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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 2,603a 2,227 157,933 158,968 14,994 14,469 142,939 144,499 6,865a 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 653b 397 39,011 38,431 4,356b 3,693 34,655 34,737 1,676a 1,342 37,988 37,486
Cigars 79,527b 84,474 950a 721 78,576b 83,753 8,193 7,995 70,384b 75,758 2,911 2,643 76,616a 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 25,058a 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 68,388b 63,536 1,521a 1,224 66,867b 62,311 8,980 8,610 57,887b 53,701 4,192 3,739 64,195a 59,796
Cigarettes 53,684b 50,139 1,018 886 52,666a 49,253 6,407 6,341 46,259a 42,912 2,918 2,736 50,767a 47,404
Daily Cigarettes -- -- -- -- -- -- -- -- -- -- -- -- -- --
Smokeless Tobacco 10,224b 8,290 364b 188 9,860b 8,102 1,639 1,475 8,221b 6,627 779 651 9,445b 7,639
Cigars 18,976 19,173 595a 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 4,779a 4,301 169,487 172,675 22,790a 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 56,186b 50,948 750b 506 55,436b 50,443 5,863a 5,354 49,573b 45,089 2,219 1,920 53,967b 49,028
Cigarettes 44,763b 41,062 432 319 44,331b 40,743 3,959 3,729 40,372b 37,014 1,399 1,211 43,364a 39,852
Daily Cigarettes 27,509b 24,103 70 10 27,439b 24,093 1,069 996 26,370b 23,097 272 200 27,238b 23,903
Smokeless Tobacco 7,634b 6,084 157b 59 7,478b 6,026 1,003 818 6,474b 5,207 374 304 7,261b 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 132,512b 137,446 1,886 1,753 130,627b 135,694 17,047 17,467 113,580b 118,227 6,109 5,843 126,403 131,603
Binge Alcohol Use3 60,621 61,157 1,043a 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 10.0a 8.7 62.2 62.0 44.8b 41.6 64.9 65.2 17.6a 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 2.5b 1.5 15.4 15.0 13.0b 10.6 15.7 15.7 4.3a 3.5 15.8 15.4
Cigars 28.4b 30.0 3.7a 2.8 31.0b 32.7 24.5 23.0 31.9b 34.2 7.4 6.8 31.8b 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 24.4b 22.5 5.8a 4.8 26.3b 24.3 26.8a 24.8 26.3b 24.2 10.7 9.7 26.7b 24.6
Cigarettes 19.2b 17.8 3.9 3.4 20.7b 19.2 19.1 18.2 21.0b 19.4 7.5 7.1 21.1b 19.5
Daily Cigarettes -- -- -- -- -- -- -- -- -- -- -- -- -- --
Smokeless Tobacco 3.7b 2.9 1.4b 0.7 3.9b 3.2 4.9 4.2 3.7b 3.0 2.0 1.7 3.9b 3.1
Cigars 6.8 6.8 2.3a 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 18.4a 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 20.1b 18.1 2.9b 2.0 21.8b 19.7 17.5b 15.4 22.5b 20.4 5.7 5.0 22.4b 20.1
Cigarettes 16.0b 14.6 1.7 1.2 17.5b 15.9 11.8 10.7 18.3b 16.7 3.6 3.1 18.0b 16.4
Daily Cigarettes 9.8b 8.5 0.3 0.0 10.8b 9.4 3.2 2.9 12.0b 10.4 0.7 0.5 11.3b 9.8
Smokeless Tobacco 2.7b 2.2 0.6b 0.2 2.9b 2.4 3.0a 2.4 2.9b 2.4 1.0 0.8 3.0b 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 47.4a 48.7 7.2 6.8 51.5a 52.9 50.9 50.2 51.5a 53.4 15.6 15.1 52.5a 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 68,388b 63,536 56,186b 50,948
12-201 6,865a 6,137 4,192 3,739 2,219 1,920
21 or Older1 153,671 155,059 64,195a 59,796 53,967b 49,028
12-17 2,603a 2,227 1,521a 1,224 750b 506
12-13 305 274 177 152 61 56
14-15 738 761 411 373 181 152
16-17 1,559b 1,192 932a 700 508b 297
18 or Older 157,933 158,968 66,867b 62,311 55,436b 50,443
18-25 14,994 14,469 8,980 8,610 5,863a 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 57,887b 53,701 49,573b 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 25,650b 22,687 23,137b 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 8,054b 6,587 7,214a 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 24.4b 22.5 20.1b 18.1
12-201 17.6a 15.9 10.7 9.7 5.7 5.0
21 or Older1 63.8 63.7 26.7b 24.6 22.4b 20.1
12-17 10.0a 8.7 5.8a 4.8 2.9b 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 18.1b 14.5 10.8a 8.5 5.9b 3.6
18 or Older 62.2 62.0 26.3b 24.3 21.8b 19.7
18-25 44.8b 41.6 26.8a 24.8 17.5b 15.4
18-20 32.6 30.2 20.4 19.5 11.2 10.9
21-25 52.6b 48.3 30.9a 27.9 21.6b 18.0
26 or Older 64.9 65.2 26.3b 24.2 22.5b 20.4
26-49 65.0 65.3 31.5 30.2 25.8a 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 26.9a 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 21.7b 19.1 19.6b 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 14.7b 11.7 13.2b 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 53,684b 50,139 44,763b 41,062
12-201 5,251 4,933 2,918 2,736 1,399 1,211
21 or Older1 139,613 141,202 50,767a 47,404 43,364a 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 1,185a 917 622 506 313a 195
18 or Older 142,935 144,425 52,666a 49,253 44,331b 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 46,259a 42,912 40,372b 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 20,745a 18,416 19,047a 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 6,372a 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 19.2b 17.8 16.0b 14.6
12-201 13.4 12.8 7.5 7.1 3.6 3.1
21 or Older1 58.0 58.0 21.1b 19.5 18.0b 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 13.8a 11.2 7.2 6.2 3.6 2.4
18 or Older 56.3 56.4 20.7b 19.2 17.5b 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 43.6a 41.0 22.1 20.5 14.7 13.0
26 or Older 59.3 59.7 21.0b 19.4 18.3b 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 17.6a 15.5 16.1b 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 11.6a 9.5 10.5a 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 10,224b 8,290 7,634b 6,084
12-201 1,676a 1,342 779 651 374 304
21 or Older1 37,988 37,486 9,445b 7,639 7,261b 5,780
12-17 653b 397 364b 188 157b 59
12-13 65 62 28 40 3 2
14-15 172 132 103 52 57 17
16-17 416b 203 233b 96 96a 40
18 or Older 39,011 38,431 9,860b 8,102 7,478b 6,026
18-25 4,356b 3,693 1,639 1,475 1,003 818
18-20 1,023 944 415 463 217 245
21-25 3,333b 2,749 1,224 1,012 786a 573
26 or Older 34,655 34,737 8,221b 6,627 6,474b 5,207
