 14,182
GENDER              
Male 9,476 874 8,603 3,442 5,161 2,141 7,336
Female 9,440 1,332 8,107 3,175 4,933 2,593 6,847
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 16,356 1,726 14,629 5,586 9,043 3,806 12,550
White 13,551 1,372 12,179 4,519 7,660 3,053 10,499
Black or African American 1,361 175 1,185 472 714 351 1,010
AIAN 182 * 164 * 60 * 127
NHOPI 70 * 28 * 10 * 23
Asian 518 36 482 267 215 120 398
Two or More Races 674 83 591 206 385 180 493
Hispanic or Latino 2,561 480 2,081 1,031 1,050 928 1,633
EDUCATION LEVEL              
< High School da da 1,435 617 818 da 1,073
High School Graduate da da 5,479 2,125 3,354 da 4,449
Some College/Associate’s Degree da da 6,980 3,044 3,937 da 5,846
College Graduate da da 2,816 831 1,984 da 2,815
EMPLOYMENT STATUS              
Full-Time da da 8,315 2,821 5,494 da 7,505
Part-Time da da 2,917 1,816 1,101 da 2,013
Unemployed da da 1,351 613 739 da 1,126
Other2 da da 4,127 1,367 2,760 da 3,539
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.23B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 6.8 8.5 6.6 19.8 4.6 12.1 5.9
GENDER              
Male 6.9 6.6 7.0 20.6 4.8 10.7 6.3
Female 6.6 10.5 6.2 19.0 4.3 13.6 5.5
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 7.1 8.9 6.9 21.8 4.9 13.1 6.2
White 7.9 10.4 7.7 25.5 5.5 15.6 6.9
Black or African American 4.0 5.0 3.9 10.3 2.7 6.5 3.5
AIAN 10.1 * 10.1 * 4.6 * 8.3
NHOPI 6.8 * 3.2 * 1.4 * 2.7
Asian 3.1 2.5 3.2 13.7 1.6 5.4 2.8
Two or More Races 12.5 9.0 13.2 22.7 10.8 13.5 12.2
Hispanic or Latino 5.1 7.2 4.8 13.2 3.0 9.2 4.1
EDUCATION LEVEL              
< High School da da 5.0 16.5 3.3 da 4.1
High School Graduate da da 7.8 20.0 5.7 da 6.9
Some College/Associate’s Degree da da 9.1 21.6 6.3 da 8.2
College Graduate da da 3.6 16.6 2.7 da 3.6
EMPLOYMENT STATUS              
Full-Time da da 7.3 22.4 5.4 da 6.8
Part-Time da da 9.5 22.2 4.9 da 7.6
Unemployed da da 10.2 19.5 7.3 da 9.5
Other2 da da 4.3 14.4 3.2 da 3.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.24A – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 13,213 1,364 11,849 4,730 7,119 3,150 10,063
GENDER              
Male 6,799 582 6,218 2,513 3,704 1,503 5,296
Female 6,414 783 5,631 2,217 3,415 1,646 4,768
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 11,687 1,116 10,571 4,114 6,457 2,640 9,047
White 9,886 918 8,967 3,354 5,613 2,167 7,719
Black or African American 764 92 672 293 379 208 556
AIAN 135 5 129 * 30 * 96
NHOPI 62 * 27 * 8 * 21
Asian 359 17 342 183 159 59 300
Two or More Races 482 48 434 167 267 127 355
Hispanic or Latino 1,527 248 1,278 616 662 510 1,016
EDUCATION LEVEL              
< High School da da 1,065 492 573 da 784
High School Graduate da da 4,162 1,601 2,561 da 3,389
Some College/Associate’s Degree da da 4,799 2,072 2,728 da 4,067
College Graduate da da 1,823 565 1,258 da 1,823
EMPLOYMENT STATUS              
Full-Time da da 5,937 2,126 3,811 da 5,292
Part-Time da da 1,899 1,181 718 da 1,330
Unemployed da da 963 393 570 da 815
Other2 da da 3,050 1,030 2,019 da 2,626
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.24B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 4.7 5.2 4.7 14.1 3.2 8.1 4.2
GENDER              
Male 5.0 4.4 5.0 15.0 3.5 7.5 4.5
Female 4.5 6.1 4.3 13.2 3.0 8.7 3.8
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 5.1 5.8 5.0 16.0 3.5 9.1 4.5
White 5.8 7.0 5.7 18.9 4.0 11.1 5.1
Black or African American 2.2 2.6 2.2 6.4 1.4 3.9 1.9
AIAN 7.5 3.1 8.0 * 2.4 * 6.3
NHOPI 6.1 * 3.0 * 1.2 * 2.5
Asian 2.2 1.2 2.3 9.4 1.2 2.7 2.1
Two or More Races 8.9 5.2 9.7 18.3 7.5 9.5 8.7
Hispanic or Latino 3.1 3.7 3.0 7.9 1.9 5.0 2.6
EDUCATION LEVEL              
< High School da da 3.7 13.2 2.3 da 3.0
High School Graduate da da 6.0 15.1 4.3 da 5.3
Some College/Associate’s Degree da da 6.2 14.7 4.3 da 5.7
College Graduate da da 2.3 11.2 1.7 da 2.3
EMPLOYMENT STATUS              
Full-Time da da 5.2 16.9 3.8 da 4.8
Part-Time da da 6.2 14.4 3.2 da 5.0
Unemployed da da 7.3 12.5 5.7 da 6.9
Other2 da da 3.2 10.8 2.3 da 2.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.25A – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 219,153 5,963 213,190 24,678 188,512 13,432 205,721
GENDER              
Male 109,123 2,672 106,451 12,027 94,424 6,400 102,724
Female 110,030 3,291 106,739 12,651 94,088 7,033 102,997
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 183,999 4,271 179,728 19,224 160,504 9,826 174,173
White 144,015 3,314 140,701 14,076 126,625 7,438 136,576
Black or African American 23,790 514 23,276 2,970 20,306 1,346 22,444
AIAN 1,428 * 1,373 * 1,115 * 1,305
NHOPI * * * * * * *
Asian 10,028 140 9,888 1,141 8,747 412 9,616
Two or More Races 4,092 191 3,900 683 3,218 436 3,656
Hispanic or Latino 35,154 1,692 33,462 5,454 28,008 3,607 31,548
EDUCATION LEVEL              
< High School da da 20,117 2,195 17,922 da 18,993
High School Graduate da da 55,302 7,012 48,290 da 52,465
Some College/Associate’s Degree da da 67,015 10,917 56,098 da 63,515
College Graduate da da 70,755 4,553 66,202 da 70,748
EMPLOYMENT STATUS              
Full-Time da da 102,027 10,568 91,459 da 99,925
Part-Time da da 25,534 6,037 19,496 da 23,027
Unemployed da da 10,664 2,187 8,477 da 9,946
Other2 da da 74,964 5,885 69,079 da 72,823
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.25B – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 78.3 22.9 84.0 73.8 85.5 34.4 85.4
GENDER              
Male 79.8 20.1 86.2 71.9 88.5 31.9 88.0
Female 76.9 25.8 81.9 75.6 82.8 37.0 83.0
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 80.0 22.0 85.3 75.0 86.7 33.9 86.6
White 84.2 25.2 89.1 79.4 90.3 38.0 90.1
Black or African American 69.4 14.5 75.7 65.0 77.6 25.0 77.7
AIAN 79.6 * 84.7 * 86.0 * 85.6
NHOPI * * * * * * *
Asian 60.9 9.6 65.8 58.4 66.9 18.7 67.4
Two or More Races 75.8 20.9 87.1 75.0 90.2 32.5 90.1
Hispanic or Latino 70.6 25.5 77.6 69.7 79.3 35.6 79.6
EDUCATION LEVEL              
< High School da da 70.0 58.7 71.7 da 71.9
High School Graduate da da 79.2 66.0 81.6 da 81.3
Some College/Associate’s Degree da da 87.0 77.6 89.2 da 88.7
College Graduate da da 90.4 90.7 90.4 da 90.4
EMPLOYMENT STATUS              
Full-Time da da 89.3 83.8 90.0 da 90.0
Part-Time da da 83.6 73.8 87.2 da 86.5
Unemployed da da 80.6 69.5 84.1 da 83.8
Other2 da da 78.2 61.8 80.0 da 79.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.26A – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 174,339 4,624 169,715 22,438 147,277 11,135 163,204
GENDER              
Male 87,189 2,000 85,189 10,971 74,218 5,298 81,891
Female 87,150 2,624 84,526 11,467 73,059 5,836 81,314
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 145,861 3,298 142,563 17,591 124,972 8,161 137,700
White 114,482 2,620 111,862 13,009 98,853 6,279 108,203
Black or African American 19,123 349 18,774 2,671 16,103 1,053 18,070
AIAN 1,013 * 981 * 732 * 918
NHOPI * * * * * * *
Asian 7,481 91 7,389 1,000 6,389 318 7,162
Two or More Races 3,298 150 3,148 605 2,544 349 2,949
Hispanic or Latino 28,478 1,326 27,152 4,847 22,305 2,973 25,505
EDUCATION LEVEL              
< High School da da 13,601 1,795 11,806 da 12,701
High School Graduate da da 40,479 6,181 34,297 da 38,040
Some College/Associate’s Degree da da 54,548 10,089 44,459 da 51,383
College Graduate da da 61,088 4,373 56,715 da 61,081
EMPLOYMENT STATUS              
Full-Time da da 87,613 9,770 77,843 da 85,780
Part-Time da da 20,951 5,579 15,371 da 18,678
Unemployed da da 8,769 2,002 6,767 da 8,133
Other2 da da 52,382 5,086 47,296 da 50,614
