Section 2 PE Tables – Results from the 2022 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

230608

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 and 2022
Substance	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
LIFETIME
Tobacco Product Use or Nicotine Vaping	--	171,265	--	5,288	--	165,978	--	19,498	--	146,480	--	11,650	--	159,616
Tobacco Products	160,536	161,196	2,603^a	2,227	157,933	158,968	14,994	14,469	142,939	144,499	6,865^a	6,137	153,671	155,059
Cigarettes	144,864	146,135	1,929	1,710	142,935	144,425	12,209	12,190	130,726	132,235	5,251	4,933	139,613	141,202
Daily Cigarettes	82,667	81,708	185	157	82,482	81,551	3,706	3,677	78,776	77,874	866	855	81,802	80,853
Smokeless Tobacco	39,664	38,828	653^b	397	39,011	38,431	4,356^b	3,693	34,655	34,737	1,676^a	1,342	37,988	37,486
Cigars	79,527^b	84,474	950^a	721	78,576^b	83,753	8,193	7,995	70,384^b	75,758	2,911	2,643	76,616^a	81,832
Pipe Tobacco	29,015	27,278	247	204	28,767	27,074	1,966	1,992	26,801	25,082	660	625	28,354	26,653
Nicotine Vaping	--	67,445	--	4,872	--	62,574	--	17,268	--	45,306	--	10,799	--	56,646
Alcohol	220,002	221,306	6,187	5,745	213,815	215,561	25,058^a	25,747	188,757	189,814	13,869	13,224	206,133	208,082
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping	--	78,261	--	3,830	--	74,431	--	14,041	--	60,390	--	8,585	--	69,676
Tobacco Products²	68,388^b	63,536	1,521^a	1,224	66,867^b	62,311	8,980	8,610	57,887^b	53,701	4,192	3,739	64,195^a	59,796
Cigarettes	53,684^b	50,139	1,018	886	52,666^a	49,253	6,407	6,341	46,259^a	42,912	2,918	2,736	50,767^a	47,404
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	10,224^b	8,290	364^b	188	9,860^b	8,102	1,639	1,475	8,221^b	6,627	779	651	9,445^b	7,639
Cigars	18,976	19,173	595^a	411	18,381	18,762	3,981	3,929	14,399	14,833	1,785	1,619	17,191	17,555
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	--	35,101	--	3,559	--	31,542	--	11,608	--	19,934	--	7,846	--	27,255
Alcohol	174,266	176,975	4,779^a	4,301	169,487	172,675	22,790^a	23,608	146,696	149,067	11,476	10,934	162,790	166,041
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	--	63,905	--	1,885	--	62,019	--	10,441	--	51,578	--	5,194	--	58,711
Tobacco Products	56,186^b	50,948	750^b	506	55,436^b	50,443	5,863^a	5,354	49,573^b	45,089	2,219	1,920	53,967^b	49,028
Cigarettes	44,763^b	41,062	432	319	44,331^b	40,743	3,959	3,729	40,372^b	37,014	1,399	1,211	43,364^a	39,852
Daily Cigarettes	27,509^b	24,103	70	10	27,439^b	24,093	1,069	996	26,370^b	23,097	272	200	27,238^b	23,903
Smokeless Tobacco	7,634^b	6,084	157^b	59	7,478^b	6,026	1,003	818	6,474^b	5,207	374	304	7,261^b	5,780
Cigars	10,429	10,392	197	170	10,232	10,223	1,872	1,839	8,360	8,384	737	730	9,692	9,662
Pipe Tobacco	1,887	1,799	73	58	1,814	1,741	366	376	1,448	1,366	180	171	1,707	1,629
Nicotine Vaping	--	23,503	--	1,769	--	21,733	--	8,335	--	13,399	--	4,719	--	18,784
Alcohol	132,512^b	137,446	1,886	1,753	130,627^b	135,694	17,047	17,467	113,580^b	118,227	6,109	5,843	126,403	131,603
Binge Alcohol Use³	60,621	61,157	1,043^a	834	59,578	60,323	10,025	10,261	49,553	50,062	3,379	3,154	57,241	58,003
Heavy Alcohol Use	16,069	16,089	104	63	15,965	16,025	2,379	2,633	13,586	13,393	616	646	15,453	15,443
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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. Estimates for tobacco product use (as well as estimates for tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Substance	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
LIFETIME
Tobacco Product Use or Nicotine Vaping	--	60.7	--	20.6	--	64.8	--	56.0	--	66.1	--	30.1	--	65.6
Tobacco Products	57.4	57.2	10.0^a	8.7	62.2	62.0	44.8^b	41.6	64.9	65.2	17.6^a	15.9	63.8	63.7
Cigarettes	51.8	51.8	7.4	6.6	56.3	56.4	36.5	35.0	59.3	59.7	13.4	12.8	58.0	58.0
Daily Cigarettes	29.5	29.0	0.7	0.6	32.5	31.8	11.1	10.6	35.7	35.2	2.2	2.2	34.0	33.2
Smokeless Tobacco	14.2	13.8	2.5^b	1.5	15.4	15.0	13.0^b	10.6	15.7	15.7	4.3^a	3.5	15.8	15.4
Cigars	28.4^b	30.0	3.7^a	2.8	31.0^b	32.7	24.5	23.0	31.9^b	34.2	7.4	6.8	31.8^b	33.6
Pipe Tobacco	10.4	9.7	1.0	0.8	11.3	10.6	5.9	5.7	12.2	11.3	1.7	1.6	11.8	11.0
Nicotine Vaping	--	23.9	--	18.9	--	24.4	--	49.6	--	20.5	--	27.9	--	23.3
Alcohol	78.6	78.5	23.8	22.3	84.2	84.1	74.9	74.0	85.7	85.7	35.5	34.2	85.6	85.5
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping	--	27.8	--	14.9	--	29.0	--	40.4	--	27.3	--	22.2	--	28.6
Tobacco Products²	24.4^b	22.5	5.8^a	4.8	26.3^b	24.3	26.8^a	24.8	26.3^b	24.2	10.7	9.7	26.7^b	24.6
Cigarettes	19.2^b	17.8	3.9	3.4	20.7^b	19.2	19.1	18.2	21.0^b	19.4	7.5	7.1	21.1^b	19.5
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	3.7^b	2.9	1.4^b	0.7	3.9^b	3.2	4.9	4.2	3.7^b	3.0	2.0	1.7	3.9^b	3.1
Cigars	6.8	6.8	2.3^a	1.6	7.2	7.3	11.9	11.3	6.5	6.7	4.6	4.2	7.1	7.2
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	--	12.4	--	13.8	--	12.3	--	33.4	--	9.0	--	20.3	--	11.2
Alcohol	62.3	62.8	18.4^a	16.7	66.8	67.4	68.1	67.9	66.6	67.3	29.4	28.3	67.6	68.2
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	--	22.7	--	7.3	--	24.2	--	30.0	--	23.3	--	13.4	--	24.1
Tobacco Products	20.1^b	18.1	2.9^b	2.0	21.8^b	19.7	17.5^b	15.4	22.5^b	20.4	5.7	5.0	22.4^b	20.1
Cigarettes	16.0^b	14.6	1.7	1.2	17.5^b	15.9	11.8	10.7	18.3^b	16.7	3.6	3.1	18.0^b	16.4
Daily Cigarettes	9.8^b	8.5	0.3	0.0	10.8^b	9.4	3.2	2.9	12.0^b	10.4	0.7	0.5	11.3^b	9.8
Smokeless Tobacco	2.7^b	2.2	0.6^b	0.2	2.9^b	2.4	3.0^a	2.4	2.9^b	2.4	1.0	0.8	3.0^b	2.4
Cigars	3.7	3.7	0.8	0.7	4.0	4.0	5.6	5.3	3.8	3.8	1.9	1.9	4.0	4.0
Pipe Tobacco	0.7	0.6	0.3	0.2	0.7	0.7	1.1	1.1	0.7	0.6	0.5	0.4	0.7	0.7
Nicotine Vaping	--	8.3	--	6.9	--	8.5	--	24.0	--	6.0	--	12.2	--	7.7
Alcohol	47.4^a	48.7	7.2	6.8	51.5^a	52.9	50.9	50.2	51.5^a	53.4	15.6	15.1	52.5^a	54.1
Binge Alcohol Use³	21.7	21.7	4.0	3.2	23.5	23.5	30.0	29.5	22.5	22.6	8.6	8.2	23.8	23.8
Heavy Alcohol Use	5.7	5.7	0.4	0.2	6.3	6.3	7.1	7.6	6.2	6.0	1.6	1.7	6.4	6.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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. Estimates for tobacco product use (as well as estimates for tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	--	171,265	--	78,261	--	63,905
12-20¹	--	11,650	--	8,585	--	5,194
21 or Older¹	--	159,616	--	69,676	--	58,711
12-17	--	5,288	--	3,830	--	1,885
12-13	--	665	--	469	--	234
14-15	--	1,874	--	1,380	--	640
16-17	--	2,749	--	1,981	--	1,011
18 or Older	--	165,978	--	74,431	--	62,019
18-25	--	19,498	--	14,041	--	10,441
18-20	--	6,362	--	4,755	--	3,309
21-25	--	13,136	--	9,287	--	7,133
26 or Older	--	146,480	--	60,390	--	51,578
26-49	--	68,768	--	36,281	--	30,160
26-29	--	10,696	--	6,664	--	5,376
30-34	--	15,527	--	8,800	--	7,109
35-39	--	15,171	--	7,708	--	6,339
40-44	--	14,069	--	7,076	--	6,066
45-49	--	13,305	--	6,033	--	5,270
50 or Older	--	77,712	--	24,109	--	21,418
50-54	--	12,694	--	5,847	--	5,144
55-59	--	13,485	--	5,498	--	4,858
60-64	--	15,615	--	5,897	--	5,306
65 or Older	--	35,917	--	6,867	--	6,110
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	--	60.7	--	27.8	--	22.7
12-20¹	--	30.1	--	22.2	--	13.4
21 or Older¹	--	65.6	--	28.6	--	24.1
12-17	--	20.6	--	14.9	--	7.3
12-13	--	7.9	--	5.6	--	2.8
14-15	--	20.7	--	15.2	--	7.1
16-17	--	33.4	--	24.1	--	12.3
18 or Older	--	64.8	--	29.0	--	24.2
18-25	--	56.0	--	40.4	--	30.0
18-20	--	49.2	--	36.8	--	25.6
21-25	--	60.1	--	42.5	--	32.6
26 or Older	--	66.1	--	27.3	--	23.3
26-49	--	67.0	--	35.4	--	29.4
26-29	--	62.8	--	39.1	--	31.6
30-34	--	67.0	--	38.0	--	30.7
35-39	--	68.8	--	35.0	--	28.8
40-44	--	67.6	--	34.0	--	29.2
45-49	--	68.2	--	30.9	--	27.0
50 or Older	--	65.3	--	20.3	--	18.0
50-54	--	64.2	--	29.6	--	26.0
55-59	--	67.4	--	27.5	--	24.3
60-64	--	68.9	--	26.0	--	23.4
65 or Older	--	63.6	--	12.2	--	10.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	160,536	161,196	68,388^b	63,536	56,186^b	50,948
12-20¹	6,865^a	6,137	4,192	3,739	2,219	1,920
21 or Older¹	153,671	155,059	64,195^a	59,796	53,967^b	49,028
12-17	2,603^a	2,227	1,521^a	1,224	750^b	506
12-13	305	274	177	152	61	56
14-15	738	761	411	373	181	152
16-17	1,559^b	1,192	932^a	700	508^b	297
18 or Older	157,933	158,968	66,867^b	62,311	55,436^b	50,443
18-25	14,994	14,469	8,980	8,610	5,863^a	5,354
18-20	4,262	3,909	2,672	2,515	1,469	1,415
21-25	10,732	10,560	6,308	6,095	4,394	3,939
26 or Older	142,939	144,499	57,887^b	53,701	49,573^b	45,089
26-49	66,521	66,966	32,237	31,014	26,436	24,941
26-29	10,619	9,984	5,753	5,219	4,192	3,856
30-34	14,543	15,000	7,702	7,264	6,119	5,604
35-39	14,717	14,944	6,917	6,576	5,923	5,235
40-44	13,765	13,860	6,559	6,366	5,497	5,384
45-49	12,877	13,177	5,306	5,589	4,704	4,863
50 or Older	76,417	77,534	25,650^b	22,687	23,137^b	20,148
50-54	12,980	12,641	5,877	5,546	5,401	4,820
55-59	13,655	13,426	5,896	4,989	5,321	4,392
60-64	15,107	15,588	5,823	5,565	5,201	5,053
65 or Older	34,676	35,879	8,054^b	6,587	7,214^a	5,882
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	57.4	57.2	24.4^b	22.5	20.1^b	18.1
12-20¹	17.6^a	15.9	10.7	9.7	5.7	5.0
21 or Older¹	63.8	63.7	26.7^b	24.6	22.4^b	20.1
12-17	10.0^a	8.7	5.8^a	4.8	2.9^b	2.0
12-13	3.4	3.2	2.0	1.8	0.7	0.7
14-15	8.6	8.4	4.8	4.1	2.1	1.7
16-17	18.1^b	14.5	10.8^a	8.5	5.9^b	3.6
18 or Older	62.2	62.0	26.3^b	24.3	21.8^b	19.7
18-25	44.8^b	41.6	26.8^a	24.8	17.5^b	15.4
18-20	32.6	30.2	20.4	19.5	11.2	10.9
21-25	52.6^b	48.3	30.9^a	27.9	21.6^b	18.0
26 or Older	64.9	65.2	26.3^b	24.2	22.5^b	20.4
26-49	65.0	65.3	31.5	30.2	25.8^a	24.3
26-29	60.9	58.6	33.0	30.7	24.0	22.6
30-34	64.0	64.7	33.9	31.3	26.9^a	24.2
35-39	66.1	67.8	31.1	29.8	26.6	23.8
40-44	67.5	66.6	32.2	30.6	26.9	25.9
45-49	66.1	67.5	27.2	28.6	24.1	24.9
50 or Older	64.7	65.2	21.7^b	19.1	19.6^b	16.9
50-54	66.1	63.9	29.9	28.0	27.5	24.4
55-59	64.0	67.1	27.7	25.0	25.0	22.0
60-64	67.8	68.8	26.1	24.6	23.3	22.3
65 or Older	63.3	63.5	14.7^b	11.7	13.2^b	10.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	144,864	146,135	53,684^b	50,139	44,763^b	41,062
12-20¹	5,251	4,933	2,918	2,736	1,399	1,211
21 or Older¹	139,613	141,202	50,767^a	47,404	43,364^a	39,852
12-17	1,929	1,710	1,018	886	432	319
12-13	210	209	139	112	36	43
14-15	534	584	258	268	84	81
16-17	1,185^a	917	622	506	313^a	195
18 or Older	142,935	144,425	52,666^a	49,253	44,331^b	40,743
18-25	12,209	12,190	6,407	6,341	3,959	3,729
18-20	3,322	3,223	1,900	1,850	966	891
21-25	8,886	8,967	4,508	4,491	2,992	2,837
26 or Older	130,726	132,235	46,259^a	42,912	40,372^b	37,014
26-49	60,474	60,520	25,514	24,496	21,325	20,309
26-29	9,267	8,617	4,352	3,895	3,210	2,885
30-34	12,978	13,400	5,926	5,646	4,786	4,457
35-39	13,617	13,670	5,671	5,311	4,884	4,402
40-44	12,787	12,686	5,206	5,265	4,479	4,590
45-49	11,824	12,146	4,360	4,379	3,966	3,975
50 or Older	70,252	71,715	20,745^a	18,416	19,047^a	16,706
50-54	11,895	11,537	4,930	4,489	4,592	4,052
55-59	12,274	12,195	4,534	3,862	4,200	3,518
60-64	13,756	14,474	4,908	4,722	4,476	4,239
65 or Older	32,327	33,509	6,372^a	5,343	5,779	4,896
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.4B – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	51.8	51.8	19.2^b	17.8	16.0^b	14.6
12-20¹	13.4	12.8	7.5	7.1	3.6	3.1
21 or Older¹	58.0	58.0	21.1^b	19.5	18.0^b	16.4
12-17	7.4	6.6	3.9	3.4	1.7	1.2
12-13	2.4	2.5	1.6	1.3	0.4	0.5
14-15	6.3	6.4	3.0	3.0	1.0	0.9
16-17	13.8^a	11.2	7.2	6.2	3.6	2.4
18 or Older	56.3	56.4	20.7^b	19.2	17.5^b	15.9
18-25	36.5	35.0	19.1	18.2	11.8	10.7
18-20	25.4	24.9	14.5	14.3	7.4	6.9
21-25	43.6^a	41.0	22.1	20.5	14.7	13.0
26 or Older	59.3	59.7	21.0^b	19.4	18.3^b	16.7
26-49	59.1	59.0	24.9	23.9	20.8	19.8
26-29	53.1	50.6	24.9	22.9	18.4	16.9
30-34	57.1	57.8	26.1	24.4	21.1	19.2
35-39	61.2	62.0	25.5	24.1	21.9	20.0
40-44	62.7	61.0	25.5	25.3	22.0	22.1
45-49	60.7	62.2	22.4	22.4	20.4	20.4
50 or Older	59.5	60.3	17.6^a	15.5	16.1^b	14.0
50-54	60.6	58.3	25.1	22.7	23.4	20.5
55-59	57.6	61.0	21.3	19.3	19.7	17.6
60-64	61.7	63.9	22.0	20.8	20.1	18.7
65 or Older	59.0	59.3	11.6^a	9.5	10.5^a	8.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	39,664	38,828	10,224^b	8,290	7,634^b	6,084
12-20¹	1,676^a	1,342	779	651	374	304
21 or Older¹	37,988	37,486	9,445^b	7,639	7,261^b	5,780
12-17	653^b	397	364^b	188	157^b	59
12-13	65	62	28	40	3	2
14-15	172	132	103	52	57	17
16-17	416^b	203	233^b	96	96^a	40
18 or Older	39,011	38,431	9,860^b	8,102	7,478^b	6,026
18-25	4,356^b	3,693	1,639	1,475	1,003	818
18-20	1,023	944	415	463	217	245
21-25	3,333^b	2,749	1,224	1,012	786^a	573
26 or Older	34,655	34,737	8,221^b	6,627	6,474^b	5,207
26-49	19,321	19,023	5,158^b	4,102	3,840^b	2,980
26-29	3,177	2,874	1,047	803	714	538
30-34	4,480	4,489	1,241	1,021	920	769
35-39	3,997	3,883	1,087^a	744	833^b	486
40-44	4,073	4,025	1,017	890	710	686
45-49	3,594	3,752	767	645	663	501
50 or Older	15,334	15,714	3,063	2,525	2,634	2,227
50-54	3,443	3,987	838	796	566	716
55-59	4,180	3,895	840	775	818	637
60-64	2,987	3,435	531	410	472	385
65 or Older	4,724	4,396	855	544	777	489
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	14.2	13.8	3.7^b	2.9	2.7^b	2.2
12-20¹	4.3^a	3.5	2.0	1.7	1.0	0.8
21 or Older¹	15.8	15.4	3.9^b	3.1	3.0^b	2.4
12-17	2.5^b	1.5	1.4^b	0.7	0.6^b	0.2
12-13	0.7	0.7	0.3	0.5	0.0	0.0
14-15	2.0	1.5	1.2	0.6	0.7	0.2
16-17	4.8^b	2.5	2.7^b	1.2	1.1^a	0.5
18 or Older	15.4	15.0	3.9^b	3.2	2.9^b	2.4
18-25	13.0^b	10.6	4.9	4.2	3.0^a	2.4
18-20	7.8	7.3	3.2	3.6	1.7	1.9
21-25	16.3^b	12.6	6.0^a	4.6	3.9^b	2.6
26 or Older	15.7	15.7	3.7^b	3.0	2.9^b	2.4
26-49	18.9	18.5	5.0^b	4.0	3.8^b	2.9
26-29	18.2	16.9	6.0	4.7	4.1	3.2
30-34	19.7	19.4	5.5	4.4	4.1	3.3
35-39	18.0	17.6	4.9^a	3.4	3.7^b	2.2
40-44	20.0	19.3	5.0	4.3	3.5	3.3
45-49	18.4	19.2	3.9	3.3	3.4	2.6
50 or Older	13.0	13.2	2.6	2.1	2.2	1.9
50-54	17.5	20.2	4.3	4.0	2.9	3.6
55-59	19.6	19.5	3.9	3.9	3.8	3.2
60-64	13.4	15.2	2.4	1.8	2.1	1.7
65 or Older	8.6	7.8	1.6	1.0	1.4	0.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	79,527^b	84,474	18,976	19,173	10,429	10,392
12-20¹	2,911	2,643	1,785	1,619	737	730
21 or Older¹	76,616^a	81,832	17,191	17,555	9,692	9,662
12-17	950^a	721	595^a	411	197	170
12-13	110^a	46	46	31	21	15
14-15	216	237	114	104	48	37
16-17	625^a	438	434^a	276	127	118
18 or Older	78,576^b	83,753	18,381	18,762	10,232	10,223
18-25	8,193	7,995	3,981	3,929	1,872	1,839
18-20	1,960	1,921	1,190	1,208	540	560
21-25	6,232	6,073	2,792	2,721	1,331	1,278
26 or Older	70,384^b	75,758	14,399	14,833	8,360	8,384
26-49	36,748^b	39,276	9,391	9,911	5,437	5,369
26-29	6,121	6,250	2,206	2,177	1,080	1,097
30-34	8,379	9,270	2,461	2,467	1,413	1,241
35-39	8,351	8,499	1,788	1,953	1,086	998
40-44	7,492	8,327	1,699	1,743	1,084	1,058
45-49	6,405	6,930	1,238	1,570	774	975
50 or Older	33,635^a	36,482	5,008	4,922	2,923	3,015
50-54	5,794	6,666	1,076	1,103	629	628
55-59	6,716	6,932	1,298	1,257	806	891
60-64	7,036	7,267	1,339	1,236	739	607
65 or Older	14,089^a	15,617	1,295	1,325	750	888
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.6B – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	28.4^b	30.0	6.8	6.8	3.7	3.7
12-20¹	7.4	6.8	4.6	4.2	1.9	1.9
21 or Older¹	31.8^b	33.6	7.1	7.2	4.0	4.0
12-17	3.7^a	2.8	2.3^a	1.6	0.8	0.7
12-13	1.2^a	0.5	0.5	0.4	0.2	0.2
14-15	2.5	2.6	1.3	1.2	0.6	0.4
16-17	7.3^a	5.3	5.0^a	3.4	1.5	1.4
18 or Older	31.0^b	32.7	7.2	7.3	4.0	4.0
18-25	24.5	23.0	11.9	11.3	5.6	5.3
18-20	15.0	14.9	9.1	9.3	4.1	4.3
21-25	30.6^a	27.8	13.7	12.5	6.5	5.8
26 or Older	31.9^b	34.2	6.5	6.7	3.8	3.8
26-49	35.9^b	38.3	9.2	9.7	5.3	5.2
26-29	35.1	36.7	12.6	12.8	6.2	6.4
30-34	36.9^a	40.0	10.8	10.6	6.2	5.4
35-39	37.5	38.6	8.0	8.9	4.9	4.5
40-44	36.7^a	40.0	8.3	8.4	5.3	5.1
45-49	32.9	35.5	6.4	8.0	4.0	5.0
50 or Older	28.5^a	30.7	4.2	4.1	2.5	2.5
50-54	29.5	33.7	5.5	5.6	3.2	3.2
55-59	31.5	34.7	6.1	6.3	3.8	4.5
60-64	31.6	32.1	6.0	5.5	3.3	2.7
65 or Older	25.7	27.6	2.4	2.3	1.4	1.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	--	67,445	--	35,101	--	23,503
12-20¹	--	10,799	--	7,846	--	4,719
21 or Older¹	--	56,646	--	27,255	--	18,784
12-17	--	4,872	--	3,559	--	1,769
12-13	--	599	--	439	--	219
14-15	--	1,714	--	1,303	--	598
16-17	--	2,558	--	1,817	--	952
18 or Older	--	62,574	--	31,542	--	21,733
18-25	--	17,268	--	11,608	--	8,335
18-20	--	5,927	--	4,287	--	2,950
21-25	--	11,340	--	7,321	--	5,385
26 or Older	--	45,306	--	19,934	--	13,399
26-49	--	33,191	--	15,846	--	10,899
26-29	--	7,499	--	4,071	--	2,741
30-34	--	9,404	--	4,560	--	3,202
35-39	--	6,820	--	3,050	--	2,204
40-44	--	5,469	--	2,348	--	1,574
45-49	--	4,000	--	1,817	--	1,177
50 or Older	--	12,114	--	4,088	--	2,500
50-54	--	3,744	--	1,404	--	741
55-59	--	3,020	--	1,219	--	861
60-64	--	2,804	--	907	--	519
65 or Older	--	2,547	--	559	--	379
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.7B – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	--	23.9	--	12.4	--	8.3
12-20¹	--	27.9	--	20.3	--	12.2
21 or Older¹	--	23.3	--	11.2	--	7.7
12-17	--	18.9	--	13.8	--	6.9
12-13	--	7.1	--	5.2	--	2.6
14-15	--	18.9	--	14.4	--	6.6
16-17	--	31.1	--	22.1	--	11.6
18 or Older	--	24.4	--	12.3	--	8.5
18-25	--	49.6	--	33.4	--	24.0
18-20	--	45.8	--	33.2	--	22.8
21-25	--	51.9	--	33.5	--	24.6
26 or Older	--	20.5	--	9.0	--	6.0
26-49	--	32.4	--	15.4	--	10.6
26-29	--	44.0	--	23.9	--	16.1
30-34	--	40.6	--	19.7	--	13.8
35-39	--	30.9	--	13.8	--	10.0
40-44	--	26.3	--	11.3	--	7.6
45-49	--	20.5	--	9.3	--	6.0
50 or Older	--	10.2	--	3.4	--	2.1
50-54	--	18.9	--	7.1	--	3.7
55-59	--	15.1	--	6.1	--	4.3
60-64	--	12.4	--	4.0	--	2.3
65 or Older	--	4.5	--	1.0	--	0.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	220,002	221,306	174,266	176,975	132,512^b	137,446
12-20¹	13,869	13,224	11,476	10,934	6,109	5,843
21 or Older¹	206,133	208,082	162,790	166,041	126,403	131,603
12-17	6,187	5,745	4,779^a	4,301	1,886	1,753
12-13	850	732	580	450	177	133
14-15	1,853	1,786	1,372	1,299	501	429
16-17	3,485	3,226	2,827	2,552	1,208	1,191
18 or Older	213,815	215,561	169,487	172,675	130,627^b	135,694
18-25	25,058^a	25,747	22,790^a	23,608	17,047	17,467
18-20	7,682	7,479	6,697	6,633	4,224	4,090
21-25	17,376	18,268	16,094	16,974	12,823	13,376
26 or Older	188,757	189,814	146,696	149,067	113,580^b	118,227
