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240430
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, 2022 and 2023
Substance Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
LIFETIME                            
Tobacco Product Use or Nicotine Vaping 171,265 173,419 5,288 5,291 165,978 168,128 19,498 19,156 146,480 148,973 11,650 11,065 159,616 162,354
Tobacco Products 161,196 163,207 2,227 2,144 158,968 161,062 14,469 14,229 144,499 146,834 6,137 5,774 155,059 157,433
Cigarettes 146,135 147,213 1,710 1,738 144,425 145,475 12,190 11,790 132,235 133,685 4,933 4,679 141,202 142,534
Daily Cigarettes 81,708 81,469 157 149 81,551 81,320 3,677a 3,278 77,874 78,042 855 698 80,853 80,772
Smokeless Tobacco 38,828 37,928 397 366 38,431 37,562 3,693 3,545 34,737 34,017 1,342 1,237 37,486 36,692
Cigars 84,474 85,827 721 649 83,753 85,178 7,995 7,850 75,758 77,328 2,643 2,405 81,832 83,423
Pipe Tobacco 27,278 27,494 204 170 27,074 27,324 1,992a 1,675 25,082 25,650 625 614 26,653 26,880
Nicotine Vaping 67,445a 70,190 4,872 4,847 62,574a 65,342 17,268 17,062 45,306b 48,280 10,799 10,148 56,646a 60,042
Alcohol 221,306a 224,265 5,745 5,593 215,561b 218,672 25,747 25,439 189,814b 193,233 13,224 12,615 208,082 211,649
Binge Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
PAST YEAR                            
Tobacco Product Use or Nicotine Vaping2 78,261 79,144 3,830 3,692 74,431 75,452 14,041 13,928 60,390 61,523 8,585 8,106 69,676 71,038
Tobacco Products2 63,536 63,490 1,224 1,242 62,311 62,248 8,610 8,794 53,701 53,454 3,739 3,699 59,796 59,791
Cigarettes 50,139 48,536 886 895 49,253 47,642 6,341 6,329 42,912 41,313 2,736 2,615 47,404 45,921
Daily Cigarettes -- -- -- -- -- -- -- -- -- -- -- -- -- --
Smokeless Tobacco 8,290a 9,451 188 205 8,102a 9,246 1,475 1,575 6,627a 7,671 651 717 7,639a 8,734
Cigars 19,173 19,897 411 401 18,762 19,496 3,929 3,949 14,833 15,547 1,619 1,575 17,555 18,322
Pipe Tobacco2 -- -- -- -- -- -- -- -- -- -- -- -- -- --
Nicotine Vaping 35,101b 37,948 3,559 3,420 31,542b 34,528 11,608 11,558 19,934b 22,971 7,846 7,362 27,255b 30,586
Alcohol 176,975 177,278 4,301 4,388 172,675 172,890 23,608 23,179 149,067 149,711 10,934 10,604 166,041 166,673
Binge Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
PAST MONTH                            
Tobacco Product Use or Nicotine Vaping 63,905 64,389 1,885 1,920 62,019 62,469 10,441 10,212 51,578 52,257 5,194 5,006 58,711 59,384
Tobacco Products 50,948 49,888 506 482 50,443 49,406 5,354 5,356 45,089 44,050 1,920 1,846 49,028 48,043
Cigarettes 41,062a 38,692 319 344 40,743a 38,348 3,729 3,616 37,014a 34,732 1,211 1,248 39,852 37,444
Daily Cigarettes 24,103 22,774 10 20 24,093 22,754 996 920 23,097 21,834 200 177 23,903 22,597
Smokeless Tobacco 6,084a 7,003 59 72 6,026a 6,931 818 949 5,207 5,981 304 305 5,780a 6,698
Cigars 10,392 10,721 170 112 10,223 10,610 1,839 1,807 8,384 8,803 730 578 9,662 10,144
Pipe Tobacco 1,799 2,000 58 45 1,741 1,955 376 377 1,366 1,578 171 191 1,629 1,810
Nicotine Vaping 23,503b 26,605 1,769 1,754 21,733b 24,850 8,335 8,207 13,399b 16,643 4,719 4,458 18,784b 22,146
Alcohol 137,446 134,729 1,753 1,800 135,694 132,929 17,467 16,878 118,227 116,051 5,843 5,575 131,603 129,154
Binge Alcohol Use 61,157 61,428 834 1,016 60,323 60,412 10,261 9,764 50,062 50,649 3,154 3,283 58,003 58,144
Heavy Alcohol Use3 16,089 16,412 63a 141 16,025 16,271 2,633 2,356 13,393 13,914 646 663 15,443 15,749
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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. Tobacco product use (as well as tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use.