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.26B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 62.3 17.8 66.9 67.1 66.8 28.5 67.8
GENDER              
Male 63.8 15.0 69.0 65.6 69.5 26.4 70.2
Female 60.9 20.6 64.8 68.5 64.3 30.7 65.5
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 63.4 17.0 67.7 68.6 67.5 28.2 68.5
White 66.9 19.9 70.8 73.4 70.5 32.0 71.4
Black or African American 55.8 9.9 61.1 58.5 61.5 19.6 62.5
AIAN 56.5 * 60.5 * 56.5 * 60.2
NHOPI * * * * * * *
Asian 45.4 6.2 49.2 51.2 48.9 14.4 50.2
Two or More Races 61.1 16.3 70.3 66.5 71.3 26.1 72.7
Hispanic or Latino 57.2 19.9 62.9 62.0 63.2 29.4 64.3
EDUCATION LEVEL              
< High School da da 47.3 48.0 47.2 da 48.1
High School Graduate da da 58.0 58.2 57.9 da 59.0
Some College/Associate’s Degree da da 70.8 71.7 70.7 da 71.8
College Graduate da da 78.1 87.1 77.4 da 78.1
EMPLOYMENT STATUS              
Full-Time da da 76.7 77.5 76.6 da 77.2
Part-Time da da 68.6 68.2 68.7 da 70.2
Unemployed da da 66.3 63.7 67.1 da 68.5
Other2 da da 54.7 53.4 54.8 da 55.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.27A – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 133,058 1,820 131,239 16,774 114,464 5,917 127,141
GENDER              
Male 68,659 767 67,892 8,104 59,788 2,806 65,853
Female 64,399 1,052 63,347 8,670 54,677 3,111 61,288
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 112,211 1,318 110,894 13,271 97,623 4,450 107,762
White 89,372 1,103 88,269 10,127 78,142 3,551 85,821
Black or African American 14,251 92 14,159 1,816 12,343 508 13,743
AIAN 674 * 662 * 445 * 618
NHOPI 318 * * * * * *
Asian 5,267 40 5,227 643 4,584 141 5,127
Two or More Races 2,329 57 2,273 430 1,843 176 2,153
Hispanic or Latino 20,847 502 20,345 3,504 16,841 1,467 19,379
EDUCATION LEVEL              
< High School da da 8,855 1,071 7,784 da 8,411
High School Graduate da da 29,193 4,227 24,966 da 27,730
Some College/Associate’s Degree da da 42,313 7,675 34,638 da 40,124
College Graduate da da 50,878 3,801 47,076 da 50,876
EMPLOYMENT STATUS              
Full-Time da da 70,400 7,646 62,754 da 69,176
Part-Time da da 16,331 4,194 12,137 da 14,853
Unemployed da da 6,532 1,410 5,122 da 6,148
Other2 da da 37,976 3,524 34,452 da 36,964
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.27B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 47.5 7.0 51.7 50.1 51.9 15.1 52.8
GENDER              
Male 50.2 5.8 55.0 48.5 56.0 14.0 56.4
Female 45.0 8.3 48.6 51.8 48.1 16.3 49.4
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 48.8 6.8 52.6 51.8 52.8 15.4 53.6
White 52.2 8.4 55.9 57.2 55.7 18.1 56.6
Black or African American 41.6 2.6 46.1 39.8 47.2 9.4 47.6
AIAN 37.6 * 40.8 * 34.3 * 40.6
NHOPI 31.0 * * * * * *
Asian 32.0 2.8 34.8 32.9 35.1 6.4 35.9
Two or More Races 43.2 6.2 50.8 47.2 51.7 13.2 53.1
Hispanic or Latino 41.9 7.6 47.2 44.8 47.7 14.5 48.9
EDUCATION LEVEL              
< High School da da 30.8 28.6 31.1 da 31.9
High School Graduate da da 41.8 39.8 42.2 da 43.0
Some College/Associate’s Degree da da 55.0 54.5 55.0 da 56.0
College Graduate da da 65.0 75.7 64.3 da 65.0
EMPLOYMENT STATUS              
Full-Time da da 61.6 60.7 61.8 da 62.3
Part-Time da da 53.5 51.3 54.3 da 55.8
Unemployed da da 49.4 44.8 50.8 da 51.8
Other2 da da 39.6 37.0 39.9 da 40.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.28A – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 60,039 995 59,045 9,754 49,290 3,242 56,797
GENDER              
Male 32,190 401 31,789 4,656 27,132 1,480 30,710
Female 27,850 594 27,256 5,098 22,158 1,763 26,087
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 48,633 715 47,919 7,700 40,219 2,500 46,134
White 37,472 602 36,871 5,949 30,922 1,975 35,497
Black or African American 7,396 46 7,351 994 6,357 297 7,099
AIAN 381 * 370 * 247 * 327
NHOPI * * * * * * *
Asian 1,758 13 1,745 336 1,409 56 1,703
Two or More Races 1,412 28 1,384 269 1,115 100 1,312
Hispanic or Latino 11,406 280 11,126 2,054 9,072 743 10,663
EDUCATION LEVEL              
< High School da da 5,770 746 5,024 da 5,497
High School Graduate da da 15,764 2,496 13,268 da 14,986
Some College/Associate’s Degree da da 19,325 4,185 15,140 da 18,130
College Graduate da da 18,186 2,328 15,858 da 18,185
EMPLOYMENT STATUS              
Full-Time da da 32,306 4,622 27,683 da 31,604
Part-Time da da 7,308 2,204 5,104 da 6,601
Unemployed da da 4,150 851 3,298 da 3,928
Other2 da da 15,282 2,077 13,205 da 14,665
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.28B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 21.5 3.8 23.3 29.2 22.4 8.3 23.6
GENDER              
Male 23.5 3.0 25.7 27.8 25.4 7.4 26.3
Female 19.5 4.7 20.9 30.5 19.5 9.3 21.0
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 21.1 3.7 22.7 30.0 21.7 8.6 22.9
White 21.9 4.6 23.3 33.6 22.0 10.1 23.4
Black or African American 21.6 1.3 23.9 21.8 24.3 5.5 24.6
AIAN 21.2 * 22.8 * 19.0 * 21.5
NHOPI * * * * * * *
Asian 10.7 0.9 11.6 17.2 10.8 2.5 11.9
Two or More Races 26.2 3.1 30.9 29.6 31.2 7.5 32.3
Hispanic or Latino 22.9 4.2 25.8 26.3 25.7 7.3 26.9
EDUCATION LEVEL              
< High School da da 20.1 19.9 20.1 da 20.8
High School Graduate da da 22.6 23.5 22.4 da 23.2
Some College/Associate’s Degree da da 25.1 29.7 24.1 da 25.3
College Graduate da da 23.2 46.4 21.7 da 23.2
EMPLOYMENT STATUS              
Full-Time da da 28.3 36.7 27.2 da 28.5
Part-Time da da 23.9 26.9 22.8 da 24.8
Unemployed da da 31.4 27.1 32.7 da 33.1
Other2 da da 15.9 21.8 15.3 da 16.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.29A – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 16,336 103 16,233 2,371 13,862 613 15,723
GENDER              
Male 9,971 60 9,911 1,281 8,630 334 9,637
Female 6,365 43 6,322 1,090 5,231 279 6,086
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 14,004 58 13,946 2,021 11,925 508 13,496
White 11,400 51 11,349 1,596 9,754 412 10,988
Black or African American 1,794 2 1,792 259 1,533 64 1,730
AIAN 129 * 129 * 102 2 127
NHOPI 57 * 57 * * * 57
Asian 318 * 318 86 232 3 315
Two or More Races 305 5 300 53 247 26 279
Hispanic or Latino 2,332 45 2,286 350 1,937 105 2,227
EDUCATION LEVEL              
< High School da da 1,578 141 1,437 da 1,542
High School Graduate da da 4,711 585 4,127 da 4,546
Some College/Associate’s Degree da da 5,605 1,083 4,522 da 5,296
College Graduate da da 4,339 563 3,776 da 4,339
EMPLOYMENT STATUS              
Full-Time da da 8,852 1,138 7,714 da 8,666
Part-Time da da 1,938 541 1,397 da 1,775
Unemployed da da 1,394 282 1,112 da 1,322
Other2 da da 4,049 409 3,639 da 3,961
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.29B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 5.8 0.4 6.4 7.1 6.3 1.6 6.5
GENDER              
Male 7.3 0.5 8.0 7.7 8.1 1.7 8.3
Female 4.4 0.3 4.8 6.5 4.6 1.5 4.9
HISPANIC ORIGIN AND RACE              
Not Hispanic or Latino 6.1 0.3 6.6 7.9 6.4 1.8 6.7
White 6.7 0.4 7.2 9.0 7.0 2.1 7.3
Black or African American 5.2 0.1 5.8 5.7 5.9 1.2 6.0
AIAN 7.2 * 8.0 * 7.9 0.9 8.3
NHOPI 5.6 * 6.5 * * * 6.8
Asian 1.9 * 2.1 4.4 1.8 0.2 2.2
Two or More Races 5.7 0.5 6.7 5.9 6.9 1.9 6.9
Hispanic or Latino 4.7 0.7 5.3 4.5 5.5 1.0 5.6
EDUCATION LEVEL              
< High School da da 5.5 3.8 5.7 da 5.8
High School Graduate da da 6.7 5.5 7.0 da 7.0
Some College/Associate’s Degree da da 7.3 7.7 7.2 da 7.4
College Graduate da da 5.5 11.2 5.2 da 5.5
EMPLOYMENT STATUS              
Full-Time da da 7.7 9.0 7.6 da 7.8
Part-Time da da 6.3 6.6 6.2 da 6.7
Unemployed da da 10.5 9.0 11.0 da 11.1
Other2 da da 4.2 4.3 4.2 da 4.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol.