26-49 19,321 19,023 5,158b 4,102 3,840b 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 1,087a 744 833b 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 3.7b 2.9 2.7b 2.2
12-201 4.3a 3.5 2.0 1.7 1.0 0.8
21 or Older1 15.8 15.4 3.9b 3.1 3.0b 2.4
12-17 2.5b 1.5 1.4b 0.7 0.6b 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 4.8b 2.5 2.7b 1.2 1.1a 0.5
18 or Older 15.4 15.0 3.9b 3.2 2.9b 2.4
18-25 13.0b 10.6 4.9 4.2 3.0a 2.4
18-20 7.8 7.3 3.2 3.6 1.7 1.9
21-25 16.3b 12.6 6.0a 4.6 3.9b 2.6
26 or Older 15.7 15.7 3.7b 3.0 2.9b 2.4
26-49 18.9 18.5 5.0b 4.0 3.8b 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 4.9a 3.4 3.7b 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 79,527b 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 76,616a 81,832 17,191 17,555 9,692 9,662
12-17 950a 721 595a 411 197 170
12-13 110a 46 46 31 21 15
14-15 216 237 114 104 48 37
16-17 625a 438 434a 276 127 118
18 or Older 78,576b 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 70,384b 75,758 14,399 14,833 8,360 8,384
26-49 36,748b 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 33,635a 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 14,089a 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 28.4b 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 31.8b 33.6 7.1 7.2 4.0 4.0
12-17 3.7a 2.8 2.3a 1.6 0.8 0.7
12-13 1.2a 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 7.3a 5.3 5.0a 3.4 1.5 1.4
18 or Older 31.0b 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 30.6a 27.8 13.7 12.5 6.5 5.8
26 or Older 31.9b 34.2 6.5 6.7 3.8 3.8
26-49 35.9b 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 36.9a 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 36.7a 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 28.5a 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 220,002 221,306 174,266 176,975 132,512b 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 4,779a 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 213,815 215,561 169,487 172,675 130,627b 135,694
18-25 25,058a 25,747 22,790a 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 188,757 189,814 146,696 149,067 113,580b 118,227
26-49 89,242 89,623 74,908 75,737 58,806a 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 54,774a 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 44,974a 46,509 30,383 31,589 22,785a 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 47.4a 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 52.5a 54.1
12-17 23.8 22.3 18.4a 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 51.5a 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 51.5a 53.4
26-49 87.2 87.4 73.2 73.8 57.5a 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 56.1b 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 132,512b 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 1,043a 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 130,627b 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 113,580b 118,227 49,553 50,062 13,586 13,393
26-49 58,806a 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 54,774a 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 22,785a 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 47.4a 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 52.5a 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 3.3a 2.1 0.2 0.1
16-17 14.0 14.5 8.2 7.1 1.0 0.6
18 or Older 51.5a 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 51.5a 53.4 22.5 22.6 6.2 6.0
26-49 57.5a 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 56.1b 60.9 27.4a 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 11.6a 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 2,603a 2,227 157,933 158,968 14,994 14,469 142,939 144,499 6,865a 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 2,041a 1,696 136,600 136,037 12,080a 11,442 124,520 124,595 5,420a 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 179a 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 1,652b 1,287 110,973 109,897 9,299 8,905 101,674 100,992 4,278a 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 21,894a 23,462 561 531 21,333a 22,931 2,915 3,027 18,418a 19,905 1,444 1,400 20,450 22,063
EDUCATION LEVEL                            
< High School da da da da 15,984b 13,997 1,579 1,453 14,406a 12,544 da da 15,237a 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 47,971b 51,433 2,603 2,606 45,368a 48,827 da da 47,970a 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 8,086b 6,559 1,504 1,470 6,582b 5,089 da da 7,644b 6,076
Other2 da da da da 57,929 56,941 3,610a 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 10.0a 8.7 62.2 62.0 44.8b 41.6 64.9 65.2 17.6a 15.9 63.8 63.7
GENDER                            
Male 64.0 64.1 10.4 8.9 69.8 69.9 50.1b 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 10.5a 8.9 64.8 64.2 47.1b 43.1 67.3 67.2 18.7b 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 5.1a 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 12.6b 10.0 70.3 69.5 52.5b 48.8 72.5 72.2 21.9b 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 44.3a 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 51.3a 45.8 61.4 61.6 da da 60.7 60.5
EMPLOYMENT STATUS                            
Full-Time da da da da 64.9 65.1 52.8a 49.7 66.5 67.2 da da 65.6 65.9
Part-Time da da da da 58.2 56.0 38.8a 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 38.4a 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 68,388b 63,536 1,521a 1,224 66,867b 62,311 8,980 8,610 57,887b 53,701 4,192 3,739 64,195a 59,796
GENDER                            
Male 41,111 39,222 850a 636 40,260 38,586 5,456 5,302 34,804 33,284 2,431 2,207 38,680 37,015
Female 27,277b 24,314 670 588 26,607b 23,725 3,524 3,308 23,082b 20,417 1,762 1,533 25,515b 22,781