3 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
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Table 2.1B – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Percentages, 2022 and 2023
Substance Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
LIFETIME                            
Tobacco Product Use or Nicotine Vaping 60.7 61.2 20.6 20.4 64.8 65.3 56.0 56.3 66.1 66.7 30.1 29.1 65.6 66.2
Tobacco Products 57.2 57.6 8.7 8.3 62.0 62.5 41.6 41.8 65.2 65.7 15.9 15.2 63.7 64.2
Cigarettes 51.8 51.9 6.6 6.7 56.4 56.5 35.0 34.6 59.7 59.8 12.8 12.3 58.0 58.1
Daily Cigarettes 29.0 28.7 0.6 0.6 31.8 31.6 10.6 9.6 35.2 34.9 2.2 1.8 33.2 32.9
Smokeless Tobacco 13.8 13.4 1.5 1.4 15.0 14.6 10.6 10.4 15.7 15.2 3.5 3.2 15.4 15.0
Cigars 30.0 30.3 2.8 2.5 32.7 33.1 23.0 23.1 34.2 34.6 6.8 6.3 33.6 34.0
Pipe Tobacco 9.7 9.7 0.8 0.7 10.6 10.6 5.7a 4.9 11.3 11.5 1.6 1.6 11.0 11.0
Nicotine Vaping 23.9 24.8 18.9 18.7 24.4a 25.4 49.6 50.1 20.5a 21.6 27.9 26.7 23.3a 24.5
Alcohol 78.5 79.1 22.3 21.6 84.1 84.9 74.0 74.7 85.7 86.5 34.2 33.1 85.5 86.2
Binge Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
PAST YEAR                            
Tobacco Product Use or Nicotine Vaping2 27.8 27.9 14.9 14.2 29.0 29.3 40.4 40.9 27.3 27.5 22.2 21.3 28.6 28.9
Tobacco Products2 22.5 22.4 4.8 4.8 24.3 24.2 24.8 25.8 24.2 23.9 9.7 9.7 24.6 24.4
Cigarettes 17.8 17.1 3.4 3.5 19.2 18.5 18.2 18.6 19.4 18.5 7.1 6.9 19.5 18.7
Daily Cigarettes -- -- -- -- -- -- -- -- -- -- -- -- -- --
Smokeless Tobacco 2.9a 3.3 0.7 0.8 3.2a 3.6 4.2 4.6 3.0a 3.4 1.7 1.9 3.1a 3.6
Cigars 6.8 7.0 1.6 1.5 7.3 7.6 11.3 11.6 6.7 7.0 4.2 4.1 7.2 7.5
Pipe Tobacco2 -- -- -- -- -- -- -- -- -- -- -- -- -- --
Nicotine Vaping 12.4b 13.4 13.8 13.2 12.3b 13.4 33.4 34.0 9.0b 10.3 20.3 19.3 11.2b 12.5
Alcohol 62.8 62.5 16.7 16.9 67.4 67.1 67.9 68.1 67.3 67.0 28.3 27.9 68.2 67.9
Binge Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- -- -- -- -- -- -- -- -- --
PAST MONTH                            
Tobacco Product Use or Nicotine Vaping 22.7 22.7 7.3 7.4 24.2 24.3 30.0 30.0 23.3 23.4 13.4 13.2 24.1 24.2
Tobacco Products 18.1 17.6 2.0 1.9 19.7 19.2 15.4 15.7 20.4 19.7 5.0 4.8 20.1 19.6
Cigarettes 14.6a 13.7 1.2 1.3 15.9a 14.9 10.7 10.6 16.7a 15.5 3.1 3.3 16.4a 15.3
Daily Cigarettes 8.5 8.0 <0.1 0.1 9.4 8.8 2.9 2.7 10.4 9.8 0.5 0.5 9.8 9.2
Smokeless Tobacco 2.2a 2.5 0.2 0.3 2.4 2.7 2.4 2.8 2.4 2.7 0.8 0.8 2.4 2.7
Cigars 3.7 3.8 0.7 0.4 4.0 4.1 5.3 5.3 3.8 3.9 1.9 1.5 4.0 4.1
Pipe Tobacco 0.6 0.7 0.2 0.2 0.7 0.8 1.1 1.1 0.6 0.7 0.4 0.5 0.7 0.7
Nicotine Vaping 8.3b 9.4 6.9 6.8 8.5b 9.6 24.0 24.1 6.0b 7.4 12.2 11.7 7.7b 9.0
Alcohol 48.7a 47.5 6.8 6.9 52.9a 51.6 50.2 49.6 53.4a 51.9 15.1 14.6 54.1a 52.6
Binge Alcohol Use 21.7 21.7 3.2 3.9 23.5 23.5 29.5 28.7 22.6 22.7 8.2 8.6 23.8 23.7
Heavy Alcohol Use3 5.7 5.8 0.2a 0.5 6.3 6.3 7.6 6.9 6.0 6.2 1.7 1.7 6.3 6.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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. Tobacco product use (as well as tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use.