2 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.30A – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 74,017 2,913 71,104 11,266 59,839 6,689 67,328
GEOGRAPHIC REGION              
Northeast 11,340 428 10,911 1,735 9,177 1,035 10,304
Midwest 17,597 705 16,891 2,713 14,178 1,594 16,002
South 30,197 1,119 29,078 4,396 24,682 2,572 27,625
West 14,883 660 14,223 2,421 11,802 1,487 13,396
COUNTY TYPE              
Large Metro 35,247 1,392 33,855 5,464 28,390 3,295 31,951
Small Metro 24,070 955 23,115 3,843 19,272 2,229 21,841
Nonmetro 14,700 565 14,135 1,958 12,177 1,165 13,535
Urbanized 5,208 260 4,949 829 4,120 552 4,656
Less Urbanized 7,879 258 7,621 913 6,709 517 7,362
Completely Rural 1,613 48 1,565 217 1,348 96 1,517
POVERTY LEVEL2              
Less Than 100% 15,891 521 15,370 2,882 12,487 1,660 14,232
100-199% 17,233 614 16,619 2,763 13,856 1,454 15,779
200% or More 40,872 1,778 39,095 5,600 33,495 3,557 37,315
HEALTH INSURANCE3              
Private 37,052 1,625 35,428 6,439 28,989 3,778 33,274
Medicaid/CHIP 19,534 1,214 18,320 2,515 15,805 2,288 17,246
Other4 16,337 130 16,206 935 15,271 364 15,973
No Coverage 10,998 140 10,858 1,808 9,050 611 10,387
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.30B – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 26.4 11.2 28.0 33.7 27.2 17.1 28.0
GEOGRAPHIC REGION              
Northeast 23.2 10.3 24.4 30.3 23.5 16.0 24.3
Midwest 30.3 12.9 32.1 38.2 31.2 19.6 32.1
South 28.3 11.0 30.2 34.6 29.5 17.0 30.2
West 22.4 10.6 23.7 30.5 22.6 15.9 23.5
COUNTY TYPE              
Large Metro 23.1 9.7 24.4 30.4 23.6 15.4 24.3
Small Metro 28.2 12.1 29.8 35.1 28.9 18.4 29.8
Nonmetro 35.4 15.1 37.5 43.3 36.7 20.9 37.7
Urbanized 33.0 18.1 34.5 42.7 33.2 24.8 34.3
Less Urbanized 37.1 13.3 39.5 43.0 39.0 18.5 39.9
Completely Rural 36.3 12.5 38.5 47.8 37.4 17.6 38.9
POVERTY LEVEL2              
Less Than 100% 37.0 9.7 40.9 33.9 42.9 18.2 42.1
100-199% 30.9 11.0 33.1 34.8 32.7 17.0 33.4
200% or More 22.6 11.8 23.6 33.1 22.5 16.7 23.4
HEALTH INSURANCE3              
Private 22.0 11.5 22.9 33.9 21.4 17.9 22.6
Medicaid/CHIP 34.3 11.5 39.4 29.7 41.6 15.5 40.8
Other4 21.3 9.0 21.6 36.9 21.0 15.2 21.5
No Coverage 41.0 10.2 42.7 36.3 44.2 20.3 43.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use or nicotine vaping in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.31A – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 61,624 1,731 59,892 8,276 51,617 4,305 57,318
GEOGRAPHIC REGION              
Northeast 9,442 275 9,167 1,307 7,860 705 8,738
Midwest 14,824 419 14,406 1,981 12,425 1,022 13,803
South 25,545 620 24,925 3,241 21,684 1,563 23,982
West 11,812 417 11,395 1,747 9,648 1,016 10,795
COUNTY TYPE              
Large Metro 28,318 778 27,540 3,925 23,615 2,060 26,258
Small Metro 20,239 606 19,633 2,746 16,888 1,406 18,833
Nonmetro 13,066 348 12,718 1,605 11,114 839 12,227
Urbanized 4,455 121 4,334 666 3,668 372 4,083
Less Urbanized 7,134 194 6,940 757 6,183 392 6,742
Completely Rural 1,477 33 1,444 181 1,263 75 1,402
POVERTY LEVEL2              
Less Than 100% 13,885 335 13,549 2,098 11,451 1,060 12,825
100-199% 14,844 375 14,469 2,071 12,398 927 13,917
200% or More 32,884 1,021 31,862 4,095 27,767 2,308 30,576
HEALTH INSURANCE3              
Private 29,094 911 28,183 4,486 23,698 2,333 26,761
Medicaid/CHIP 17,060 798 16,263 1,992 14,270 1,532 15,528
Other4 14,361 53 14,308 709 13,599 253 14,108
No Coverage 9,713 73 9,640 1,408 8,232 406 9,307
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.31B – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 22.0 6.7 23.6 24.7 23.4 11.0 23.8
GEOGRAPHIC REGION              
Northeast 19.3 6.6 20.5 22.8 20.1 10.9 20.6
Midwest 25.5 7.6 27.4 27.9 27.3 12.5 27.7
South 24.0 6.1 25.8 25.5 25.9 10.4 26.2
West 17.8 6.7 19.0 22.0 18.5 10.8 19.0
COUNTY TYPE              
Large Metro 18.5 5.4 19.9 21.8 19.6 9.6 20.0
Small Metro 23.7 7.7 25.3 25.1 25.3 11.6 25.7
Nonmetro 31.5 9.3 33.7 35.5 33.5 15.1 34.0
Urbanized 28.2 8.5 30.2 34.3 29.6 16.7 30.1
Less Urbanized 33.6 10.0 35.9 35.7 36.0 14.0 36.5
Completely Rural 33.2 8.6 35.6 40.0 35.0 13.7 36.0
POVERTY LEVEL2              
Less Than 100% 32.3 6.2 36.0 24.7 39.4 11.6 37.9
100-199% 26.6 6.7 28.8 26.1 29.3 10.8 29.4
200% or More 18.2 6.8 19.2 24.2 18.6 10.8 19.2
HEALTH INSURANCE3              
Private 17.3 6.5 18.2 23.6 17.5 11.1 18.1
Medicaid/CHIP 29.9 7.6 35.0 23.5 37.5 10.4 36.7
Other4 18.7 3.7 19.0 28.0 18.7 10.5 19.0
No Coverage 36.2 5.3 37.9 28.3 40.2 13.5 39.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.32A – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 66,839 1,418 65,421 8,670 56,751 3,993 62,845
GEOGRAPHIC REGION              
Northeast 10,300 216 10,084 1,309 8,774 598 9,702
Midwest 15,996 330 15,666 2,121 13,544 968 15,028
South 27,481 564 26,916 3,390 23,526 1,549 25,931
West 13,062 307 12,755 1,849 10,906 878 12,183
COUNTY TYPE              
Large Metro 31,460 621 30,839 4,079 26,760 1,867 29,593
Small Metro 21,752 521 21,231 2,987 18,244 1,400 20,352
Nonmetro 13,626 276 13,350 1,604 11,746 726 12,900
Urbanized 4,756 126 4,630 686 3,943 368 4,387
Less Urbanized 7,334 139 7,195 736 6,459 312 7,022
Completely Rural 1,537 12 1,525 181 1,344 46 1,491
POVERTY LEVEL2              
Less Than 100% 14,747 255 14,491 2,420 12,071 1,196 13,550
100-199% 15,527 296 15,230 2,050 13,181 808 14,719
200% or More 36,556 866 35,690 4,191 31,499 1,980 34,576
HEALTH INSURANCE3              
Private 32,822 798 32,024 4,815 27,209 2,219 30,603
Medicaid/CHIP 17,619 589 17,030 2,022 15,008 1,373 16,247
Other4 15,434 61 15,373 728 14,645 241 15,193
No Coverage 10,274 66 10,207 1,458 8,750 382 9,892
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.32B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 23.9 5.5 25.8 25.9 25.8 10.2 26.1
GEOGRAPHIC REGION              
Northeast 21.1 5.2 22.5 22.9 22.5 9.2 22.9
Midwest 27.6 6.0 29.8 29.9 29.8 11.9 30.1
South 25.8 5.6 27.9 26.7 28.1 10.3 28.3
West 19.7 4.9 21.2 23.3 20.9 9.4 21.4
COUNTY TYPE              
Large Metro 20.6 4.3 22.3 22.7 22.2 8.7 22.5
Small Metro 25.4 6.6 27.4 27.2 27.4 11.6 27.7
Nonmetro 32.8 7.4 35.4 35.5 35.4 13.0 35.9
Urbanized 30.1 8.8 32.3 35.3 31.8 16.5 32.4