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 59,186b 54,690 1,229b 914 57,957b 53,776 7,418 6,994 50,539b 46,782 3,374a 2,922 55,812a 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 92a 149 8,867 8,126 1,012 923 7,855 7,203 380 377 8,579 7,898
NHOPI * * * * * * * * * * * * * *
White 45,795b 42,173 1,026b 683 44,769a 41,490 5,642 5,476 39,127a 36,015 2,674a 2,274 43,121a 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 9,684b 8,208 1,114 995 8,570a 7,213 da da 9,182a 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 22,399b 20,086 3,646 3,338 18,753a 16,748 da da 21,343a 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 5,278b 4,187 974 918 4,304b 3,269 da da 5,012b 3,854
Other2 da da da da 22,905b 19,837 2,175b 1,727 20,730a 18,110 da da 22,065b 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 24.4b 22.5 5.8a 4.8 26.3b 24.3 26.8a 24.8 26.3b 24.2 10.7 9.7 26.7b 24.6
GENDER                            
Male 30.1a 28.4 6.4a 4.8 32.6 30.8 32.6 30.3 32.6 30.9 12.1 11.0 33.1 31.3
Female 19.1b 16.9 5.3 4.7 20.4b 18.1 21.1 19.1 20.3b 17.9 9.2 8.2 20.6b 18.2
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 25.7b 23.7 6.3b 4.8 27.5b 25.4 28.9a 26.4 27.3b 25.2 11.7a 10.2 27.7b 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 2.6a 4.3 29.0 26.3 22.3 19.8 30.1 27.4 7.1 7.1 29.8 27.1
NHOPI * * * * * * * * * * * * * *
White 26.8b 24.7 7.8b 5.3 28.3b 26.2 31.8 30.0 27.9b 25.7 13.7a 11.8 28.4b 26.3
Two or More Races 28.6 28.1 4.2 4.4 33.4 32.0 31.6a 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 28.4a 25.0 33.8 32.0 da da 34.0 32.0
Some College/Associate’s Degree da da da da 29.0b 25.8 25.8 24.0 29.7b 26.2 da da 29.8b 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 23.8b 21.1 23.1a 19.8 23.9b 21.2 da da 24.1b 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 56,186b 50,948 750b 506 55,436b 50,443 5,863a 5,354 49,573b 45,089 2,219 1,920 53,967b 49,028
GENDER                            
Male 33,735a 31,232 423b 250 33,312a 30,983 3,627 3,374 29,684 27,609 1,305 1,120 32,430 30,113
Female 22,451b 19,716 327 256 22,124b 19,460 2,236 1,980 19,888b 17,480 915 801 21,537b 18,915
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 49,501b 44,323 629b 365 48,871b 43,958 4,927a 4,396 43,944b 39,562 1,837a 1,519 47,663b 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 38,183b 34,025 536b 276 37,647b 33,750 3,705 3,308 33,943b 30,442 1,445a 1,161 36,738b 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 8,768b 7,413 826 722 7,943a 6,691 da da 8,477a 7,146
High School Graduate da da da da 20,248a 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 18,277b 16,033 2,211 1,887 16,066a 14,146 da da 17,760b 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 4,638b 3,450 728 619 3,909b 2,831 da da 4,464b 3,257
Other2 da da da da 19,973b 17,308 1,348 1,107 18,625a 16,201 da da 19,531b 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 20.1b 18.1 2.9b 2.0 21.8b 19.7 17.5b 15.4 22.5b 20.4 5.7 5.0 22.4b 20.1
GENDER                            
Male 24.7a 22.6 3.2a 1.9 27.0a 24.8 21.7a 19.3 27.8a 25.7 6.5 5.6 27.8a 25.5
Female 15.7b 13.7 2.6 2.0 17.0b 14.8 13.4a 11.4 17.5b 15.3 4.8 4.3 17.4b 15.1
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 21.5b 19.2 3.2b 1.9 23.2b 20.7 19.2b 16.6 23.7b 21.3 6.4a 5.3 23.7b 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 22.3b 19.9 4.1b 2.1 23.8b 21.3 20.9b 18.1 24.2b 21.8 7.4a 6.0 24.2b 21.7
Two or More Races 25.1 23.4 1.9 1.5 29.7 27.0 22.6a 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 29.2a 26.7 20.2a 17.4 30.8 28.6 da da 30.6 28.1
Some College/Associate’s Degree da da da da 23.7b 20.6 15.6 13.6 25.5b 22.1 da da 24.8b 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 21.9a 20.4 21.0a 18.3 22.0 20.6 da da 22.1a 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 20.8b 18.4 14.3 12.7 21.5a 19.0 da da 21.3b 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 85a 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 19,380a 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 14,806b 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 41,646b 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 7,544b 5,958 1,328 1,251 6,216b 4,706 da da 7,162b 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 2.4a 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 53,684b 50,139 1,018 886 52,666a 49,253 6,407 6,341 46,259a 42,912 2,918 2,736 50,767a 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 24,533b 21,908 483 462 24,050b 21,446 2,728 2,685 21,322b 18,761 1,278 1,233 23,254b 20,675
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 46,159b 42,834 797 668 45,362b 42,166 5,255 5,088 40,107a 37,078 2,308 2,129 43,851a 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 34a 83 6,672 6,261 526 473 6,146 5,788 175 182 6,531 6,162
NHOPI * * * * * * * * * * * * * *
White 35,826b 32,835 693 525 35,133a 32,310 4,139 4,131 30,993a 28,178 1,906 1,740 33,920a 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 8,534a 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 4,549b 3,598 732 673 3,817b 2,924 da da 4,354b 3,374
Other2 da da da da 20,005b 17,358 1,633 1,352 18,372a 16,006 da da 19,408a 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 19.2b 17.8 3.9 3.4 20.7b 19.2 19.1 18.2 21.0b 19.4 7.5 7.1 21.1b 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 17.1b 15.2 3.8 3.7 18.5b 16.3 16.3 15.5 18.8b 16.5 6.7 6.6 18.7b 16.5
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 20.1b 18.5 4.1 3.5 21.5b 19.9 20.5 19.2 21.7b 20.0 8.0 7.4 21.8b 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 1.0a 2.4 21.8 20.2 11.6 10.1 23.6 22.0 3.3 3.4 22.7 21.1
NHOPI * * * * * * * * * * * * * *