26-49	89,242	89,623	74,908	75,737	58,806^a	60,581
26-29	15,180	14,872	13,339	13,230	10,648	10,736
30-34	19,862	20,464	17,081	17,574	13,341	13,971
35-39	19,531	19,583	16,110	16,435	12,489	13,417
40-44	17,726	17,834	14,541	14,818	11,672	11,710
45-49	16,943	16,870	13,837	13,679	10,655	10,746
50 or Older	99,515	100,192	71,789	73,330	54,774^a	57,646
50-54	17,106	16,984	13,958	13,527	10,778	10,784
55-59	18,271	17,228	13,834	13,787	10,752	10,953
60-64	19,164	19,471	13,613	14,428	10,459	11,367
65 or Older	44,974^a	46,509	30,383	31,589	22,785^a	24,543
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.8B – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021 and 2022
Age Category	Lifetime (2021)	Lifetime (2022)	Past Year (2021)	Past Year (2022)	Past Month (2021)	Past Month (2022)
TOTAL	78.6	78.5	62.3	62.8	47.4^a	48.7
12-20¹	35.5	34.2	29.4	28.3	15.6	15.1
21 or Older¹	85.6	85.5	67.6	68.2	52.5^a	54.1
12-17	23.8	22.3	18.4^a	16.7	7.2	6.8
12-13	9.6	8.7	6.5	5.3	2.0	1.6
14-15	21.7	19.7	16.1	14.3	5.9	4.7
16-17	40.5	39.2	32.8	31.0	14.0	14.5
18 or Older	84.2	84.1	66.8	67.4	51.5^a	52.9
18-25	74.9	74.0	68.1	67.9	50.9	50.2
18-20	58.8	57.8	51.2	51.3	32.3	31.6
21-25	85.2	83.6	78.9	77.7	62.9	61.2
26 or Older	85.7	85.7	66.6	67.3	51.5^a	53.4
26-49	87.2	87.4	73.2	73.8	57.5^a	59.1
26-29	87.0	87.3	76.5	77.7	61.0	63.1
30-34	87.4	88.3	75.2	75.8	58.7	60.3
35-39	87.7	88.8	72.3	74.6	56.1^b	60.9
40-44	86.9	85.7	71.3	71.2	57.2	56.3
45-49	87.0	86.5	71.0	70.1	54.7	55.1
50 or Older	84.3	84.2	60.8	61.7	46.4	48.5
50-54	87.1	85.9	71.1	68.4	54.9	54.5
55-59	85.7	86.2	64.9	69.0	50.4	54.8
60-64	86.0	85.9	61.1	63.7	46.9	50.2
65 or Older	82.1	82.3	55.4	55.9	41.6	43.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Alcohol Use (2021)	Alcohol Use (2022)	Binge Alcohol Use¹ (2021)	Binge Alcohol Use¹ (2022)	Heavy Alcohol Use (2021)	Heavy Alcohol Use (2022)
TOTAL	132,512^b	137,446	60,621	61,157	16,069	16,089
12-20²	6,109	5,843	3,379	3,154	616	646
21 or Older²	126,403	131,603	57,241	58,003	15,453	15,443
12-17	1,886	1,753	1,043^a	834	104	63
12-13	177	133	56	60	*	5
14-15	501	429	283	192	21	11
16-17	1,208	1,191	704	583	83	48
18 or Older	130,627^b	135,694	59,578	60,323	15,965	16,025
18-25	17,047	17,467	10,025	10,261	2,379	2,633
18-20	4,224	4,090	2,336	2,319	512	582
21-25	12,823	13,376	7,689	7,942	1,867	2,050
26 or Older	113,580^b	118,227	49,553	50,062	13,586	13,393
26-49	58,806^a	60,581	30,083	30,951	8,176	8,139
26-29	10,648	10,736	6,069	6,081	1,798	1,453
30-34	13,341	13,971	7,097	7,380	1,834	2,055
35-39	12,489	13,417	6,106	6,914	1,521	1,763
40-44	11,672	11,710	5,985	5,780	1,630	1,585
45-49	10,655	10,746	4,825	4,796	1,392	1,283
50 or Older	54,774^a	57,646	19,470	19,111	5,410	5,254
50-54	10,778	10,784	4,397	4,830	1,239	1,550
55-59	10,752	10,953	4,692	4,616	1,512	1,286
60-64	10,459	11,367	4,008	4,164	1,119	1,069
65 or Older	22,785^a	24,543	6,373	5,501	1,540	1,350
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Age Category	Alcohol Use (2021)	Alcohol Use (2022)	Binge Alcohol Use¹ (2021)	Binge Alcohol Use¹ (2022)	Heavy Alcohol Use (2021)	Heavy Alcohol Use (2022)
TOTAL	47.4^a	48.7	21.7	21.7	5.7	5.7
12-20²	15.6	15.1	8.6	8.2	1.6	1.7
21 or Older²	52.5^a	54.1	23.8	23.8	6.4	6.3
12-17	7.2	6.8	4.0	3.2	0.4	0.2
12-13	2.0	1.6	0.6	0.7	*	0.1
14-15	5.9	4.7	3.3^a	2.1	0.2	0.1
16-17	14.0	14.5	8.2	7.1	1.0	0.6
18 or Older	51.5^a	52.9	23.5	23.5	6.3	6.3
18-25	50.9	50.2	30.0	29.5	7.1	7.6
18-20	32.3	31.6	17.9	17.9	3.9	4.5
21-25	62.9	61.2	37.7	36.3	9.2	9.4
26 or Older	51.5^a	53.4	22.5	22.6	6.2	6.0
26-49	57.5^a	59.1	29.4	30.2	8.0	7.9
26-29	61.0	63.1	34.8	35.7	10.3	8.5
30-34	58.7	60.3	31.2	31.8	8.1	8.9
35-39	56.1^b	60.9	27.4^a	31.4	6.8	8.0
40-44	57.2	56.3	29.3	27.8	8.0	7.6
45-49	54.7	55.1	24.8	24.6	7.1	6.6
50 or Older	46.4	48.5	16.5	16.1	4.6	4.4
50-54	54.9	54.5	22.4	24.4	6.3	7.8
55-59	50.4	54.8	22.0	23.1	7.1	6.4
60-64	46.9	50.2	18.0	18.4	5.0	4.7
65 or Older	41.6	43.4	11.6^a	9.7	2.8	2.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	171,265	--	5,288	--	165,978	--	19,498	--	146,480	--	11,650	--	159,616
GENDER
Male	--	92,453	--	2,427	--	90,026	--	10,047	--	79,979	--	5,801	--	86,652
Female	--	78,813	--	2,861	--	75,951	--	9,451	--	66,501	--	5,849	--	72,964
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	145,083	--	3,923	--	141,160	--	15,101	--	126,059	--	8,691	--	136,393
AIAN	--	969	--	63	--	907	--	*	--	760	--	128	--	842
Asian	--	6,047	--	157	--	5,890	--	839	--	5,051	--	395	--	5,652
Black or African American	--	17,636	--	735	--	16,901	--	2,105	--	14,796	--	1,424	--	16,212
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	115,787	--	2,772	--	113,015	--	11,351	--	101,664	--	6,293	--	109,494
Two or More Races	--	3,789	--	188	--	3,602	--	603	--	2,999	--	432	--	3,358
Hispanic or Latino	--	26,182	--	1,365	--	24,818	--	4,397	--	20,421	--	2,959	--	23,223
EDUCATION LEVEL
< High School	da	da	da	da	--	14,591	--	1,931	--	12,659	da	da	--	13,495
High School Graduate	da	da	da	da	--	45,568	--	6,474	--	39,094	da	da	--	42,727
Some College/Associate’s Degree	da	da	da	da	--	53,071	--	7,895	--	45,176	da	da	--	50,670
College Graduate	da	da	da	da	--	52,748	--	3,198	--	49,550	da	da	--	52,723
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	80,395	--	9,055	--	71,340	da	da	--	78,159
Part-Time	da	da	da	da	--	20,085	--	4,518	--	15,567	da	da	--	18,143
Unemployed	da	da	da	da	--	7,143	--	1,912	--	5,232	da	da	--	6,410
Other²	da	da	da	da	--	58,354	--	4,013	--	54,341	da	da	--	56,904
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	60.7	--	20.6	--	64.8	--	56.0	--	66.1	--	30.1	--	65.6
GENDER
Male	--	66.9	--	18.4	--	72.0	--	57.4	--	74.3	--	29.0	--	73.3
Female	--	54.8	--	22.8	--	57.9	--	54.6	--	58.4	--	31.4	--	58.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	62.8	--	20.6	--	66.6	--	56.9	--	68.0	--	30.2	--	67.4
AIAN	--	66.2	--	28.5	--	72.9	--	*	--	73.5	--	39.3	--	73.9
Asian	--	35.5	--	9.8	--	38.2	--	37.0	--	38.4	--	16.1	--	38.8
Black or African American	--	51.2	--	20.9	--	54.6	--	45.1	--	56.3	--	26.9	--	55.6
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	67.7	--	21.6	--	71.4	--	62.2	--	72.7	--	32.6	--	72.2
Two or More Races	--	64.4	--	22.5	--	71.4	--	60.2	--	74.1	--	33.5	--	73.1
Hispanic or Latino	--	51.4	--	20.5	--	56.1	--	53.2	--	56.7	--	29.9	--	56.6
EDUCATION LEVEL
< High School	da	da	da	da	--	59.9	--	53.8	--	60.9	da	da	--	61.2
High School Graduate	da	da	da	da	--	65.9	--	55.7	--	68.0	da	da	--	67.5
Some College/Associate’s Degree	da	da	da	da	--	68.2	--	56.9	--	70.7	da	da	--	69.4
College Graduate	da	da	da	da	--	62.1	--	56.1	--	62.5	da	da	--	62.1
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	67.9	--	64.3	--	68.4	da	da	--	68.1
Part-Time	da	da	da	da	--	61.2	--	51.4	--	64.8	da	da	--	63.4
Unemployed	da	da	da	da	--	64.8	--	59.6	--	67.0	da	da	--	66.1
Other²	da	da	da	da	--	62.0	--	46.1	--	63.7	da	da	--	63.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	78,261	--	3,830	--	74,431	--	14,041	--	60,390	--	8,585	--	69,676
GENDER
Male	--	45,668	--	1,645	--	44,023	--	7,559	--	36,464	--	4,216	--	41,452
Female	--	32,593	--	2,185	--	30,408	--	6,482	--	23,926	--	4,369	--	28,224
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	66,217	--	2,828	--	63,389	--	11,042	--	52,347	--	6,472	--	59,745
AIAN	--	614	--	46	--	567	--	*	--	442	--	103	--	511
Asian	--	2,316	--	92	--	2,224	--	540	--	1,684	--	262	--	2,054
Black or African American	--	10,002	--	581	--	9,421	--	1,519	--	7,902	--	1,063	--	8,939
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	50,509	--	1,962	--	48,547	--	8,365	--	40,181	--	4,702	--	45,807
Two or More Races	--	2,248	--	139	--	2,109	--	451	--	1,658	--	329	--	1,919
Hispanic or Latino	--	12,044	--	1,002	--	11,042	--	3,000	--	8,042	--	2,113	--	9,931
EDUCATION LEVEL
< High School	da	da	da	da	--	9,127	--	1,492	--	7,635	da	da	--	8,319
High School Graduate	da	da	da	da	--	25,156	--	4,886	--	20,270	da	da	--	23,031
Some College/Associate’s Degree	da	da	da	da	--	25,142	--	5,705	--	19,437	da	da	--	23,332
College Graduate	da	da	da	da	--	15,006	--	1,959	--	13,047	da	da	--	14,995
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	37,493	--	6,567	--	30,926	da	da	--	35,771
Part-Time	da	da	da	da	--	9,453	--	3,246	--	6,207	da	da	--	8,030
Unemployed	da	da	da	da	--	4,994	--	1,406	--	3,588	da	da	--	4,405
Other²	da	da	da	da	--	22,491	--	2,823	--	19,668	da	da	--	21,470
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	27.8	--	14.9	--	29.0	--	40.4	--	27.3	--	22.2	--	28.6
GENDER
Male	--	33.0	--	12.5	--	35.2	--	43.2	--	33.9	--	21.0	--	35.1
Female	--	22.7	--	17.4	--	23.2	--	37.5	--	21.0	--	23.5	--	22.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	28.7	--	14.8	--	29.9	--	41.6	--	28.2	--	22.5	--	29.5
AIAN	--	42.0	--	21.1	--	45.6	--	*	--	42.7	--	31.6	--	44.9
Asian	--	13.6	--	5.7	--	14.4	--	23.8	--	12.8	--	10.7	--	14.1
Black or African American	--	29.0	--	16.6	--	30.5	--	32.6	--	30.1	--	20.1	--	30.7
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	29.5	--	15.3	--	30.7	--	45.8	--	28.7	--	24.3	--	30.2
Two or More Races	--	38.2	--	16.7	--	41.8	--	45.0	--	41.0	--	25.5	--	41.8
Hispanic or Latino	--	23.7	--	15.1	--	25.0	--	36.3	--	22.3	--	21.4	--	24.2
EDUCATION LEVEL
< High School	da	da	da	da	--	37.5	--	41.6	--	36.7	da	da	--	37.7
High School Graduate	da	da	da	da	--	36.4	--	42.1	--	35.2	da	da	--	36.4
Some College/Associate’s Degree	da	da	da	da	--	32.3	--	41.1	--	30.4	da	da	--	31.9
College Graduate	da	da	da	da	--	17.7	--	34.4	--	16.5	da	da	--	17.7
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	31.7	--	46.7	--	29.6	da	da	--	31.2
Part-Time	da	da	da	da	--	28.8	--	36.9	--	25.8	da	da	--	28.0
Unemployed	da	da	da	da	--	45.3	--	43.8	--	46.0	da	da	--	45.4
Other²	da	da	da	da	--	23.9	--	32.4	--	23.0	da	da	--	23.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	63,905	--	1,885	--	62,019	--	10,441	--	51,578	--	5,194	--	58,711
GENDER
Male	--	37,629	--	775	--	36,855	--	5,778	--	31,076	--	2,565	--	35,064
Female	--	26,275	--	1,111	--	25,165	--	4,663	--	20,502	--	2,629	--	23,646
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	54,895	--	1,437	--	53,457	--	8,386	--	45,071	--	4,079	--	50,815
AIAN	--	497	--	25	--	473	--	*	--	380	--	66	--	431
Asian	--	1,696	--	49	--	1,646	--	332	--	1,315	--	138	--	1,558
Black or African American	--	8,123	--	230	--	7,893	--	1,153	--	6,740	--	568	--	7,556
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	42,216	--	1,061	--	41,155	--	6,418	--	34,737	--	3,074	--	39,142
Two or More Races	--	1,908	--	65	--	1,843	--	356	--	1,487	--	223	--	1,685
Hispanic or Latino	--	9,010	--	448	--	8,562	--	2,055	--	6,506	--	1,115	--	7,895
EDUCATION LEVEL
< High School	da	da	da	da	--	8,334	--	1,220	--	7,114	da	da	--	7,725
High School Graduate	da	da	da	da	--	22,165	--	3,810	--	18,355	da	da	--	20,666
Some College/Associate’s Degree	da	da	da	da	--	20,821	--	4,115	--	16,707	da	da	--	19,630
College Graduate	da	da	da	da	--	10,699	--	1,296	--	9,403	da	da	--	10,690
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	30,655	--	5,054	--	25,601	da	da	--	29,370
Part-Time	da	da	da	da	--	7,512	--	2,231	--	5,281	da	da	--	6,618
Unemployed	da	da	da	da	--	4,169	--	1,084	--	3,085	da	da	--	3,768
Other²	da	da	da	da	--	19,684	--	2,073	--	17,611	da	da	--	18,955
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	22.7	--	7.3	--	24.2	--	30.0	--	23.3	--	13.4	--	24.1
GENDER
Male	--	27.2	--	5.9	--	29.5	--	33.0	--	28.9	--	12.8	--	29.7
Female	--	18.3	--	8.8	--	19.2	--	27.0	--	18.0	--	14.1	--	18.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	23.8	--	7.5	--	25.2	--	31.6	--	24.3	--	14.2	--	25.1
AIAN	--	34.0	--	11.2	--	38.0	--	*	--	36.8	--	20.5	--	37.8
Asian	--	10.0	--	3.1	--	10.7	--	14.6	--	10.0	--	5.6	--	10.7
Black or African American	--	23.6	--	6.6	--	25.5	--	24.7	--	25.7	--	10.7	--	25.9
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	24.7	--	8.3	--	26.0	--	35.2	--	24.8	--	15.9	--	25.8
Two or More Races	--	32.4	--	7.8	--	36.5	--	35.5	--	36.8	--	17.3	--	36.7
Hispanic or Latino	--	17.7	--	6.7	--	19.3	--	24.9	--	18.1	--	11.3	--	19.2
EDUCATION LEVEL
< High School	da	da	da	da	--	34.2	--	34.0	--	34.2	da	da	--	35.0
High School Graduate	da	da	da	da	--	32.1	--	32.8	--	31.9	da	da	--	32.6
Some College/Associate’s Degree	da	da	da	da	--	26.8	--	29.6	--	26.2	da	da	--	26.9
College Graduate	da	da	da	da	--	12.6	--	22.7	--	11.9	da	da	--	12.6
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	25.9	--	35.9	--	24.5	da	da	--	25.6
Part-Time	da	da	da	da	--	22.9	--	25.4	--	22.0	da	da	--	23.1
Unemployed	da	da	da	da	--	37.8	--	33.8	--	39.5	da	da	--	38.8
Other²	da	da	da	da	--	20.9	--	23.8	--	20.6	da	da	--	21.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.13A – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	160,536	161,196	2,603^a	2,227	157,933	158,968	14,994	14,469	142,939	144,499	6,865^a	6,137	153,671	155,059
GENDER
Male	87,576	88,654	1,377	1,176	86,198	87,478	8,383	8,042	77,815	79,435	3,795	3,455	83,781	85,198
Female	72,960	72,542	1,225	1,052	71,735	71,491	6,611	6,427	65,124	65,064	3,070	2,681	69,890	69,861
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	138,641	137,733	2,041^a	1,696	136,600	136,037	12,080^a	11,442	124,520	124,595	5,420^a	4,737	133,221	132,996
AIAN	1,147	916	*	39	1,118	877	*	*	*	755	*	91	1,051	825
Asian	5,171	5,412	46	35	5,124	5,378	535	542	4,589	4,836	134	124	5,036	5,288
Black or African American	15,860	15,988	179^a	262	15,681	15,727	1,541	1,400	14,140	14,327	620	619	15,240	15,370
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	112,624	111,184	1,652^b	1,287	110,973	109,897	9,299	8,905	101,674	100,992	4,278^a	3,658	108,346	107,526
Two or More Races	3,175	3,423	99	72	3,077	3,350	439	430	2,637	2,921	242	240	2,934	3,183
Hispanic or Latino	21,894^a	23,462	561	531	21,333^a	22,931	2,915	3,027	18,418^a	19,905	1,444	1,400	20,450	22,063
EDUCATION LEVEL
< High School	da	da	da	da	15,984^b	13,997	1,579	1,453	14,406^a	12,544	da	da	15,237^a	13,286
High School Graduate	da	da	da	da	43,589	43,359	4,669	4,740	38,920	38,619	da	da	41,799	41,565
Some College/Associate’s Degree	da	da	da	da	50,389	50,179	6,143	5,670	44,245	44,509	da	da	48,666	48,790
College Graduate	da	da	da	da	47,971^b	51,433	2,603	2,606	45,368^a	48,827	da	da	47,970^a	51,419
EMPLOYMENT STATUS
Full-Time	da	da	da	da	74,228	77,081	6,713	6,993	67,516	70,088	da	da	72,842	75,675
Part-Time	da	da	da	da	17,689	18,388	3,167	2,994	14,522	15,394	da	da	16,530	17,297
Unemployed	da	da	da	da	8,086^b	6,559	1,504	1,470	6,582^b	5,089	da	da	7,644^b	6,076
Other²	da	da	da	da	57,929	56,941	3,610^a	3,012	54,319	53,929	da	da	56,654	56,012
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.13B – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	57.4	57.2	10.0^a	8.7	62.2	62.0	44.8^b	41.6	64.9	65.2	17.6^a	15.9	63.8	63.7
GENDER
Male	64.0	64.1	10.4	8.9	69.8	69.9	50.1^b	46.0	72.9	73.8	18.9	17.3	71.8	72.1
Female	51.0	50.5	9.6	8.4	55.0	54.5	39.5	37.2	57.3	57.1	16.1	14.4	56.3	55.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	60.3	59.6	10.5^a	8.9	64.8	64.2	47.1^b	43.1	67.3	67.2	18.7^b	16.5	66.2	65.7
AIAN	63.2	62.6	*	17.7	68.1	70.5	*	*	*	73.1	*	27.9	68.3	72.5
Asian	31.6	31.8	3.2	2.2	34.4	34.9	27.4	23.9	35.4	36.8	6.0	5.1	35.6	36.3
Black or African American	46.5	46.4	5.1^a	7.5	51.2	50.8	34.0	30.0	54.2	54.5	11.5	11.7	53.0	52.7
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	65.8	65.0	12.6^b	10.0	70.3	69.5	52.5^b	48.8	72.5	72.2	21.9^b	18.9	71.5	70.9
Two or More Races	58.1	58.2	10.9	8.6	67.4	66.4	47.4	42.8	72.4	72.2	18.1	18.6	71.0	69.3
Hispanic or Latino	44.0	46.1	8.4	8.0	49.5	51.8	37.3	36.6	52.2	55.3	14.2	14.2	51.6	53.8
EDUCATION LEVEL
< High School	da	da	da	da	56.6	57.5	42.8	40.5	58.6	60.4	da	da	58.7	60.3
High School Graduate	da	da	da	da	62.8	62.7	44.3^a	40.8	66.1	67.1	da	da	65.2	65.6
Some College/Associate’s Degree	da	da	da	da	65.3	64.5	43.4	40.8	70.2	69.7	da	da	67.8	66.8
College Graduate	da	da	da	da	60.7	60.5	51.3^a	45.8	61.4	61.6	da	da	60.7	60.5
EMPLOYMENT STATUS
Full-Time	da	da	da	da	64.9	65.1	52.8^a	49.7	66.5	67.2	da	da	65.6	65.9
Part-Time	da	da	da	da	58.2	56.0	38.8^a	34.1	65.4	64.0	da	da	62.6	60.4
Unemployed	da	da	da	da	61.8	59.5	47.4	45.8	66.4	65.2	da	da	65.4	62.6
Other²	da	da	da	da	60.3	60.5	38.4^a	34.6	62.7	63.2	da	da	61.9	62.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	68,388^b	63,536	1,521^a	1,224	66,867^b	62,311	8,980	8,610	57,887^b	53,701	4,192	3,739	64,195^a	59,796
GENDER
Male	41,111	39,222	850^a	636	40,260	38,586	5,456	5,302	34,804	33,284	2,431	2,207	38,680	37,015
Female	27,277^b	24,314	670	588	26,607^b	23,725	3,524	3,308	23,082^b	20,417	1,762	1,533	25,515^b	22,781
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	59,186^b	54,690	1,229^b	914	57,957^b	53,776	7,418	6,994	50,539^b	46,782	3,374^a	2,922	55,812^a	51,768
AIAN	663	501	*	23	640	479	*	*	487	404	*	51	579	450
Asian	1,753	1,626	29	22	1,724	1,604	284	273	1,440	1,332	81	73	1,672	1,554
Black or African American	8,958	8,275	92^a	149	8,867	8,126	1,012	923	7,855	7,203	380	377	8,579	7,898
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	45,795^b	42,173	1,026^b	683	44,769^a	41,490	5,642	5,476	39,127^a	36,015	2,674^a	2,274	43,121^a	39,899
Two or More Races	1,564	1,653	38	36	1,527	1,616	293	229	1,233	1,388	133	143	1,431	1,509
Hispanic or Latino	9,201	8,846	292	311	8,909	8,535	1,561	1,616	7,348	6,919	819	818	8,383	8,028
EDUCATION LEVEL
< High School	da	da	da	da	9,684^b	8,208	1,114	995	8,570^a	7,213	da	da	9,182^a	7,746
High School Graduate	da	da	da	da	22,910	21,322	2,992	2,909	19,918	18,413	da	da	21,798	20,243
Some College/Associate’s Degree	da	da	da	da	22,399^b	20,086	3,646	3,338	18,753^a	16,748	da	da	21,343^a	19,121
College Graduate	da	da	da	da	11,873	12,695	1,228	1,368	10,645	11,328	da	da	11,873	12,686
EMPLOYMENT STATUS
Full-Time	da	da	da	da	31,240	30,914	3,947	4,034	27,293	26,880	da	da	30,392	30,031
Part-Time	da	da	da	da	7,444	7,373	1,884	1,931	5,560	5,443	da	da	6,726	6,634