3 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
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Table 2.2A – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 171,265 173,419 78,261 79,144 63,905 64,389
12-201 11,650 11,065 8,585 8,106 5,194 5,006
21 or Older1 159,616 162,354 69,676 71,038 58,711 59,384
12-17 5,288 5,291 3,830 3,692 1,885 1,920
12-13 665 667 469 449 234 155
14-15 1,874 1,953 1,380 1,424 640 737
16-17 2,749 2,671 1,981 1,819 1,011 1,028
18 or Older 165,978 168,128 74,431 75,452 62,019 62,469
18-25 19,498 19,156 14,041 13,928 10,441 10,212
18-20 6,362a 5,774 4,755 4,414 3,309 3,086
21-25 13,136 13,382 9,287 9,514 7,133 7,126
26 or Older 146,480 148,973 60,390 61,523 51,578 52,257
26-49 68,768 68,969 36,281 36,359 30,160 30,286
26-29 10,696 11,329 6,664 6,989 5,376 5,496
30-34 15,527 15,024 8,800 8,346 7,109 6,759
35-39 15,171 15,689 7,708 8,216 6,339 6,958
40-44 14,069 14,275 7,076 6,853 6,066 5,842
45-49 13,305 12,652 6,033 5,955 5,270 5,230
50 or Older 77,712a 80,004 24,109 25,165 21,418 21,971
50-54 12,694 12,317 5,847 5,409 5,144 4,680
55-59 13,485 13,248 5,498 5,614 4,858 4,756
60-64 15,615 16,203 5,897 5,774 5,306 5,101
65 or Older 35,917b 38,235 6,867b 8,368 6,110a 7,434
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
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Table 2.2B – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 60.7 61.2 27.8 27.9 22.7 22.7
12-201 30.1 29.1 22.2 21.3 13.4 13.2
21 or Older1 65.6 66.2 28.6 28.9 24.1 24.2
12-17 20.6 20.4 14.9 14.2 7.3 7.4
12-13 7.9 8.4 5.6 5.6 2.8 2.0
14-15 20.7 21.4 15.2 15.6 7.1 8.1
16-17 33.4a 30.2 24.1a 20.6 12.3 11.6
18 or Older 64.8 65.3 29.0 29.3 24.2 24.3
18-25 56.0 56.3 40.4 40.9 30.0 30.0
18-20 49.2 47.5 36.8 36.3 25.6 25.4
21-25 60.1 61.1 42.5 43.5 32.6 32.6
26 or Older 66.1 66.7 27.3 27.5 23.3 23.4
26-49 67.0 66.6 35.4 35.1 29.4 29.3
26-29 62.8 64.4 39.1 39.7 31.6 31.2
30-34 67.0 66.3 38.0 36.8 30.7 29.8
35-39 68.8 67.6 35.0 35.4 28.8 30.0
40-44 67.6 67.3 34.0 32.3 29.2 27.6
45-49 68.2 67.1 30.9 31.6 27.0 27.7
50 or Older 65.3 66.7 20.3 21.0 18.0 18.3
50-54 64.2 66.0 29.6 29.0 26.0 25.1
55-59 67.4 64.5 27.5 27.3 24.3 23.2
60-64 68.9 70.9 26.0 25.3 23.4 22.3
65 or Older 63.6 66.0 12.2a 14.4 10.8a 12.8
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 161,196 163,207 63,536 63,490 50,948 49,888
12-201 6,137 5,774 3,739 3,699 1,920 1,846
21 or Older1 155,059 157,433 59,796 59,791 49,028 48,043
12-17 2,227 2,144 1,224 1,242 506 482
12-13 274 248 152 94 56 33
14-15 761 777 373 438 152 160
16-17 1,192 1,120 700 710 297 290
18 or Older 158,968 161,062 62,311 62,248 50,443 49,406
18-25 14,469 14,229 8,610 8,794 5,354 5,356
18-20 3,909 3,630 2,515 2,457 1,415 1,363
21-25 10,560 10,599 6,095 6,337 3,939 3,993
26 or Older 144,499 146,834 53,701 53,454 45,089 44,050
26-49 66,966 67,067 31,014 30,152 24,941 23,859
26-29 9,984 10,501 5,219 5,227 3,856 3,685
30-34 15,000 14,415 7,264 6,702 5,604 5,120
35-39 14,944 15,434 6,576 7,019 5,235 5,675
40-44 13,860 14,154 6,366 6,001 5,384 4,906
45-49 13,177 12,563 5,589 5,202 4,863 4,473
50 or Older 77,534a 79,767 22,687 23,302 20,148 20,190
50-54 12,641 12,299 5,546 4,820 4,820 4,240
55-59 13,426 13,184 4,989 5,137 4,392 4,306
60-64 15,588 16,186 5,565 5,515 5,053 4,762
65 or Older 35,879b 38,098 6,587a 7,830 5,882 6,882
* = 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. 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 2023 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, 2022 and 2023.