Less Urbanized 34.5 7.2 37.3 34.7 37.6 11.2 38.0
Completely Rural 34.6 3.0 37.5 39.9 37.2 8.4 38.2
POVERTY LEVEL2              
Less Than 100% 34.3 4.8 38.6 28.4 41.5 13.1 40.1
100-199% 27.8 5.3 30.3 25.9 31.1 9.4 31.1
200% or More 20.2 5.7 21.5 24.8 21.1 9.3 21.7
HEALTH INSURANCE3              
Private 19.5 5.7 20.7 25.3 20.1 10.5 20.7
Medicaid/CHIP 30.9 5.6 36.6 23.9 39.5 9.3 38.4
Other4 20.1 4.2 20.5 28.8 20.2 10.0 20.5
No Coverage 38.3 4.8 40.1 29.3 42.8 12.7 41.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.33A – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 54,697 683 54,014 5,614 48,399 2,109 52,588
GEOGRAPHIC REGION              
Northeast 8,400 122 8,278 878 7,400 350 8,050
Midwest 13,237 149 13,088 1,392 11,696 505 12,732
South 22,879 247 22,632 2,179 20,453 764 22,115
West 10,180 165 10,016 1,164 8,851 490 9,690
COUNTY TYPE              
Large Metro 24,760 305 24,455 2,523 21,932 980 23,780
Small Metro 17,907 261 17,647 1,873 15,774 712 17,195
Nonmetro 12,029 117 11,912 1,218 10,694 417 11,613
Urbanized 4,047 54 3,993 476 3,516 201 3,846
Less Urbanized 6,578 58 6,520 596 5,924 183 6,395
Completely Rural 1,405 5 1,400 146 1,254 33 1,372
POVERTY LEVEL2              
Less Than 100% 12,822 135 12,687 1,623 11,064 683 12,139
100-199% 13,328 143 13,185 1,428 11,757 403 12,925
200% or More 28,538 405 28,133 2,555 25,578 1,015 27,523
HEALTH INSURANCE3              
Private 25,019 355 24,665 2,840 21,824 1,100 23,919
Medicaid/CHIP 15,347 313 15,034 1,510 13,525 774 14,573
Other4 13,495 24 13,471 477 12,994 134 13,361
No Coverage 8,952 32 8,920 1,044 7,876 224 8,728
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.33B – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 19.5 2.6 21.3 16.8 22.0 5.4 21.8
GEOGRAPHIC REGION              
Northeast 17.2 2.9 18.5 15.3 18.9 5.4 19.0
Midwest 22.8 2.7 24.9 19.6 25.7 6.2 25.5
South 21.5 2.4 23.5 17.2 24.4 5.1 24.2
West 15.4 2.6 16.7 14.7 17.0 5.2 17.0
COUNTY TYPE              
Large Metro 16.2 2.1 17.7 14.0 18.2 4.6 18.1
Small Metro 20.9 3.3 22.7 17.1 23.7 5.9 23.4
Nonmetro 29.0 3.1 31.6 27.0 32.2 7.5 32.3
Urbanized 25.6 3.8 27.8 24.5 28.3 9.0 28.4
Less Urbanized 31.0 3.0 33.8 28.1 34.5 6.6 34.6
Completely Rural 31.6 1.3 34.5 32.1 34.8 6.0 35.2
POVERTY LEVEL2              
Less Than 100% 29.8 2.5 33.8 19.1 38.0 7.5 35.9
100-199% 23.9 2.6 26.2 18.0 27.8 4.7 27.3
200% or More 15.8 2.7 17.0 15.1 17.2 4.8 17.2
HEALTH INSURANCE3              
Private 14.8 2.5 16.0 14.9 16.1 5.2 16.2
Medicaid/CHIP 26.9 3.0 32.3 17.8 35.6 5.3 34.4
Other4 17.6 1.6 17.9 18.9 17.9 5.6 18.0
No Coverage 33.4 2.3 35.1 21.0 38.5 7.5 36.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.34A – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 52,364 944 51,420 6,225 45,195 2,770 49,594
GEOGRAPHIC REGION              
Northeast 7,961 113 7,848 926 6,922 390 7,571
Midwest 12,427 237 12,190 1,555 10,635 674 11,753
South 21,532 360 21,171 2,373 18,798 1,050 20,482
West 10,445 234 10,210 1,371 8,840 656 9,789
COUNTY TYPE              
Large Metro 24,161 359 23,802 2,858 20,944 1,201 22,960
Small Metro 17,111 378 16,733 2,136 14,597 1,021 16,090
Nonmetro 11,092 208 10,884 1,230 9,654 548 10,544
Urbanized 3,780 77 3,704 528 3,176 256 3,524
Less Urbanized 6,031 121 5,910 579 5,331 256 5,775
Completely Rural 1,280 10 1,271 124 1,147 36 1,245
POVERTY LEVEL2              
Less Than 100% 13,337 162 13,175 1,878 11,297 901 12,436
100-199% 13,413 218 13,195 1,546 11,649 628 12,785
200% or More 25,609 564 25,045 2,796 22,249 1,236 24,373
HEALTH INSURANCE3              
Private 22,589 521 22,068 3,225 18,843 1,428 21,161
Medicaid/CHIP 15,836 419 15,416 1,627 13,789 1,039 14,797
Other4 12,585 20 12,565 517 12,048 147 12,438
No Coverage 8,804 47 8,758 1,131 7,626 304 8,500
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.34B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 18.7 3.6 20.3 18.6 20.5 7.1 20.6
GEOGRAPHIC REGION              
Northeast 16.3 2.7 17.5 16.2 17.7 6.0 17.8
Midwest 21.4 4.3 23.2 21.9 23.4 8.3 23.6
South 20.2 3.6 22.0 18.7 22.4 7.0 22.4
West 15.8 3.8 17.0 17.3 17.0 7.0 17.2
COUNTY TYPE              
Large Metro 15.8 2.5 17.2 15.9 17.4 5.6 17.5
Small Metro 20.0 4.8 21.6 19.5 21.9 8.4 21.9
Nonmetro 26.7 5.5 28.9 27.2 29.1 9.8 29.4
Urbanized 23.9 5.3 25.8 27.2 25.6 11.5 26.0
Less Urbanized 28.4 6.3 30.6 27.3 31.0 9.2 31.3
Completely Rural 28.8 2.6 31.3 27.3 31.8 6.6 31.9
POVERTY LEVEL2              
Less Than 100% 31.0 3.0 35.0 22.1 38.8 9.9 36.8
100-199% 24.0 3.9 26.2 19.5 27.5 7.3 27.0
200% or More 14.2 3.7 15.1 16.5 14.9 5.8 15.3
HEALTH INSURANCE3              
Private 13.4 3.7 14.3 17.0 13.9 6.8 14.3
Medicaid/CHIP 27.8 4.0 33.2 19.2 36.3 7.1 35.0
Other4 16.4 1.4 16.7 20.4 16.6 6.1 16.8
No Coverage 32.8 3.4 34.4 22.7 37.3 10.1 35.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.35A – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 43,615 392 43,222 3,839 39,383 1,331 42,284
GEOGRAPHIC REGION              
Northeast 6,702 45 6,656 568 6,088 207 6,495
Midwest 10,480 103 10,377 1,041 9,336 355 10,125
South 18,170 124 18,046 1,431 16,614 443 17,726
West 8,264 121 8,143 799 7,344 326 7,938
COUNTY TYPE              
Large Metro 19,690 154 19,536 1,699 17,837 580 19,109
Small Metro 14,193 149 14,044 1,233 12,810 434 13,759
Nonmetro 9,732 90 9,642 906 8,736 316 9,416
Urbanized 3,213 37 3,175 379 2,797 147 3,066
Less Urbanized 5,376 50 5,326 436 4,891 145 5,231
Completely Rural 1,144 3 1,140 92 1,048 24 1,119
POVERTY LEVEL2              
Less Than 100% 11,636 75 11,561 1,227 10,334 486 11,150
100-199% 11,371 87 11,284 1,067 10,217 289 11,082
200% or More 20,603 230 20,373 1,541 18,832 551 20,052
HEALTH INSURANCE3              
Private 17,662 209 17,453 1,809 15,644 639 17,022
Medicaid/CHIP 13,760 177 13,583 1,164 12,419 523 13,236
Other4 11,259 12 11,247 306 10,940 82 11,178
No Coverage 7,566 20 7,546 752 6,794 165 7,401
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.35B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 15.6 1.5 17.0 11.5 17.9 3.4 17.6
GEOGRAPHIC REGION              
Northeast 13.7 1.1 14.9 9.9 15.6 3.2 15.3
Midwest 18.1 1.9 19.8 14.7 20.5 4.4 20.3
South 17.0 1.2 18.7 11.3 19.8 2.9 19.4