Unemployed	da	da	da	da	5,278^b	4,187	974	918	4,304^b	3,269	da	da	5,012^b	3,854
Other²	da	da	da	da	22,905^b	19,837	2,175^b	1,727	20,730^a	18,110	da	da	22,065^b	19,277
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.14B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	24.4^b	22.5	5.8^a	4.8	26.3^b	24.3	26.8^a	24.8	26.3^b	24.2	10.7	9.7	26.7^b	24.6
GENDER
Male	30.1^a	28.4	6.4^a	4.8	32.6	30.8	32.6	30.3	32.6	30.9	12.1	11.0	33.1	31.3
Female	19.1^b	16.9	5.3	4.7	20.4^b	18.1	21.1	19.1	20.3^b	17.9	9.2	8.2	20.6^b	18.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25.7^b	23.7	6.3^b	4.8	27.5^b	25.4	28.9^a	26.4	27.3^b	25.2	11.7^a	10.2	27.7^b	25.6
AIAN	36.5	34.3	*	10.3	39.0	38.5	*	*	37.2	39.1	*	15.7	37.7	39.5
Asian	10.7	9.6	2.0	1.4	11.6	10.4	14.5	12.0	11.1	10.1	3.6	3.0	11.8	10.7
Black or African American	26.2	24.0	2.6^a	4.3	29.0	26.3	22.3	19.8	30.1	27.4	7.1	7.1	29.8	27.1
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	26.8^b	24.7	7.8^b	5.3	28.3^b	26.2	31.8	30.0	27.9^b	25.7	13.7^a	11.8	28.4^b	26.3
Two or More Races	28.6	28.1	4.2	4.4	33.4	32.0	31.6^a	22.8	33.9	34.3	10.0	11.1	34.6	32.9
Hispanic or Latino	18.5	17.4	4.4	4.7	20.7	19.3	20.0	19.6	20.8	19.2	8.1	8.3	21.2	19.6
EDUCATION LEVEL
< High School	da	da	da	da	34.3	33.7	30.2	27.7	34.9	34.7	da	da	35.4	35.1
High School Graduate	da	da	da	da	33.0	30.8	28.4^a	25.0	33.8	32.0	da	da	34.0	32.0
Some College/Associate’s Degree	da	da	da	da	29.0^b	25.8	25.8	24.0	29.7^b	26.2	da	da	29.8^b	26.2
College Graduate	da	da	da	da	15.0	14.9	24.2	24.0	14.4	14.3	da	da	15.0	14.9
EMPLOYMENT STATUS
Full-Time	da	da	da	da	27.3	26.1	31.0	28.7	26.9	25.8	da	da	27.4	26.2
Part-Time	da	da	da	da	24.5	22.5	23.1	22.0	25.0	22.6	da	da	25.5	23.2
Unemployed	da	da	da	da	40.3	38.0	30.7	28.6	43.4	41.9	da	da	42.9	39.7
Other²	da	da	da	da	23.8^b	21.1	23.1^a	19.8	23.9^b	21.2	da	da	24.1^b	21.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	56,186^b	50,948	750^b	506	55,436^b	50,443	5,863^a	5,354	49,573^b	45,089	2,219	1,920	53,967^b	49,028
GENDER
Male	33,735^a	31,232	423^b	250	33,312^a	30,983	3,627	3,374	29,684	27,609	1,305	1,120	32,430	30,113
Female	22,451^b	19,716	327	256	22,124^b	19,460	2,236	1,980	19,888^b	17,480	915	801	21,537^b	18,915
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	49,501^b	44,323	629^b	365	48,871^b	43,958	4,927^a	4,396	43,944^b	39,562	1,837^a	1,519	47,663^b	42,804
AIAN	599	404	*	11	585	393	*	*	452	347	*	23	537	381
Asian	1,400	1,108	*	13	1,387	1,095	156	142	1,231	953	38	46	1,361	1,063
Black or African American	7,667	7,018	50	53	7,617	6,966	690	736	6,928	6,229	224	213	7,443	6,805
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	38,183^b	34,025	536^b	276	37,647^b	33,750	3,705	3,308	33,943^b	30,442	1,445^a	1,161	36,738^b	32,864
Two or More Races	1,374	1,377	17	12	1,357	1,364	210	149	1,147	1,216	67	73	1,307	1,304
Hispanic or Latino	6,686	6,625	121	141	6,565	6,484	936	958	5,629	5,526	382	401	6,304	6,224
EDUCATION LEVEL
< High School	da	da	da	da	8,768^b	7,413	826	722	7,943^a	6,691	da	da	8,477^a	7,146
High School Graduate	da	da	da	da	20,248^a	18,467	2,130	2,016	18,119	16,452	da	da	19,587	17,816
Some College/Associate’s Degree	da	da	da	da	18,277^b	16,033	2,211	1,887	16,066^a	14,146	da	da	17,760^b	15,544
College Graduate	da	da	da	da	8,143	8,529	697	729	7,446	7,800	da	da	8,142	8,522
EMPLOYMENT STATUS
Full-Time	da	da	da	da	25,060	24,092	2,672	2,577	22,388	21,514	da	da	24,554	23,542
Part-Time	da	da	da	da	5,766	5,593	1,115	1,051	4,651	4,542	da	da	5,418	5,227
Unemployed	da	da	da	da	4,638^b	3,450	728	619	3,909^b	2,831	da	da	4,464^b	3,257
Other²	da	da	da	da	19,973^b	17,308	1,348	1,107	18,625^a	16,201	da	da	19,531^b	17,002
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.15B – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	20.1^b	18.1	2.9^b	2.0	21.8^b	19.7	17.5^b	15.4	22.5^b	20.4	5.7	5.0	22.4^b	20.1
GENDER
Male	24.7^a	22.6	3.2^a	1.9	27.0^a	24.8	21.7^a	19.3	27.8^a	25.7	6.5	5.6	27.8^a	25.5
Female	15.7^b	13.7	2.6	2.0	17.0^b	14.8	13.4^a	11.4	17.5^b	15.3	4.8	4.3	17.4^b	15.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	21.5^b	19.2	3.2^b	1.9	23.2^b	20.7	19.2^b	16.6	23.7^b	21.3	6.4^a	5.3	23.7^b	21.2
AIAN	33.0	27.6	*	5.0	35.7	31.6	*	*	34.6	33.6	*	7.2	34.9	33.5
Asian	8.5	6.5	*	0.8	9.3	7.1	8.0	6.3	9.5	7.2	1.7	1.9	9.6	7.3
Black or African American	22.5	20.4	1.4	1.5	24.9	22.5	15.2	15.8	26.6	23.7	4.2	4.0	25.9	23.3
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	22.3^b	19.9	4.1^b	2.1	23.8^b	21.3	20.9^b	18.1	24.2^b	21.8	7.4^a	6.0	24.2^b	21.7
Two or More Races	25.1	23.4	1.9	1.5	29.7	27.0	22.6^a	14.8	31.5	30.1	5.0	5.7	31.6	28.4
Hispanic or Latino	13.4	13.0	1.8	2.1	15.2	14.7	12.0	11.6	15.9	15.4	3.8	4.1	15.9	15.2
EDUCATION LEVEL
< High School	da	da	da	da	31.0	30.4	22.4	20.1	32.3	32.2	da	da	32.7	32.4
High School Graduate	da	da	da	da	29.2^a	26.7	20.2^a	17.4	30.8	28.6	da	da	30.6	28.1
Some College/Associate’s Degree	da	da	da	da	23.7^b	20.6	15.6	13.6	25.5^b	22.1	da	da	24.8^b	21.3
College Graduate	da	da	da	da	10.3	10.0	13.7	12.8	10.1	9.8	da	da	10.3	10.0
EMPLOYMENT STATUS
Full-Time	da	da	da	da	21.9^a	20.4	21.0^a	18.3	22.0	20.6	da	da	22.1^a	20.5
Part-Time	da	da	da	da	19.0	17.0	13.7	12.0	20.9	18.9	da	da	20.5	18.3
Unemployed	da	da	da	da	35.4	31.3	23.0	19.3	39.4	36.3	da	da	38.2	33.6
Other²	da	da	da	da	20.8^b	18.4	14.3	12.7	21.5^a	19.0	da	da	21.3^b	18.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.16A – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	144,864	146,135	1,929	1,710	142,935	144,425	12,209	12,190	130,726	132,235	5,251	4,933	139,613	141,202
GENDER
Male	76,529	77,740	995	852	75,535	76,888	6,718	6,561	68,816	70,327	2,880	2,657	73,649	75,083
Female	68,335	68,396	934	858	67,400	67,538	5,490	5,629	61,910	61,909	2,371	2,276	65,963	66,119
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	125,051	124,945	1,495	1,299	123,555	123,645	9,740	9,568	113,815	114,077	4,086	3,800	120,964	121,144
AIAN	991	850	*	32	969	818	*	*	813	712	*	73	927	777
Asian	4,695	4,979	34	33	4,661	4,946	455	478	4,206	4,468	118	112	4,577	4,867
Black or African American	13,240	13,825	85^a	142	13,155	13,683	919	942	12,236	12,741	284	355	12,956	13,469
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	102,647	101,306	1,258	1,034	101,390	100,272	7,761	7,632	93,629	92,640	3,390	3,051	99,258	98,255
Two or More Races	2,935	3,228	60	56	2,875	3,172	387	365	2,488	2,807	181	203	2,755	3,025
Hispanic or Latino	19,813	21,191	434	411	19,380^a	20,780	2,468	2,622	16,912	18,158	1,165	1,133	18,649	20,058
EDUCATION LEVEL
< High School	da	da	da	da	14,806^b	13,321	1,381	1,301	13,425	12,019	da	da	14,204	12,697
High School Graduate	da	da	da	da	40,484	40,532	4,034	4,115	36,451	36,416	da	da	39,016	39,025
Some College/Associate’s Degree	da	da	da	da	45,999	46,189	4,782	4,720	41,217	41,468	da	da	44,748	45,109
College Graduate	da	da	da	da	41,646^b	44,385	2,012	2,053	39,633	42,332	da	da	41,644	44,370
EMPLOYMENT STATUS
Full-Time	da	da	da	da	65,528	68,421	5,468	5,844	60,061	62,577	da	da	64,462	67,236
Part-Time	da	da	da	da	15,905	16,610	2,450	2,499	13,455	14,111	da	da	15,028	15,732
Unemployed	da	da	da	da	7,544^b	5,958	1,328	1,251	6,216^b	4,706	da	da	7,162^b	5,579
Other²	da	da	da	da	53,958	53,437	2,963	2,596	50,995	50,841	da	da	52,961	52,655
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.16B – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	51.8	51.8	7.4	6.6	56.3	56.4	36.5	35.0	59.3	59.7	13.4	12.8	58.0	58.0
GENDER
Male	56.0	56.2	7.5	6.5	61.2	61.5	40.2	37.5	64.5	65.4	14.4	13.3	63.1	63.5
Female	47.8	47.6	7.3	6.8	51.7	51.5	32.8	32.5	54.5	54.4	12.4	12.2	53.2	52.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	54.4	54.1	7.7	6.8	58.6	58.3	38.0	36.1	61.5	61.5	14.1	13.2	60.1	59.9
AIAN	54.6	58.1	*	14.4	59.1	65.8	*	*	62.2	68.9	*	22.4	60.2	68.3
Asian	28.7	29.3	2.4	2.0	31.2	32.1	23.3	21.1	32.5	34.0	5.3	4.6	32.3	33.4
Black or African American	38.8	40.1	2.4^a	4.1	43.0	44.2	20.3	20.2	46.9	48.5	5.3	6.7	45.1	46.2
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	60.0	59.2	9.6	8.1	64.2	63.4	43.8	41.8	66.8	66.2	17.4	15.8	65.5	64.8
Two or More Races	53.7	54.9	6.7	6.8	62.9	62.8	41.8	36.4	68.3	69.4	13.5	15.8	66.7	65.9
Hispanic or Latino	39.8	41.6	6.5	6.2	44.9	47.0	31.6	31.7	47.9	50.4	11.5	11.5	47.1	48.9
EDUCATION LEVEL
< High School	da	da	da	da	52.4	54.7	37.5	36.3	54.6	57.9	da	da	54.7	57.6
High School Graduate	da	da	da	da	58.3	58.6	38.3	35.4	61.9	63.3	da	da	60.9	61.6
Some College/Associate’s Degree	da	da	da	da	59.6	59.4	33.8	34.0	65.4	64.9	da	da	62.4	61.8
College Graduate	da	da	da	da	52.7	52.2	39.6	36.0	53.6	53.4	da	da	52.7	52.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	57.3	57.8	43.0	41.5	59.1	60.0	da	da	58.0	58.6
Part-Time	da	da	da	da	52.3	50.6	30.0	28.4	60.6	58.7	da	da	56.9	55.0
Unemployed	da	da	da	da	57.7	54.1	41.9	39.0	62.7	60.3	da	da	61.2	57.5
Other²	da	da	da	da	56.2	56.8	31.5	29.8	58.9	59.6	da	da	57.9	58.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.17A – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	53,684^b	50,139	1,018	886	52,666^a	49,253	6,407	6,341	46,259^a	42,912	2,918	2,736	50,767^a	47,404
GENDER
Male	29,151	28,232	535	424	28,616	27,808	3,679	3,657	24,937	24,151	1,639	1,503	27,512	26,729
Female	24,533^b	21,908	483	462	24,050^b	21,446	2,728	2,685	21,322^b	18,761	1,278	1,233	23,254^b	20,675
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	46,159^b	42,834	797	668	45,362^b	42,166	5,255	5,088	40,107^a	37,078	2,308	2,129	43,851^a	40,705
AIAN	545	419	*	16	537	403	*	*	437	333	*	44	500	375
Asian	1,494	1,343	18	22	1,476	1,321	233	212	1,243	1,109	66	53	1,428	1,289
Black or African American	6,706	6,344	34^a	83	6,672	6,261	526	473	6,146	5,788	175	182	6,531	6,162
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	35,826^b	32,835	693	525	35,133^a	32,310	4,139	4,131	30,993^a	28,178	1,906	1,740	33,920^a	31,094
Two or More Races	1,302	1,466	21	21	1,281	1,445	231	186	1,050	1,259	93	107	1,209	1,360
Hispanic or Latino	7,525	7,305	221	218	7,304	7,087	1,152	1,253	6,151	5,834	609	607	6,916	6,699
EDUCATION LEVEL
< High School	da	da	da	da	8,534^a	7,513	879	821	7,655	6,692	da	da	8,182	7,161
High School Graduate	da	da	da	da	19,526	17,980	2,283	2,261	17,243	15,719	da	da	18,673	17,178
Some College/Associate’s Degree	da	da	da	da	17,198	15,945	2,446	2,359	14,752	13,586	da	da	16,504	15,258
College Graduate	da	da	da	da	7,408	7,816	799	900	6,609	6,916	da	da	7,408	7,806
EMPLOYMENT STATUS
Full-Time	da	da	da	da	22,198	22,449	2,707	2,869	19,491	19,581	da	da	21,605	21,780
Part-Time	da	da	da	da	5,914	5,848	1,336	1,447	4,579	4,401	da	da	5,399	5,292
Unemployed	da	da	da	da	4,549^b	3,598	732	673	3,817^b	2,924	da	da	4,354^b	3,374
Other²	da	da	da	da	20,005^b	17,358	1,633	1,352	18,372^a	16,006	da	da	19,408^a	16,957
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.17B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	19.2^b	17.8	3.9	3.4	20.7^b	19.2	19.1	18.2	21.0^b	19.4	7.5	7.1	21.1^b	19.5
GENDER
Male	21.3	20.4	4.0	3.2	23.2	22.2	22.0	20.9	23.4	22.4	8.2	7.5	23.6	22.6
Female	17.1^b	15.2	3.8	3.7	18.5^b	16.3	16.3	15.5	18.8^b	16.5	6.7	6.6	18.7^b	16.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	20.1^b	18.5	4.1	3.5	21.5^b	19.9	20.5	19.2	21.7^b	20.0	8.0	7.4	21.8^b	20.1
AIAN	30.0	28.6	*	7.4	32.7	32.4	*	*	33.4	32.2	*	13.4	32.5	33.0
Asian	9.1	7.9	1.3	1.4	9.9	8.6	11.9	9.3	9.6	8.4	3.0	2.2	10.1	8.8
Black or African American	19.6	18.4	1.0^a	2.4	21.8	20.2	11.6	10.1	23.6	22.0	3.3	3.4	22.7	21.1
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	20.9^b	19.2	5.3^a	4.1	22.2^b	20.4	23.4	22.6	22.1^b	20.1	9.8	9.0	22.4^b	20.5
Two or More Races	23.8	24.9	2.4	2.5	28.0	28.6	24.9	18.6	28.8	31.1	7.0	8.3	29.2	29.6
Hispanic or Latino	15.1	14.4	3.3	3.3	16.9	16.0	14.7	15.2	17.4	16.2	6.0	6.1	17.5	16.3
EDUCATION LEVEL
< High School	da	da	da	da	30.2	30.8	23.8	22.9	31.2	32.2	da	da	31.5	32.5
High School Graduate	da	da	da	da	28.1	26.0	21.6	19.5	29.3	27.3	da	da	29.1	27.1
Some College/Associate’s Degree	da	da	da	da	22.3^a	20.5	17.3	17.0	23.4^a	21.3	da	da	23.0^a	20.9
College Graduate	da	da	da	da	9.4	9.2	15.7	15.8	8.9	8.7	da	da	9.4	9.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	19.4	19.0	21.3	20.4	19.2	18.8	da	da	19.4	19.0
Part-Time	da	da	da	da	19.5	17.8	16.4	16.5	20.6	18.3	da	da	20.4	18.5
Unemployed	da	da	da	da	34.8	32.7	23.1	21.0	38.5	37.5	da	da	37.2	34.8
Other²	da	da	da	da	20.8^b	18.5	17.4	15.5	21.2^a	18.8	da	da	21.2^b	18.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.18A – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	44,763^b	41,062	432	319	44,331^b	40,743	3,959	3,729	40,372^b	37,014	1,399	1,211	43,364^a	39,852
GENDER
Male	24,039	22,840	250^a	135	23,790	22,706	2,210	2,186	21,580	20,520	804	624	23,235	22,216
Female	20,724^b	18,222	183	184	20,541^b	18,037	1,749	1,543	18,792^b	16,494	595	586	20,129^b	17,635
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	39,117^b	35,451	344	240	38,774^b	35,211	3,333	3,015	35,441^b	32,195	1,145	951	37,972^a	34,499
AIAN	477	339	1	6	476	332	*	*	395	291	*	17	453	321
Asian	1,211	911	2	13	1,209	898	136	106	1,074	792	24	30	1,187	882
Black or African American	5,853	5,452	14	19	5,838	5,434	351	358	5,487	5,076	88	70	5,764	5,383
NHOPI	174	*	*	*	*	*	*	*	*	*	*	*	*	*
White	30,259^b	27,152	320^a	197	29,939^a	26,955	2,580	2,389	27,360^a	24,566	966	784	29,293^a	26,368
Two or More Races	1,143	1,231	7	5	1,137	1,226	160	112	976	1,114	42	51	1,102	1,180
Hispanic or Latino	5,646	5,612	88	79	5,557	5,532	626	713	4,931	4,819	254	259	5,392	5,352
EDUCATION LEVEL
< High School	da	da	da	da	7,744^a	6,769	672	573	7,072	6,197	da	da	7,511	6,594
High School Graduate	da	da	da	da	17,212^a	15,510	1,544	1,427	15,668	14,083	da	da	16,761	15,089
Some College/Associate’s Degree	da	da	da	da	14,189^a	12,898	1,337	1,264	12,852	11,634	da	da	13,907	12,611
College Graduate	da	da	da	da	5,185	5,565	406	465	4,780	5,101	da	da	5,185	5,558
EMPLOYMENT STATUS
Full-Time	da	da	da	da	18,230	18,070	1,671	1,662	16,559	16,408	da	da	17,921	17,774
Part-Time	da	da	da	da	4,582	4,556	739	763	3,843	3,793	da	da	4,350	4,293
Unemployed	da	da	da	da	3,959^b	3,050	540	461	3,419^b	2,589	da	da	3,826^b	2,907
Other²	da	da	da	da	17,560^b	15,067	1,009	843	16,551^a	14,223	da	da	17,267^b	14,878
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.18B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	16.0^b	14.6	1.7	1.2	17.5^b	15.9	11.8	10.7	18.3^b	16.7	3.6	3.1	18.0^b	16.4
GENDER
Male	17.6	16.5	1.9^a	1.0	19.3	18.2	13.2	12.5	20.2	19.1	4.0	3.1	19.9	18.8
Female	14.5^b	12.7	1.4	1.5	15.8^b	13.7	10.5	8.9	16.5^b	14.5	3.1	3.1	16.2^b	14.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	17.0^b	15.3	1.8	1.3	18.4^b	16.6	13.0^a	11.4	19.2^b	17.4	4.0	3.3	18.9^b	17.1
AIAN	26.3	23.1	0.5	2.8	29.0	26.7	*	*	30.3	28.1	*	5.3	29.5	28.2
Asian	7.4	5.4	0.1	0.8	8.1	5.8	6.9	4.7	8.3	6.0	1.1	1.2	8.4	6.1
Black or African American	17.1	15.8	0.4	0.5	19.1	17.6	7.7	7.7	21.0	19.3	1.6	1.3	20.0	18.5
NHOPI	14.8	*	*	*	*	*	*	*	*	*	*	*	*	*
White	17.7^b	15.9	2.4^a	1.5	19.0^b	17.0	14.6	13.1	19.5^b	17.6	5.0	4.1	19.3^b	17.4
Two or More Races	20.9	20.9	0.8	0.6	24.9	24.3	17.3	11.2	26.8	27.5	3.1	3.9	26.7	25.7
Hispanic or Latino	11.3	11.0	1.3	1.2	12.9	12.5	8.0	8.6	14.0	13.4	2.5	2.6	13.6	13.0
EDUCATION LEVEL
< High School	da	da	da	da	27.4	27.8	18.2	16.0	28.8	29.8	da	da	29.0	29.9
High School Graduate	da	da	da	da	24.8^a	22.4	14.6^a	12.3	26.6	24.5	da	da	26.1	23.8
Some College/Associate’s Degree	da	da	da	da	18.4^a	16.6	9.4	9.1	20.4^a	18.2	da	da	19.4^a	17.3
College Graduate	da	da	da	da	6.6	6.5	8.0	8.2	6.5	6.4	da	da	6.6	6.5
EMPLOYMENT STATUS
Full-Time	da	da	da	da	15.9	15.3	13.1	11.8	16.3	15.7	da	da	16.1	15.5
Part-Time	da	da	da	da	15.1	13.9	9.1	8.7	17.3	15.8	da	da	16.5	15.0
Unemployed	da	da	da	da	30.3	27.7	17.0	14.4	34.5	33.2	da	da	32.7	30.0
Other²	da	da	da	da	18.3^b	16.0	10.7	9.7	19.1^b	16.7	da	da	18.9^b	16.5
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.19A – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	39,664	38,828	653^b	397	39,011	38,431	4,356^b	3,693	34,655	34,737	1,676^a	1,342	37,988	37,486
GENDER
Male	31,783	32,761	468^b	258	31,315	32,503	3,186	2,910	28,129	29,593	1,223^a	1,002	30,560	31,759
Female	7,881^b	6,067	185	139	7,696^b	5,928	1,170^b	783	6,526^b	5,144	453	339	7,428^b	5,727
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	35,926	34,970	548^b	339	35,378	34,631	3,737^b	3,154	31,641	31,477	1,418^a	1,140	34,507	33,830
AIAN	356	355	*	3	334	352	*	31	252	320	*	18	325	337
Asian	643	761	1	*	642	761	92	71	549	690	13	14	630	748
Black or African American	2,340	2,188	24	51	2,315	2,137	235	192	2,080	1,945	124	97	2,215	2,092
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	31,298	30,597	475^b	271	30,823	30,326	3,172	2,766	27,651	27,560	1,195^a	953	30,103	29,644
Two or More Races	978	815	25	13	954	802	136	92	817	710	54	59	924	756
Hispanic or Latino	3,738	3,858	105	59	3,633	3,800	619	539	3,015	3,260	257	201	3,481	3,657
EDUCATION LEVEL
< High School	da	da	da	da	3,390	2,897	421	421	2,969	2,476	da	da	3,220	2,706
High School Graduate	da	da	da	da	11,128	11,312	1,437	1,426	9,690	9,886	da	da	10,678	10,850
Some College/Associate’s Degree	da	da	da	da	13,577^a	12,205	1,669^b	1,250	11,908	10,955	da	da	13,175	11,915
College Graduate	da	da	da	da	10,916	12,018	829^a	597	10,088^a	11,420	da	da	10,916	12,016
EMPLOYMENT STATUS
Full-Time	da	da	da	da	22,086	23,135	2,243	2,010	19,843	21,124	da	da	21,737	22,699
Part-Time	da	da	da	da	4,070	4,168	785	670	3,285	3,498	da	da	3,803	3,949
Unemployed	da	da	da	da	2,332^b	1,654	458	390	1,874^b	1,264	da	da	2,183^b	1,530
Other²	da	da	da	da	10,523	9,474	870^a	623	9,653	8,851	da	da	10,266	9,308
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.19B – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	14.2	13.8	2.5^b	1.5	15.4	15.0	13.0^b	10.6	15.7	15.7	4.3^a	3.5	15.8	15.4
GENDER
Male	23.2	23.7	3.5^b	2.0	25.4	26.0	19.0^a	16.6	26.4	27.5	6.1^a	5.0	26.2	26.9