White 20.9b 19.2 5.3a 4.1 22.2b 20.4 23.4 22.6 22.1b 20.1 9.8 9.0 22.4b 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 22.3a 20.5 17.3 17.0 23.4a 21.3 da da 23.0a 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 20.8b 18.5 17.4 15.5 21.2a 18.8 da da 21.2b 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 44,763b 41,062 432 319 44,331b 40,743 3,959 3,729 40,372b 37,014 1,399 1,211 43,364a 39,852
GENDER                            
Male 24,039 22,840 250a 135 23,790 22,706 2,210 2,186 21,580 20,520 804 624 23,235 22,216
Female 20,724b 18,222 183 184 20,541b 18,037 1,749 1,543 18,792b 16,494 595 586 20,129b 17,635
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 39,117b 35,451 344 240 38,774b 35,211 3,333 3,015 35,441b 32,195 1,145 951 37,972a 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 30,259b 27,152 320a 197 29,939a 26,955 2,580 2,389 27,360a 24,566 966 784 29,293a 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 7,744a 6,769 672 573 7,072 6,197 da da 7,511 6,594
High School Graduate da da da da 17,212a 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 14,189a 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 3,959b 3,050 540 461 3,419b 2,589 da da 3,826b 2,907
Other2 da da da da 17,560b 15,067 1,009 843 16,551a 14,223 da da 17,267b 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 16.0b 14.6 1.7 1.2 17.5b 15.9 11.8 10.7 18.3b 16.7 3.6 3.1 18.0b 16.4
GENDER                            
Male 17.6 16.5 1.9a 1.0 19.3 18.2 13.2 12.5 20.2 19.1 4.0 3.1 19.9 18.8
Female 14.5b 12.7 1.4 1.5 15.8b 13.7 10.5 8.9 16.5b 14.5 3.1 3.1 16.2b 14.1
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 17.0b 15.3 1.8 1.3 18.4b 16.6 13.0a 11.4 19.2b 17.4 4.0 3.3 18.9b 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 17.7b 15.9 2.4a 1.5 19.0b 17.0 14.6 13.1 19.5b 17.6 5.0 4.1 19.3b 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 24.8a 22.4 14.6a 12.3 26.6 24.5 da da 26.1 23.8
Some College/Associate’s Degree da da da da 18.4a 16.6 9.4 9.1 20.4a 18.2 da da 19.4a 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 18.3b 16.0 10.7 9.7 19.1b 16.7 da da 18.9b 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 653b 397 39,011 38,431 4,356b 3,693 34,655 34,737 1,676a 1,342 37,988 37,486
GENDER                            
Male 31,783 32,761 468b 258 31,315 32,503 3,186 2,910 28,129 29,593 1,223a 1,002 30,560 31,759
Female 7,881b 6,067 185 139 7,696b 5,928 1,170b 783 6,526b 5,144 453 339 7,428b 5,727
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 35,926 34,970 548b 339 35,378 34,631 3,737b 3,154 31,641 31,477 1,418a 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 475b 271 30,823 30,326 3,172 2,766 27,651 27,560 1,195a 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 13,577a 12,205 1,669b 1,250 11,908 10,955 da da 13,175 11,915
College Graduate da da da da 10,916 12,018 829a 597 10,088a 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 2,332b 1,654 458 390 1,874b 1,264 da da 2,183b 1,530
Other2 da da da da 10,523 9,474 870a 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 2.5b 1.5 15.4 15.0 13.0b 10.6 15.7 15.7 4.3a 3.5 15.8 15.4
GENDER                            
Male 23.2 23.7 3.5b 2.0 25.4 26.0 19.0a 16.6 26.4 27.5 6.1a 5.0 26.2 26.9
Female 5.5b 4.2 1.5 1.1 5.9b 4.5 7.0b 4.5 5.7b 4.5 2.4 1.8 6.0b 4.6
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 15.6 15.1 2.8b 1.8 16.8 16.3 14.6b 11.9 17.1 17.0 4.9a 4.0 17.2 16.7
AIAN 19.6 24.3 * 1.6 20.4 28.3 * 14.9 19.3a 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 3.6b 2.1 19.5 19.2 17.9b 15.2 19.7 19.7 6.1a 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 17.6a 15.7 11.8b 9.0 18.9 17.1 da da 18.4a 16.3
College Graduate da da da da 13.8 14.1 16.3b 10.5 13.6 14.4 da da 13.8 14.1
EMPLOYMENT STATUS                            
Full-Time da da da da 19.3 19.5 17.6b 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 9.2a 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 10,224b 8,290 364b 188 9,860b 8,102 1,639 1,475 8,221b 6,627 779 651 9,445b 7,639
GENDER                            
Male 8,705b 7,346 274b 118 8,431a 7,229 1,250 1,227 7,181a 6,002 580 487 8,125a 6,860
Female 1,519b 944 90 70 1,429b 873 389a 248 1,041b 625 199 164 1,320b 780
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 9,272b 7,544 311b 147 8,961b 7,396 1,445 1,254 7,516b 6,142 658 535 8,614b 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 8,149b 6,487 266b 105 7,883b 6,382 1,262 1,108 6,622b 5,274 567 450 7,582b 6,037
Two or More Races 176 159 8 8 168 151 30a 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 1,332a 884 172 175 1,160a 709 da da 1,259b 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 3,292b 2,460 677 564 2,615a 1,897 da da 3,133b 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 5,743a 4,769 879 765 4,864a 4,004 da da 5,590a 4,572
Part-Time da da da da 929 1,037 314 316 615 721 da da 819 915
Unemployed da da da da 673a 416 156 129 517a 287 da da 621a 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 3.7b 2.9 1.4b 0.7 3.9b 3.2 4.9 4.2 3.7b 3.0 2.0 1.7 3.9b 3.1
GENDER                            
Male 6.4b 5.3 2.1b 0.9 6.8a 5.8 7.5 7.0 6.7a 5.6 2.9 2.4 7.0b 5.8
Female 1.1b 0.7 0.7 0.6 1.1b 0.7 2.3a 1.4 0.9b 0.5 1.0 0.9 1.1b 0.6
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 4.0b 3.3 1.6b 0.8 4.3b 3.5 5.6a 4.7 4.1b 3.3 2.3 1.9 4.3b 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 4.8b 3.8 2.0b 0.8 5.0b 4.0 7.1 6.1 4.7b 3.8 2.9 2.3 5.0b 4.0
Two or More Races 3.2 2.7 0.9 0.9 3.7 3.0 3.3a 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 4.3b 3.2 4.8 4.1 4.1b 3.0 da da 4.4b 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 5.0b 4.0 6.9a 5.4 4.8b 3.8 da da 5.0b 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 7,634b 6,084 157b 59 7,478b 6,026 1,003 818 6,474b 5,207 374 304 7,261b 5,780