West 12.5 1.9 13.6 10.1 14.1 3.5 13.9
COUNTY TYPE              
Large Metro 12.9 1.1 14.1 9.5 14.8 2.7 14.5
Small Metro 16.6 1.9 18.1 11.3 19.2 3.6 18.7
Nonmetro 23.5 2.4 25.6 20.1 26.3 5.7 26.2
Urbanized 20.4 2.6 22.1 19.5 22.5 6.6 22.6
Less Urbanized 25.3 2.6 27.6 20.5 28.5 5.2 28.3
Completely Rural 25.7 0.9 28.1 20.3 29.1 4.5 28.7
POVERTY LEVEL2              
Less Than 100% 27.1 1.4 30.8 14.4 35.5 5.3 33.0
100-199% 20.4 1.6 22.4 13.5 24.1 3.4 23.4
200% or More 11.4 1.5 12.3 9.1 12.6 2.6 12.6
HEALTH INSURANCE3              
Private 10.5 1.5 11.3 9.5 11.5 3.0 11.5
Medicaid/CHIP 24.1 1.7 29.2 13.8 32.6 3.6 31.3
Other4 14.7 0.9 15.0 12.1 15.1 3.4 15.1
No Coverage 28.2 1.4 29.7 15.1 33.2 5.5 31.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.36A – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 9,835 352 9,483 1,559 7,924 760 9,075
GEOGRAPHIC REGION              
Northeast 1,177 66 1,111 220 891 121 1,056
Midwest 2,522 77 2,445 422 2,023 199 2,323
South 4,243 151 4,092 537 3,555 292 3,951
West 1,893 59 1,835 380 1,455 148 1,745
COUNTY TYPE              
Large Metro 3,418 167 3,251 551 2,700 313 3,105
Small Metro 3,487 96 3,392 589 2,803 255 3,232
Nonmetro 2,929 90 2,840 419 2,421 192 2,737
Urbanized 1,042 48 994 158 836 89 953
Less Urbanized 1,504 39 1,464 197 1,268 87 1,417
Completely Rural 384 2 381 64 317 17 367
POVERTY LEVEL2              
Less Than 100% 1,673 73 1,600 375 1,224 208 1,464
100-199% 2,115 48 2,067 349 1,718 107 2,008
200% or More 6,047 231 5,816 834 4,982 445 5,602
HEALTH INSURANCE3              
Private 5,718 197 5,521 950 4,572 430 5,288
Medicaid/CHIP 2,115 145 1,969 326 1,644 249 1,866
Other4 1,691 31 1,661 119 1,542 70 1,621
No Coverage 1,546 7 1,539 243 1,296 68 1,478
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.36B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 3.5 1.4 3.7 4.7 3.6 1.9 3.8
GEOGRAPHIC REGION              
Northeast 2.4 1.6 2.5 3.8 2.3 1.9 2.5
Midwest 4.3 1.4 4.7 5.9 4.5 2.4 4.7
South 4.0 1.5 4.2 4.2 4.2 1.9 4.3
West 2.9 0.9 3.1 4.8 2.8 1.6 3.1
COUNTY TYPE              
Large Metro 2.2 1.2 2.3 3.1 2.2 1.5 2.4
Small Metro 4.1 1.2 4.4 5.4 4.2 2.1 4.4
Nonmetro 7.1 2.4 7.5 9.3 7.3 3.5 7.6
Urbanized 6.6 3.4 6.9 8.1 6.7 4.0 7.0
Less Urbanized 7.1 2.0 7.6 9.3 7.4 3.1 7.7
Completely Rural 8.6 0.6 9.4 14.2 8.8 3.1 9.4
POVERTY LEVEL2              
Less Than 100% 3.9 1.4 4.3 4.4 4.2 2.3 4.3
100-199% 3.8 0.9 4.1 4.4 4.1 1.2 4.2
200% or More 3.3 1.5 3.5 4.9 3.3 2.1 3.5
HEALTH INSURANCE3              
Private 3.4 1.4 3.6 5.0 3.4 2.0 3.6
Medicaid/CHIP 3.7 1.4 4.2 3.9 4.3 1.7 4.4
Other4 2.2 2.1 2.2 4.7 2.1 2.9 2.2
No Coverage 5.8 0.5 6.0 4.9 6.3 2.2 6.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.37A – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 7,340 150 7,191 973 6,218 368 6,973
GEOGRAPHIC REGION              
Northeast 807 52 755 117 637 81 726
Midwest 1,878 25 1,853 298 1,555 106 1,771
South 3,496 46 3,450 344 3,106 123 3,374
West 1,159 27 1,133 213 920 57 1,102
COUNTY TYPE              
Large Metro 2,210 81 2,129 271 1,858 149 2,061
Small Metro 2,624 45 2,579 376 2,203 128 2,496
Nonmetro 2,507 23 2,483 327 2,157 91 2,416
Urbanized 855 12 843 117 726 34 821
Less Urbanized 1,311 10 1,301 158 1,143 44 1,267
Completely Rural 341 2 339 * 288 13 328
POVERTY LEVEL2              
Less Than 100% 1,060 22 1,038 241 798 112 948
100-199% 1,648 13 1,635 231 1,405 41 1,606
200% or More 4,632 115 4,517 501 4,016 214 4,418
HEALTH INSURANCE3              
Private 4,390 91 4,299 573 3,726 201 4,189
Medicaid/CHIP 1,310 54 1,256 230 1,026 110 1,200
Other4 1,364 8 1,357 84 1,273 35 1,329
No Coverage 1,205 4 1,201 140 1,060 48 1,157
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.37B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 2.6 0.6 2.8 2.9 2.8 0.9 2.9
GEOGRAPHIC REGION              
Northeast 1.6 1.3 1.7 2.1 1.6 1.3 1.7
Midwest 3.2 0.4 3.5 4.2 3.4 1.3 3.6
South 3.3 0.5 3.6 2.7 3.7 0.8 3.7
West 1.7 0.4 1.9 2.7 1.8 0.6 1.9
COUNTY TYPE              
Large Metro 1.4 0.6 1.5 1.5 1.5 0.7 1.6
Small Metro 3.1 0.6 3.3 3.4 3.3 1.1 3.4
Nonmetro 6.0 0.6 6.6 7.2 6.5 1.6 6.7
Urbanized 5.4 0.8 5.9 6.0 5.8 1.5 6.1
Less Urbanized 6.2 0.5 6.7 7.5 6.6 1.6 6.9
Completely Rural 7.7 0.4 8.4 * 8.0 2.3 8.4
POVERTY LEVEL2              
Less Than 100% 2.5 0.4 2.8 2.8 2.7 1.2 2.8
100-199% 3.0 0.2 3.3 2.9 3.3 0.5 3.4
200% or More 2.6 0.8 2.7 3.0 2.7 1.0 2.8
HEALTH INSURANCE3              
Private 2.6 0.6 2.8 3.0 2.8 1.0 2.8
Medicaid/CHIP 2.3 0.5 2.7 2.7 2.7 0.8 2.8
Other4 1.8 0.5 1.8 3.3 1.8 1.5 1.8
No Coverage 4.5 0.3 4.7 2.8 5.2 1.6 4.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.38A – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 18,916 2,206 16,710 6,617 10,093 4,734 14,182
GEOGRAPHIC REGION              
Northeast 2,746 333 2,414 1,044 1,369 738 2,008
Midwest 4,414 558 3,856 1,589 2,267 1,164 3,250
South 7,257 794 6,463 2,470 3,993 1,744 5,513
West 4,499 521 3,977 1,514 2,463 1,087 3,411
COUNTY TYPE              
Large Metro 9,573 1,100 8,473 3,355 5,118 2,363 7,210
Small Metro 6,321 679 5,642 2,202 3,440 1,545 4,776
Nonmetro 3,022 427 2,595 1,060 1,535 826 2,196
Urbanized 1,165 182 983 492 491 383 782
Less Urbanized 1,591 203 1,387 471 917 373 1,218
Completely Rural 267 42 225 97 128 70 196
POVERTY LEVEL2              
Less Than 100% 3,634 390 3,243 1,420 1,823 965 2,669
100-199% 4,227 439 3,788 1,645 2,143 1,037 3,189
200% or More 11,040 1,377 9,662 3,535 6,127 2,718 8,322
HEALTH INSURANCE3              
Private 10,580 1,243 9,337 4,135 5,202 2,798 7,782
Medicaid/CHIP 5,063 913 4,150 1,163 2,987 1,489 3,575
Other4 2,499 92 2,407 583 1,824 270 2,229
No Coverage 2,454 99 2,355 956 1,399 411 2,043
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.38B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 6.8 8.5 6.6 19.8 4.6 12.1 5.9
GEOGRAPHIC REGION              
Northeast 5.6 8.0 5.4 18.2 3.5 11.4 4.7
Midwest 7.6 10.2 7.3 22.4 5.0 14.3 6.5
South 6.8 7.8 6.7 19.5 4.8 11.6 6.0
West 6.8 8.4 6.6 19.1 4.7 11.6 6.0
COUNTY TYPE              
Large Metro 6.3 7.7 6.1 18.7 4.2 11.0 5.5
Small Metro 7.4 8.6 7.3 20.1 5.2 12.7 6.5
Nonmetro 7.3 11.4 6.9 23.5 4.6 14.8 6.1
Urbanized 7.4 12.7 6.8 25.4 4.0 17.2 5.8