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Table 2.3B – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 57.2 57.6 22.5 22.4 18.1 17.6
12-201 15.9 15.2 9.7 9.7 5.0 4.8
21 or Older1 63.7 64.2 24.6 24.4 20.1 19.6
12-17 8.7 8.3 4.8 4.8 2.0 1.9
12-13 3.2 3.1 1.8 1.2 0.7 0.4
14-15 8.4 8.5 4.1 4.8 1.7 1.8
16-17 14.5 12.7 8.5 8.0 3.6 3.3
18 or Older 62.0 62.5 24.3 24.2 19.7 19.2
18-25 41.6 41.8 24.8 25.8 15.4 15.7
18-20 30.2 29.9 19.5 20.2 10.9 11.2
21-25 48.3 48.4 27.9 29.0 18.0 18.2
26 or Older 65.2 65.7 24.2 23.9 20.4 19.7
26-49 65.3 64.8 30.2 29.1 24.3a 23.1
26-29 58.6 59.7 30.7 29.7 22.6 20.9
30-34 64.7 63.6 31.3 29.6 24.2 22.6
35-39 67.8 66.5 29.8 30.3 23.8 24.5
40-44 66.6 66.8 30.6 28.3 25.9a 23.1
45-49 67.5 66.6 28.6 27.6 24.9 23.7
50 or Older 65.2 66.5 19.1 19.4 16.9 16.8
50-54 63.9 65.9 28.0 25.8 24.4 22.7
55-59 67.1 64.2 25.0 25.0 22.0 21.0
60-64 68.8 70.8 24.6 24.1 22.3 20.8
65 or Older 63.5 65.8 11.7 13.5 10.4 11.9
* = 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. 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 2023 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, 2022 and 2023.
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Table 2.4A – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 146,135 147,213 50,139 48,536 41,062a 38,692
12-201 4,933 4,679 2,736 2,615 1,211 1,248
21 or Older1 141,202 142,534 47,404 45,921 39,852 37,444
12-17 1,710 1,738 886 895 319 344
12-13 209 211 112 87 43 30
14-15 584 628 268 302 81 114
16-17 917 899 506 505 195 200
18 or Older 144,425 145,475 49,253 47,642 40,743a 38,348
18-25 12,190 11,790 6,341 6,329 3,729 3,616
18-20 3,223 2,940 1,850 1,720 891 904
21-25 8,967 8,849 4,491 4,608 2,837 2,712
26 or Older 132,235 133,685 42,912 41,313 37,014a 34,732
26-49 60,520 60,347 24,496 23,295 20,309a 18,707
26-29 8,617 9,003 3,895 3,527 2,885a 2,405
30-34 13,400 12,643 5,646 5,032 4,457a 3,858
35-39 13,670 14,147 5,311 5,747 4,402 4,587
40-44 12,686 12,974 5,265 4,804 4,590 4,109
45-49 12,146 11,580 4,379 4,184 3,975 3,749
50 or Older 71,715 73,338 18,416 18,018 16,706 16,025
50-54 11,537 11,170 4,489 3,824 4,052 3,463
55-59 12,195 11,906 3,862 3,885 3,518 3,350
60-64 14,474 14,618 4,722 4,281 4,239 3,862
65 or Older 33,509b 35,645 5,343 6,027 4,896 5,349
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.4B – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 51.8 51.9 17.8 17.1 14.6a 13.7
12-201 12.8 12.3 7.1 6.9 3.1 3.3
21 or Older1 58.0 58.1 19.5 18.7 16.4a 15.3
12-17 6.6 6.7 3.4 3.5 1.2 1.3
12-13 2.5 2.6 1.3 1.1 0.5 0.4
14-15 6.4 6.9 3.0 3.3 0.9 1.3
16-17 11.2 10.2 6.2 5.7 2.4 2.3
18 or Older 56.4 56.5 19.2 18.5 15.9a 14.9
18-25 35.0 34.6 18.2 18.6 10.7 10.6
18-20 24.9 24.2 14.3 14.2 6.9 7.4
21-25 41.0 40.4 20.5 21.1 13.0 12.4
26 or Older 59.7 59.8 19.4 18.5 16.7a 15.5
26-49 59.0 58.3 23.9a 22.5 19.8b 18.1
26-29 50.6 51.2 22.9a 20.1 16.9b 13.7
30-34 57.8 55.8 24.4 22.2 19.2 17.0
35-39 62.0 61.0 24.1 24.8 20.0 19.8
40-44 61.0 61.2 25.3 22.7 22.1a 19.4
45-49 62.2 61.4 22.4 22.2 20.4 19.9
50 or Older 60.3 61.1 15.5 15.0 14.0 13.4