GENDER                            
Male 6,726b 5,538 102a 44 6,624a 5,494 795 684 5,829a 4,810 262 232 6,464a 5,306
Female 908b 546 55a 15 854a 532 208 135 646a 397 111 72 797a 475
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 7,126b 5,627 147b 45 6,979b 5,582 921a 720 6,058b 4,862 345 264 6,781b 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 6,337b 4,910 126b 29 6,211b 4,881 826a 630 5,385a 4,250 299 222 6,039b 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 902a 564 da da 961a 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 2,492b 1,727 450b 258 2,042a 1,469 da da 2,390b 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 4,484a 3,652 600 474 3,885 3,178 da da 4,396a 3,527
Part-Time da da da da 687 618 130 163 556 456 da da 630 550
Unemployed da da da da 504b 241 111 73 393a 168 da da 476b 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 2.7b 2.2 0.6b 0.2 2.9b 2.4 3.0a 2.4 2.9b 2.4 1.0 0.8 3.0b 2.4
GENDER                            
Male 4.9b 4.0 0.8a 0.3 5.4b 4.4 4.8 3.9 5.5a 4.5 1.3 1.2 5.5b 4.5
Female 0.6b 0.4 0.4a 0.1 0.7a 0.4 1.2 0.8 0.6a 0.3 0.6 0.4 0.6b 0.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 3.1b 2.4 0.8b 0.2 3.3b 2.6 3.6a 2.7 3.3b 2.6 1.2 0.9 3.4b 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 3.7b 2.9 1.0b 0.2 3.9b 3.1 4.7a 3.5 3.8b 3.0 1.5 1.2 4.0b 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 3.2b 2.2 3.2b 1.9 3.2a 2.3 da da 3.3b 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 3.9b 3.1 4.7a 3.4 3.8a 3.0 da da 4.0b 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 3.8a 2.2 3.5 2.3 4.0 2.1 da da 4.1a 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 25,058a 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 3,446a 3,083 106,866 108,063 12,824a 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 1,449a 976 * 53 1,384b 922 * * 1,119a 787 * 101 1,311a 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 35,285a 36,803 1,756 1,549 33,530b 35,254 5,525b 5,941 28,004a 29,313 3,746 3,380 31,540 33,423
EDUCATION LEVEL                            
< High School da da da da 19,897b 16,581 2,225 2,098 17,673b 14,483 da da 18,746b 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 71,470b 76,388 4,616 5,113 66,854a 71,275 da da 71,465a 76,357
EMPLOYMENT STATUS                            
Full-Time da da da da 102,221 105,907 10,711a 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 10,542b 8,515 2,234 2,260 8,308b 6,255 da da 9,786b 7,779
Other2 da da da da 75,492 73,815 5,996a 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 79.9b 66.7 * 24.2 84.4a 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 4,779a 4,301 169,487 172,675 22,790a 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 2,732a 2,370 84,426 85,622 11,614a 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 1,023a 688 * 35 987a 653 * * 730 532 * 76 919a 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 28,476a 30,193 1,366a 1,094 27,110b 29,099 4,926a 5,325 22,184a 23,774 3,088 2,675 25,388 27,518
EDUCATION LEVEL                            
< High School da da da da 13,280b 11,281 1,813 1,726 11,466a 9,555 da da 12,362b 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 61,581b 66,542 4,425 4,926 57,156a 61,616 da da 61,576a 66,511
EMPLOYMENT STATUS                            
Full-Time da da da da 87,631 91,323 9,912a 10,978 77,719 80,346 da da 85,732 89,108
Part-Time da da da da 20,839a 22,870 5,658 5,994 15,182a 16,876 da da 18,517a 20,579
Unemployed da da da da 8,648b 6,598 2,049 1,998 6,599b 4,599 da da 7,971b 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 18.4a 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 21.5a 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 20.5a 16.5 62.8 65.8 63.0 64.5 62.8 66.0 30.4a 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 66.1a 59.9 64.6 62.3 66.6a 58.9 da da 68.1a 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 132,512b 137,446 1,886 1,753 130,627b 135,694 17,047 17,467 113,580b 118,227 6,109 5,843 126,403 131,603
GENDER                            
Male 68,444a 71,048 809 708 67,634b 70,340 8,276 8,507 59,359a 61,833 2,919 2,763 65,525 68,285
Female 64,069a 66,398 1,077 1,044 62,992a 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 111,686a 115,241 1,383 1,308 110,303a 113,933 13,514 13,743 96,790a 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 146a 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 20,324a 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 51,122b 56,292 3,866 4,175 47,256b 52,117 da da 51,120b 56,272
EMPLOYMENT STATUS                            
Full-Time da da da da 70,178a 74,615 7,777a 8,619 62,401 65,995 da da 68,896a 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 6,411b 4,874 1,419 1,334 4,992b 3,541 da da 5,999b 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 47.4a 48.7 7.2 6.8 51.5a 52.9 50.9 50.2 51.5a 53.4 15.6 15.1 52.5a 54.1
GENDER                            
Male 50.0 51.4 6.1 5.4 54.8 56.2 49.5 48.6 55.6a 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 48.5a 49.9 7.1 6.9 52.4a 53.7 52.7 51.8 52.3a 54.0 15.9 15.7 53.2a 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 34.8a 40.3 32.8 35.5 35.1a 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 55.2a 57.0 18.8 18.0 56.2a 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 62.0a 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 1,043a 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 18,618b 20,557 2,405 2,448 16,213a 18,110 da da 18,617a 20,546
EMPLOYMENT STATUS                            
Full-Time da da da da 32,528b 36,588 4,747 5,212 27,781b 31,376 da da 31,797b 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 4,095b 2,821 863 872 3,231b 1,948 da da 3,861b 2,605