Female	5.5^b	4.2	1.5	1.1	5.9^b	4.5	7.0^b	4.5	5.7^b	4.5	2.4	1.8	6.0^b	4.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15.6	15.1	2.8^b	1.8	16.8	16.3	14.6^b	11.9	17.1	17.0	4.9^a	4.0	17.2	16.7
AIAN	19.6	24.3	*	1.6	20.4	28.3	*	14.9	19.3^a	31.0	*	5.6	21.1	29.6
Asian	3.9	4.5	0.1	*	4.3	4.9	4.7	3.1	4.2	5.2	0.6	0.6	4.4	5.1
Black or African American	6.9	6.4	0.7	1.5	7.6	6.9	5.2	4.1	8.0	7.4	2.3	1.8	7.7	7.2
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	18.3	17.9	3.6^b	2.1	19.5	19.2	17.9^b	15.2	19.7	19.7	6.1^a	4.9	19.9	19.5
Two or More Races	17.9	13.9	2.7	1.5	20.9	15.9	14.7	9.1	22.4	17.6	4.1	4.6	22.4	16.5
Hispanic or Latino	7.5	7.6	1.6	0.9	8.4	8.6	7.9	6.5	8.5	9.1	2.5	2.0	8.8	8.9
EDUCATION LEVEL
< High School	da	da	da	da	12.0	11.9	11.4	11.7	12.1	11.9	da	da	12.4	12.3
High School Graduate	da	da	da	da	16.0	16.4	13.6	12.3	16.5	17.2	da	da	16.7	17.1
Some College/Associate’s Degree	da	da	da	da	17.6^a	15.7	11.8^b	9.0	18.9	17.1	da	da	18.4^a	16.3
College Graduate	da	da	da	da	13.8	14.1	16.3^b	10.5	13.6	14.4	da	da	13.8	14.1
EMPLOYMENT STATUS
Full-Time	da	da	da	da	19.3	19.5	17.6^b	14.3	19.5	20.3	da	da	19.6	19.8
Part-Time	da	da	da	da	13.4	12.7	9.6	7.6	14.8	14.6	da	da	14.4	13.8
Unemployed	da	da	da	da	17.8	15.0	14.4	12.1	18.9	16.2	da	da	18.7	15.8
Other²	da	da	da	da	11.0	10.1	9.2^a	7.2	11.1	10.4	da	da	11.2	10.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	10,224^b	8,290	364^b	188	9,860^b	8,102	1,639	1,475	8,221^b	6,627	779	651	9,445^b	7,639
GENDER
Male	8,705^b	7,346	274^b	118	8,431^a	7,229	1,250	1,227	7,181^a	6,002	580	487	8,125^a	6,860
Female	1,519^b	944	90	70	1,429^b	873	389^a	248	1,041^b	625	199	164	1,320^b	780
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	9,272^b	7,544	311^b	147	8,961^b	7,396	1,445	1,254	7,516^b	6,142	658	535	8,614^b	7,008
AIAN	88	103	*	2	68	101	21	10	47	91	*	6	65	97
Asian	108	158	*	*	108	158	18	42	90	116	*	5	108	154
Black or African American	672	524	16	32	656	491	108	80	548	411	55	62	617	462
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	8,149^b	6,487	266^b	105	7,883^b	6,382	1,262	1,108	6,622^b	5,274	567	450	7,582^b	6,037
Two or More Races	176	159	8	8	168	151	30^a	12	138	139	11	12	165	146
Hispanic or Latino	952	746	53	41	899	706	194	221	705	484	121	116	831	631
EDUCATION LEVEL
< High School	da	da	da	da	1,332^a	884	172	175	1,160^a	709	da	da	1,259^b	792
High School Graduate	da	da	da	da	3,559	3,202	568	517	2,991	2,685	da	da	3,377	3,011
Some College/Associate’s Degree	da	da	da	da	3,292^b	2,460	677	564	2,615^a	1,897	da	da	3,133^b	2,281
College Graduate	da	da	da	da	1,677	1,556	221	219	1,456	1,337	da	da	1,676	1,555
EMPLOYMENT STATUS
Full-Time	da	da	da	da	5,743^a	4,769	879	765	4,864^a	4,004	da	da	5,590^a	4,572
Part-Time	da	da	da	da	929	1,037	314	316	615	721	da	da	819	915
Unemployed	da	da	da	da	673^a	416	156	129	517^a	287	da	da	621^a	366
Other²	da	da	da	da	2,515	1,880	289	264	2,226	1,616	da	da	2,415	1,787
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.20B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	3.7^b	2.9	1.4^b	0.7	3.9^b	3.2	4.9	4.2	3.7^b	3.0	2.0	1.7	3.9^b	3.1
GENDER
Male	6.4^b	5.3	2.1^b	0.9	6.8^a	5.8	7.5	7.0	6.7^a	5.6	2.9	2.4	7.0^b	5.8
Female	1.1^b	0.7	0.7	0.6	1.1^b	0.7	2.3^a	1.4	0.9^b	0.5	1.0	0.9	1.1^b	0.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.0^b	3.3	1.6^b	0.8	4.3^b	3.5	5.6^a	4.7	4.1^b	3.3	2.3	1.9	4.3^b	3.5
AIAN	4.9	7.1	*	1.1	4.1	8.1	6.3	4.5	3.6	8.8	*	2.0	4.2	8.5
Asian	0.7	0.9	*	*	0.7	1.0	0.9	1.9	0.7	0.9	*	0.2	0.8	1.1
Black or African American	2.0	1.5	0.5	0.9	2.1	1.6	2.4	1.7	2.1	1.6	1.0	1.2	2.1	1.6
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	4.8^b	3.8	2.0^b	0.8	5.0^b	4.0	7.1	6.1	4.7^b	3.8	2.9	2.3	5.0^b	4.0
Two or More Races	3.2	2.7	0.9	0.9	3.7	3.0	3.3^a	1.2	3.8	3.4	0.8	1.0	4.0	3.2
Hispanic or Latino	1.9	1.5	0.8	0.6	2.1	1.6	2.5	2.7	2.0	1.3	1.2	1.2	2.1	1.5
EDUCATION LEVEL
< High School	da	da	da	da	4.7	3.6	4.7	4.9	4.7	3.4	da	da	4.9	3.6
High School Graduate	da	da	da	da	5.1	4.6	5.4	4.5	5.1	4.7	da	da	5.3	4.8
Some College/Associate’s Degree	da	da	da	da	4.3^b	3.2	4.8	4.1	4.1^b	3.0	da	da	4.4^b	3.1
College Graduate	da	da	da	da	2.1	1.8	4.4	3.8	2.0	1.7	da	da	2.1	1.8
EMPLOYMENT STATUS
Full-Time	da	da	da	da	5.0^b	4.0	6.9^a	5.4	4.8^b	3.8	da	da	5.0^b	4.0
Part-Time	da	da	da	da	3.1	3.2	3.8	3.6	2.8	3.0	da	da	3.1	3.2
Unemployed	da	da	da	da	5.1	3.8	4.9	4.0	5.2	3.7	da	da	5.3	3.8
Other²	da	da	da	da	2.6	2.0	3.1	3.0	2.6	1.9	da	da	2.6	2.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	7,634^b	6,084	157^b	59	7,478^b	6,026	1,003	818	6,474^b	5,207	374	304	7,261^b	5,780
GENDER
Male	6,726^b	5,538	102^a	44	6,624^a	5,494	795	684	5,829^a	4,810	262	232	6,464^a	5,306
Female	908^b	546	55^a	15	854^a	532	208	135	646^a	397	111	72	797^a	475
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,126^b	5,627	147^b	45	6,979^b	5,582	921^a	720	6,058^b	4,862	345	264	6,781^b	5,363
AIAN	69	67	*	0	56	66	15	6	42	61	*	1	53	66
Asian	93	81	*	*	93	81	3	15	89	66	*	1	92	80
Black or African American	474	346	3	9	471	337	51	61	420	276	23	31	451	316
NHOPI	16	*	*	*	15	*	*	*	*	*	*	*	15	*
White	6,337^b	4,910	126^b	29	6,211^b	4,881	826^a	630	5,385^a	4,250	299	222	6,039^b	4,687
Two or More Races	138	116	4	6	133	110	20	7	113	103	7	9	131	108
Hispanic or Latino	508	458	9	14	499	444	82	98	417	346	29	40	480	418
EDUCATION LEVEL
< High School	da	da	da	da	989	677	87	113	902^a	564	da	da	961^a	611
High School Graduate	da	da	da	da	2,745	2,509	354	341	2,391	2,168	da	da	2,658	2,400
Some College/Associate’s Degree	da	da	da	da	2,492^b	1,727	450^b	258	2,042^a	1,469	da	da	2,390^b	1,658
College Graduate	da	da	da	da	1,251	1,113	112	107	1,139	1,006	da	da	1,251	1,111
EMPLOYMENT STATUS
Full-Time	da	da	da	da	4,484^a	3,652	600	474	3,885	3,178	da	da	4,396^a	3,527
Part-Time	da	da	da	da	687	618	130	163	556	456	da	da	630	550
Unemployed	da	da	da	da	504^b	241	111	73	393^a	168	da	da	476^b	219
Other²	da	da	da	da	1,803	1,515	163	109	1,640	1,405	da	da	1,759	1,485
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.21B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	2.7^b	2.2	0.6^b	0.2	2.9^b	2.4	3.0^a	2.4	2.9^b	2.4	1.0	0.8	3.0^b	2.4
GENDER
Male	4.9^b	4.0	0.8^a	0.3	5.4^b	4.4	4.8	3.9	5.5^a	4.5	1.3	1.2	5.5^b	4.5
Female	0.6^b	0.4	0.4^a	0.1	0.7^a	0.4	1.2	0.8	0.6^a	0.3	0.6	0.4	0.6^b	0.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.1^b	2.4	0.8^b	0.2	3.3^b	2.6	3.6^a	2.7	3.3^b	2.6	1.2	0.9	3.4^b	2.7
AIAN	3.8	4.6	*	0.2	3.4	5.3	4.4	2.7	3.2	5.9	*	0.3	3.5	5.8
Asian	0.6	0.5	*	*	0.6	0.5	0.2	0.6	0.7	0.5	*	0.1	0.7	0.5
Black or African American	1.4	1.0	0.1	0.3	1.5	1.1	1.1	1.3	1.6	1.1	0.4	0.6	1.6	1.1
NHOPI	1.3	*	*	*	1.5	*	*	*	*	*	*	*	1.5	*
White	3.7^b	2.9	1.0^b	0.2	3.9^b	3.1	4.7^a	3.5	3.8^b	3.0	1.5	1.2	4.0^b	3.1
Two or More Races	2.5	2.0	0.5	0.8	2.9	2.2	2.1	0.7	3.1	2.5	0.5	0.7	3.2	2.3
Hispanic or Latino	1.0	0.9	0.1	0.2	1.2	1.0	1.1	1.2	1.2	1.0	0.3	0.4	1.2	1.0
EDUCATION LEVEL
< High School	da	da	da	da	3.5	2.8	2.4	3.1	3.7	2.7	da	da	3.7	2.8
High School Graduate	da	da	da	da	4.0	3.6	3.4	2.9	4.1	3.8	da	da	4.1	3.8
Some College/Associate’s Degree	da	da	da	da	3.2^b	2.2	3.2^b	1.9	3.2^a	2.3	da	da	3.3^b	2.3
College Graduate	da	da	da	da	1.6	1.3	2.2	1.9	1.5	1.3	da	da	1.6	1.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	3.9^b	3.1	4.7^a	3.4	3.8^a	3.0	da	da	4.0^b	3.1
Part-Time	da	da	da	da	2.3	1.9	1.6	1.8	2.5	1.9	da	da	2.4	1.9
Unemployed	da	da	da	da	3.8^a	2.2	3.5	2.3	4.0	2.1	da	da	4.1^a	2.3
Other²	da	da	da	da	1.9	1.6	1.7	1.3	1.9	1.6	da	da	1.9	1.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.22A – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	67,445	--	4,872	--	62,574	--	17,268	--	45,306	--	10,799	--	56,646
GENDER
Male	--	36,469	--	2,153	--	34,316	--	8,772	--	25,544	--	5,256	--	31,213
Female	--	30,976	--	2,719	--	28,258	--	8,496	--	19,762	--	5,543	--	25,433
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	55,235	--	3,587	--	51,648	--	13,419	--	38,229	--	8,061	--	47,174
AIAN	--	497	--	57	--	440	--	*	--	312	--	117	--	380
Asian	--	2,451	--	142	--	2,309	--	732	--	1,577	--	369	--	2,082
Black or African American	--	6,970	--	657	--	6,313	--	1,769	--	4,544	--	1,267	--	5,703
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	42,809	--	2,544	--	40,265	--	10,198	--	30,067	--	5,876	--	36,933
Two or More Races	--	2,104	--	178	--	1,927	--	551	--	1,376	--	413	--	1,691
Hispanic or Latino	--	12,210	--	1,285	--	10,925	--	3,849	--	7,077	--	2,738	--	9,472
EDUCATION LEVEL
< High School	da	da	da	da	--	5,706	--	1,667	--	4,040	da	da	--	4,707
High School Graduate	da	da	da	da	--	19,081	--	5,767	--	13,314	da	da	--	16,427
Some College/Associate’s Degree	da	da	da	da	--	23,583	--	7,150	--	16,433	da	da	--	21,328
College Graduate	da	da	da	da	--	14,204	--	2,684	--	11,519	da	da	--	14,184
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	34,193	--	8,008	--	26,185	da	da	--	32,074
Part-Time	da	da	da	da	--	9,269	--	4,112	--	5,157	da	da	--	7,461
Unemployed	da	da	da	da	--	4,092	--	1,667	--	2,425	da	da	--	3,389
Other²	da	da	da	da	--	15,019	--	3,480	--	11,539	da	da	--	13,722
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.22B – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	23.9	--	18.9	--	24.4	--	49.6	--	20.5	--	27.9	--	23.3
GENDER
Male	--	26.4	--	16.4	--	27.4	--	50.2	--	23.7	--	26.2	--	26.4
Female	--	21.5	--	21.6	--	21.5	--	49.1	--	17.4	--	29.8	--	20.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	23.9	--	18.8	--	24.4	--	50.6	--	20.6	--	28.0	--	23.3
AIAN	--	34.0	--	25.9	--	35.4	--	*	--	30.2	--	36.0	--	33.4
Asian	--	14.4	--	8.8	--	15.0	--	32.3	--	12.0	--	15.1	--	14.3
Black or African American	--	20.2	--	18.7	--	20.4	--	37.9	--	17.3	--	24.0	--	19.6
NHOPI	--	*	--	*	--	*	--	*	--	*	--	*	--	*
White	--	25.0	--	19.8	--	25.5	--	55.9	--	21.5	--	30.4	--	24.3
Two or More Races	--	35.8	--	21.3	--	38.2	--	54.9	--	34.0	--	32.1	--	36.8
Hispanic or Latino	--	24.0	--	19.3	--	24.7	--	46.6	--	19.7	--	27.7	--	23.1
EDUCATION LEVEL
< High School	da	da	da	da	--	23.4	--	46.5	--	19.4	da	da	--	21.4
High School Graduate	da	da	da	da	--	27.6	--	49.6	--	23.1	da	da	--	25.9
Some College/Associate’s Degree	da	da	da	da	--	30.3	--	51.5	--	25.7	da	da	--	29.2
College Graduate	da	da	da	da	--	16.7	--	47.1	--	14.5	da	da	--	16.7
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	28.9	--	56.9	--	25.1	da	da	--	27.9
Part-Time	da	da	da	da	--	28.2	--	46.8	--	21.5	da	da	--	26.1
Unemployed	da	da	da	da	--	37.1	--	51.9	--	31.1	da	da	--	34.9
Other²	da	da	da	da	--	16.0	--	40.0	--	13.5	da	da	--	15.2
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.23A – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	35,101	--	3,559	--	31,542	--	11,608	--	19,934	--	7,846	--	27,255
GENDER
Male	--	18,488	--	1,462	--	17,027	--	6,006	--	11,021	--	3,681	--	14,807
Female	--	16,613	--	2,097	--	14,515	--	5,603	--	8,913	--	4,165	--	12,447
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	28,376	--	2,604	--	25,773	--	9,087	--	16,685	--	5,861	--	22,515
AIAN	--	292	--	40	--	252	--	*	--	146	--	94	--	198
Asian	--	1,282	--	87	--	1,196	--	489	--	706	--	246	--	1,036
Black or African American	--	3,808	--	535	--	3,273	--	1,152	--	2,121	--	950	--	2,858
NHOPI	--	164	--	*	--	157	--	*	--	*	--	*	--	*
White	--	21,608	--	1,800	--	19,808	--	6,918	--	12,890	--	4,258	--	17,350
Two or More Races	--	1,223	--	135	--	1,089	--	387	--	702	--	301	--	922
Hispanic or Latino	--	6,725	--	955	--	5,769	--	2,521	--	3,249	--	1,985	--	4,739
EDUCATION LEVEL
< High School	da	da	da	da	--	3,101	--	1,194	--	1,907	da	da	--	2,412
High School Graduate	da	da	da	da	--	10,411	--	4,173	--	6,238	da	da	--	8,472
Some College/Associate’s Degree	da	da	da	da	--	12,393	--	4,843	--	7,550	da	da	--	10,740
College Graduate	da	da	da	da	--	5,637	--	1,398	--	4,239	da	da	--	5,630
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	16,951	--	5,423	--	11,528	da	da	--	15,366
Part-Time	da	da	da	da	--	5,048	--	2,755	--	2,293	da	da	--	3,766
Unemployed	da	da	da	da	--	2,428	--	1,148	--	1,279	da	da	--	1,897
Other²	da	da	da	da	--	7,116	--	2,282	--	4,833	da	da	--	6,225
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.23B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	12.4	--	13.8	--	12.3	--	33.4	--	9.0	--	20.3	--	11.2
GENDER
Male	--	13.4	--	11.1	--	13.6	--	34.3	--	10.2	--	18.4	--	12.5
Female	--	11.6	--	16.7	--	11.1	--	32.4	--	7.8	--	22.4	--	9.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	12.3	--	13.6	--	12.2	--	34.3	--	9.0	--	20.4	--	11.1
AIAN	--	19.9	--	18.2	--	20.2	--	*	--	14.2	--	28.9	--	17.4
Asian	--	7.5	--	5.4	--	7.8	--	21.6	--	5.4	--	10.0	--	7.1
Black or African American	--	11.1	--	15.2	--	10.6	--	24.7	--	8.1	--	18.0	--	9.8
NHOPI	--	12.9	--	*	--	12.9	--	*	--	*	--	*	--	*
White	--	12.6	--	14.0	--	12.5	--	37.9	--	9.2	--	22.0	--	11.4
Two or More Races	--	20.8	--	16.1	--	21.6	--	38.6	--	17.3	--	23.3	--	20.1
Hispanic or Latino	--	13.2	--	14.4	--	13.0	--	30.5	--	9.0	--	20.1	--	11.6
EDUCATION LEVEL
< High School	da	da	da	da	--	12.7	--	33.3	--	9.2	da	da	--	10.9
High School Graduate	da	da	da	da	--	15.1	--	35.9	--	10.8	da	da	--	13.4
Some College/Associate’s Degree	da	da	da	da	--	15.9	--	34.9	--	11.8	da	da	--	14.7
College Graduate	da	da	da	da	--	6.6	--	24.5	--	5.3	da	da	--	6.6
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	14.3	--	38.5	--	11.1	da	da	--	13.4
Part-Time	da	da	da	da	--	15.4	--	31.3	--	9.5	da	da	--	13.2
Unemployed	da	da	da	da	--	22.0	--	35.8	--	16.4	da	da	--	19.6
Other²	da	da	da	da	--	7.6	--	26.2	--	5.7	da	da	--	6.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.24A – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	23,503	--	1,769	--	21,733	--	8,335	--	13,399	--	4,719	--	18,784
GENDER
Male	--	12,834	--	701	--	12,133	--	4,447	--	7,687	--	2,249	--	10,585
Female	--	10,669	--	1,069	--	9,600	--	3,888	--	5,712	--	2,470	--	8,199
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	19,282	--	1,356	--	17,926	--	6,683	--	11,243	--	3,704	--	15,578
AIAN	--	184	--	19	--	164	--	*	--	100	--	58	--	126
Asian	--	929	--	47	--	882	--	310	--	572	--	133	--	796
Black or African American	--	2,093	--	211	--	1,882	--	758	--	1,124	--	465	--	1,628
NHOPI	--	133	--	*	--	*	--	*	--	*	--	*	--	*
White	--	15,137	--	1,011	--	14,126	--	5,250	--	8,876	--	2,853	--	12,284
Two or More Races	--	807	--	61	--	746	--	275	--	471	--	188	--	619
Hispanic or Latino	--	4,220	--	413	--	3,807	--	1,652	--	2,156	--	1,015	--	3,206
EDUCATION LEVEL
< High School	da	da	da	da	--	1,994	--	905	--	1,089	da	da	--	1,456
High School Graduate	da	da	da	da	--	7,410	--	3,065	--	4,345	da	da	--	6,092
Some College/Associate’s Degree	da	da	da	da	--	8,644	--	3,414	--	5,231	da	da	--	7,557
College Graduate	da	da	da	da	--	3,684	--	950	--	2,734	da	da	--	3,678
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	12,105	--	4,039	--	8,066	da	da	--	10,953
Part-Time	da	da	da	da	--	3,467	--	1,863	--	1,604	da	da	--	2,685
Unemployed	da	da	da	da	--	1,681	--	858	--	823	da	da	--	1,304
Other²	da	da	da	da	--	4,481	--	1,575	--	2,906	da	da	--	3,842
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.24B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	8.3	--	6.9	--	8.5	--	24.0	--	6.0	--	12.2	--	7.7
GENDER
Male	--	9.3	--	5.3	--	9.7	--	25.4	--	7.1	--	11.2	--	9.0
Female	--	7.4	--	8.5	--	7.3	--	22.5	--	5.0	--	13.3	--	6.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	--	8.3	--	7.1	--	8.5	--	25.2	--	6.1	--	12.9	--	7.7
AIAN	--	12.6	--	8.9	--	13.2	--	*	--	9.6	--	17.9	--	11.1
Asian	--	5.5	--	2.9	--	5.7	--	13.7	--	4.4	--	5.4	--	5.5
Black or African American	--	6.1	--	6.0	--	6.1	--	16.2	--	4.3	--	8.8	--	5.6
NHOPI	--	10.4	--	*	--	*	--	*	--	*	--	*	--	*
White	--	8.9	--	7.9	--	8.9	--	28.8	--	6.3	--	14.8	--	8.1
Two or More Races	--	13.7	--	7.3	--	14.8	--	27.4	--	11.6	--	14.6	--	13.5
Hispanic or Latino	--	8.3	--	6.2	--	8.6	--	20.0	--	6.0	--	10.3	--	7.8
EDUCATION LEVEL
< High School	da	da	da	da	--	8.2	--	25.2	--	5.2	da	da	--	6.6
High School Graduate	da	da	da	da	--	10.7	--	26.4	--	7.6	da	da	--	9.6
Some College/Associate’s Degree	da	da	da	da	--	11.1	--	24.6	--	8.2	da	da	--	10.3
College Graduate	da	da	da	da	--	4.3	--	16.7	--	3.4	da	da	--	4.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	--	10.2	--	28.7	--	7.7	da	da	--	9.5
Part-Time	da	da	da	da	--	10.6	--	21.2	--	6.7	da	da	--	9.4
Unemployed	da	da	da	da	--	15.3	--	26.7	--	10.5	da	da	--	13.4
Other²	da	da	da	da	--	4.8	--	18.1	--	3.4	da	da	--	4.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.25A – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	220,002	221,306	6,187	5,745	213,815	215,561	25,058^a	25,747	188,757	189,814	13,869	13,224	206,133	208,082
GENDER
Male	109,690	110,160	2,741	2,662	106,949	107,498	12,234	12,512	94,715	94,987	6,578	6,468	103,112	103,692
Female	110,312	111,146	3,446^a	3,083	106,866	108,063	12,824^a	13,235	94,043	94,828	7,291	6,755	103,021	104,390
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	184,717	184,503	4,432	4,196	180,285	180,307	19,532	19,806	160,753	160,501	10,123	9,844	174,594	174,659
AIAN	1,449^a	976	*	53	1,384^b	922	*	*	1,119^a	787	*	101	1,311^a	874
Asian	10,008	10,066	150	173	9,859	9,893	1,171	1,365	8,688	8,527	441	536	9,567	9,529
Black or African American	23,673	24,055	497	610	23,176	23,445	2,983	2,955	20,193	20,490	1,351	1,439	22,322	22,616
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	144,595	144,051	3,448	3,153	141,147	140,898	14,314	14,540	126,833	126,358	7,646	7,295	136,948	136,755
Two or More Races	4,196	4,468	196	195	4,000	4,273	697	731	3,303	3,541	451	447	3,745	4,021
Hispanic or Latino	35,285^a	36,803	1,756	1,549	33,530^b	35,254	5,525^b	5,941	28,004^a	29,313	3,746	3,380	31,540	33,423
EDUCATION LEVEL
< High School	da	da	da	da	19,897^b	16,581	2,225	2,098	17,673^b	14,483	da	da	18,746^b	15,407
High School Graduate	da	da	da	da	54,966	54,483	7,126	7,686	47,840	46,797	da	da	52,041	51,364
Some College/Associate’s Degree	da	da	da	da	67,481	68,109	11,090	10,850	56,390	57,259	da	da	63,882	64,955
College Graduate	da	da	da	da	71,470^b	76,388	4,616	5,113	66,854^a	71,275	da	da	71,465^a	76,357
