Section 2 PE Tables – Results from the 2021 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.