Other2 da da da da 15,556a 13,670 2,139 1,863 13,417a 11,807 da da 14,927a 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 26.5a 20.5 3.8 3.9 31.0a 23.2 29.8 30.6 31.3b 21.4 8.2 9.2 32.4b 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 28.5b 30.9 37.3 37.0 27.3b 30.1 da da 28.6b 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 31.3b 25.6 27.2 27.2 32.6b 25.0 da da 33.0b 26.9
Other2 da da da da 16.2a 14.5 22.7 21.4 15.5a 13.8 da da 16.3a 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 64a 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 361a 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 4,397a 5,190 577 585 3,820a 4,605 da da 4,397 5,188
EMPLOYMENT STATUS                            
Full-Time da da da da 8,770a 9,930 1,154 1,374 7,616 8,556 da da 8,579a 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 1,323a 866 288 209 1,035a 657 da da 1,249a 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 5.8a 3.5 5.6 4.9 1.2a 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 68,388b 63,536 1,521a 1,224 66,867b 62,311 8,980 8,610 57,887b 53,701 4,192 3,739 64,195a 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 16,319b 14,697 370 272 15,949a 14,425 2,147 2,134 13,802a 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 13,673a 12,108 343 279 13,330a 11,828 1,909 1,784 11,421a 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 582a 385 21,702 21,644 3,060 3,134 18,642 18,510 1,507 1,360 20,778 20,669
Nonmetro 14,455b 11,199 307a 173 14,148b 11,027 1,745b 1,267 12,403b 9,759 797a 555 13,658b 10,644
Urbanized 4,908 4,379 137 77 4,770 4,303 732 577 4,039 3,726 398b 238 4,510 4,142
Less Urbanized 7,935a 5,773 157 79 7,778a 5,694 823 611 6,955a 5,082 348 269 7,587a 5,503
Completely Rural 1,612 1,047 13 * 1,599 * 190 * 1,409 * 51 * 1,561 *
POVERTY LEVEL2                            
Less Than 100% 15,031b 12,636 278 268 14,752b 12,368 2,414 2,026 12,338b 10,342 1,232a 907 13,799b 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 916a 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 838a 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 10,153b 8,152 63 36 10,090b 8,116 1,449a 1,160 8,641b 6,956 376 309 9,776b 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 24.4b 22.5 5.8a 4.8 26.3b 24.3 26.8a 24.8 26.3b 24.2 10.7 9.7 26.7b 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 28.1b 25.3 6.7 5.0 30.4b 27.3 30.2 29.2 30.4a 27.0 12.4 11.3 30.7b 27.5
South 26.1a 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 20.6a 18.1 5.5 4.5 22.2a 19.5 24.1 21.7 21.9a 19.2 10.0 8.6 22.4a 19.7
COUNTY TYPE                            
Large Metro 21.0a 19.4 4.5 4.5 22.7a 21.0 23.6 22.0 22.5 20.8 9.0 8.4 22.9 21.2
Small Metro 26.0 24.7 7.3b 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 36.0a 32.6 36.0 31.8 36.0 32.7 13.4 12.4 36.5a 33.0
Urbanized 30.4 28.3 9.1 6.2 32.6 30.2 36.2 32.8 32.0 29.9 17.1a 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 38.8a 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% 34.7b 30.5 5.1 5.1 39.0b 34.2 28.5 25.2 42.0b 36.7 13.3 10.6 40.5b 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 20.8a 19.5 6.1a 4.6 22.1a 20.7 26.1 24.0 21.6 20.4 9.9 9.3 22.2a 20.8
HEALTH INSURANCE3                            
Private 20.0 19.2 6.0a 4.6 21.3 20.5 26.6 25.3 20.6 19.8 11.2a 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 39.0a 36.0
Other4 20.6a 18.4 4.2 4.9 20.9a 18.7 29.6a 23.2 20.6a 18.5 10.6 11.2 20.9a 18.7
No Coverage 38.9b 33.6 4.8 3.6 40.7b 34.9 30.2a 25.1 43.2b 37.4 12.9 12.1 42.1b 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 56,186b 50,948 750b 506 55,436b 50,443 5,863a 5,354 49,573b 45,089 2,219 1,920 53,967b 49,028
GEOGRAPHIC REGION                            
Northeast 8,690 8,318 131 57 8,559 8,261 1,001a 774 7,558 7,487 387 284 8,303 8,034
Midwest 13,481a 12,077 172 120 13,309a 11,958 1,413 1,314 11,896a 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 10,819b 9,124 185 137 10,634b 8,987 1,241 1,103 9,394a 7,884 539 427 10,280a 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 305a 159 18,100 17,874 1,935 2,004 16,165 15,870 771 721 17,634 17,312
Nonmetro 12,773b 9,520 128 91 12,645b 9,428 1,329b 826 11,316b 8,602 444a 300 12,329b 9,219
Urbanized 4,168 3,606 50 40 4,118 3,566 506 354 3,612 3,212 196a 119 3,972 3,487
Less Urbanized 7,127a 5,032 73 39 7,054a 4,993 669a 440 6,385a 4,553 211 158 6,916a 4,874
Completely Rural 1,478 882 6 * 1,473 869 154b 32 1,319 836 37 * 1,441 859
POVERTY LEVEL2                            
Less Than 100% 13,051b 10,784 142 123 12,909b 10,660 1,626 1,415 11,283b 9,246 685 539 12,366b 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 448b 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 370a 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 8,870b 6,945 27 19 8,843b 6,926 1,031 832 7,813b 6,094 212 195 8,659b 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 20.1b 18.1 2.9b 2.0 21.8b 19.7 17.5b 15.4 22.5b 20.4 5.7 5.0 22.4b 20.1
GEOGRAPHIC REGION                            
Northeast 17.8 17.0 3.2 1.4 19.1 18.4 17.5a 13.1 19.3 19.2 5.9 4.6 19.6 18.8
Midwest 23.2a 20.8 3.1 2.2 25.3a 22.7 19.9 18.0 26.2a 23.4 6.5 6.0 26.0a 23.2
South 21.8a 19.8 2.6 1.9 23.8a 21.7 17.4 16.2 24.8a 22.5 5.1 4.8 24.5a 22.3
West 16.3b 13.7 3.0 2.2 17.7b 14.8 15.6 13.4 18.0b 15.1 5.8 4.6 18.1b 15.1
COUNTY TYPE                            
Large Metro 16.6a 15.0 2.3 1.7 18.1a 16.4 14.7 13.2 18.6 16.9 4.8 4.1 18.5a 16.8
Small Metro 21.5 20.2 3.8a 2.0 23.3 22.0 17.7 17.1 24.2 22.8 6.3 5.8 24.0 22.5
Nonmetro 29.5a 25.9 3.2 3.1 32.2b 27.9 27.4b 20.8 32.8a 28.8 7.5 6.7 33.0b 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 31.5a 27.3 3.5 2.7 34.4a 29.4 28.4 22.3 35.1 30.3 7.0 7.2 35.3a 30.0