50-54 58.3 59.8 22.7 20.5 20.5 18.5
55-59 61.0 58.0 19.3 18.9 17.6 16.3
60-64 63.9 63.9 20.8 18.7 18.7 16.9
65 or Older 59.3 61.5 9.5 10.4 8.7 9.2
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.5A – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 38,828 37,928 8,290a 9,451 6,084a 7,003
12-201 1,342 1,237 651 717 304 305
21 or Older1 37,486 36,692 7,639a 8,734 5,780a 6,698
12-17 397 366 188 205 59 72
12-13 62 23 40 8 2 2
14-15 132 116 52 57 17 19
16-17 203 228 96 140 40 51
18 or Older 38,431 37,562 8,102a 9,246 6,026a 6,931
18-25 3,693 3,545 1,475 1,575 818 949
18-20 944 871 463 512 245 233
21-25 2,749 2,674 1,012 1,063 573 717
26 or Older 34,737 34,017 6,627a 7,671 5,207 5,981
26-49 19,023 18,292 4,102 4,499 2,980 3,264
26-29 2,874 2,893 803 927 538 607
30-34 4,489 4,006 1,021 1,121 769 815
35-39 3,883 4,195 744a 1,039 486b 798
40-44 4,025 3,687 890 786 686 559
45-49 3,752 3,512 645 626 501 486
50 or Older 15,714 15,726 2,525 3,173 2,227 2,717
50-54 3,987 3,861 796 881 716 732
55-59 3,895 3,460 775 737 637 664
60-64 3,435 3,302 410 741 385 578
65 or Older 4,396 5,103 544 813 489 744
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.5B – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 13.8 13.4 2.9a 3.3 2.2a 2.5
12-201 3.5 3.2 1.7 1.9 0.8 0.8
21 or Older1 15.4 15.0 3.1a 3.6 2.4 2.7
12-17 1.5 1.4 0.7 0.8 0.2 0.3
12-13 0.7 0.3 0.5 0.1 <0.1 <0.1
14-15 1.5 1.3 0.6 0.6 0.2 0.2
16-17 2.5 2.6 1.2 1.6 0.5 0.6
18 or Older 15.0 14.6 3.2a 3.6 2.4 2.7
18-25 10.6 10.4 4.2 4.6 2.4 2.8
18-20 7.3 7.2 3.6 4.2 1.9 1.9
21-25 12.6 12.2 4.6 4.9 2.6 3.3
26 or Older 15.7 15.2 3.0a 3.4 2.4 2.7
26-49 18.5 17.7 4.0 4.3 2.9 3.2
26-29 16.9 16.4 4.7 5.3 3.2 3.5
30-34 19.4 17.7 4.4 4.9 3.3 3.6
35-39 17.6 18.1 3.4 4.5 2.2a 3.4
40-44 19.3 17.4 4.3 3.7 3.3 2.6
45-49 19.2 18.6 3.3 3.3 2.6 2.6
50 or Older 13.2 13.1 2.1 2.6 1.9 2.3
50-54 20.2 20.7 4.0 4.7 3.6 3.9
55-59 19.5 16.8 3.9 3.6 3.2 3.2
60-64 15.2 14.4 1.8 3.2 1.7 2.5
65 or Older 7.8 8.8 1.0 1.4 0.9 1.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.6A – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 84,474 85,827 19,173 19,897 10,392 10,721
12-201 2,643 2,405 1,619 1,575 730 578
21 or Older1 81,832 83,423 17,555 18,322 9,662 10,144
12-17 721 649 411 401 170 112
12-13 46 24 31 12 15 5
14-15 237 215 104 156 37 46
16-17 438 410 276 234 118a 61
18 or Older 83,753 85,178 18,762 19,496 10,223 10,610
18-25 7,995 7,850 3,929 3,949 1,839 1,807
18-20 1,921 1,756 1,208 1,174 560 466
21-25 6,073 6,095 2,721 2,775 1,278 1,341
26 or Older 75,758 77,328 14,833 15,547 8,384 8,803
26-49 39,276 38,746 9,911 10,107 5,369 5,575
26-29 6,250 6,188 2,177 2,327 1,097 1,202
30-34 9,270 8,657 2,467 2,380 1,241 1,305
35-39 8,499 9,117 1,953 2,182 998 1,134
40-44 8,327 8,161 1,743 1,802 1,058 1,010
45-49 6,930 6,622 1,570 1,416 975 924
50 or Older 36,482 38,582 4,922 5,440 3,015 3,228
50-54 6,666 5,887 1,103 1,145 628 538
55-59 6,932 6,576 1,257 1,244 891 777
60-64 7,267 8,182 1,236 1,303 607 762
65 or Older 15,617b 17,936 1,325 1,749 888 1,151