EMPLOYMENT STATUS
Full-Time	da	da	da	da	102,221	105,907	10,711^a	11,719	91,510	94,188	da	da	100,050	103,472
Part-Time	da	da	da	da	25,559	27,324	6,116	6,503	19,443	20,821	da	da	22,989	24,759
Unemployed	da	da	da	da	10,542^b	8,515	2,234	2,260	8,308^b	6,255	da	da	9,786^b	7,779
Other²	da	da	da	da	75,492	73,815	5,996^a	5,265	69,496	68,551	da	da	73,309	72,073
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.25B – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	78.6	78.5	23.8	22.3	84.2	84.1	74.9	74.0	85.7	85.7	35.5	34.2	85.6	85.5
GENDER
Male	80.2	79.7	20.6	20.2	86.6	85.9	73.2	71.5	88.7	88.3	32.8	32.3	88.3	87.7
Female	77.1	77.3	27.1	24.5	82.0	82.4	76.6	76.5	82.8	83.3	38.3	36.3	83.1	83.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	80.3	79.8	22.9	22.0	85.6	85.0	76.2	74.7	86.9	86.5	35.0	34.2	86.8	86.3
AIAN	79.9^b	66.7	*	24.2	84.4^a	74.2	*	*	85.6	76.2	*	31.1	85.2	76.8
Asian	61.1	59.1	10.3	10.8	66.1	64.2	59.9	60.3	67.0	64.9	19.9	21.9	67.6	65.4
Black or African American	69.4	69.8	14.1	17.4	75.7	75.8	65.8	63.3	77.5	78.0	25.1	27.2	77.6	77.6
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	84.5	84.2	26.2	24.5	89.4	89.1	80.8	79.7	90.4	90.3	39.2	37.8	90.3	90.1
Two or More Races	76.7	76.0	21.8	23.4	87.6	84.6	75.2	72.9	90.7	87.6	33.8	34.7	90.6	87.6
Hispanic or Latino	70.9	72.3	26.4	23.3	77.7	79.7	70.6	71.9	79.3	81.4	36.9	34.2	79.6	81.5
EDUCATION LEVEL
< High School	da	da	da	da	70.4	68.1	60.3	58.5	71.9	69.7	da	da	72.3	69.9
High School Graduate	da	da	da	da	79.2	78.8	67.6	66.2	81.3	81.3	da	da	81.2	81.1
Some College/Associate’s Degree	da	da	da	da	87.4	87.6	78.4	78.1	89.5	89.6	da	da	89.1	88.9
College Graduate	da	da	da	da	90.5	89.9	90.9	89.8	90.5	89.9	da	da	90.5	89.9
EMPLOYMENT STATUS
Full-Time	da	da	da	da	89.4	89.5	84.3	83.3	90.1	90.3	da	da	90.1	90.1
Part-Time	da	da	da	da	84.1	83.2	74.9	74.0	87.5	86.6	da	da	87.0	86.5
Unemployed	da	da	da	da	80.6	77.3	70.5	70.4	83.8	80.1	da	da	83.7	80.2
Other²	da	da	da	da	78.6	78.5	63.7	60.4	80.2	80.3	da	da	80.1	79.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.26A – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	174,266	176,975	4,779^a	4,301	169,487	172,675	22,790^a	23,608	146,696	149,067	11,476	10,934	162,790	166,041
GENDER
Male	87,108	88,983	2,047	1,930	85,061	87,053	11,176	11,513	73,885	75,539	5,441	5,358	81,667	83,624
Female	87,157	87,992	2,732^a	2,370	84,426	85,622	11,614^a	12,094	72,812	73,528	6,035	5,575	81,123	82,417
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	145,790	146,782	3,413	3,207	142,377	143,575	17,865	18,283	124,512	125,293	8,388	8,259	137,402	138,523
AIAN	1,023^a	688	*	35	987^a	653	*	*	730	532	*	76	919^a	612
Asian	7,508	8,348	101	135	7,406	8,213	1,033	1,240	6,374	6,973	340	458	7,167	7,890
Black or African American	18,863	18,817	337	396	18,526	18,421	2,646	2,637	15,880	15,784	1,051	1,100	17,812	17,717
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	114,463	114,835	2,709	2,480	111,755	112,356	13,244	13,542	98,510	98,813	6,436	6,240	108,028	108,595
Two or More Races	3,372	3,554	155	150	3,217	3,405	621	673	2,596	2,731	366	363	3,006	3,191
Hispanic or Latino	28,476^a	30,193	1,366^a	1,094	27,110^b	29,099	4,926^a	5,325	22,184^a	23,774	3,088	2,675	25,388	27,518
EDUCATION LEVEL
< High School	da	da	da	da	13,280^b	11,281	1,813	1,726	11,466^a	9,555	da	da	12,362^b	10,336
High School Graduate	da	da	da	da	40,014	40,177	6,278	6,709	33,736	33,468	da	da	37,492	37,472
Some College/Associate’s Degree	da	da	da	da	54,612	54,675	10,273	10,247	44,339	44,428	da	da	51,360	51,722
College Graduate	da	da	da	da	61,581^b	66,542	4,425	4,926	57,156^a	61,616	da	da	61,576^a	66,511
EMPLOYMENT STATUS
Full-Time	da	da	da	da	87,631	91,323	9,912^a	10,978	77,719	80,346	da	da	85,732	89,108
Part-Time	da	da	da	da	20,839^a	22,870	5,658	5,994	15,182^a	16,876	da	da	18,517^a	20,579
Unemployed	da	da	da	da	8,648^b	6,598	2,049	1,998	6,599^b	4,599	da	da	7,971^b	5,972
Other²	da	da	da	da	52,368	51,884	5,172	4,638	47,197	47,246	da	da	50,570	50,382
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.26B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	62.3	62.8	18.4^a	16.7	66.8	67.4	68.1	67.9	66.6	67.3	29.4	28.3	67.6	68.2
GENDER
Male	63.7	64.4	15.4	14.7	68.9	69.6	66.8	65.8	69.2	70.2	27.1	26.8	70.0	70.7
Female	60.9	61.2	21.5^a	18.9	64.8	65.3	69.4	69.9	64.1	64.6	31.7	29.9	65.4	65.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	63.4	63.5	17.6	16.8	67.6	67.7	69.7	68.9	67.3	67.5	29.0	28.7	68.3	68.5
AIAN	56.4	47.1	*	15.9	60.1	52.6	*	*	55.9	51.5	*	23.5	59.7	53.8
Asian	45.9	49.1	7.0	8.4	49.7	53.3	52.9	54.7	49.2	53.0	15.3	18.7	50.6	54.2
Black or African American	55.3	54.6	9.6	11.3	60.5	59.6	58.4	56.5	60.9	60.1	19.5	20.8	62.0	60.8
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	66.9	67.1	20.6	19.3	70.8	71.0	74.8	74.2	70.2	70.6	33.0	32.3	71.3	71.6
Two or More Races	61.7	60.4	17.2	18.0	70.4	67.4	67.0	67.1	71.3	67.5	27.4	28.2	72.7	69.5
Hispanic or Latino	57.2	59.3	20.5^a	16.5	62.8	65.8	63.0	64.5	62.8	66.0	30.4^a	27.1	64.1	67.1
EDUCATION LEVEL
< High School	da	da	da	da	47.0	46.3	49.2	48.1	46.7	46.0	da	da	47.6	46.9
High School Graduate	da	da	da	da	57.7	58.1	59.5	57.8	57.3	58.2	da	da	58.5	59.2
Some College/Associate’s Degree	da	da	da	da	70.8	70.3	72.6	73.8	70.3	69.5	da	da	71.6	70.8
College Graduate	da	da	da	da	78.0	78.3	87.2	86.5	77.3	77.7	da	da	78.0	78.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	76.7	77.1	78.0	78.0	76.5	77.0	da	da	77.2	77.6
Part-Time	da	da	da	da	68.6	69.7	69.3	68.2	68.3	70.2	da	da	70.1	71.9
Unemployed	da	da	da	da	66.1^a	59.9	64.6	62.3	66.6^a	58.9	da	da	68.1^a	61.6
Other²	da	da	da	da	54.5	55.2	55.0	53.2	54.5	55.4	da	da	55.2	55.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.27A – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	132,512^b	137,446	1,886	1,753	130,627^b	135,694	17,047	17,467	113,580^b	118,227	6,109	5,843	126,403	131,603
GENDER
Male	68,444^a	71,048	809	708	67,634^b	70,340	8,276	8,507	59,359^a	61,833	2,919	2,763	65,525	68,285
Female	64,069^a	66,398	1,077	1,044	62,992^a	65,354	8,771	8,960	54,221	56,394	3,190	3,080	60,878	63,318
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	111,686^a	115,241	1,383	1,308	110,303^a	113,933	13,514	13,743	96,790^a	100,190	4,603	4,513	107,083	110,728
AIAN	695	520	*	12	680	508	*	*	453	410	*	38	631	481
Asian	5,231	6,252	47	36	5,185	6,217	640	805	4,544	5,412	146^a	258	5,086	5,994
Black or African American	14,106	14,321	97	124	14,009	14,198	1,809	1,802	12,200	12,395	523	502	13,583	13,819
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	88,927	91,308	1,148	1,070	87,779	90,238	10,363	10,501	77,416	79,737	3,663	3,483	85,264	87,825
Two or More Races	2,360	2,510	60	61	2,300	2,449	434	506	1,865	1,943	187	220	2,173	2,290
Hispanic or Latino	20,827	22,205	503	444	20,324^a	21,761	3,533	3,724	16,791	18,037	1,506	1,330	19,320	20,875
EDUCATION LEVEL
< High School	da	da	da	da	8,543	7,941	1,093	1,030	7,451	6,911	da	da	8,096	7,441
High School Graduate	da	da	da	da	28,644	29,293	4,297	4,599	24,346	24,694	da	da	27,112	27,636
Some College/Associate’s Degree	da	da	da	da	42,317	42,168	7,790	7,663	34,527	34,505	da	da	40,075	40,255
College Graduate	da	da	da	da	51,122^b	56,292	3,866	4,175	47,256^b	52,117	da	da	51,120^b	56,272
EMPLOYMENT STATUS
Full-Time	da	da	da	da	70,178^a	74,615	7,777^a	8,619	62,401	65,995	da	da	68,896^a	73,200
Part-Time	da	da	da	da	16,306	17,533	4,276	4,313	12,031	13,219	da	da	14,794	16,083
Unemployed	da	da	da	da	6,411^b	4,874	1,419	1,334	4,992^b	3,541	da	da	5,999^b	4,520
Other²	da	da	da	da	37,731	38,672	3,575	3,200	34,156	35,472	da	da	36,713	37,801
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.27B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	47.4^a	48.7	7.2	6.8	51.5^a	52.9	50.9	50.2	51.5^a	53.4	15.6	15.1	52.5^a	54.1
GENDER
Male	50.0	51.4	6.1	5.4	54.8	56.2	49.5	48.6	55.6^a	57.5	14.6	13.8	56.1	57.8
Female	44.8	46.2	8.5	8.3	48.3	49.8	52.4	51.8	47.7	49.5	16.7	16.5	49.1	50.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	48.5^a	49.9	7.1	6.9	52.4^a	53.7	52.7	51.8	52.3^a	54.0	15.9	15.7	53.2^a	54.7
AIAN	38.3	35.5	*	5.4	41.5	40.8	*	*	34.7	39.7	*	11.8	41.0	42.3
Asian	31.9	36.7	3.2	2.2	34.8^a	40.3	32.8	35.5	35.1^a	41.2	6.6	10.5	35.9	41.1
Black or African American	41.3	41.6	2.8	3.5	45.8	45.9	39.9	38.6	46.8	47.2	9.7	9.5	47.2	47.4
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	52.0	53.4	8.7	8.3	55.6	57.0	58.5	57.5	55.2^a	57.0	18.8	18.0	56.2^a	57.9
Two or More Races	43.1	42.7	6.7	7.3	50.3	48.5	46.9	50.4	51.2	48.0	14.0	17.1	52.6	49.9
Hispanic or Latino	41.8	43.6	7.6	6.7	47.1	49.2	45.2	45.1	47.5	50.1	14.8	13.5	48.8	50.9
EDUCATION LEVEL
< High School	da	da	da	da	30.2	32.6	29.6	28.7	30.3	33.3	da	da	31.2	33.8
High School Graduate	da	da	da	da	41.3	42.4	40.8	39.6	41.4	42.9	da	da	42.3	43.6
Some College/Associate’s Degree	da	da	da	da	54.8	54.2	55.1	55.2	54.8	54.0	da	da	55.9	55.1
College Graduate	da	da	da	da	64.7	66.2	76.2	73.3	63.9	65.7	da	da	64.7	66.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	61.4	63.0	61.2	61.2	61.4	63.3	da	da	62.0^a	63.8
Part-Time	da	da	da	da	53.7	53.4	52.4	49.1	54.1	55.0	da	da	56.0	56.2
Unemployed	da	da	da	da	49.0	44.2	44.8	41.6	50.3	45.3	da	da	51.3	46.6
Other²	da	da	da	da	39.3	41.1	38.0	36.7	39.4	41.6	da	da	40.1	41.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	60,621	61,157	1,043^a	834	59,578	60,323	10,025	10,261	49,553	50,062	3,379	3,154	57,241	58,003
GENDER
Male	32,583	33,625	424	337	32,159	33,288	4,826	4,983	27,333	28,305	1,536	1,503	31,047	32,122
Female	28,038	27,532	619	498	27,419	27,035	5,199	5,278	22,220	21,757	1,843	1,650	26,194	25,882
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	49,129	49,311	760	625	48,369	48,686	7,907	7,931	40,463	40,755	2,598	2,439	46,531	46,872
AIAN	382	373	*	9	368	363	*	*	243	286	*	33	320	340
Asian	1,780	1,758	14	17	1,766	1,741	345	333	1,422	1,408	54	78	1,727	1,679
Black or African American	7,277	7,215	49	47	7,229	7,167	970	977	6,258	6,191	298	244	6,979	6,970
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	37,993	38,510	633	519	37,360	37,991	6,160	6,214	31,200	31,777	2,057	1,965	35,937	36,545
Two or More Races	1,449	1,205	34	32	1,415	1,173	276	307	1,139	866	109	119	1,340	1,087
Hispanic or Latino	11,491	11,846	283	210	11,208	11,637	2,118	2,330	9,090	9,306	781	714	10,711	11,132
EDUCATION LEVEL
< High School	da	da	da	da	5,657	4,903	786	668	4,870	4,235	da	da	5,364	4,593
High School Graduate	da	da	da	da	15,723	15,307	2,539	2,671	13,184	12,636	da	da	14,912	14,356
Some College/Associate’s Degree	da	da	da	da	19,580	19,556	4,294	4,475	15,286	15,081	da	da	18,349	18,508
College Graduate	da	da	da	da	18,618^b	20,557	2,405	2,448	16,213^a	18,110	da	da	18,617^a	20,546
EMPLOYMENT STATUS
Full-Time	da	da	da	da	32,528^b	36,588	4,747	5,212	27,781^b	31,376	da	da	31,797^b	35,718
Part-Time	da	da	da	da	7,399	7,244	2,275	2,314	5,124	4,930	da	da	6,656	6,481
Unemployed	da	da	da	da	4,095^b	2,821	863	872	3,231^b	1,948	da	da	3,861^b	2,605
Other²	da	da	da	da	15,556^a	13,670	2,139	1,863	13,417^a	11,807	da	da	14,927^a	13,200
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.28B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	21.7	21.7	4.0	3.2	23.5	23.5	30.0	29.5	22.5	22.6	8.6	8.2	23.8	23.8
GENDER
Male	23.8	24.3	3.2	2.6	26.0	26.6	28.9	28.5	25.6	26.3	7.7	7.5	26.6	27.2
Female	19.6	19.2	4.9	4.0	21.0	20.6	31.1	30.5	19.6	19.1	9.7	8.9	21.1	20.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	21.4	21.3	3.9	3.3	23.0	23.0	30.8	29.9	21.9	22.0	9.0	8.5	23.1	23.2
AIAN	21.0	25.5	*	4.3	22.4	29.2	*	*	18.6	27.7	*	10.0	20.8	29.9
Asian	10.9	10.3	1.0	1.0	11.8	11.3	17.6	14.7	11.0	10.7	2.4	3.2	12.2	11.5
Black or African American	21.3	20.9	1.4	1.3	23.6	23.2	21.4	20.9	24.0	23.6	5.5	4.6	24.3	23.9
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	22.2	22.5	4.8	4.0	23.7	24.0	34.8	34.0	22.2	22.7	10.5	10.2	23.7	24.1
Two or More Races	26.5^a	20.5	3.8	3.9	31.0^a	23.2	29.8	30.6	31.3^b	21.4	8.2	9.2	32.4^b	23.7
Hispanic or Latino	23.1	23.3	4.3	3.2	26.0	26.3	27.1	28.2	25.7	25.9	7.7	7.2	27.0	27.1
EDUCATION LEVEL
< High School	da	da	da	da	20.0	20.1	21.3	18.6	19.8	20.4	da	da	20.7	20.8
High School Graduate	da	da	da	da	22.7	22.1	24.1	23.0	22.4	22.0	da	da	23.3	22.7
Some College/Associate’s Degree	da	da	da	da	25.4	25.1	30.3	32.2	24.2	23.6	da	da	25.6	25.3
College Graduate	da	da	da	da	23.6	24.2	47.4	43.0	21.9	22.8	da	da	23.6	24.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	28.5^b	30.9	37.3	37.0	27.3^b	30.1	da	da	28.6^b	31.1
Part-Time	da	da	da	da	24.4	22.1	27.9	26.3	23.1	20.5	da	da	25.2	22.6
Unemployed	da	da	da	da	31.3^b	25.6	27.2	27.2	32.6^b	25.0	da	da	33.0^b	26.9
Other²	da	da	da	da	16.2^a	14.5	22.7	21.4	15.5^a	13.8	da	da	16.3^a	14.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	16,069	16,089	104	63	15,965	16,025	2,379	2,633	13,586	13,393	616	646	15,453	15,443
GENDER
Male	9,763	10,199	61	33	9,702	10,167	1,306	1,501	8,397	8,666	338	377	9,425	9,823
Female	6,306	5,889	43	31	6,262	5,859	1,073	1,132	5,189	4,726	278	269	6,027	5,620
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13,769	13,518	54	47	13,715	13,470	2,017	2,113	11,698	11,358	500	530	13,269	12,988
AIAN	123	118	*	*	123	114	*	*	99	86	2	*	121	104
Asian	310	323	*	0	310	323	85	49	225	274	2	12	308	311
Black or African American	1,728	1,455	3	3	1,726	1,451	261	162	1,464	1,290	64^a	13	1,665	1,441
NHOPI	63	*	*	*	63	*	*	*	*	*	*	*	63	*
White	11,248	11,262	46	39	11,202	11,223	1,591	1,799	9,611	9,424	405	459	10,843	10,803
Two or More Races	296	276	5	2	291	274	56	71	236	203	27	31	269	245
Hispanic or Latino	2,299	2,571	50	16	2,249	2,555	361^a	520	1,888	2,035	116	116	2,184	2,455
EDUCATION LEVEL
< High School	da	da	da	da	1,440	1,458	144	188	1,297	1,270	da	da	1,404	1,376
High School Graduate	da	da	da	da	4,610	4,045	578	655	4,032	3,389	da	da	4,444	3,802
Some College/Associate’s Degree	da	da	da	da	5,517	5,333	1,080	1,205	4,437	4,128	da	da	5,207	5,077
College Graduate	da	da	da	da	4,397^a	5,190	577	585	3,820^a	4,605	da	da	4,397	5,188
EMPLOYMENT STATUS
Full-Time	da	da	da	da	8,770^a	9,930	1,154	1,374	7,616	8,556	da	da	8,579^a	9,711
Part-Time	da	da	da	da	1,896	1,789	533	609	1,364	1,180	da	da	1,734	1,583
Unemployed	da	da	da	da	1,323^a	866	288	209	1,035^a	657	da	da	1,249^a	800
Other²	da	da	da	da	3,976	3,440	405	441	3,571	2,999	da	da	3,891	3,349
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.29B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021 and 2022
Demographic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	5.7	5.7	0.4	0.2	6.3	6.3	7.1	7.6	6.2	6.0	1.6	1.7	6.4	6.3
GENDER
Male	7.1	7.4	0.5	0.2	7.9	8.1	7.8	8.6	7.9	8.1	1.7	1.9	8.1	8.3
Female	4.4	4.1	0.3	0.2	4.8	4.5	6.4	6.5	4.6	4.1	1.5	1.4	4.9	4.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6.0	5.8	0.3	0.2	6.5	6.4	7.9	8.0	6.3	6.1	1.7	1.8	6.6	6.4
AIAN	6.8	8.0	*	*	7.5	9.2	*	*	7.6	8.4	0.9	*	7.9	9.1
Asian	1.9	1.9	*	0.0	2.1	2.1	4.3	2.2	1.7	2.1	0.1	0.5	2.2	2.1
Black or African American	5.1	4.2	0.1	0.1	5.6	4.7	5.8^a	3.5	5.6	4.9	1.2^a	0.2	5.8	4.9
NHOPI	5.4	*	*	*	6.3	*	*	*	*	*	*	*	6.5	*
White	6.6	6.6	0.4	0.3	7.1	7.1	9.0	9.9	6.9	6.7	2.1	2.4	7.2	7.1
Two or More Races	5.4	4.7	0.6	0.2	6.4	5.4	6.0	7.1	6.5	5.0	2.0	2.4	6.5	5.3
Hispanic or Latino	4.6	5.1	0.8	0.2	5.2	5.8	4.6	6.3	5.3	5.7	1.1	1.2	5.5	6.0
EDUCATION LEVEL
< High School	da	da	da	da	5.1	6.0	3.9	5.2	5.3	6.1	da	da	5.4	6.2
High School Graduate	da	da	da	da	6.6	5.8	5.5	5.6	6.9	5.9	da	da	6.9	6.0
Some College/Associate’s Degree	da	da	da	da	7.1	6.9	7.6	8.7	7.0	6.5	da	da	7.3	7.0
College Graduate	da	da	da	da	5.6	6.1	11.4	10.3	5.2	5.8	da	da	5.6	6.1
EMPLOYMENT STATUS
Full-Time	da	da	da	da	7.7	8.4	9.1	9.8	7.5	8.2	da	da	7.7	8.5
Part-Time	da	da	da	da	6.2	5.4	6.5	6.9	6.1	4.9	da	da	6.6	5.5
Unemployed	da	da	da	da	10.1	7.9	9.1	6.5	10.4	8.4	da	da	10.7	8.3
Other²	da	da	da	da	4.1	3.7	4.3	5.1	4.1	3.5	da	da	4.2	3.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	78,261	--	3,830	--	74,431	--	14,041	--	60,390	--	8,585	--	69,676
GEOGRAPHIC REGION
Northeast	--	12,869	--	641	--	12,228	--	2,195	--	10,034	--	1,396	--	11,473
Midwest	--	17,740	--	827	--	16,913	--	3,325	--	13,588	--	1,952	--	15,788
South	--	31,953	--	1,599	--	30,355	--	5,431	--	24,924	--	3,454	--	28,500
West	--	15,699	--	764	--	14,935	--	3,091	--	11,844	--	1,783	--	13,916
COUNTY TYPE
Large Metro	--	38,239	--	2,024	--	36,215	--	7,114	--	29,101	--	4,324	--	33,915
Small Metro	--	27,091	--	1,310	--	25,781	--	4,992	--	20,788	--	3,075	--	24,016
Nonmetro	--	12,932	--	496	--	12,435	--	1,935	--	10,500	--	1,186	--	11,746
Urbanized	--	5,136	--	239	--	4,897	--	863	--	4,034	--	546	--	4,590
Less Urbanized	--	6,580	--	178	--	6,402	--	968	--	5,434	--	515	--	6,065
Completely Rural	--	*	--	*	--	*	--	*	--	*	--	*	--	*
POVERTY LEVEL²
Less Than 100%	--	15,238	--	867	--	14,371	--	3,165	--	11,206	--	2,024	--	13,215
100-199%	--	18,586	--	975	--	17,611	--	3,714	--	13,897	--	2,252	--	16,334
200% or More	--	44,434	--	1,988	--	42,446	--	7,159	--	35,286	--	4,306	--	40,128
HEALTH INSURANCE³
Private	--	40,759	--	1,873	--	38,886	--	7,981	--	30,905	--	4,299	--	36,461
Medicaid/CHIP	--	21,613	--	1,770	--	19,843	--	3,802	--	16,041	--	3,454	--	18,159
Other⁴	--	15,977	--	230	--	15,747	--	1,123	--	14,624	--	645	--	15,332
No Coverage	--	9,796	--	170	--	9,626	--	1,851	--	7,775	--	685	--	9,110
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	27.8	--	14.9	--	29.0	--	40.4	--	27.3	--	22.2	--	28.6
GEOGRAPHIC REGION
Northeast	--	26.3	--	15.8	--	27.2	--	37.1	--	25.7	--	22.6	--	26.8
Midwest	--	30.5	--	15.3	--	32.1	--	45.6	--	29.9	--	24.2	--	31.5
South	--	29.6	--	15.8	--	31.0	--	40.7	--	29.4	--	22.7	--	30.7
West	--	23.5	--	12.4	--	24.7	--	37.5	--	22.6	--	19.4	--	24.2
COUNTY TYPE
Large Metro	--	24.5	--	13.7	--	25.7	--	37.2	--	23.9	--	19.8	--	25.3
Small Metro	--	30.3	--	16.4	--	31.7	--	42.7	--	29.8	--	24.9	--	31.2
Nonmetro	--	35.2	--	16.9	--	36.8	--	48.6	--	35.2	--	26.5	--	36.4