Completely Rural 32.4 30.9 1.4 * 35.4 33.7 32.9b 13.0 35.7 36.0 6.5 * 36.1 34.7
POVERTY LEVEL2                            
Less Than 100% 30.1b 26.0 2.6 2.3 34.1b 29.4 19.2 17.6 38.4b 32.8 7.4 6.3 36.3b 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 16.3b 14.9 3.0b 1.7 17.5a 16.0 16.3a 14.0 17.6a 16.2 5.2 4.5 17.8a 16.2
HEALTH INSURANCE3                            
Private 15.4 14.5 2.8a 1.8 16.5 15.6 16.0 14.9 16.6 15.7 5.7 4.8 16.8 15.8
Medicaid/CHIP 27.3a 24.9 3.4a 2.3 32.8a 29.9 18.0 15.8 36.1 33.3 5.5 4.9 35.0a 31.7
Other4 18.1a 16.0 1.9 1.7 18.4a 16.3 19.7a 13.5 18.3a 16.4 5.9 4.5 18.5a 16.4
No Coverage 34.0b 28.6 2.0 1.8 35.7b 29.8 21.5 18.0 39.1b 32.7 7.3 7.6 37.3b 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 53,684b 50,139 1,018 886 52,666a 49,253 6,407 6,341 46,259a 42,912 2,918 2,736 50,767a 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 11,036a 9,593 263 206 10,773a 9,387 1,393 1,378 9,380a 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 11,746b 9,153 229a 127 11,517b 9,027 1,325b 992 10,192a 8,035 596 452 11,150b 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 6,483a 4,717 140a 54 6,344a 4,662 628 481 5,715a 4,181 286 223 6,197a 4,494
Completely Rural 1,350 849 11 * 1,339 837 133 * 1,207 768 40 * 1,310 808
POVERTY LEVEL2                            
Less Than 100% 13,596b 11,394 181 205 13,415b 11,189 1,854 1,630 11,561b 9,559 922 700 12,674b 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 20a 52 12,907 11,773 534 449 12,372 11,324 159 190 12,768 11,636
No Coverage 8,662a 7,213 44 26 8,618a 7,187 1,120 949 7,497a 6,238 303 262 8,359a 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 19.2b 17.8 3.9 3.4 20.7b 19.2 19.1 18.2 21.0b 19.4 7.5 7.1 21.1b 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 16.6a 14.4 4.2 3.4 17.9a 15.5 17.6 16.7 18.0a 15.3 7.5 6.9 18.2a 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% 31.4b 27.5 3.3 3.9 35.4b 30.9 21.9 20.2 39.3b 34.0 9.9 8.2 37.2b 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 28.3a 25.9 4.5 3.8 33.7a 30.8 19.6 17.6 36.9 34.0 7.4 7.0 35.6a 32.3
Other4 16.9 15.1 1.5 3.5 17.1a 15.3 21.0 16.0 17.0 15.3 6.8 7.2 17.2 15.4
No Coverage 33.2a 29.7 3.3 2.6 34.8a 30.9 23.3 20.5 37.5 33.5 10.4 10.3 36.0a 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 44,763b 41,062 432 319 44,331b 40,743 3,959 3,729 40,372b 37,014 1,399 1,211 43,364a 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 8,841a 7,505 138 87 8,703a 7,418 831 822 7,872a 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 10,323b 7,797 99 66 10,224b 7,731 975b 611 9,249b 7,120 335a 213 9,988b 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 5,792a 4,078 64 22 5,728a 4,056 465a 308 5,263a 3,748 168 105 5,624a 3,973
Completely Rural 1,212a 695 4 * 1,209a 683 100b 30 1,108 653 28 * 1,184a 673
POVERTY LEVEL2                            
Less Than 100% 11,857b 9,766 76 77 11,781b 9,690 1,224 1,127 10,557b 8,562 484 377 11,373b 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 259a 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 7,475a 6,123 16 15 7,459a 6,108 735 616 6,724a 5,492 155 128 7,320a 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 16.0b 14.6 1.7 1.2 17.5b 15.9 11.8 10.7 18.3b 16.7 3.6 3.1 18.0b 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 17.2a 15.7 1.3 1.1 18.9a 17.2 11.3 10.7 20.0 18.2 2.9 2.6 19.6a 17.8
West 13.3a 11.2 2.2 1.4 14.5a 12.2 10.5 10.0 15.1a 12.6 3.8 3.4 14.9a 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 26.0a 22.9 20.1a 15.4 26.8 23.9 5.6 4.8 26.7a 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% 27.3b 23.5 1.4 1.5 31.1b 26.8 14.5 14.0 35.9b 30.4 5.2 4.4 33.4b 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 1.7a 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 24.5a 22.4 1.9 1.5 29.7a 27.0 13.9 11.7 33.2 30.6 3.7 3.3 31.8a 28.8
Other4 15.1a 13.2 1.0 1.0 15.3a 13.4 12.4 9.0 15.4a 13.6 3.7 2.7 15.4a 13.6
No Coverage 28.6 25.2 1.2 1.5 30.1a 26.3 15.3 13.3 33.6 29.5 5.3 5.0 31.5a 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 10,224b 8,290 364b 188 9,860b 8,102 1,639 1,475 8,221b 6,627 779 651 9,445b 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 2,575b 1,903 87a 38 2,488b 1,865 420 426 2,068b 1,438 212 161 2,363b 1,742
South 4,329a 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 161a 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 3,149b 2,143 100 49 3,049b 2,095 480a 303 2,569b 1,791 212 144 2,937b 1,999
Urbanized 1,086a 715 54a 7 1,032 708 183 143 849 565 101 48 985 667
Less Urbanized 1,674a 1,176 43 25 1,631 1,151 237 150 1,394 1,001 98 79 1,576a 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% 2,236a 1,610 49 50 2,187a 1,560 388 367 1,799a 1,193 111 163 2,125b 1,448
200% or More 6,261a 5,355 236b 83 6,025 5,272 886 772 5,139 4,501 460a 322 5,801 5,033
HEALTH INSURANCE3                            
Private 5,976a 4,907 199b 78 5,776a 4,829 1,022 948 4,754a 3,881 443 352 5,533a 4,555
Medicaid/CHIP 2,243a 1,612 156 100 2,087a 1,511 340 291 1,747 1,220 259 215 1,984a 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 1,571b 931 7 3 1,564b 928 236 180 1,328b 748 65 72 1,505b 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 3.7b 2.9 1.4b 0.7 3.9b 3.2 4.9 4.2 3.7b 3.0 2.0 1.7 3.9b 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 4.4b 3.3 1.6a 0.7 4.7b 3.5 5.9 5.8 4.6b 3.2 2.6 2.0 4.7b 3.5
South 4.1a 3.3 1.5 0.9 4.3a 3.5 4.2 3.9 4.3a 3.5 1.9 1.8 4.4a 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 1.1a 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 7.3a 5.8 2.5 1.7 7.8a 6.2 9.9 7.6 7.4 6.0 3.6 3.2 7.9a 6.2