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.6B – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 30.0 30.3 6.8 7.0 3.7 3.8
12-201 6.8 6.3 4.2 4.1 1.9 1.5
21 or Older1 33.6 34.0 7.2 7.5 4.0 4.1
12-17 2.8 2.5 1.6 1.5 0.7 0.4
12-13 0.5 0.3 0.4 0.1 0.2 0.1
14-15 2.6 2.4 1.2 1.7 0.4 0.5
16-17 5.3 4.6 3.4 2.6 1.4a 0.7
18 or Older 32.7 33.1 7.3 7.6 4.0 4.1
18-25 23.0 23.1 11.3 11.6 5.3 5.3
18-20 14.9 14.5 9.3 9.7 4.3 3.8
21-25 27.8 27.8 12.5 12.7 5.8 6.1
26 or Older 34.2 34.6 6.7 7.0 3.8 3.9
26-49 38.3 37.4 9.7 9.8 5.2 5.4
26-29 36.7 35.2 12.8 13.2 6.4 6.8
30-34 40.0 38.2 10.6 10.5 5.4 5.8
35-39 38.6 39.3 8.9 9.4 4.5 4.9
40-44 40.0 38.5 8.4 8.5 5.1 4.8
45-49 35.5 35.1 8.0 7.5 5.0 4.9
50 or Older 30.7 32.1 4.1 4.5 2.5 2.7
50-54 33.7 31.5 5.6 6.1 3.2 2.9
55-59 34.7 32.0 6.3 6.1 4.5 3.8
60-64 32.1 35.8 5.5 5.7 2.7 3.3
65 or Older 27.6b 31.0 2.3 3.0 1.6 2.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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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, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 67,445a 70,190 35,101b 37,948 23,503b 26,605
12-201 10,799 10,148 7,846 7,362 4,719 4,458
21 or Older1 56,646a 60,042 27,255b 30,586 18,784b 22,146
12-17 4,872 4,847 3,559 3,420 1,769 1,754
12-13 599 571 439 430 219a 139
14-15 1,714 1,793 1,303 1,300 598 669
16-17 2,558 2,483 1,817 1,690 952 946
18 or Older 62,574a 65,342 31,542b 34,528 21,733b 24,850
18-25 17,268 17,062 11,608 11,558 8,335 8,207
18-20 5,927a 5,300 4,287 3,942 2,950 2,704
21-25 11,340 11,762 7,321 7,615 5,385 5,503
26 or Older 45,306b 48,280 19,934b 22,971 13,399b 16,643
26-49 33,191b 35,162 15,846b 17,794 10,899b 12,949
26-29 7,499 8,265 4,071 4,541 2,741a 3,285
30-34 9,404 9,022 4,560 4,848 3,202 3,483
35-39 6,820a 7,800 3,050a 3,771 2,204a 2,737
40-44 5,469 5,567 2,348 2,598 1,574 1,940
45-49 4,000 4,508 1,817 2,036 1,177 1,505
50 or Older 12,114 13,118 4,088a 5,177 2,500b 3,694
50-54 3,744 3,451 1,404 1,511 741 1,072
55-59 3,020 2,923 1,219 1,387 861 1,013
60-64 2,804 3,015 907 1,097 519 726
65 or Older 2,547b 3,729 559b 1,181 379b 884
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.7B – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 23.9 24.8 12.4b 13.4 8.3b 9.4
12-201 27.9 26.7 20.3 19.3 12.2 11.7
21 or Older1 23.3a 24.5 11.2b 12.5 7.7b 9.0
12-17 18.9 18.7 13.8 13.2 6.9 6.8
12-13 7.1 7.2 5.2 5.4 2.6 1.7
14-15 18.9 19.7 14.4 14.3 6.6 7.3
16-17 31.1 28.1 22.1a 19.1 11.6 10.7
18 or Older 24.4a 25.4 12.3b 13.4 8.5b 9.6
18-25 49.6 50.1 33.4 34.0 24.0 24.1
18-20 45.8 43.6 33.2 32.5 22.8 22.3
21-25 51.9 53.7 33.5 34.8 24.6 25.1
26 or Older 20.5a 21.6 9.0b 10.3 6.0b 7.4
26-49 32.4a 34.0 15.4b 17.2 10.6b 12.5
26-29 44.0 47.0 23.9 25.8 16.1a 18.7
30-34 40.6 39.8 19.7 21.4 13.8 15.4
35-39 30.9 33.6 13.8a 16.3 10.0 11.8
40-44 26.3 26.3 11.3 12.3 7.6 9.2
45-49 20.5a 23.9 9.3 10.8 6.0a 8.0
50 or Older 10.2 10.9 3.4a 4.3 2.1b 3.1
50-54 18.9 18.5 7.1 8.1 3.7 5.7
55-59 15.1 14.2 6.1 6.8 4.3 4.9
60-64 12.4 13.2 4.0 4.8 2.3 3.2
65 or Older 4.5b 6.4 1.0b 2.0 0.7b 1.5