Urbanized	--	33.2	--	19.3	--	34.4	--	49.0	--	32.3	--	28.7	--	33.8
Less Urbanized	--	35.7	--	12.6	--	37.6	--	49.1	--	36.1	--	23.6	--	37.4
Completely Rural	--	*	--	*	--	*	--	*	--	*	--	*	--	*
POVERTY LEVEL²
Less Than 100%	--	36.7	--	16.5	--	39.7	--	39.3	--	39.8	--	23.7	--	40.1
100-199%	--	33.4	--	16.8	--	35.3	--	43.8	--	33.6	--	25.4	--	34.9
200% or More	--	24.0	--	13.6	--	24.9	--	39.2	--	23.2	--	20.3	--	24.5
HEALTH INSURANCE³
Private	--	24.0	--	13.3	--	24.9	--	40.2	--	22.7	--	20.7	--	24.4
Medicaid/CHIP	--	36.8	--	16.6	--	41.3	--	41.0	--	41.3	--	23.1	--	41.4
Other⁴	--	20.4	--	15.2	--	20.5	--	40.0	--	19.8	--	24.5	--	20.3
No Coverage	--	40.4	--	16.8	--	41.4	--	40.0	--	41.8	--	26.9	--	42.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use or nicotine vaping in the past year exclude past year pipe tobacco use, but include 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	63,905	--	1,885	--	62,019	--	10,441	--	51,578	--	5,194	--	58,711
GEOGRAPHIC REGION
Northeast	--	10,459	--	344	--	10,115	--	1,667	--	8,448	--	892	--	9,567
Midwest	--	15,052	--	443	--	14,609	--	2,579	--	12,030	--	1,297	--	13,755
South	--	26,432	--	755	--	25,678	--	4,054	--	21,624	--	1,978	--	24,454
West	--	11,961	--	344	--	11,617	--	2,142	--	9,475	--	1,027	--	10,935
COUNTY TYPE
Large Metro	--	30,178	--	989	--	29,189	--	5,173	--	24,016	--	2,508	--	27,670
Small Metro	--	22,564	--	639	--	21,925	--	3,796	--	18,129	--	1,951	--	20,613
Nonmetro	--	11,163	--	257	--	10,906	--	1,472	--	9,433	--	735	--	10,428
Urbanized	--	4,352	--	129	--	4,224	--	632	--	3,592	--	331	--	4,021
Less Urbanized	--	5,773	--	81	--	5,692	--	757	--	4,934	--	314	--	5,458
Completely Rural	--	1,037	--	*	--	*	--	*	--	*	--	*	--	948
POVERTY LEVEL²
Less Than 100%	--	12,783	--	385	--	12,398	--	2,373	--	10,024	--	1,234	--	11,548
100-199%	--	15,926	--	478	--	15,448	--	2,810	--	12,638	--	1,323	--	14,603
200% or More	--	35,194	--	1,022	--	34,172	--	5,256	--	28,916	--	2,635	--	32,559
HEALTH INSURANCE³
Private	--	32,014	--	985	--	31,029	--	5,885	--	25,144	--	2,683	--	29,331
Medicaid/CHIP	--	18,092	--	840	--	17,253	--	2,815	--	14,437	--	1,987	--	16,105
Other⁴	--	13,994	--	108	--	13,886	--	806	--	13,080	--	375	--	13,618
No Coverage	--	8,494	--	70	--	8,424	--	1,465	--	6,959	--	451	--	8,043
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	22.7	--	7.3	--	24.2	--	30.0	--	23.3	--	13.4	--	24.1
GEOGRAPHIC REGION
Northeast	--	21.3	--	8.5	--	22.5	--	28.2	--	21.6	--	14.4	--	22.3
Midwest	--	25.9	--	8.2	--	27.7	--	35.3	--	26.5	--	16.0	--	27.5
South	--	24.5	--	7.5	--	26.2	--	30.4	--	25.5	--	13.0	--	26.3
West	--	17.9	--	5.6	--	19.2	--	26.0	--	18.1	--	11.2	--	19.0
COUNTY TYPE
Large Metro	--	19.4	--	6.7	--	20.7	--	27.1	--	19.7	--	11.5	--	20.6
Small Metro	--	25.3	--	8.0	--	27.0	--	32.5	--	26.0	--	15.8	--	26.8
Nonmetro	--	30.4	--	8.8	--	32.3	--	37.0	--	31.6	--	16.4	--	32.3
Urbanized	--	28.1	--	10.4	--	29.7	--	35.9	--	28.8	--	17.4	--	29.6
Less Urbanized	--	31.3	--	5.7	--	33.5	--	38.4	--	32.8	--	14.4	--	33.6
Completely Rural	--	36.4	--	*	--	*	--	*	--	*	--	*	--	38.3
POVERTY LEVEL²
Less Than 100%	--	30.8	--	7.3	--	34.2	--	29.5	--	35.6	--	14.5	--	35.1
100-199%	--	28.6	--	8.3	--	31.0	--	33.1	--	30.6	--	14.9	--	31.2
200% or More	--	19.0	--	7.0	--	20.1	--	28.8	--	19.0	--	12.4	--	19.9
HEALTH INSURANCE³
Private	--	18.8	--	7.0	--	19.9	--	29.6	--	18.5	--	12.9	--	19.7
Medicaid/CHIP	--	30.8	--	7.9	--	35.9	--	30.4	--	37.2	--	13.3	--	36.7
Other⁴	--	17.9	--	7.2	--	18.1	--	28.7	--	17.7	--	14.3	--	18.0
No Coverage	--	35.0	--	7.0	--	36.2	--	31.7	--	37.4	--	17.7	--	37.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	68,388^b	63,536	1,521^a	1,224	66,867^b	62,311	8,980	8,610	57,887^b	53,701	4,192	3,739	64,195^a	59,796
GEOGRAPHIC REGION
Northeast	10,573	10,507	219	188	10,354	10,318	1,471	1,322	8,883	8,996	668	567	9,905	9,940
Midwest	16,319^b	14,697	370	272	15,949^a	14,425	2,147	2,134	13,802^a	12,291	1,014	913	15,305	13,783
South	27,823	26,225	589	485	27,234	25,740	3,453	3,370	23,781	22,370	1,573	1,468	26,250	24,756
West	13,673^a	12,108	343	279	13,330^a	11,828	1,909	1,784	11,421^a	10,044	937	791	12,735	11,317
COUNTY TYPE
Large Metro	31,648	30,308	631	667	31,017	29,641	4,174	4,209	26,842	25,432	1,889	1,824	29,759	28,484
Small Metro	22,285	22,029	582^a	385	21,702	21,644	3,060	3,134	18,642	18,510	1,507	1,360	20,778	20,669
Nonmetro	14,455^b	11,199	307^a	173	14,148^b	11,027	1,745^b	1,267	12,403^b	9,759	797^a	555	13,658^b	10,644
Urbanized	4,908	4,379	137	77	4,770	4,303	732	577	4,039	3,726	398^b	238	4,510	4,142
Less Urbanized	7,935^a	5,773	157	79	7,778^a	5,694	823	611	6,955^a	5,082	348	269	7,587^a	5,503
Completely Rural	1,612	1,047	13	*	1,599	*	190	*	1,409	*	51	*	1,561	*
POVERTY LEVEL²
Less Than 100%	15,031^b	12,636	278	268	14,752^b	12,368	2,414	2,026	12,338^b	10,342	1,232^a	907	13,799^b	11,729
100-199%	15,996	14,915	327	280	15,669	14,635	2,145	2,209	13,525	12,426	870	861	15,126	14,055
200% or More	37,351	35,982	916^a	676	36,435	35,306	4,411	4,372	32,024	30,933	2,081	1,969	35,270	34,013
HEALTH INSURANCE³
Private	33,730	32,607	838^a	644	32,893	31,963	5,032	5,038	27,860	26,925	2,333	1,967	31,397	30,640
Medicaid/CHIP	18,304	17,192	673	545	17,631	16,648	2,111	2,177	15,520	14,471	1,485	1,413	16,819	15,779
Other⁴	15,799	14,408	58	73	15,741	14,334	754	651	14,988	13,683	249	296	15,550	14,112
No Coverage	10,153^b	8,152	63	36	10,090^b	8,116	1,449^a	1,160	8,641^b	6,956	376	309	9,776^b	7,843
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	24.4^b	22.5	5.8^a	4.8	26.3^b	24.3	26.8^a	24.8	26.3^b	24.2	10.7	9.7	26.7^b	24.6
GEOGRAPHIC REGION
Northeast	21.6	21.4	5.3	4.6	23.1	23.0	25.7	22.4	22.7	23.0	10.3	9.2	23.3	23.2
Midwest	28.1^b	25.3	6.7	5.0	30.4^b	27.3	30.2	29.2	30.4^a	27.0	12.4	11.3	30.7^b	27.5
South	26.1^a	24.3	5.8	4.8	28.2	26.3	27.2	25.3	28.4	26.4	10.4	9.7	28.7	26.6
West	20.6^a	18.1	5.5	4.5	22.2^a	19.5	24.1	21.7	21.9^a	19.2	10.0	8.6	22.4^a	19.7
COUNTY TYPE
Large Metro	21.0^a	19.4	4.5	4.5	22.7^a	21.0	23.6	22.0	22.5	20.8	9.0	8.4	22.9	21.2
Small Metro	26.0	24.7	7.3^b	4.8	27.9	26.6	27.9	26.8	27.9	26.6	12.4	11.0	28.2	26.9
Nonmetro	33.4	30.5	7.7	5.9	36.0^a	32.6	36.0	31.8	36.0	32.7	13.4	12.4	36.5^a	33.0
Urbanized	30.4	28.3	9.1	6.2	32.6	30.2	36.2	32.8	32.0	29.9	17.1^a	12.5	32.6	30.5
Less Urbanized	35.1	31.3	7.6	5.6	37.9	33.5	35.0	31.0	38.3	33.8	11.5	12.3	38.8^a	33.9
Completely Rural	35.3	36.7	3.2	*	38.4	*	40.8	*	38.1	*	8.9	*	39.1	*
POVERTY LEVEL²
Less Than 100%	34.7^b	30.5	5.1	5.1	39.0^b	34.2	28.5	25.2	42.0^b	36.7	13.3	10.6	40.5^b	35.6
100-199%	28.4	26.8	5.8	4.8	30.9	29.4	26.7	26.0	31.6	30.1	10.1	9.7	31.7	30.1
200% or More	20.8^a	19.5	6.1^a	4.6	22.1^a	20.7	26.1	24.0	21.6	20.4	9.9	9.3	22.2^a	20.8
HEALTH INSURANCE³
Private	20.0	19.2	6.0^a	4.6	21.3	20.5	26.6	25.3	20.6	19.8	11.2^a	9.5	21.3	20.5
Medicaid/CHIP	31.4	29.3	6.2	5.1	37.2	34.6	24.3	23.5	40.1	37.3	9.8	9.5	39.0^a	36.0
Other⁴	20.6^a	18.4	4.2	4.9	20.9^a	18.7	29.6^a	23.2	20.6^a	18.5	10.6	11.2	20.9^a	18.7
No Coverage	38.9^b	33.6	4.8	3.6	40.7^b	34.9	30.2^a	25.1	43.2^b	37.4	12.9	12.1	42.1^b	36.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Information about past year use of pipe tobacco was not collected. Estimates for tobacco product use in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	56,186^b	50,948	750^b	506	55,436^b	50,443	5,863^a	5,354	49,573^b	45,089	2,219	1,920	53,967^b	49,028
GEOGRAPHIC REGION
Northeast	8,690	8,318	131	57	8,559	8,261	1,001^a	774	7,558	7,487	387	284	8,303	8,034
Midwest	13,481^a	12,077	172	120	13,309^a	11,958	1,413	1,314	11,896^a	10,643	529	484	12,953	11,594
South	23,196	21,429	262	192	22,934	21,237	2,208	2,163	20,726	19,074	764	726	22,431	20,703
West	10,819^b	9,124	185	137	10,634^b	8,987	1,241	1,103	9,394^a	7,884	539	427	10,280^a	8,697
COUNTY TYPE
Large Metro	25,008	23,395	317	255	24,691	23,140	2,599	2,523	22,092	20,617	1,004	899	24,004	22,496
Small Metro	18,406	18,033	305^a	159	18,100	17,874	1,935	2,004	16,165	15,870	771	721	17,634	17,312
Nonmetro	12,773^b	9,520	128	91	12,645^b	9,428	1,329^b	826	11,316^b	8,602	444^a	300	12,329^b	9,219
Urbanized	4,168	3,606	50	40	4,118	3,566	506	354	3,612	3,212	196^a	119	3,972	3,487
Less Urbanized	7,127^a	5,032	73	39	7,054^a	4,993	669^a	440	6,385^a	4,553	211	158	6,916^a	4,874
Completely Rural	1,478	882	6	*	1,473	869	154^b	32	1,319	836	37	*	1,441	859
POVERTY LEVEL²
Less Than 100%	13,051^b	10,784	142	123	12,909^b	10,660	1,626	1,415	11,283^b	9,246	685	539	12,366^b	10,244
100-199%	13,796	12,674	160	134	13,635	12,540	1,483	1,387	12,152	11,154	425	431	13,371	12,244
200% or More	29,331	27,490	448^b	249	28,883	27,241	2,745	2,552	26,137	24,689	1,101	950	28,230	26,540
HEALTH INSURANCE³
Private	25,908	24,571	385	260	25,524	24,311	3,024	2,966	22,500	21,345	1,178	997	24,731	23,574
Medicaid/CHIP	15,934	14,628	370^a	240	15,564	14,388	1,567	1,465	13,997	12,923	830	732	15,104	13,896
Other⁴	13,870	12,517	26	25	13,844	12,492	502	379	13,342	12,113	138	118	13,731	12,399
No Coverage	8,870^b	6,945	27	19	8,843^b	6,926	1,031	832	7,813^b	6,094	212	195	8,659^b	6,750
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	20.1^b	18.1	2.9^b	2.0	21.8^b	19.7	17.5^b	15.4	22.5^b	20.4	5.7	5.0	22.4^b	20.1
GEOGRAPHIC REGION
Northeast	17.8	17.0	3.2	1.4	19.1	18.4	17.5^a	13.1	19.3	19.2	5.9	4.6	19.6	18.8
Midwest	23.2^a	20.8	3.1	2.2	25.3^a	22.7	19.9	18.0	26.2^a	23.4	6.5	6.0	26.0^a	23.2
South	21.8^a	19.8	2.6	1.9	23.8^a	21.7	17.4	16.2	24.8^a	22.5	5.1	4.8	24.5^a	22.3
West	16.3^b	13.7	3.0	2.2	17.7^b	14.8	15.6	13.4	18.0^b	15.1	5.8	4.6	18.1^b	15.1
COUNTY TYPE
Large Metro	16.6^a	15.0	2.3	1.7	18.1^a	16.4	14.7	13.2	18.6	16.9	4.8	4.1	18.5^a	16.8
Small Metro	21.5	20.2	3.8^a	2.0	23.3	22.0	17.7	17.1	24.2	22.8	6.3	5.8	24.0	22.5
Nonmetro	29.5^a	25.9	3.2	3.1	32.2^b	27.9	27.4^b	20.8	32.8^a	28.8	7.5	6.7	33.0^b	28.6
Urbanized	25.8	23.3	3.3	3.2	28.1	25.1	25.0	20.1	28.6	25.8	8.4	6.2	28.7	25.7
Less Urbanized	31.5^a	27.3	3.5	2.7	34.4^a	29.4	28.4	22.3	35.1	30.3	7.0	7.2	35.3^a	30.0
Completely Rural	32.4	30.9	1.4	*	35.4	33.7	32.9^b	13.0	35.7	36.0	6.5	*	36.1	34.7
POVERTY LEVEL²
Less Than 100%	30.1^b	26.0	2.6	2.3	34.1^b	29.4	19.2	17.6	38.4^b	32.8	7.4	6.3	36.3^b	31.1
100-199%	24.5	22.8	2.9	2.3	26.9	25.2	18.5	16.4	28.4	27.0	4.9	4.8	28.0	26.2
200% or More	16.3^b	14.9	3.0^b	1.7	17.5^a	16.0	16.3^a	14.0	17.6^a	16.2	5.2	4.5	17.8^a	16.2
HEALTH INSURANCE³
Private	15.4	14.5	2.8^a	1.8	16.5	15.6	16.0	14.9	16.6	15.7	5.7	4.8	16.8	15.8
Medicaid/CHIP	27.3^a	24.9	3.4^a	2.3	32.8^a	29.9	18.0	15.8	36.1	33.3	5.5	4.9	35.0^a	31.7
Other⁴	18.1^a	16.0	1.9	1.7	18.4^a	16.3	19.7^a	13.5	18.3^a	16.4	5.9	4.5	18.5^a	16.4
No Coverage	34.0^b	28.6	2.0	1.8	35.7^b	29.8	21.5	18.0	39.1^b	32.7	7.3	7.6	37.3^b	31.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	53,684^b	50,139	1,018	886	52,666^a	49,253	6,407	6,341	46,259^a	42,912	2,918	2,736	50,767^a	47,404
GEOGRAPHIC REGION
Northeast	8,195	8,133	110	138	8,085	7,995	1,029	990	7,056	7,006	436	405	7,759	7,728
Midwest	12,714	11,744	268	212	12,446	11,532	1,573	1,615	10,873	9,917	707	698	12,007	11,046
South	21,739	20,669	377	329	21,362	20,339	2,412	2,358	18,950	17,981	1,074	999	20,664	19,669
West	11,036^a	9,593	263	206	10,773^a	9,387	1,393	1,378	9,380^a	8,009	700	634	10,336	8,960
COUNTY TYPE
Large Metro	24,341	23,298	370	448	23,972	22,850	2,920	3,010	21,052	19,840	1,244	1,243	23,097	22,055
Small Metro	17,596	17,689	419	311	17,177	17,377	2,162	2,340	15,015	15,038	1,078	1,041	16,519	16,648
Nonmetro	11,746^b	9,153	229^a	127	11,517^b	9,027	1,325^b	992	10,192^a	8,035	596	452	11,150^b	8,701
Urbanized	3,913	3,587	79	60	3,834	3,527	564	442	3,270	3,086	269	187	3,644	3,400
Less Urbanized	6,483^a	4,717	140^a	54	6,344^a	4,662	628	481	5,715^a	4,181	286	223	6,197^a	4,494
Completely Rural	1,350	849	11	*	1,339	837	133	*	1,207	768	40	*	1,310	808
POVERTY LEVEL²
Less Than 100%	13,596^b	11,394	181	205	13,415^b	11,189	1,854	1,630	11,561^b	9,559	922	700	12,674^b	10,694
100-199%	13,832	12,930	243	191	13,589	12,738	1,606	1,660	11,983	11,078	680	648	13,152	12,281
200% or More	26,251	25,813	594	490	25,657	25,324	2,942	3,048	22,715	22,276	1,311	1,385	24,940	24,428
HEALTH INSURANCE³
Private	23,300	23,206	545	453	22,754	22,753	3,321	3,598	19,434	19,155	1,494	1,393	21,806	21,813
Medicaid/CHIP	16,480	15,224	488	406	15,992	14,818	1,705	1,631	14,287	13,187	1,127	1,046	15,353	14,178
Other⁴	12,927	11,825	20^a	52	12,907	11,773	534	449	12,372	11,324	159	190	12,768	11,636
No Coverage	8,662^a	7,213	44	26	8,618^a	7,187	1,120	949	7,497^a	6,238	303	262	8,359^a	6,950
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.34B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	19.2^b	17.8	3.9	3.4	20.7^b	19.2	19.1	18.2	21.0^b	19.4	7.5	7.1	21.1^b	19.5
GEOGRAPHIC REGION
Northeast	16.7	16.6	2.6	3.4	18.1	17.8	18.0	16.7	18.1	17.9	6.7	6.5	18.3	18.0
Midwest	21.9	20.2	4.9	3.9	23.7	21.9	22.1	22.1	23.9	21.8	8.7	8.6	24.1	22.1
South	20.4	19.1	3.7	3.3	22.2	20.8	19.0	17.7	22.6	21.2	7.1	6.6	22.6	21.2
West	16.6^a	14.4	4.2	3.4	17.9^a	15.5	17.6	16.7	18.0^a	15.3	7.5	6.9	18.2^a	15.6
COUNTY TYPE
Large Metro	16.1	14.9	2.6	3.0	17.5	16.2	16.5	15.7	17.7	16.3	5.9	5.7	17.8	16.4
Small Metro	20.5	19.8	5.2	3.9	22.1	21.4	19.7	20.0	22.5	21.6	8.8	8.4	22.4	21.6
Nonmetro	27.1	24.9	5.7	4.3	29.3	26.7	27.4	24.9	29.6	26.9	10.0	10.1	29.8	27.0
Urbanized	24.2	23.2	5.2	4.8	26.2	24.8	27.9	25.1	25.9	24.7	11.6	9.8	26.3	25.1
Less Urbanized	28.7	25.6	6.7	3.8	30.9	27.4	26.7	24.4	31.4	27.8	9.4	10.2	31.7	27.7
Completely Rural	29.6	29.8	2.7	*	32.2	32.5	28.4	*	32.6	33.0	7.1	*	32.8	32.7
POVERTY LEVEL²
Less Than 100%	31.4^b	27.5	3.3	3.9	35.4^b	30.9	21.9	20.2	39.3^b	34.0	9.9	8.2	37.2^b	32.5
100-199%	24.5	23.2	4.3	3.3	26.8	25.6	20.0	19.6	28.0	26.8	7.9	7.3	27.5	26.3
200% or More	14.6	14.0	4.0	3.3	15.5	14.9	17.4	16.7	15.3	14.7	6.2	6.5	15.7	14.9
HEALTH INSURANCE³
Private	13.8	13.7	3.9	3.2	14.7	14.6	17.6	18.1	14.3	14.1	7.2	6.7	14.8	14.6
Medicaid/CHIP	28.3^a	25.9	4.5	3.8	33.7^a	30.8	19.6	17.6	36.9	34.0	7.4	7.0	35.6^a	32.3
Other⁴	16.9	15.1	1.5	3.5	17.1^a	15.3	21.0	16.0	17.0	15.3	6.8	7.2	17.2	15.4
No Coverage	33.2^a	29.7	3.3	2.6	34.8^a	30.9	23.3	20.5	37.5	33.5	10.4	10.3	36.0^a	32.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	44,763^b	41,062	432	319	44,331^b	40,743	3,959	3,729	40,372^b	37,014	1,399	1,211	43,364^a	39,852
GEOGRAPHIC REGION
Northeast	6,890	6,630	47	31	6,843	6,599	618	541	6,224	6,058	230	168	6,660	6,461
Midwest	10,679	9,996	118	91	10,561	9,905	1,071	935	9,490	8,970	376	338	10,303	9,658
South	18,353	16,931	129	110	18,224	16,821	1,439	1,431	16,785	15,390	435	391	17,919	16,540
West	8,841^a	7,505	138	87	8,703^a	7,418	831	822	7,872^a	6,596	358	313	8,483	7,192
COUNTY TYPE
Large Metro	19,838	18,618	159	138	19,679	18,480	1,720	1,651	17,959	16,829	596	489	19,242	18,129
Small Metro	14,602	14,647	174	115	14,428	14,532	1,263	1,466	13,164	13,065	468	508	14,134	14,138
Nonmetro	10,323^b	7,797	99	66	10,224^b	7,731	975^b	611	9,249^b	7,120	335^a	213	9,988^b	7,584
Urbanized	3,319	3,024	31	32	3,288	2,992	410	273	2,877	2,719	139	86	3,180	2,938
Less Urbanized	5,792^a	4,078	64	22	5,728^a	4,056	465^a	308	5,263^a	3,748	168	105	5,624^a	3,973
Completely Rural	1,212^a	695	4	*	1,209^a	683	100^b	30	1,108	653	28	*	1,184^a	673
POVERTY LEVEL²
Less Than 100%	11,857^b	9,766	76	77	11,781^b	9,690	1,224	1,127	10,557^b	8,562	484	377	11,373^b	9,389
100-199%	11,754	10,970	97	87	11,657	10,882	1,090	983	10,566	9,899	301	288	11,453	10,682
200% or More	21,148	20,326	259^a	155	20,888	20,171	1,640	1,618	19,248	18,552	610	546	20,538	19,780
HEALTH INSURANCE³
Private	18,255	17,879	231	149	18,024	17,730	1,888	1,952	16,136	15,778	691	576	17,564	17,303
Medicaid/CHIP	14,291	13,141	211	165	14,080	12,976	1,207	1,080	12,873	11,896	555	499	13,736	12,642
Other⁴	11,559	10,334	14	16	11,545	10,319	315	253	11,230	10,065	88	72	11,471	10,262
No Coverage	7,475^a	6,123	16	15	7,459^a	6,108	735	616	6,724^a	5,492	155	128	7,320^a	5,996
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

Table 2.35B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	16.0^b	14.6	1.7	1.2	17.5^b	15.9	11.8	10.7	18.3^b	16.7	3.6	3.1	18.0^b	16.4
GEOGRAPHIC REGION
Northeast	14.1	13.5	1.1	0.8	15.3	14.7	10.8	9.1	15.9	15.5	3.5	2.7	15.7	15.1
Midwest	18.4	17.2	2.2	1.7	20.1	18.8	15.1	12.8	20.9	19.7	4.6	4.2	20.7	19.3
South	17.2^a	15.7	1.3	1.1	18.9^a	17.2	11.3	10.7	20.0	18.2	2.9	2.6	19.6^a	17.8
West	13.3^a	11.2	2.2	1.4	14.5^a	12.2	10.5	10.0	15.1^a	12.6	3.8	3.4	14.9^a	12.5
COUNTY TYPE
Large Metro	13.2	11.9	1.1	0.9	14.4	13.1	9.7	8.6	15.1	13.8	2.8	2.2	14.8	13.5
Small Metro	17.0	16.4	2.2	1.4	18.5	17.9	11.5	12.5	19.7	18.8	3.8	4.1	19.2	18.4
Nonmetro	23.8	21.2	2.5	2.3	26.0^a	22.9	20.1^a	15.4	26.8	23.9	5.6	4.8	26.7^a	23.5
Urbanized	20.5	19.5	2.1	2.6	22.5	21.0	20.3	15.5	22.8	21.8	6.0	4.5	23.0	21.7
Less Urbanized	25.6	22.1	3.1	1.6	27.9	23.9	19.8	15.7	29.0	24.9	5.5	4.8	28.7	24.5
Completely Rural	26.6	24.4	0.9	*	29.0	26.5	21.5	12.1	30.0	28.1	4.9	*	29.7	27.2
POVERTY LEVEL²
Less Than 100%	27.3^b	23.5	1.4	1.5	31.1^b	26.8	14.5	14.0	35.9^b	30.4	5.2	4.4	33.4^b	28.5
100-199%	20.8	19.7	1.7	1.5	23.0	21.8	13.6	11.6	24.7	23.9	3.5	3.2	24.0	22.9
200% or More	11.7	11.0	1.7^a	1.1	12.7	11.8	9.7	8.9	13.0	12.2	2.9	2.6	12.9	12.1
HEALTH INSURANCE³
Private	10.8	10.5	1.7	1.1	11.7	11.4	10.0	9.8	11.9	11.6	3.3	2.8	11.9	11.6
Medicaid/CHIP	24.5^a	22.4	1.9	1.5	29.7^a	27.0	13.9	11.7	33.2	30.6	3.7	3.3	31.8^a	28.8
Other⁴	15.1^a	13.2	1.0	1.0	15.3^a	13.4	12.4	9.0	15.4^a	13.6	3.7	2.7	15.4^a	13.6
No Coverage	28.6	25.2	1.2	1.5	30.1^a	26.3	15.3	13.3	33.6	29.5	5.3	5.0	31.5^a	27.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	10,224^b	8,290	364^b	188	9,860^b	8,102	1,639	1,475	8,221^b	6,627	779	651	9,445^b	7,639
GEOGRAPHIC REGION
Northeast	1,298	1,204	64	26	1,233	1,178	287	215	947	963	124	104	1,173	1,100
Midwest	2,575^b	1,903	87^a	38	2,488^b	1,865	420	426	2,068^b	1,438	212	161	2,363^b	1,742
South	4,329^a	3,555	150	94	4,178	3,461	538	522	3,641	2,938	289	272	4,040	3,283
West	2,023	1,628	63	30	1,960	1,599	394	312	1,566	1,287	154	113	1,868	1,515