Urbanized 6.7a 4.6 3.6a 0.5 7.0 5.0 9.0 8.1 6.7 4.5 4.3 2.5 7.1a 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% 4.0a 2.9 0.9 0.9 4.3a 3.1 4.8 4.3 4.2a 2.9 1.3 1.8 4.4a 3.1
200% or More 3.5a 2.9 1.6b 0.6 3.6a 3.1 5.2 4.2 3.5 3.0 2.2a 1.5 3.6a 3.1
HEALTH INSURANCE3                            
Private 3.6b 2.9 1.4b 0.6 3.7a 3.1 5.4 4.8 3.5a 2.9 2.1 1.7 3.7b 3.1
Medicaid/CHIP 3.8a 2.7 1.4 0.9 4.4a 3.1 3.9 3.1 4.5 3.1 1.7 1.4 4.6a 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 6.0b 3.8 0.5 0.3 6.3b 4.0 4.9 3.9 6.6b 4.0 2.2 2.8 6.5b 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 7,634b 6,084 157b 59 7,478b 6,026 1,003 818 6,474b 5,207 374 304 7,261b 5,780
GEOGRAPHIC REGION                            
Northeast 872 943 51 7 821 936 145 117 676 819 82 48 790 896
Midwest 1,923b 1,304 29 14 1,894b 1,290 288 215 1,606a 1,075 112 77 1,811b 1,227
South 3,594b 2,670 48 23 3,546b 2,648 345 331 3,201b 2,316 123 131 3,471a 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 84a 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 2,693b 1,726 24 15 2,669b 1,711 362a 209 2,307b 1,502 95 72 2,598b 1,654
Urbanized 891a 568 12a 2 879 566 134 89 745 478 35 21 856 547
Less Urbanized 1,453a 974 10 12 1,443a 962 180 119 1,263a 843 50 50 1,402a 924
Completely Rural 349 184 2 * 347 183 * * 300 182 10a 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% 1,753b 1,132 13 15 1,740b 1,116 256 229 1,485b 887 41 67 1,713b 1,065
200% or More 4,808 4,063 118b 29 4,690 4,034 517 407 4,173 3,628 223 156 4,585 3,907
HEALTH INSURANCE3                            
Private 4,596a 3,681 93a 35 4,504a 3,646 594 489 3,909a 3,157 208 180 4,388a 3,501
Medicaid/CHIP 1,379 1,122 62a 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 1,250b 594 4 1 1,247b 593 139 128 1,107b 465 46 52 1,204b 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 2.7b 2.2 0.6b 0.2 2.9b 2.4 3.0a 2.4 2.9b 2.4 1.0 0.8 3.0b 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 3.3b 2.2 0.5 0.3 3.6b 2.4 4.1 2.9 3.5a 2.4 1.4 1.0 3.6b 2.4
South 3.4b 2.5 0.5 0.2 3.7b 2.7 2.7 2.5 3.8b 2.7 0.8 0.9 3.8b 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 0.6a 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 6.2a 4.7 0.6 0.5 6.8a 5.1 7.5 5.2 6.7a 5.0 1.6 1.6 6.9a 5.1
Urbanized 5.5a 3.7 0.8 0.1 6.0a 4.0 6.7 5.0 5.9 3.8 1.5 1.1 6.2a 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% 3.1b 2.0 0.2 0.3 3.4b 2.2 3.2 2.7 3.5a 2.1 0.5 0.8 3.6b 2.3
200% or More 2.7a 2.2 0.8b 0.2 2.8a 2.4 3.1a 2.2 2.8 2.4 1.1 0.7 2.9a 2.4
HEALTH INSURANCE3                            
Private 2.7a 2.2 0.7a 0.2 2.9a 2.3 3.1 2.5 2.9a 2.3 1.0 0.9 3.0a 2.3
Medicaid/CHIP 2.4 1.9 0.6a 0.2 2.8 2.3 2.8a 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 4.8b 2.4 0.3 0.1 5.0b 2.5 2.9 2.8 5.5b 2.5 1.6 2.0 5.2b 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 4,779a 4,301 169,487 172,675 22,790a 23,608 146,696 149,067 11,476 10,934 162,790 166,041
GEOGRAPHIC REGION                            
Northeast 31,282a 32,780 788 773 30,494a 32,006 4,097 4,145 26,397a 27,862 2,131 1,918 29,151 30,862
Midwest 38,642 38,466 1,164a 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 24,913a 21,181 824b 490 24,089a 20,691 3,298a 2,661 20,791a 18,030 1,783b 1,289 23,129a 19,891
Urbanized 9,686 9,270 396b 234 9,290 9,036 1,430 1,177 7,859 7,859 824a 582 8,862 8,688
Less Urbanized 12,943a 10,297 357a 203 12,586a 10,094 1,563 1,326 11,023a 8,768 820 617 12,123a 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 826a 631 19,499 18,538 5,153 4,818 14,347 13,720 2,667a 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 1,837a 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 614a 816 42,097 43,543
No Coverage 15,749 14,506 306b 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 18.4a 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 67.6a 71.4 32.8 31.0 68.7 72.0
Midwest 66.6 66.1 21.2a 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 26.1a 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 15.0a 12.0 51.5 51.2 60.9 59.8 48.8 48.7 28.7a 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 16.9a 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 23.0a 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 132,512b 137,446 1,886 1,753 130,627b 135,694 17,047 17,467 113,580b 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 30,750a 32,607 417 416 30,333a 32,191 3,839 3,981 26,494a 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 338b 183 16,996 15,549 2,363b 1,831 14,634 13,718 901b 640 16,433 15,093
Urbanized 7,261 6,951 165 91 7,096 6,860 1,103 834 5,993 6,026 436a 288 6,825 6,663
Less Urbanized 8,646 7,576 154a 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 98,009a 103,498 1,202 1,137 96,806a 102,360 9,382 10,073 87,424a 92,288 3,294 3,463 94,714a 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 47.4a 48.7 7.2 6.8 51.5a 52.9 50.9 50.2 51.5a 53.4 15.6 15.1 52.5a 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 31.3a 42.3 4.9 4.4 33.8b 46.3 38.7 * 33.2b 47.5 8.0 9.7 34.6b 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 54.5a 56.0 8.1 7.8 58.6a 60.1 55.6 55.2 59.0a 60.7 15.6 16.3 59.6 61.1
HEALTH INSURANCE3                            
Private 53.9a 55.7 7.9 7.8 58.1a 60.0 58.6 58.5 58.0b 60.2 18.6 17.4 58.9b 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 1,043a 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 1,445a 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 23.5a 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.
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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 18a 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 314a 132 1 0 312a 131 29 * 284a 119 3 5 311a 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 536a 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,