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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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, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 221,306a 224,265 176,975 177,278 137,446 134,729
12-201 13,224 12,615 10,934 10,604 5,843 5,575
21 or Older1 208,082 211,649 166,041 166,673 131,603 129,154
12-17 5,745 5,593 4,301 4,388 1,753 1,800
12-13 732 645 450 360 133 99
14-15 1,786 1,815 1,299 1,429 429 541
16-17 3,226 3,133 2,552 2,598 1,191 1,160
18 or Older 215,561b 218,672 172,675 172,890 135,694 132,929
18-25 25,747 25,439 23,608 23,179 17,467 16,878
18-20 7,479 7,023 6,633 6,217 4,090 3,775
21-25 18,268 18,416 16,974 16,962 13,376 13,103
26 or Older 189,814b 193,233 149,067 149,711 118,227 116,051
26-49 89,623 90,358 75,737 75,867 60,581a 59,111
26-29 14,872 15,320 13,230 13,510 10,736 10,681
30-34 20,464 20,139 17,574 17,284 13,971 13,420
35-39 19,583 20,306 16,435 17,088 13,417 13,067
40-44 17,834 18,397 14,818 15,095 11,710 12,062
45-49 16,870 16,195 13,679 12,890 10,746 9,881
50 or Older 100,192b 102,875 73,330 73,844 57,646 56,940
50-54 16,984 16,302 13,527 12,282 10,784a 9,331
55-59 17,228 17,571 13,787 13,661 10,953 10,750
60-64 19,471 20,390 14,428 14,916 11,367 11,565
65 or Older 46,509b 48,612 31,589 32,985 24,543 25,294
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.8B – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Lifetime
(2022)
Lifetime
(2023)
Past Year
(2022)
Past Year
(2023)
Past Month
(2022)
Past Month
(2023)
TOTAL 78.5 79.1 62.8 62.5 48.7a 47.5
12-201 34.2 33.1 28.3 27.9 15.1 14.6
21 or Older1 85.5 86.2 68.2 67.9 54.1a 52.6
12-17 22.3 21.6 16.7 16.9 6.8 6.9
12-13 8.7 8.1 5.3 4.5 1.6 1.2
14-15 19.7 19.9 14.3 15.7 4.7 5.9
16-17 39.2a 35.5 31.0 29.4 14.5 13.1
18 or Older 84.1 84.9 67.4 67.1 52.9a 51.6
18-25 74.0 74.7 67.9 68.1 50.2 49.6
18-20 57.8 57.8 51.3 51.2 31.6 31.1
21-25 83.6 84.1 77.7 77.5 61.2 59.9
26 or Older 85.7 86.5 67.3 67.0 53.4a 51.9
26-49 87.4 87.3 73.8 73.3 59.1b 57.1
26-29 87.3 87.1 77.7 76.8 63.1 60.7
30-34 88.3 88.9 75.8 76.3 60.3 59.2
35-39 88.8 87.5 74.6 73.7 60.9b 56.3
40-44 85.7 86.8 71.2 71.2 56.3 56.9
45-49 86.5 85.9 70.1 68.4 55.1 52.4
50 or Older 84.2a 85.7 61.7 61.5 48.5 47.4
50-54 85.9 87.3 68.4 65.8 54.5 50.0
55-59 86.2 85.6 69.0 66.5 54.8 52.4
60-64 85.9a 89.2 63.7 65.2 50.2 50.6
65 or Older 82.3 83.9 55.9 56.9 43.4 43.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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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, 2022 and 2023
Age Category Alcohol Use
(2022)
Alcohol Use
(2023)
Binge Alcohol
Use
(2022)
Binge Alcohol
Use
(2023)
Heavy Alcohol
Use1
(2022)
Heavy Alcohol
Use1
(2023)
TOTAL 137,446 134,729 61,157 61,428 16,089 16,412
12-202 5,843 5,575 3,154 3,283 646 663
21 or Older2 131,603 129,154 58,003 58,144 15,443 15,749
12-17 1,753 1,800 834 1,016 63a 141
12-13 133 99 60 37 5 9
14-15 429 541 192 268 11 22
16-17 1,191 1,160 583 710 48a 110
18 or Older 135,694 132,929 60,323 60,412 16,025 16,271
18-25 17,467 16,878 10,261 9,764 2,633 2,356
18-20 4,090 3,775 2,319 2,268 582 522
21-25 13,376 13,103 7,942 7,496 2,050 1,834