COUNTY TYPE
Large Metro	3,544	3,013	161^a	83	3,384	2,930	566	626	2,818	2,303	301	265	3,243	2,747
Small Metro	3,531	3,134	104	57	3,427	3,077	593	545	2,835	2,532	266	241	3,265	2,892
Nonmetro	3,149^b	2,143	100	49	3,049^b	2,095	480^a	303	2,569^b	1,791	212	144	2,937^b	1,999
Urbanized	1,086^a	715	54^a	7	1,032	708	183	143	849	565	101	48	985	667
Less Urbanized	1,674^a	1,176	43	25	1,631	1,151	237	150	1,394	1,001	98	79	1,576^a	1,097
Completely Rural	389	252	2	*	387	235	61	*	325	225	14	*	375	235
POVERTY LEVEL²
Less Than 100%	1,727	1,325	79	55	1,649	1,269	365	336	1,283	933	208	166	1,520	1,159
100-199%	2,236^a	1,610	49	50	2,187^a	1,560	388	367	1,799^a	1,193	111	163	2,125^b	1,448
200% or More	6,261^a	5,355	236^b	83	6,025	5,272	886	772	5,139	4,501	460^a	322	5,801	5,033
HEALTH INSURANCE³
Private	5,976^a	4,907	199^b	78	5,776^a	4,829	1,022	948	4,754^a	3,881	443	352	5,533^a	4,555
Medicaid/CHIP	2,243^a	1,612	156	100	2,087^a	1,511	340	291	1,747	1,220	259	215	1,984^a	1,396
Other⁴	1,736	1,878	26	20	1,710	1,858	123	152	1,587	1,706	66	46	1,670	1,832
No Coverage	1,571^b	931	7	3	1,564^b	928	236	180	1,328^b	748	65	72	1,505^b	859
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	3.7^b	2.9	1.4^b	0.7	3.9^b	3.2	4.9	4.2	3.7^b	3.0	2.0	1.7	3.9^b	3.1
GEOGRAPHIC REGION
Northeast	2.7	2.5	1.5	0.6	2.8	2.6	5.0	3.6	2.4	2.5	1.9	1.7	2.8	2.6
Midwest	4.4^b	3.3	1.6^a	0.7	4.7^b	3.5	5.9	5.8	4.6^b	3.2	2.6	2.0	4.7^b	3.5
South	4.1^a	3.3	1.5	0.9	4.3^a	3.5	4.2	3.9	4.3^a	3.5	1.9	1.8	4.4^a	3.5
West	3.1	2.4	1.0	0.5	3.3	2.6	5.0	3.8	3.0	2.5	1.6	1.2	3.3	2.6
COUNTY TYPE
Large Metro	2.4	1.9	1.1^a	0.6	2.5	2.1	3.2	3.3	2.4	1.9	1.4	1.2	2.5	2.0
Small Metro	4.1	3.5	1.3	0.7	4.4	3.8	5.4	4.7	4.2	3.6	2.2	2.0	4.4	3.8
Nonmetro	7.3^a	5.8	2.5	1.7	7.8^a	6.2	9.9	7.6	7.4	6.0	3.6	3.2	7.9^a	6.2
Urbanized	6.7^a	4.6	3.6^a	0.5	7.0	5.0	9.0	8.1	6.7	4.5	4.3	2.5	7.1^a	4.9
Less Urbanized	7.4	6.4	2.1	1.8	7.9	6.8	10.1	7.6	7.7	6.7	3.2	3.6	8.1	6.8
Completely Rural	8.5	8.8	0.6	*	9.3	9.1	13.1	*	8.8	9.7	2.4	*	9.4	9.5
POVERTY LEVEL²
Less Than 100%	4.0	3.2	1.4	1.1	4.4	3.5	4.3	4.2	4.4	3.3	2.2	1.9	4.5	3.5
100-199%	4.0^a	2.9	0.9	0.9	4.3^a	3.1	4.8	4.3	4.2^a	2.9	1.3	1.8	4.4^a	3.1
200% or More	3.5^a	2.9	1.6^b	0.6	3.6^a	3.1	5.2	4.2	3.5	3.0	2.2^a	1.5	3.6^a	3.1
HEALTH INSURANCE³
Private	3.6^b	2.9	1.4^b	0.6	3.7^a	3.1	5.4	4.8	3.5^a	2.9	2.1	1.7	3.7^b	3.1
Medicaid/CHIP	3.8^a	2.7	1.4	0.9	4.4^a	3.1	3.9	3.1	4.5	3.1	1.7	1.4	4.6^a	3.2
Other⁴	2.3	2.4	1.9	1.3	2.3	2.4	4.8	5.4	2.2	2.3	2.8	1.8	2.2	2.4
No Coverage	6.0^b	3.8	0.5	0.3	6.3^b	4.0	4.9	3.9	6.6^b	4.0	2.2	2.8	6.5^b	4.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	7,634^b	6,084	157^b	59	7,478^b	6,026	1,003	818	6,474^b	5,207	374	304	7,261^b	5,780
GEOGRAPHIC REGION
Northeast	872	943	51	7	821	936	145	117	676	819	82	48	790	896
Midwest	1,923^b	1,304	29	14	1,894^b	1,290	288	215	1,606^a	1,075	112	77	1,811^b	1,227
South	3,594^b	2,670	48	23	3,546^b	2,648	345	331	3,201^b	2,316	123	131	3,471^a	2,540
West	1,245	1,167	29	15	1,217	1,152	225	155	992	997	57	48	1,189	1,118
COUNTY TYPE
Large Metro	2,274	2,042	84^a	23	2,190	2,019	265	290	1,925	1,729	145	109	2,129	1,933
Small Metro	2,668	2,316	49	21	2,618	2,295	376	319	2,242	1,976	133	123	2,535	2,194
Nonmetro	2,693^b	1,726	24	15	2,669^b	1,711	362^a	209	2,307^b	1,502	95	72	2,598^b	1,654
Urbanized	891^a	568	12^a	2	879	566	134	89	745	478	35	21	856	547
Less Urbanized	1,453^a	974	10	12	1,443^a	962	180	119	1,263^a	843	50	50	1,402^a	924
Completely Rural	349	184	2	*	347	183	*	*	300	182	10^a	1	339	183
POVERTY LEVEL²
Less Than 100%	1,073	889	25	14	1,048	875	231	183	817	692	110	81	963	808
100-199%	1,753^b	1,132	13	15	1,740^b	1,116	256	229	1,485^b	887	41	67	1,713^b	1,065
200% or More	4,808	4,063	118^b	29	4,690	4,034	517	407	4,173	3,628	223	156	4,585	3,907
HEALTH INSURANCE³
Private	4,596^a	3,681	93^a	35	4,504^a	3,646	594	489	3,909^a	3,157	208	180	4,388^a	3,501
Medicaid/CHIP	1,379	1,122	62^a	23	1,316	1,099	241	154	1,075	945	117	73	1,261	1,049
Other⁴	1,411	1,593	8	7	1,403	1,587	84	114	1,319	1,473	31	25	1,380	1,568
No Coverage	1,250^b	594	4	1	1,247^b	593	139	128	1,107^b	465	46	52	1,204^b	542
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	2.7^b	2.2	0.6^b	0.2	2.9^b	2.4	3.0^a	2.4	2.9^b	2.4	1.0	0.8	3.0^b	2.4
GEOGRAPHIC REGION
Northeast	1.8	1.9	1.2	0.2	1.8	2.1	2.5	2.0	1.7	2.1	1.3	0.8	1.9	2.1
Midwest	3.3^b	2.2	0.5	0.3	3.6^b	2.4	4.1	2.9	3.5^a	2.4	1.4	1.0	3.6^b	2.4
South	3.4^b	2.5	0.5	0.2	3.7^b	2.7	2.7	2.5	3.8^b	2.7	0.8	0.9	3.8^b	2.7
West	1.9	1.7	0.5	0.2	2.0	1.9	2.8	1.9	1.9	1.9	0.6	0.5	2.1	1.9
COUNTY TYPE
Large Metro	1.5	1.3	0.6^a	0.2	1.6	1.4	1.5	1.5	1.6	1.4	0.7	0.5	1.6	1.4
Small Metro	3.1	2.6	0.6	0.3	3.4	2.8	3.4	2.7	3.4	2.8	1.1	1.0	3.4	2.9
Nonmetro	6.2^a	4.7	0.6	0.5	6.8^a	5.1	7.5	5.2	6.7^a	5.0	1.6	1.6	6.9^a	5.1
Urbanized	5.5^a	3.7	0.8	0.1	6.0^a	4.0	6.7	5.0	5.9	3.8	1.5	1.1	6.2^a	4.0
Less Urbanized	6.4	5.3	0.5	0.9	7.0	5.7	7.7	6.0	6.9	5.6	1.7	2.3	7.2	5.7
Completely Rural	7.7	6.4	0.5	*	8.3	7.1	*	*	8.1	7.8	1.7	0.3	8.5	7.4
POVERTY LEVEL²
Less Than 100%	2.5	2.1	0.5	0.3	2.8	2.4	2.7	2.3	2.8	2.5	1.2	0.9	2.8	2.5
100-199%	3.1^b	2.0	0.2	0.3	3.4^b	2.2	3.2	2.7	3.5^a	2.1	0.5	0.8	3.6^b	2.3
200% or More	2.7^a	2.2	0.8^b	0.2	2.8^a	2.4	3.1^a	2.2	2.8	2.4	1.1	0.7	2.9^a	2.4
HEALTH INSURANCE³
Private	2.7^a	2.2	0.7^a	0.2	2.9^a	2.3	3.1	2.5	2.9^a	2.3	1.0	0.9	3.0^a	2.3
Medicaid/CHIP	2.4	1.9	0.6^a	0.2	2.8	2.3	2.8^a	1.7	2.8	2.4	0.8	0.5	2.9	2.4
Other⁴	1.8	2.0	0.6	0.4	1.9	2.1	3.3	4.1	1.8	2.0	1.3	1.0	1.9	2.1
No Coverage	4.8^b	2.4	0.3	0.1	5.0^b	2.5	2.9	2.8	5.5^b	2.5	1.6	2.0	5.2^b	2.5
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	35,101	--	3,559	--	31,542	--	11,608	--	19,934	--	7,846	--	27,255
GEOGRAPHIC REGION
Northeast	--	5,411	--	599	--	4,812	--	1,803	--	3,009	--	1,278	--	4,133
Midwest	--	7,664	--	774	--	6,890	--	2,774	--	4,117	--	1,779	--	5,885
South	--	14,033	--	1,493	--	12,540	--	4,404	--	8,136	--	3,134	--	10,899
West	--	7,993	--	693	--	7,300	--	2,628	--	4,672	--	1,655	--	6,337
COUNTY TYPE
Large Metro	--	17,731	--	1,845	--	15,886	--	5,930	--	9,957	--	3,929	--	13,802
Small Metro	--	12,404	--	1,257	--	11,146	--	4,117	--	7,029	--	2,809	--	9,595
Nonmetro	--	4,966	--	457	--	4,509	--	1,561	--	2,948	--	1,109	--	3,858
Urbanized	--	2,180	--	214	--	1,967	--	704	--	1,263	--	502	--	1,679
Less Urbanized	--	2,382	--	168	--	2,214	--	770	--	1,444	--	488	--	1,893
Completely Rural	--	404	--	*	--	329	--	*	--	241	--	*	--	285
POVERTY LEVEL²
Less Than 100%	--	7,260	--	837	--	6,423	--	2,596	--	3,828	--	1,872	--	5,388
100-199%	--	8,450	--	919	--	7,530	--	3,061	--	4,470	--	2,089	--	6,361
200% or More	--	19,388	--	1,803	--	17,585	--	5,949	--	11,636	--	3,882	--	15,506
HEALTH INSURANCE³
Private	--	18,414	--	1,718	--	16,697	--	6,538	--	10,159	--	3,907	--	14,507
Medicaid/CHIP	--	10,791	--	1,675	--	9,116	--	3,217	--	5,900	--	3,159	--	7,632
Other⁴	--	4,190	--	216	--	3,975	--	910	--	3,065	--	558	--	3,633
No Coverage	--	4,611	--	155	--	4,456	--	1,505	--	2,950	--	648	--	3,963
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.38B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	12.4	--	13.8	--	12.3	--	33.4	--	9.0	--	20.3	--	11.2
GEOGRAPHIC REGION
Northeast	--	11.0	--	14.7	--	10.7	--	30.5	--	7.7	--	20.7	--	9.6
Midwest	--	13.2	--	14.3	--	13.1	--	38.0	--	9.1	--	22.0	--	11.8
South	--	13.0	--	14.8	--	12.8	--	33.0	--	9.6	--	20.6	--	11.7
West	--	12.0	--	11.3	--	12.1	--	31.9	--	8.9	--	18.0	--	11.0
COUNTY TYPE
Large Metro	--	11.4	--	12.4	--	11.3	--	31.0	--	8.2	--	18.0	--	10.3
Small Metro	--	13.9	--	15.8	--	13.7	--	35.2	--	10.1	--	22.7	--	12.5
Nonmetro	--	13.5	--	15.6	--	13.3	--	39.2	--	9.9	--	24.8	--	12.0
Urbanized	--	14.1	--	17.3	--	13.8	--	40.0	--	10.1	--	26.3	--	12.4
Less Urbanized	--	12.9	--	11.9	--	13.0	--	39.1	--	9.6	--	22.3	--	11.7
Completely Rural	--	14.2	--	*	--	12.8	--	*	--	10.3	--	*	--	11.5
POVERTY LEVEL²
Less Than 100%	--	17.5	--	15.9	--	17.7	--	32.2	--	13.6	--	21.9	--	16.4
100-199%	--	15.2	--	15.9	--	15.1	--	36.1	--	10.8	--	23.5	--	13.6
200% or More	--	10.5	--	12.3	--	10.3	--	32.6	--	7.7	--	18.3	--	9.5
HEALTH INSURANCE³
Private	--	10.8	--	12.2	--	10.7	--	32.9	--	7.5	--	18.8	--	9.7
Medicaid/CHIP	--	18.4	--	15.7	--	19.0	--	34.7	--	15.2	--	21.2	--	17.4
Other⁴	--	5.4	--	14.3	--	5.2	--	32.4	--	4.1	--	21.2	--	4.8
No Coverage	--	19.0	--	15.4	--	19.2	--	32.5	--	15.8	--	25.4	--	18.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	23,503	--	1,769	--	21,733	--	8,335	--	13,399	--	4,719	--	18,784
GEOGRAPHIC REGION
Northeast	--	3,729	--	339	--	3,390	--	1,363	--	2,028	--	816	--	2,913
Midwest	--	5,369	--	414	--	4,955	--	2,114	--	2,841	--	1,194	--	4,176
South	--	9,257	--	703	--	8,554	--	3,137	--	5,417	--	1,769	--	7,488
West	--	5,147	--	313	--	4,834	--	1,722	--	3,113	--	941	--	4,207
COUNTY TYPE
Large Metro	--	11,898	--	928	--	10,970	--	4,244	--	6,726	--	2,304	--	9,594
Small Metro	--	8,342	--	602	--	7,740	--	2,956	--	4,784	--	1,723	--	6,619
Nonmetro	--	3,263	--	240	--	3,023	--	1,134	--	1,889	--	692	--	2,570
Urbanized	--	1,481	--	124	--	1,357	--	516	--	841	--	318	--	1,164
Less Urbanized	--	1,510	--	68	--	1,442	--	550	--	892	--	289	--	1,221
Completely Rural	--	271	--	*	--	224	--	*	--	156	--	*	--	186
POVERTY LEVEL²
Less Than 100%	--	4,582	--	372	--	4,211	--	1,834	--	2,376	--	1,120	--	3,462
100-199%	--	5,678	--	438	--	5,240	--	2,169	--	3,071	--	1,199	--	4,480
200% or More	--	13,240	--	960	--	12,280	--	4,329	--	7,951	--	2,398	--	10,842
HEALTH INSURANCE³
Private	--	12,682	--	914	--	11,768	--	4,768	--	7,000	--	2,456	--	10,226
Medicaid/CHIP	--	6,943	--	800	--	6,143	--	2,276	--	3,867	--	1,817	--	5,126
Other⁴	--	2,675	--	107	--	2,568	--	634	--	1,934	--	339	--	2,335
No Coverage	--	3,159	--	62	--	3,097	--	1,088	--	2,010	--	394	--	2,764
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

Table 2.39B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	--	8.3	--	6.9	--	8.5	--	24.0	--	6.0	--	12.2	--	7.7
GEOGRAPHIC REGION
Northeast	--	7.6	--	8.3	--	7.5	--	23.0	--	5.2	--	13.2	--	6.8
Midwest	--	9.2	--	7.7	--	9.4	--	29.0	--	6.2	--	14.8	--	8.3
South	--	8.6	--	6.9	--	8.7	--	23.5	--	6.4	--	11.6	--	8.1
West	--	7.7	--	5.1	--	8.0	--	20.9	--	5.9	--	10.2	--	7.3
COUNTY TYPE
Large Metro	--	7.6	--	6.3	--	7.8	--	22.2	--	5.5	--	10.6	--	7.2
Small Metro	--	9.3	--	7.6	--	9.5	--	25.3	--	6.9	--	13.9	--	8.6
Nonmetro	--	8.9	--	8.2	--	8.9	--	28.5	--	6.3	--	15.5	--	8.0
Urbanized	--	9.6	--	10.0	--	9.5	--	29.3	--	6.7	--	16.7	--	8.6
Less Urbanized	--	8.2	--	4.8	--	8.5	--	27.9	--	5.9	--	13.2	--	7.5
Completely Rural	--	9.5	--	*	--	8.7	--	*	--	6.7	--	*	--	7.5
POVERTY LEVEL²
Less Than 100%	--	11.0	--	7.0	--	11.6	--	22.8	--	8.4	--	13.1	--	10.5
100-199%	--	10.2	--	7.6	--	10.5	--	25.6	--	7.4	--	13.5	--	9.6
200% or More	--	7.2	--	6.5	--	7.2	--	23.7	--	5.2	--	11.3	--	6.6
HEALTH INSURANCE³
Private	--	7.5	--	6.5	--	7.5	--	24.0	--	5.1	--	11.8	--	6.9
Medicaid/CHIP	--	11.8	--	7.5	--	12.8	--	24.6	--	10.0	--	12.2	--	11.7
Other⁴	--	3.4	--	7.1	--	3.3	--	22.6	--	2.6	--	12.9	--	3.1
No Coverage	--	13.0	--	6.1	--	13.3	--	23.5	--	10.8	--	15.5	--	12.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	174,266	176,975	4,779^a	4,301	169,487	172,675	22,790^a	23,608	146,696	149,067	11,476	10,934	162,790	166,041
GEOGRAPHIC REGION
Northeast	31,282^a	32,780	788	773	30,494^a	32,006	4,097	4,145	26,397^a	27,862	2,131	1,918	29,151	30,862
Midwest	38,642	38,466	1,164^a	954	37,478	37,513	5,151	5,260	32,327	32,253	2,650	2,424	35,992	36,042
South	63,987	64,149	1,719	1,581	62,268	62,569	8,407	8,789	53,861	53,780	4,027	4,106	59,961	60,043
West	40,354	41,580	1,108	993	39,246	40,587	5,135	5,414	34,111	35,173	2,667	2,486	37,686	39,094
COUNTY TYPE
Large Metro	95,876	100,100	2,476	2,412	93,400	97,688	12,009	13,104	81,391	84,584	6,095	6,007	89,782	94,093
Small Metro	53,477	55,694	1,479	1,399	51,998	54,296	7,484	7,843	44,514	46,453	3,598	3,637	49,879	52,057
Nonmetro	24,913^a	21,181	824^b	490	24,089^a	20,691	3,298^a	2,661	20,791^a	18,030	1,783^b	1,289	23,129^a	19,891
Urbanized	9,686	9,270	396^b	234	9,290	9,036	1,430	1,177	7,859	7,859	824^a	582	8,862	8,688
Less Urbanized	12,943^a	10,297	357^a	203	12,586^a	10,094	1,563	1,326	11,023^a	8,768	820	617	12,123^a	9,680
Completely Rural	2,284	1,614	71	*	2,213	1,561	305	*	1,909	1,403	139	90	2,145	1,524
POVERTY LEVEL²
Less Than 100%	20,325	19,169	826^a	631	19,499	18,538	5,153	4,818	14,347	13,720	2,667^a	2,096	17,658	17,073
100-199%	29,790	29,419	975	900	28,815	28,520	5,270	5,500	23,545	23,019	2,383	2,356	27,406	27,063
200% or More	124,120	128,381	2,978	2,770	121,142	125,611	12,337	13,283	108,805	112,328	6,397	6,478	117,723	121,903
HEALTH INSURANCE³
Private	115,000	117,306	2,719	2,658	112,281	114,647	13,944	14,889	98,337	99,758	6,716	6,575	108,284	110,731
Medicaid/CHIP	27,537	27,665	1,837^a	1,494	25,700	26,171	4,865	5,221	20,835	20,950	3,655	3,314	23,882	24,351
Other⁴	42,710	44,359	163	250	42,547	44,109	1,695	1,766	40,852	42,343	614^a	816	42,097	43,543
No Coverage	15,749	14,506	306^b	152	15,443	14,354	3,093	2,817	12,350	11,537	1,003	833	14,746	13,673
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

Table 2.40B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	62.3	62.8	18.4^a	16.7	66.8	67.4	68.1	67.9	66.6	67.3	29.4	28.3	67.6	68.2
GEOGRAPHIC REGION
Northeast	63.9	66.9	19.0	19.0	68.1	71.2	71.6	70.1	67.6^a	71.4	32.8	31.0	68.7	72.0
Midwest	66.6	66.1	21.2^a	17.7	71.3	71.1	72.5	72.1	71.1	71.0	32.5	30.0	72.2	72.0
South	60.0	59.3	16.9	15.6	64.6	63.9	66.2	65.9	64.3	63.5	26.7	27.0	65.5	64.6
West	60.9	62.3	17.7	16.2	65.3	67.0	64.7	65.8	65.4	67.2	28.5	27.0	66.2	67.9
COUNTY TYPE
Large Metro	63.6	64.2	17.6	16.3	68.3	69.2	68.0	68.6	68.4	69.3	29.1	27.5	69.2	70.2
Small Metro	62.3	62.4	18.5	17.5	66.9	66.7	68.3	67.1	66.6	66.7	29.5	29.4	67.8	67.6
Nonmetro	57.5	57.6	20.7	16.7	61.2	61.2	68.1	66.9	60.3	60.4	30.1	28.8	61.9	61.6
Urbanized	59.9	59.9	26.1^a	18.9	63.5	63.5	70.7	66.8	62.3	63.0	35.4	30.6	64.1	64.0
Less Urbanized	57.3	55.9	17.3	14.4	61.3	59.4	66.4	67.3	60.7	58.3	27.1	28.2	62.0	59.6
Completely Rural	50.0	56.6	17.7	*	53.2	60.6	65.2	*	51.6	60.3	24.3	23.6	53.7	61.6
POVERTY LEVEL²
Less Than 100%	46.9	46.2	15.0^a	12.0	51.5	51.2	60.9	59.8	48.8	48.7	28.7^a	24.6	51.8	51.8
100-199%	52.8	52.9	17.4	15.5	56.7	57.2	65.7	64.8	55.1	55.7	27.6	26.5	57.4	57.9
200% or More	69.0	69.4	20.0	18.9	73.4	73.8	73.1	72.8	73.4	73.9	30.4	30.5	74.1	74.5
HEALTH INSURANCE³
Private	68.3	69.0	19.6	18.9	72.7	73.5	73.8	74.9	72.6	73.3	32.3	31.6	73.4	74.2
Medicaid/CHIP	47.2	47.1	16.9^a	14.0	54.2	54.4	55.9	56.3	53.8	54.0	24.1	22.2	55.4	55.6
Other⁴	55.7	56.7	11.8	16.6	56.5	57.5	66.6	62.9	56.2	57.3	26.2	31.0	56.6	57.6
No Coverage	60.3	59.8	23.0^a	15.1	62.3	61.8	64.4	60.9	61.8	62.0	34.4	32.6	63.5	63.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	132,512^b	137,446	1,886	1,753	130,627^b	135,694	17,047	17,467	113,580^b	118,227	6,109	5,843	126,403	131,603
GEOGRAPHIC REGION
Northeast	24,228	25,496	303	300	23,924	25,195	3,212	3,230	20,713	21,966	1,203	1,063	23,024	24,432
Midwest	29,641	29,838	484	398	29,157	29,440	3,932	3,939	25,225	25,501	1,461	1,336	28,180	28,503
South	47,894	49,506	681	639	47,212	48,867	6,064	6,317	41,148	42,550	2,068	2,065	45,825	47,441
West	30,750^a	32,607	417	416	30,333^a	32,191	3,839	3,981	26,494^a	28,210	1,377	1,380	29,373	31,227
COUNTY TYPE
Large Metro	74,796	78,596	907	1,016	73,888	77,581	9,050	9,744	64,838	67,837	3,218	3,270	71,578	75,326
Small Metro	40,383	43,117	640	554	39,742	42,563	5,634	5,891	34,108	36,672	1,991	1,933	38,392	41,184
Nonmetro	17,334	15,733	338^b	183	16,996	15,549	2,363^b	1,831	14,634	13,718	901^b	640	16,433	15,093
Urbanized	7,261	6,951	165	91	7,096	6,860	1,103	834	5,993	6,026	436^a	288	6,825	6,663
Less Urbanized	8,646	7,576	154^a	80	8,492	7,496	1,078	908	7,414	6,588	419	315	8,227	7,261
Completely Rural	1,427	1,206	20	12	1,407	1,193	181	*	1,226	1,105	46	37	1,381	1,169
POVERTY LEVEL²
Less Than 100%	13,723	13,221	276	251	13,447	12,970	3,752	3,484	9,696	9,486	1,454	1,189	12,269	12,032
100-199%	20,761	20,722	408	364	20,353	20,358	3,893	3,905	16,460	16,453	1,344	1,187	19,417	19,535
200% or More	98,009^a	103,498	1,202	1,137	96,806^a	102,360	9,382	10,073	87,424^a	92,288	3,294	3,463	94,714^a	100,035
HEALTH INSURANCE³
Private	90,776	94,647	1,094	1,100	89,682	93,547	11,074	11,636	78,608	81,911	3,858	3,626	86,918	91,021
Medicaid/CHIP	18,102	18,607	722	595	17,380	18,011	3,207	3,380	14,173	14,631	1,767	1,663	16,335	16,944
Other⁴	31,831	33,838	61	113	31,770	33,725	1,198	1,231	30,572	32,494	303	412	31,528	33,425
No Coverage	11,593	10,805	113	62	11,480	10,743	2,182	1,966	9,297	8,777	492	469	11,101	10,335
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

Table 2.41B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	47.4^a	48.7	7.2	6.8	51.5^a	52.9	50.9	50.2	51.5^a	53.4	15.6	15.1	52.5^a	54.1
GEOGRAPHIC REGION
Northeast	49.5	52.0	7.3	7.4	53.4	56.0	56.1	54.6	53.0	56.3	18.5	17.2	54.3	57.0
Midwest	51.1	51.3	8.8	7.4	55.5	55.8	55.4	54.0	55.5	56.1	17.9	16.5	56.5	56.9
South	44.9	45.8	6.7	6.3	49.0	49.9	47.8	47.3	49.1	50.3	13.7	13.6	50.1	51.1
West	46.4	48.9	6.7	6.8	50.5	53.1	48.4	48.4	50.8	53.9	14.7	15.0	51.6	54.3
COUNTY TYPE
Large Metro	49.6	50.4	6.5	6.9	54.0	55.0	51.3	51.0	54.5	55.6	15.3	15.0	55.2	56.2
Small Metro	47.1	48.3	8.0	6.9	51.1	52.3	51.4	50.4	51.1	52.6	16.3	15.6	52.2	53.5
Nonmetro	40.0	42.8	8.5	6.3	43.2	46.0	48.8	46.0	42.4	46.0	15.2	14.3	44.0	46.8
Urbanized	44.9	44.9	10.9	7.3	48.5	48.2	54.6	47.4	47.5	48.3	18.7	15.1	49.3	49.1
Less Urbanized	38.3	41.1	7.4	5.7	41.4	44.1	45.8	46.1	40.8	43.8	13.8	14.4	42.0	44.7
Completely Rural	31.3^a	42.3	4.9	4.4	33.8^b	46.3	38.7	*	33.2^b	47.5	8.0	9.7	34.6^b	47.3
POVERTY LEVEL²
Less Than 100%	31.7	31.9	5.0	4.8	35.5	35.8	44.3	43.3	33.0	33.7	15.7	13.9	36.0	36.5
100-199%	36.8	37.3	7.3	6.3	40.1	40.9	48.5	46.0	38.5	39.8	15.5	13.4	40.7	41.8
200% or More	54.5^a	56.0	8.1	7.8	58.6^a	60.1	55.6	55.2	59.0^a	60.7	15.6	16.3	59.6	61.1
HEALTH INSURANCE³
Private	53.9^a	55.7	7.9	7.8	58.1^a	60.0	58.6	58.5	58.0^b	60.2	18.6	17.4	58.9^b	61.0