Less Urbanized 7.5 10.5 7.2 22.2 5.3 13.4 6.6
Completely Rural 6.0 10.9 5.5 21.4 3.5 12.9 5.0
POVERTY LEVEL2              
Less Than 100% 8.5 7.3 8.6 16.7 6.3 10.6 7.9
100-199% 7.6 7.9 7.5 20.7 5.1 12.1 6.7
200% or More 6.1 9.1 5.8 20.9 4.1 12.8 5.2
HEALTH INSURANCE3              
Private 6.3 8.8 6.0 21.8 3.8 13.3 5.3
Medicaid/CHIP 8.9 8.7 8.9 13.7 7.9 10.1 8.4
Other4 3.3 6.4 3.2 23.0 2.5 11.2 3.0
No Coverage 9.1 7.2 9.3 19.2 6.8 13.7 8.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.39A – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 13,213 1,364 11,849 4,730 7,119 3,150 10,063
GEOGRAPHIC REGION              
Northeast 1,907 218 1,690 745 944 518 1,390
Midwest 3,068 349 2,718 1,098 1,620 735 2,333
South 5,173 471 4,701 1,808 2,893 1,128 4,045
West 3,065 326 2,739 1,078 1,661 769 2,296
COUNTY TYPE              
Large Metro 6,524 626 5,898 2,363 3,534 1,516 5,008
Small Metro 4,502 448 4,054 1,552 2,502 1,017 3,484
Nonmetro 2,188 290 1,898 814 1,083 616 1,571
Urbanized 801 94 707 374 333 266 535
Less Urbanized 1,179 165 1,014 366 648 297 882
Completely Rural 208 31 177 75 102 53 155
POVERTY LEVEL2              
Less Than 100% 2,585 273 2,312 1,021 1,291 654 1,931
100-199% 3,013 282 2,731 1,179 1,551 712 2,301
200% or More 7,609 810 6,799 2,522 4,277 1,777 5,831
HEALTH INSURANCE3              
Private 7,221 722 6,500 2,866 3,634 1,775 5,446
Medicaid/CHIP 3,705 630 3,074 904 2,171 1,063 2,642
Other4 1,739 39 1,700 406 1,294 170 1,569
No Coverage 1,752 50 1,703 709 994 284 1,468
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.39B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 4.7 5.2 4.7 14.1 3.2 8.1 4.2
GEOGRAPHIC REGION              
Northeast 3.9 5.3 3.8 13.0 2.4 8.0 3.3
Midwest 5.3 6.4 5.2 15.5 3.6 9.0 4.7
South 4.9 4.6 4.9 14.2 3.5 7.5 4.4
West 4.6 5.2 4.6 13.6 3.2 8.2 4.0
COUNTY TYPE              
Large Metro 4.3 4.4 4.3 13.1 2.9 7.1 3.8
Small Metro 5.3 5.7 5.2 14.2 3.8 8.4 4.7
Nonmetro 5.3 7.7 5.0 18.0 3.3 11.1 4.4
Urbanized 5.1 6.6 4.9 19.3 2.7 12.0 3.9
Less Urbanized 5.5 8.5 5.3 17.2 3.8 10.6 4.8
Completely Rural 4.7 8.1 4.3 16.4 2.8 9.7 4.0
POVERTY LEVEL2              
Less Than 100% 6.0 5.1 6.2 12.0 4.4 7.2 5.7
100-199% 5.4 5.1 5.4 14.9 3.7 8.3 4.9
200% or More 4.2 5.4 4.1 14.9 2.9 8.3 3.7
HEALTH INSURANCE3              
Private 4.3 5.1 4.2 15.1 2.7 8.4 3.7
Medicaid/CHIP 6.5 6.0 6.6 10.7 5.7 7.2 6.2
Other4 2.3 2.7 2.3 16.0 1.8 7.1 2.1
No Coverage 6.5 3.6 6.7 14.2 4.9 9.4 6.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.40A – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 174,339 4,624 169,715 22,438 147,277 11,135 163,204
GEOGRAPHIC REGION              
Northeast 31,620 827 30,793 3,997 26,796 2,094 29,527
Midwest 38,530 1,096 37,433 5,123 32,310 2,550 35,980
South 63,915 1,644 62,271 8,289 53,982 3,920 59,996
West 40,274 1,057 39,218 5,030 34,188 2,571 37,703
COUNTY TYPE              
Large Metro 97,094 2,486 94,607 11,994 82,614 6,028 91,066
Small Metro 53,372 1,368 52,004 7,401 44,603 3,449 49,924
Nonmetro 23,873 769 23,104 3,044 20,060 1,658 22,215
Urbanized 9,464 372 9,092 1,353 7,740 787 8,677
Less Urbanized 12,140 331 11,810 1,396 10,414 742 11,399
Completely Rural 2,268 67 2,202 295 1,906 129 2,139
POVERTY LEVEL2              
Less Than 100% 20,202 793 19,409 5,175 14,234 2,604 17,598
100-199% 29,593 933 28,660 5,087 23,573 2,277 27,316
200% or More 124,515 2,898 121,617 12,148 109,469 6,228 118,287
HEALTH INSURANCE3              
Private 115,007 2,660 112,347 13,783 98,564 6,564 108,443
Medicaid/CHIP 26,842 1,694 25,148 4,649 20,499 3,430 23,411
Other4 43,137 171 42,966 1,670 41,296 604 42,533
No Coverage 16,159 325 15,834 3,152 12,682 1,029 15,130
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.40B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 62.3 17.8 66.9 67.1 66.8 28.5 67.8
GEOGRAPHIC REGION              
Northeast 64.6 20.0 68.8 69.8 68.6 32.3 69.5
Midwest 66.4 20.0 71.2 72.1 71.1 31.3 72.1
South 60.0 16.2 64.6 65.3 64.5 26.0 65.6
West 60.7 16.9 65.3 63.4 65.6 27.4 66.2
COUNTY TYPE              
Large Metro 63.5 17.3 68.3 66.7 68.5 28.1 69.3
Small Metro 62.4 17.3 67.0 67.5 66.9 28.5 68.0
Nonmetro 57.5 20.5 61.2 67.4 60.4 29.8 61.8
Urbanized 60.0 25.9 63.4 69.7 62.4 35.4 64.0
Less Urbanized 57.1 17.1 61.1 65.7 60.6 26.6 61.8
Completely Rural 51.0 17.5 54.2 65.1 52.8 23.7 54.9
POVERTY LEVEL2              
Less Than 100% 47.0 14.8 51.6 60.8 48.9 28.5 52.0
100-199% 53.0 16.8 57.0 64.2 55.7 26.6 57.8
200% or More 68.8 19.2 73.3 71.8 73.5 29.2 74.1
HEALTH INSURANCE3              
Private 68.2 18.9 72.7 72.5 72.8 31.1 73.5
Medicaid/CHIP 47.1 16.1 54.1 54.9 53.9 23.3 55.3
Other4 56.3 11.8 57.2 66.0 56.9 25.2 57.3
No Coverage 60.2 23.6 62.2 63.3 62.0 34.2 63.5
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.41A – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 133,058 1,820 131,239 16,774 114,464 5,917 127,141
GEOGRAPHIC REGION              
Northeast 24,504 305 24,199 3,112 21,087 1,136 23,369
Midwest 29,674 451 29,223 3,942 25,281 1,412 28,261
South 47,920 655 47,265 5,956 41,309 2,020 45,900
West 30,960 409 30,551 3,764 26,787 1,349 29,611
COUNTY TYPE              
Large Metro 75,972 916 75,056 9,060 65,996 3,181 72,791
Small Metro 40,368 590 39,778 5,548 34,231 1,900 38,468
Nonmetro 16,718 314 16,404 2,167 14,237 837 15,882
Urbanized 7,088 151 6,937 1,031 5,906 414 6,673
Less Urbanized 8,195 145 8,050 956 7,094 376 7,819
Completely Rural 1,436 19 1,418 180 1,237 46 1,390
POVERTY LEVEL2              
Less Than 100% 13,806 257 13,549 3,839 9,709 1,457 12,349
100-199% 20,666 399 20,268 3,742 16,526 1,282 19,384
200% or More 98,568 1,164 97,404 9,175 88,229 3,162 95,406
HEALTH INSURANCE3              
Private 91,099 1,075 90,024 10,862 79,162 3,729 87,370
Medicaid/CHIP 17,740 665 17,075 3,075 14,000 1,670 16,070
Other4 32,356 62 32,293 1,184 31,110 300 32,056
No Coverage 11,858 113 11,745 2,253 9,492 515 11,343
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.41B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 47.5 7.0 51.7 50.1 51.9 15.1 52.8
GEOGRAPHIC REGION              
Northeast 50.1 7.4 54.0 54.4 54.0 17.5 55.0
Midwest 51.1 8.2 55.6 55.5 55.6 17.3 56.7
South 45.0 6.4 49.0 46.9 49.3 13.4 50.2