Medicaid/CHIP	31.1	31.7	6.7	5.6	36.6	37.5	36.9	36.5	36.6	37.7	11.7	11.1	37.9	38.7
Other⁴	41.5	43.3	4.4	7.5	42.2	44.0	47.1	43.9	42.0	44.0	12.9	15.7	42.4	44.2
No Coverage	44.4	44.5	8.5	6.1	46.3	46.2	45.4	42.5	46.5	47.1	16.9	18.4	47.8	47.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	60,621	61,157	1,043^a	834	59,578	60,323	10,025	10,261	49,553	50,062	3,379	3,154	57,241	58,003
GEOGRAPHIC REGION
Northeast	10,817	11,266	179	154	10,638	11,112	1,852	1,916	8,787	9,196	642	584	10,175	10,682
Midwest	13,884	13,826	270	194	13,614	13,632	2,434	2,334	11,180	11,298	847	783	13,038	13,044
South	21,982	21,902	359	279	21,623	21,623	3,403	3,626	18,220	17,997	1,127	1,055	20,855	20,847
West	13,937	14,163	235	207	13,703	13,956	2,336	2,386	11,366	11,571	764	732	13,174	13,431
COUNTY TYPE
Large Metro	33,279	34,114	518	456	32,761	33,657	5,316	5,668	27,445	27,989	1,748	1,683	31,531	32,430
Small Metro	19,056	19,702	375	283	18,681	19,419	3,264	3,508	15,417	15,911	1,184	1,084	17,872	18,618
Nonmetro	8,286	7,342	150	95	8,136	7,246	1,445^a	1,085	6,691	6,162	447	387	7,839	6,955
Urbanized	3,422	3,094	78	64	3,344	3,031	691	502	2,653	2,529	250	197	3,173	2,897
Less Urbanized	4,151	3,744	63	28	4,088	3,717	632	542	3,455	3,175	173	170	3,978	3,574
Completely Rural	712	503	8	4	705	499	122	*	583	458	25	19	688	484
POVERTY LEVEL²
Less Than 100%	8,730	7,981	143	142	8,586	7,839	2,362	2,293	6,224	5,546	963	737	7,767	7,244
100-199%	11,282	10,950	226	175	11,055	10,775	2,332	2,381	8,724	8,394	700	686	10,582	10,264
200% or More	40,596	42,223	673	517	39,923	41,706	5,318	5,585	34,605	36,121	1,704	1,727	38,892	40,496
HEALTH INSURANCE³
Private	38,324	40,323	633	492	37,691	39,831	6,433	6,768	31,258	33,062	2,177	1,889	36,147	38,434
Medicaid/CHIP	11,039	10,200	380	331	10,659	9,868	1,870	2,004	8,789	7,864	911	981	10,129	9,219
Other⁴	10,874	10,661	36	34	10,838	10,627	645	752	10,193	9,875	181	224	10,693	10,437
No Coverage	7,225	6,478	52	36	7,173	6,442	1,403	1,187	5,770	5,255	294	266	6,931	6,212
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	21.7	21.7	4.0	3.2	23.5	23.5	30.0	29.5	22.5	22.6	8.6	8.2	23.8	23.8
GEOGRAPHIC REGION
Northeast	22.1	23.0	4.3	3.8	23.8	24.7	32.3	32.4	22.5	23.6	9.9	9.4	24.0	24.9
Midwest	23.9	23.8	4.9	3.6	25.9	25.8	34.3	32.0	24.6	24.9	10.4	9.7	26.1	26.0
South	20.6	20.3	3.5	2.8	22.4	22.1	26.8	27.2	21.8	21.3	7.5	6.9	22.8	22.4
West	21.0	21.2	3.8	3.4	22.8	23.0	29.4	29.0	21.8	22.1	8.2	8.0	23.1	23.3
COUNTY TYPE
Large Metro	22.1	21.9	3.7	3.1	24.0	23.8	30.1	29.7	23.1	22.9	8.3	7.7	24.3	24.2
Small Metro	22.2	22.1	4.7	3.6	24.0	23.9	29.8	30.0	23.1	22.8	9.7	8.8	24.3	24.2
Nonmetro	19.1	20.0	3.7	3.2	20.7	21.4	29.8	27.3	19.4	20.7	7.5	8.7	21.0	21.6
Urbanized	21.2	20.0	5.2	5.1	22.8	21.3	34.2	28.5	21.0	20.3	10.7	10.4	22.9	21.4
Less Urbanized	18.4	20.3	3.1	2.0	19.9	21.9	26.9	27.5	19.0	21.1	5.7	7.8	20.3	22.0
Completely Rural	15.6	17.6	1.9	1.4	16.9	19.4	26.0	*	15.8	19.7	4.3	5.1	17.2	19.6
POVERTY LEVEL²
Less Than 100%	20.1	19.2	2.6	2.7	22.7	21.7	27.9	28.5	21.2	19.7	10.4	8.6	22.8	22.0
100-199%	20.0	19.7	4.0	3.0	21.8	21.6	29.1	28.1	20.4	20.3	8.1	7.7	22.2	22.0
200% or More	22.6	22.8	4.5	3.5	24.2	24.5	31.5	30.6	23.3	23.8	8.1	8.1	24.5	24.7
HEALTH INSURANCE³
Private	22.8	23.7	4.6	3.5	24.4	25.5	34.0	34.1	23.1	24.3	10.5	9.1	24.5	25.8
Medicaid/CHIP	18.9	17.4	3.5	3.1	22.5	20.5	21.5	21.6	22.7	20.3	6.0	6.6	23.5^a	21.0
Other⁴	14.2	13.6	2.6	2.3	14.4	13.9	25.3	26.8	14.0	13.4	7.7	8.5	14.4	13.8
No Coverage	27.7	26.7	3.9	3.6	28.9	27.7	29.2	25.7	28.9	28.2	10.1	10.4	29.9	28.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. NOTE: Estimates of binge alcohol use include use by those who were heavy alcohol users. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	16,069	16,089	104	63	15,965	16,025	2,379	2,633	13,586	13,393	616	646	15,453	15,443
GEOGRAPHIC REGION
Northeast	2,812	2,758	9	16	2,803	2,743	428	461	2,374	2,281	95	93	2,717	2,665
Midwest	3,844	4,007	18^a	4	3,825	4,003	624	729	3,202	3,274	180	220	3,664	3,788
South	5,769	5,561	40	20	5,729	5,541	813	813	4,916	4,728	202	157	5,566	5,404
West	3,645	3,762	37	24	3,608	3,738	514	630	3,094	3,109	139	176	3,506	3,586
COUNTY TYPE
Large Metro	8,370	8,472	38	37	8,333	8,435	1,241	1,418	7,091	7,017	358	316	8,013	8,156
Small Metro	5,125	5,543	53	15	5,072	5,528	766	864	4,306	4,663	193	205	4,932	5,338
Nonmetro	2,573	2,074	13	11	2,560	2,063	371	351	2,189	1,712	66	124	2,507	1,949
Urbanized	1,120	881	2	9	1,118	871	197	163	921	708	37	70	1,082	811
Less Urbanized	1,140	1,061	11	1	1,129	1,060	145	175	984	885	26	50	1,114	1,012
Completely Rural	314^a	132	1	0	312^a	131	29	*	284^a	119	3	5	311^a	127
POVERTY LEVEL²
Less Than 100%	2,201	1,920	18	14	2,183	1,906	534	548	1,649	1,358	163	174	2,038	1,745
100-199%	3,073	2,953	45	3	3,028	2,949	536^a	737	2,492	2,213	147	146	2,926	2,807
200% or More	10,795	11,215	41	46	10,754	11,168	1,309	1,346	9,445	9,822	307	324	10,489	10,890
HEALTH INSURANCE³
Private	9,756	10,602	48	41	9,708	10,560	1,598	1,740	8,110	8,821	419	390	9,338	10,212
Medicaid/CHIP	3,003	2,856	57	15	2,946	2,841	364	517	2,583	2,324	150	192	2,853	2,664
Other⁴	2,797	2,736	3	4	2,793	2,731	212	229	2,582	2,502	47	39	2,750	2,696
No Coverage	2,126	1,782	*	5	2,126	1,778	323	270	1,803	1,508	45	50	2,081	1,732
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12+ (2022)	Aged 12-17 (2021)	Aged 12-17 (2022)	Aged 18+ (2021)	Aged 18+ (2022)	Aged 18-25 (2021)	Aged 18-25 (2022)	Aged 26+ (2021)	Aged 26+ (2022)	Aged 12-20¹ (2021)	Aged 12-20¹ (2022)	Aged 21+¹ (2021)	Aged 21+¹ (2022)
TOTAL	5.7	5.7	0.4	0.2	6.3	6.3	7.1	7.6	6.2	6.0	1.6	1.7	6.4	6.3
GEOGRAPHIC REGION
Northeast	5.7	5.6	0.2	0.4	6.3	6.1	7.5	7.8	6.1	5.8	1.5	1.5	6.4	6.2
Midwest	6.6	6.9	0.3^a	0.1	7.3	7.6	8.8	10.0	7.0	7.2	2.2	2.7	7.3	7.6
South	5.4	5.1	0.4	0.2	5.9	5.7	6.4	6.1	5.9	5.6	1.3	1.0	6.1	5.8
West	5.5	5.6	0.6	0.4	6.0	6.2	6.5	7.6	5.9	5.9	1.5	1.9	6.2	6.2
COUNTY TYPE
Large Metro	5.6	5.4	0.3	0.3	6.1	6.0	7.0	7.4	6.0	5.8	1.7	1.4	6.2	6.1
Small Metro	6.0	6.2	0.7	0.2	6.5	6.8	7.0	7.4	6.4	6.7	1.6	1.7	6.7	6.9
Nonmetro	5.9	5.6	0.3	0.4	6.5	6.1	7.7	8.8	6.3	5.7	1.1^a	2.8	6.7	6.0
Urbanized	6.9	5.7	0.1	0.8	7.6	6.1	9.8	9.3	7.3	5.7	1.6	3.7	7.8	6.0
Less Urbanized	5.0	5.8	0.5	0.1	5.5	6.2	6.2	8.9	5.4	5.9	0.9	2.3	5.7	6.2
Completely Rural	6.9	4.6	0.3	0.1	7.5	5.1	6.2	*	7.7	5.1	0.4	1.3	7.8	5.1
POVERTY LEVEL²
Less Than 100%	5.1	4.6	0.3	0.3	5.8	5.3	6.3	6.8	5.6	4.8	1.8	2.0	6.0	5.3
100-199%	5.4	5.3	0.8	0.1	6.0	5.9	6.7	8.7	5.8	5.4	1.7	1.6	6.1	6.0
200% or More	6.0	6.1	0.3	0.3	6.5	6.6	7.8	7.4	6.4	6.5	1.5	1.5	6.6	6.7
HEALTH INSURANCE³
Private	5.8	6.2	0.3	0.3	6.3	6.8	8.5	8.8	6.0	6.5	2.0	1.9	6.3	6.8
Medicaid/CHIP	5.2	4.9	0.5	0.1	6.2	5.9	4.2	5.6	6.7	6.0	1.0	1.3	6.6	6.1
Other⁴	3.6	3.5	0.3	0.3	3.7	3.6	8.3	8.2	3.5	3.4	2.0	1.5	3.7	3.6
No Coverage	8.1	7.3	*	0.4	8.6	7.6	6.7	5.8	9.0	8.1	1.5	2.0	9.0	8.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	13,869	13,224	11,476	10,934	6,109	5,843	3,379	3,154	616	646
GENDER
Male	6,578	6,468	5,441	5,358	2,919	2,763	1,536	1,503	338	377
Female	7,291	6,755	6,035	5,575	3,190	3,080	1,843	1,650	278	269
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,123	9,844	8,388	8,259	4,603	4,513	2,598	2,439	500	530
AIAN	*	101	*	76	*	38	*	33	2	*
Asian	441	536	340	458	146^a	258	54	78	2	12
Black or African American	1,351	1,439	1,051	1,100	523	502	298	244	64^a	13
NHOPI	*	*	*	*	*	*	*	*	*	*
White	7,646	7,295	6,436	6,240	3,663	3,483	2,057	1,965	405	459
Two or More Races	451	447	366	363	187	220	109	119	27	31
Hispanic or Latino	3,746	3,380	3,088	2,675	1,506	1,330	781	714	116	116
GENDER/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	606	688	448	526	228	197	102	102	23	7
Female, Black, Not Hispanic	744	752	603	574	295	305	195	143	40^a	6
Male, White, Not Hispanic	3,637	3,536	3,058	3,026	1,790	1,650	955	979	233	267
Female, White, Not Hispanic	4,010	3,760	3,378	3,214	1,874	1,833	1,101	986	171	192
Male, Hispanic	1,871	1,674	1,576	1,334	727	657	383	337	74	89
Female, Hispanic	1,875	1,706	1,512	1,340	779	673	398	377	42	28
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	35.5	34.2	29.4	28.3	15.6	15.1	8.6	8.2	1.6	1.7
GENDER
Male	32.8	32.3	27.1	26.8	14.6	13.8	7.7	7.5	1.7	1.9
Female	38.3	36.3	31.7	29.9	16.7	16.5	9.7	8.9	1.5	1.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	35.0	34.2	29.0	28.7	15.9	15.7	9.0	8.5	1.7	1.8
AIAN	*	31.1	*	23.5	*	11.8	*	10.0	0.9	*
Asian	19.9	21.9	15.3	18.7	6.6	10.5	2.4	3.2	0.1	0.5
Black or African American	25.1	27.2	19.5	20.8	9.7	9.5	5.5	4.6	1.2^a	0.2
NHOPI	*	*	*	*	*	*	*	*	*	*
White	39.2	37.8	33.0	32.3	18.8	18.0	10.5	10.2	2.1	2.4
Two or More Races	33.8	34.7	27.4	28.2	14.0	17.1	8.2	9.2	2.0	2.4
Hispanic or Latino	36.9	34.2	30.4^a	27.1	14.8	13.5	7.7	7.2	1.1	1.2
GENDER/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	22.6	26.4	16.7	20.2	8.5	7.6	3.8	3.9	0.9	0.3
Female, Black, Not Hispanic	27.6	28.1	22.3	21.4	10.9	11.4	7.2	5.3	1.5^a	0.2
Male, White, Not Hispanic	35.9	35.2	30.2	30.1	17.7	16.4	9.4	9.7	2.3	2.7
Female, White, Not Hispanic	42.8	40.6	36.1	34.7	20.0	19.8	11.8	10.6	1.8	2.1
Male, Hispanic	35.6	32.8	30.0	26.1	13.8	12.9	7.3	6.6	1.4	1.7
Female, Hispanic	38.2	35.7	30.8	28.0	15.9	14.1	8.1	7.9	0.9	0.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	206,133	208,082	162,790	166,041	126,403	131,603	57,241	58,003	15,453	15,443
GENDER
Male	103,112	103,692	81,667	83,624	65,525	68,285	31,047	32,122	9,425	9,823
Female	103,021	104,390	81,123	82,417	60,878	63,318	26,194	25,882	6,027	5,620
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	174,594	174,659	137,402	138,523	107,083	110,728	46,531	46,872	13,269	12,988
AIAN	1,311^a	874	919^a	612	631	481	320	340	121	104
Asian	9,567	9,529	7,167	7,890	5,086	5,994	1,727	1,679	308	311
Black or African American	22,322	22,616	17,812	17,717	13,583	13,819	6,979	6,970	1,665	1,441
NHOPI	*	*	*	*	*	*	*	*	63	*
White	136,948	136,755	108,028	108,595	85,264	87,825	35,937	36,545	10,843	10,803
Two or More Races	3,745	4,021	3,006	3,191	2,173	2,290	1,340	1,087	269	245
Hispanic or Latino	31,540	33,423	25,388	27,518	19,320	20,875	10,711	11,132	2,184	2,455
GENDER/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	10,820	11,024	8,604	8,681	6,784	6,788	3,580	3,543	1,040	792
Female, Black, Not Hispanic	11,502	11,592	9,209	9,036	6,799	7,031	3,400	3,427	625	649
Male, White, Not Hispanic	68,036	67,378	53,388	54,120	43,512	45,274	19,249	20,232	6,446	6,853
Female, White, Not Hispanic	68,912	69,377	54,640	54,475	41,751	42,551	16,687	16,313	4,397	3,951
Male, Hispanic	16,587	17,505	13,917	14,520	10,992	11,353	6,382	6,382	1,533	1,668
Female, Hispanic	14,952	15,918	11,471^a	12,998	8,329^a	9,522	4,328	4,750	650	786
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Demographic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	85.6	85.5	67.6	68.2	52.5^a	54.1	23.8	23.8	6.4	6.3
GENDER
Male	88.3	87.7	70.0	70.7	56.1	57.8	26.6	27.2	8.1	8.3
Female	83.1	83.4	65.4	65.9	49.1	50.6	21.1	20.7	4.9	4.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	86.8	86.3	68.3	68.5	53.2^a	54.7	23.1	23.2	6.6	6.4
AIAN	85.2	76.8	59.7	53.8	41.0	42.3	20.8	29.9	7.9	9.1
Asian	67.6	65.4	50.6	54.2	35.9	41.1	12.2	11.5	2.2	2.1
Black or African American	77.6	77.6	62.0	60.8	47.2	47.4	24.3	23.9	5.8	4.9
NHOPI	*	*	*	*	*	*	*	*	6.5	*
White	90.3	90.1	71.3	71.6	56.2^a	57.9	23.7	24.1	7.2	7.1
Two or More Races	90.6	87.6	72.7	69.5	52.6	49.9	32.4^b	23.7	6.5	5.3
Hispanic or Latino	79.6	81.5	64.1	67.1	48.8	50.9	27.0	27.1	5.5	6.0
GENDER/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	82.1	82.2	65.3	64.7	51.5	50.6	27.2	26.4	7.9	5.9
Female, Black, Not Hispanic	73.8	73.6	59.1	57.4	43.7	44.7	21.8	21.8	4.0	4.1
Male, White, Not Hispanic	91.9	90.7	72.1	72.8	58.8	60.9	26.0	27.2	8.7	9.2
Female, White, Not Hispanic	88.8	89.6	70.4	70.4	53.8	55.0	21.5	21.1	5.7	5.1
Male, Hispanic	84.3	85.5	70.7	70.9	55.8	55.5	32.4	31.2	7.8	8.1
Female, Hispanic	75.0	77.5	57.5^b	63.3	41.8^a	46.3	21.7	23.1	3.3	3.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	13,869	13,224	11,476	10,934	6,109	5,843	3,379	3,154	616	646
GEOGRAPHIC REGION
Northeast	2,438	2,200	2,131	1,918	1,203	1,063	642	584	95	93
Midwest	3,142	2,959	2,650	2,424	1,461	1,336	847	783	180	220
South	4,987	5,002	4,027	4,106	2,068	2,065	1,127	1,055	202	157
West	3,303	3,062	2,667	2,486	1,377	1,380	764	732	139	176
COUNTY TYPE
Large Metro	7,284	7,149	6,095	6,007	3,218	3,270	1,748	1,683	358	316
Small Metro	4,349	4,441	3,598	3,637	1,991	1,933	1,184	1,084	193	205
Nonmetro	2,235^b	1,634	1,783^b	1,289	901^b	640	447	387	66	124
Urbanized	979	755	824^a	582	436^a	288	250	197	37	70
Less Urbanized	1,079^a	774	820	617	419	315	173	170	26	50
Completely Rural	177	105	139	90	46	37	25	19	3	5
POVERTY LEVEL²
Less Than 100%	3,258^a	2,675	2,667^a	2,096	1,454	1,189	963	737	163	174
100-199%	3,068	2,974	2,383	2,356	1,344	1,187	700	686	147	146
200% or More	7,507	7,570	6,397	6,478	3,294	3,463	1,704	1,727	307	324
HEALTH INSURANCE³
Private	7,853	7,626	6,716	6,575	3,858	3,626	2,177	1,889	419	390
Medicaid/CHIP	4,694	4,378	3,655	3,314	1,767	1,663	911	981	150	192
Other⁴	748^a	989	614^a	816	303	412	181	224	47	39
No Coverage	1,213	979	1,003	833	492	469	294	266	45	50
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	35.5	34.2	29.4	28.3	15.6	15.1	8.6	8.2	1.6	1.7
GEOGRAPHIC REGION
Northeast	37.5	35.6	32.8	31.0	18.5	17.2	9.9	9.4	1.5	1.5
Midwest	38.5	36.6	32.5	30.0	17.9	16.5	10.4	9.7	2.2	2.7
South	33.1	32.9	26.7	27.0	13.7	13.6	7.5	6.9	1.3	1.0
West	35.3	33.3	28.5	27.0	14.7	15.0	8.2	8.0	1.5	1.9
COUNTY TYPE
Large Metro	34.7	32.8	29.1	27.5	15.3	15.0	8.3	7.7	1.7	1.4
Small Metro	35.7	35.9	29.5	29.4	16.3	15.6	9.7	8.8	1.6	1.7
Nonmetro	37.7	36.5	30.1	28.8	15.2	14.3	7.5	8.7	1.1^a	2.8
Urbanized	42.1	39.6	35.4	30.6	18.7	15.1	10.7	10.4	1.6	3.7
Less Urbanized	35.6	35.4	27.1	28.2	13.8	14.4	5.7	7.8	0.9	2.3
Completely Rural	31.0	27.6	24.3	23.6	8.0	9.7	4.3	5.1	0.4	1.3
POVERTY LEVEL²
Less Than 100%	35.1	31.4	28.7^a	24.6	15.7	13.9	10.4	8.6	1.8	2.0
100-199%	35.5	33.5	27.6	26.5	15.5	13.4	8.1	7.7	1.7	1.6
200% or More	35.6	35.6	30.4	30.5	15.6	16.3	8.1	8.1	1.5	1.5
HEALTH INSURANCE³
Private	37.8	36.6	32.3	31.6	18.6	17.4	10.5	9.1	2.0	1.9
Medicaid/CHIP	31.0	29.3	24.1	22.2	11.7	11.1	6.0	6.6	1.0	1.3
Other⁴	31.9	37.6	26.2	31.0	12.9	15.7	7.7	8.5	2.0	1.5
No Coverage	41.6	38.4	34.4	32.6	16.9	18.4	10.1	10.4	1.5	2.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	206,133	208,082	162,790	166,041	126,403	131,603	57,241	58,003	15,453	15,443
GEOGRAPHIC REGION
Northeast	36,486	37,217	29,151	30,862	23,024	24,432	10,175	10,682	2,717	2,665
Midwest	44,728	44,602	35,992	36,042	28,180	28,503	13,038	13,044	3,664	3,788
South	76,853	77,456	59,961	60,043	45,825	47,441	20,855	20,847	5,566	5,404
West	48,067	48,807	37,686	39,094	29,373	31,227	13,174	13,431	3,506	3,586
COUNTY TYPE
Large Metro	111,217	114,147	89,782	94,093	71,578	75,326	31,531	32,430	8,013	8,156
Small Metro	63,190	66,402	49,879	52,057	38,392	41,184	17,872	18,618	4,932	5,338
Nonmetro	31,726^a	27,534	23,129^a	19,891	16,433	15,093	7,839	6,955	2,507	1,949
Urbanized	11,951	11,824	8,862	8,688	6,825	6,663	3,173	2,897	1,082	811
Less Urbanized	16,534	13,516	12,123^a	9,680	8,227	7,261	3,978	3,574	1,114	1,012
Completely Rural	3,241	2,194	2,145	1,524	1,381	1,169	688	484	311^a	127
POVERTY LEVEL²
Less Than 100%	25,479	24,772	17,658	17,073	12,269	12,032	7,767	7,244	2,038	1,745
100-199%	38,255	37,549	27,406	27,063	19,417	19,535	10,582	10,264	2,926	2,807
200% or More	142,396	145,759	117,723	121,903	94,714^a	100,035	38,892	40,496	10,489	10,890
HEALTH INSURANCE³
Private	130,912	132,133	108,284	110,731	86,918	91,021	36,147	38,434	9,338	10,212
Medicaid/CHIP	34,005	34,167	23,882	24,351	16,335	16,944	10,129	9,219	2,853	2,664
Other⁴	61,265	62,450	42,097	43,543	31,528	33,425	10,693	10,437	2,750	2,696
No Coverage	18,468	17,351	14,746	13,673	11,101	10,335	6,931	6,212	2,081	1,732
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.

230608

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 and 2022
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2021)	Lifetime Alcohol Use (2022)	Past Year Alcohol Use (2021)	Past Year Alcohol Use (2022)	Past Month Alcohol Use (2021)	Past Month Alcohol Use (2022)	Past Month Binge Alcohol Use¹ (2021)	Past Month Binge Alcohol Use¹ (2022)	Past Month Heavy Alcohol Use (2021)	Past Month Heavy Alcohol Use (2022)
TOTAL	85.6	85.5	67.6	68.2	52.5^a	54.1	23.8	23.8	6.4	6.3
GEOGRAPHIC REGION
Northeast	86.0	86.9	68.7	72.0	54.3	57.0	24.0	24.9	6.4	6.2
Midwest	89.7	89.1	72.2	72.0	56.5	56.9	26.1	26.0	7.3	7.6
South	84.0	83.4	65.5	64.6	50.1	51.1	22.8	22.4	6.1	5.8
West	84.4	84.8	66.2	67.9	51.6	54.3	23.1	23.3	6.2	6.2
COUNTY TYPE
Large Metro	85.7	85.1	69.2	70.2	55.2	56.2	24.3	24.2	6.2	6.1
Small Metro	85.9	86.3	67.8	67.6	52.2	53.5	24.3	24.2	6.7	6.9
Nonmetro	84.9	85.3	61.9	61.6	44.0	46.8	21.0	21.6	6.7	6.0
Urbanized	86.4	87.2	64.1	64.0	49.3	49.1	22.9	21.4	7.8	6.0
Less Urbanized	84.5	83.3	62.0	59.6	42.0	44.7	20.3	22.0	5.7	6.2
Completely Rural	81.2^b	88.7	53.7	61.6	34.6^b	47.3	17.2	19.6	7.8	5.1
POVERTY LEVEL²
Less Than 100%	74.8	75.2	51.8	51.8	36.0	36.5	22.8	22.0	6.0	5.3
100-199%	80.1	80.3	57.4	57.9	40.7	41.8	22.2	22.0	6.1	6.0
200% or More	89.6	89.1	74.1	74.5	59.6	61.1	24.5	24.7	6.6	6.7
HEALTH INSURANCE³
Private	88.7	88.6	73.4	74.2	58.9^b	61.0	24.5	25.8	6.3	6.8
Medicaid/CHIP	78.8	77.9	55.4	55.6	37.9	38.7	23.5^a	21.0	6.6	6.1
Other⁴	82.4	82.6	56.6	57.6	42.4	44.2	14.4	13.8	3.7	3.6
No Coverage	79.6	80.0	63.5	63.0	47.8	47.6	29.9	28.6	9.0	8.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues. NOTE: Estimates for 2021 may differ from previously published estimates because the 2021 analysis weights were updated to facilitate between-year comparisons. See the 2022 National Survey on Drug Use and Health (NSDUH): 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. ^a,b The difference between this estimate and the 2022 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. 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 and 2022.