West 46.7 6.6 50.9 47.4 51.4 14.4 52.0
COUNTY TYPE              
Large Metro 49.7 6.4 54.2 50.4 54.8 14.9 55.4
Small Metro 47.2 7.5 51.3 50.6 51.4 15.7 52.4
Nonmetro 40.3 8.4 43.5 48.0 42.9 15.0 44.2
Urbanized 44.9 10.5 48.3 53.1 47.6 18.6 49.2
Less Urbanized 38.6 7.5 41.7 45.0 41.3 13.5 42.4
Completely Rural 32.3 4.8 34.9 39.7 34.3 8.4 35.7
POVERTY LEVEL2              
Less Than 100% 32.1 4.8 36.0 45.1 33.4 16.0 36.5
100-199% 37.0 7.2 40.3 47.2 39.0 15.0 41.0
200% or More 54.5 7.7 58.7 54.2 59.2 14.8 59.8
HEALTH INSURANCE3              
Private 54.0 7.6 58.3 57.1 58.4 17.7 59.2
Medicaid/CHIP 31.1 6.3 36.7 36.3 36.8 11.3 38.0
Other4 42.2 4.3 43.0 46.8 42.8 12.5 43.2
No Coverage 44.2 8.2 46.2 45.2 46.4 17.1 47.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.42A – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 60,039 995 59,045 9,754 49,290 3,242 56,797
GEOGRAPHIC REGION              
Northeast 10,565 177 10,389 1,734 8,655 600 9,966
Midwest 13,806 251 13,556 2,428 11,127 806 13,000
South 21,795 340 21,456 3,295 18,161 1,084 20,711
West 13,873 228 13,645 2,298 11,347 752 13,120
COUNTY TYPE              
Large Metro 33,297 509 32,788 5,229 27,560 1,711 31,586
Small Metro 18,719 343 18,376 3,191 15,185 1,106 17,614
Nonmetro 8,023 143 7,880 1,335 6,545 426 7,597
Urbanized 3,349 73 3,276 637 2,639 237 3,112
Less Urbanized 3,982 62 3,919 578 3,342 164 3,818
Completely Rural 692 8 685 120 565 26 667
POVERTY LEVEL2              
Less Than 100% 8,724 139 8,586 2,388 6,198 957 7,768
100-199% 11,141 218 10,923 2,251 8,672 679 10,462
200% or More 40,162 637 39,525 5,104 34,421 1,596 38,566
HEALTH INSURANCE3              
Private 37,943 610 37,333 6,232 31,100 2,063 35,880
Medicaid/CHIP 10,751 340 10,411 1,786 8,625 858 9,893
Other4 10,789 33 10,755 658 10,097 179 10,610
No Coverage 7,312 57 7,255 1,416 5,839 311 7,001
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.42B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 21.5 3.8 23.3 29.2 22.4 8.3 23.6
GEOGRAPHIC REGION              
Northeast 21.6 4.3 23.2 30.3 22.2 9.3 23.5
Midwest 23.8 4.6 25.8 34.2 24.5 9.9 26.1
South 20.4 3.3 22.2 25.9 21.7 7.2 22.6
West 20.9 3.6 22.7 29.0 21.8 8.0 23.0
COUNTY TYPE              
Large Metro 21.8 3.5 23.7 29.1 22.9 8.0 24.0
Small Metro 21.9 4.3 23.7 29.1 22.8 9.1 24.0
Nonmetro 19.3 3.8 20.9 29.5 19.7 7.7 21.2
Urbanized 21.2 5.1 22.8 32.8 21.3 10.6 23.0
Less Urbanized 18.7 3.2 20.3 27.2 19.4 5.9 20.7
Completely Rural 15.6 2.0 16.9 26.5 15.6 4.7 17.1
POVERTY LEVEL2              
Less Than 100% 20.3 2.6 22.8 28.1 21.3 10.5 23.0
100-199% 20.0 3.9 21.7 28.4 20.5 7.9 22.1
200% or More 22.2 4.2 23.8 30.2 23.1 7.5 24.2
HEALTH INSURANCE3              
Private 22.5 4.3 24.2 32.8 23.0 9.8 24.3
Medicaid/CHIP 18.9 3.2 22.4 21.1 22.7 5.8 23.4
Other4 14.1 2.3 14.3 26.0 13.9 7.5 14.3
No Coverage 27.3 4.2 28.5 28.4 28.5 10.3 29.4
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.43A – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 16,336 103 16,233 2,371 13,862 613 15,723
GEOGRAPHIC REGION              
Northeast 2,871 9 2,862 428 2,434 93 2,778
Midwest 3,943 21 3,922 647 3,276 184 3,760
South 5,848 38 5,810 785 5,025 192 5,656
West 3,673 35 3,639 512 3,127 144 3,529
COUNTY TYPE              
Large Metro 8,581 38 8,543 1,218 7,325 356 8,224
Small Metro 5,204 52 5,152 801 4,351 193 5,011
Nonmetro 2,551 13 2,538 352 2,186 63 2,488
Urbanized 1,103 2 1,101 182 920 35 1,068
Less Urbanized 1,162 11 1,151 142 1,009 25 1,136
Completely Rural 286 1 285 28 257 2 284
POVERTY LEVEL2              
Less Than 100% 2,249 21 2,228 559 1,669 175 2,074
100-199% 3,176 41 3,135 548 2,587 147 3,028
200% or More 10,912 42 10,870 1,264 9,606 291 10,621
HEALTH INSURANCE3              
Private 9,894 48 9,846 1,591 8,255 407 9,487
Medicaid/CHIP 2,995 55 2,940 350 2,590 151 2,845
Other4 2,860 4 2,856 206 2,650 47 2,812
No Coverage 2,195 0 2,195 341 1,854 51 2,144
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.43B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic
Characteristic
Aged 12+
(2021)
Aged 12-17
(2021)
Aged 18+
(2021)
Aged 18-25
(2021)
Aged 26+
(2021)
Aged 12-201
(2021)
Aged 21+1
(2021)
TOTAL 5.8 0.4 6.4 7.1 6.3 1.6 6.5
GEOGRAPHIC REGION              
Northeast 5.9 0.2 6.4 7.5 6.2 1.4 6.5
Midwest 6.8 0.4 7.5 9.1 7.2 2.3 7.5
South 5.5 0.4 6.0 6.2 6.0 1.3 6.2
West 5.5 0.6 6.1 6.4 6.0 1.5 6.2
COUNTY TYPE              
Large Metro 5.6 0.3 6.2 6.8 6.1 1.7 6.3
Small Metro 6.1 0.7 6.6 7.3 6.5 1.6 6.8
Nonmetro 6.1 0.4 6.7 7.8 6.6 1.1 6.9
Urbanized 7.0 0.1 7.7 9.4 7.4 1.6 7.9
Less Urbanized 5.5 0.6 6.0 6.7 5.9 0.9 6.2
Completely Rural 6.4 0.3 7.0 6.2 7.1 0.4 7.3
POVERTY LEVEL2              
Less Than 100% 5.2 0.4 5.9 6.6 5.7 1.9 6.1
100-199% 5.7 0.7 6.2 6.9 6.1 1.7 6.4
200% or More 6.0 0.3 6.6 7.5 6.4 1.4 6.7
HEALTH INSURANCE3              
Private 5.9 0.3 6.4 8.4 6.1 1.9 6.4
Medicaid/CHIP 5.3 0.5 6.3 4.1 6.8 1.0 6.7
Other4 3.7 0.3 3.8 8.1 3.6 2.0 3.8
No Coverage 8.2 0.0 8.6 6.8 9.1 1.7 9.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.44A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 13,432 11,135 5,917 3,242 613
GENDER          
Male 6,400 5,298 2,806 1,480 334
Female 7,033 5,836 3,111 1,763 279
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 9,826 8,161 4,450 2,500 508
White 7,438 6,279 3,551 1,975 412
Black or African American 1,346 1,053 508 297 64
AIAN * * * * 2
NHOPI * * * * *
Asian 412 318 141 56 3
Two or More Races 436 349 176 100 26
Hispanic or Latino 3,607 2,973 1,467 743 105
GENDER/RACE/HISPANIC ORIGIN          
Male, White, Not Hispanic 3,549 2,992 1,699 910 240
Female, White, Not Hispanic 3,889 3,287 1,852 1,065 172
Male, Black, Not Hispanic 600 446 220 104 22
Female, Black, Not Hispanic 746 607 288 193 43
Male, Hispanic 1,798 1,514 716 372 64
Female, Hispanic 1,808 1,459 752 371 40
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.44B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 34.4 28.5 15.1 8.3 1.6
GENDER          
Male 31.9 26.4 14.0 7.4 1.7
Female 37.0 30.7 16.3 9.3 1.5
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 33.9 28.2 15.4 8.6 1.8
White 38.0 32.0 18.1 10.1 2.1
Black or African American 25.0 19.6 9.4 5.5 1.2
AIAN * * * * 0.9
NHOPI * * * * *
Asian 18.7 14.4 6.4 2.5 0.2
Two or More Races 32.5 26.1 13.2 7.5 1.9
Hispanic or Latino 35.6 29.4 14.5 7.3 1.0
GENDER/RACE/HISPANIC ORIGIN          
Male, White, Not Hispanic 34.8 29.3 16.7 8.9 2.3
Female, White, Not Hispanic 41.4 35.0 19.7 11.3 1.8
Male, Black, Not Hispanic 22.5 16.7 8.2 3.9 0.8
Female, Black, Not Hispanic 27.6 22.5 10.6 7.1 1.6
Male, Hispanic 34.4 28.9 13.7 7.1 1.2
Female, Hispanic 37.0 29.8 15.4 7.6 0.8
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.45A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 205,721 163,204 127,141 56,797 15,723
GENDER          
Male 102,724 81,891 65,853 30,710 9,637
Female 102,997 81,314 61,288 26,087 6,086
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 174,173 137,700 107,762 46,134 13,496
White 136,576 108,203 85,821 35,497 10,988
Black or African American 22,444 18,070 13,743 7,099 1,730
AIAN 1,305 918 618 327 127
NHOPI * * * * 57
Asian 9,616 7,162 5,127 1,703 315
Two or More Races 3,656 2,949 2,153 1,312 279
Hispanic or Latino 31,548 25,505 19,379 10,663 2,227
GENDER/RACE/HISPANIC ORIGIN          
Male, White, Not Hispanic 67,739 53,484 43,801 18,989 6,563
Female, White, Not Hispanic 68,837 54,719 42,020 16,509 4,426
Male, Black, Not Hispanic 10,846 8,713 6,849 3,574 1,083
Female, Black, Not Hispanic 11,598 9,357 6,894 3,525 647
Male, Hispanic 16,544 13,920 10,957 6,343 1,563
Female, Hispanic 15,004 11,585 8,422 4,321 665
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.45B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 85.4 67.8 52.8 23.6 6.5
GENDER          
Male 88.0 70.2 56.4 26.3 8.3
Female 83.0 65.5 49.4 21.0 4.9
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 86.6 68.5 53.6 22.9 6.7
White 90.1 71.4 56.6 23.4 7.3
Black or African American 77.7 62.5 47.6 24.6 6.0
AIAN 85.6 60.2 40.6 21.5 8.3
NHOPI * * * * 6.8
Asian 67.4 50.2 35.9 11.9 2.2
Two or More Races 90.1 72.7 53.1 32.3 6.9
Hispanic or Latino 79.6 64.3 48.9 26.9 5.6
GENDER/RACE/HISPANIC ORIGIN          
Male, White, Not Hispanic 91.6 72.3 59.2 25.7 8.9
Female, White, Not Hispanic 88.8 70.6 54.2 21.3 5.7
Male, Black, Not Hispanic 82.0 65.9 51.8 27.0 8.2
Female, Black, Not Hispanic 74.0 59.7 44.0 22.5 4.1
Male, Hispanic 83.9 70.6 55.6 32.2 7.9
Female, Hispanic 75.2 58.1 42.2 21.7 3.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.46A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 13,432 11,135 5,917 3,242 613
GEOGRAPHIC REGION          
Northeast 2,349 2,094 1,136 600 93
Midwest 3,038 2,550 1,412 806 184
South 4,879 3,920 2,020 1,084 192
West 3,167 2,571 1,349 752 144
COUNTY TYPE          
Large Metro 7,227 6,028 3,181 1,711 356
Small Metro 4,142 3,449 1,900 1,106 193
Nonmetro 2,063 1,658 837 426 63
Urbanized 940 787 414 237 35
Less Urbanized 956 742 376 164 25
Completely Rural 167 129 46 26 2
POVERTY LEVEL2          
Less Than 100% 3,168 2,604 1,457 957 175
100-199% 2,937 2,277 1,282 679 147
200% or More 7,293 6,228 3,162 1,596 291
HEALTH INSURANCE3          
Private 7,655 6,564 3,729 2,063 407
Medicaid/CHIP 4,420 3,430 1,670 858 151
Other4 734 604 300 179 47
No Coverage 1,243 1,029 515 311 51
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.46B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 34.4 28.5 15.1 8.3 1.6
GEOGRAPHIC REGION          
Northeast 36.3 32.3 17.5 9.3 1.4
Midwest 37.3 31.3 17.3 9.9 2.3
South 32.3 26.0 13.4 7.2 1.3
West 33.8 27.4 14.4 8.0 1.5
COUNTY TYPE          
Large Metro 33.7 28.1 14.9 8.0 1.7
Small Metro 34.2 28.5 15.7 9.1 1.6
Nonmetro 37.1 29.8 15.0 7.7 1.1
Urbanized 42.2 35.4 18.6 10.6 1.6
Less Urbanized 34.2 26.6 13.5 5.9 0.9
Completely Rural 30.6 23.7 8.4 4.7 0.4
POVERTY LEVEL2          
Less Than 100% 34.7 28.5 16.0 10.5 1.9
100-199% 34.3 26.6 15.0 7.9 1.7
200% or More 34.2 29.2 14.8 7.5 1.4
HEALTH INSURANCE3          
Private 36.3 31.1 17.7 9.8 1.9
Medicaid/CHIP 30.0 23.3 11.3 5.8 1.0
Other4 30.6 25.2 12.5 7.5 2.0
No Coverage 41.3 34.2 17.1 10.3 1.7
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.47A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 205,721 163,204 127,141 56,797 15,723
GEOGRAPHIC REGION          
Northeast 36,401 29,527 23,369 9,966 2,778
Midwest 44,662 35,980 28,261 13,000 3,760
South 76,664 59,996 45,900 20,711 5,656
West 47,994 37,703 29,611 13,120 3,529
COUNTY TYPE          
Large Metro 112,336 91,066 72,791 31,586 8,224
Small Metro 62,989 49,924 38,468 17,614 5,011
Nonmetro 30,395 22,215 15,882 7,597 2,488
Urbanized 11,697 8,677 6,673 3,112 1,068
Less Urbanized 15,535 11,399 7,819 3,818 1,136
Completely Rural 3,164 2,139 1,390 667 284
POVERTY LEVEL2          
Less Than 100% 25,123 17,598 12,349 7,768 2,074
100-199% 37,772 27,316 19,384 10,462 3,028
200% or More 142,822 118,287 95,406 38,566 10,621
HEALTH INSURANCE3          
Private 130,568 108,443 87,370 35,880 9,487
Medicaid/CHIP 33,191 23,411 16,070 9,893 2,845
Other4 61,238 42,533 32,056 10,610 2,812
No Coverage 18,875 15,130 11,343 7,001 2,144
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.
220621
Table 2.47B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic Lifetime Alcohol
Use
(2021)
Past Year
Alcohol Use
(2021)
Past Month
Alcohol Use
(2021)
Past Month
Binge Alcohol
Use1
(2021)
Past Month
Heavy Alcohol
Use
(2021)
TOTAL 85.4 67.8 52.8 23.6 6.5
GEOGRAPHIC REGION          
Northeast 85.7 69.5 55.0 23.5 6.5
Midwest 89.5 72.1 56.7 26.1 7.5
South 83.8 65.6 50.2 22.6 6.2
West 84.3 66.2 52.0 23.0 6.2
COUNTY TYPE          
Large Metro 85.5 69.3 55.4 24.0 6.3
Small Metro 85.8 68.0 52.4 24.0 6.8
Nonmetro 84.6 61.8 44.2 21.2 6.9
Urbanized 86.3 64.0 49.2 23.0 7.9
Less Urbanized 84.2 61.8 42.4 20.7 6.2
Completely Rural 81.1 54.9 35.7 17.1 7.3
POVERTY LEVEL2          
Less Than 100% 74.3 52.0 36.5 23.0 6.1
100-199% 79.9 57.8 41.0 22.1 6.4
200% or More 89.5 74.1 59.8 24.2 6.7
HEALTH INSURANCE3          
Private 88.5 73.5 59.2 24.3 6.4
Medicaid/CHIP 78.4 55.3 38.0 23.4 6.7
Other4 82.5 57.3 43.2 14.3 3.8
No Coverage 79.3 63.5 47.6 29.4 9.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
1 Estimates of binge alcohol use include use by those who were heavy alcohol users.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2021.

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