26 or Older 118,227 116,051 50,062 50,649 13,393 13,914
26-49 60,581a 59,111 30,951 30,391 8,139 7,934
26-29 10,736 10,681 6,081 5,843 1,453 1,408
30-34 13,971 13,420 7,380 7,263 2,055 1,802
35-39 13,417 13,067 6,914 6,692 1,763 1,812
40-44 11,710 12,062 5,780 6,015 1,585 1,557
45-49 10,746 9,881 4,796 4,578 1,283 1,354
50 or Older 57,646 56,940 19,111 20,258 5,254 5,980
50-54 10,784a 9,331 4,830a 3,912 1,550 1,226
55-59 10,953 10,750 4,616 4,900 1,286 1,336
60-64 11,367 11,565 4,164 4,493 1,069 1,487
65 or Older 24,543 25,294 5,501b 6,952 1,350a 1,931
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
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Table 2.9B – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2022 and 2023
Age Category Alcohol Use
(2022)
Alcohol Use
(2023)
Binge Alcohol
Use
(2022)
Binge Alcohol
Use
(2023)
Heavy Alcohol
Use1
(2022)
Heavy Alcohol
Use1
(2023)
TOTAL 48.7a 47.5 21.7 21.7 5.7 5.8
12-202 15.1 14.6 8.2 8.6 1.7 1.7
21 or Older2 54.1a 52.6 23.8 23.7 6.3 6.4
12-17 6.8 6.9 3.2 3.9 0.2a 0.5
12-13 1.6 1.2 0.7 0.5 0.1 0.1
14-15 4.7 5.9 2.1 2.9 0.1 0.2
16-17 14.5 13.1 7.1 8.0 0.6a 1.2
18 or Older 52.9a 51.6 23.5 23.5 6.3 6.3
18-25 50.2 49.6 29.5 28.7 7.6 6.9
18-20 31.6 31.1 17.9 18.7 4.5 4.3
21-25 61.2 59.9 36.3a 34.2 9.4 8.4
26 or Older 53.4a 51.9 22.6 22.7 6.0 6.2
26-49 59.1b 57.1 30.2 29.4 7.9 7.7
26-29 63.1 60.7 35.7 33.2 8.5 8.0
30-34 60.3 59.2 31.8 32.0 8.9 8.0
35-39 60.9b 56.3 31.4 28.8 8.0 7.8
40-44 56.3 56.9 27.8 28.4 7.6 7.3
45-49 55.1 52.4 24.6 24.3 6.6 7.2
50 or Older 48.5 47.4 16.1 16.9 4.4 5.0
50-54 54.5 50.0 24.4 20.9 7.8 6.6
55-59 54.8 52.4 23.1 23.9 6.4 6.5
60-64 50.2 50.6 18.4 19.7 4.7 6.5
65 or Older 43.4 43.7 9.7b 12.0 2.4a 3.3
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
240430
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, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 171,265 173,419 5,288 5,291 165,978 168,128 19,498 19,156 146,480 148,973 11,650 11,065 159,616 162,354
SEX                            
Male 92,453 93,987 2,427 2,406 90,026 91,581 10,047 9,890 79,979 81,690 5,801 5,379 86,652 88,608
Female 78,813 79,432 2,861 2,885 75,951 76,548 9,451 9,265 66,501 67,282 5,849 5,686 72,964 73,747
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 145,083 146,406 3,923 3,905 141,160 142,501 15,101 14,802 126,059 127,700 8,691 8,300 136,393 138,106
AIAN 969 867 63 59 907 808 * * 760 721 128 86 842 781
Asian 6,047 6,088 157 116 5,890 5,972 839 694 5,051 5,278 395 316 5,652 5,772
Black or African American 17,636 18,603 735 738 16,901 17,865 2,105 2,211 14,796 15,654 1,424 1,381 16,212 17,222
NHOPI * * * * * * * * * * * * * *
White 115,787 116,121 2,772 2,709 113,015 113,412 11,351 11,061 101,664 102,351 6,293 5,995 109,494 110,127
Two or More Races 3,789 4,114 188 261 3,602 3,853 603 682 2,999 3,170 432 493 3,358 3,621
Hispanic or Latino 26,182 27,013 1,365 1,386 24,818 25,627 4,397 4,354 20,421 21,273 2,959 2,765 23,223 24,248
EDUCATION LEVEL                            
< High School da da da da 14,591 15,072 1,931 1,901 12,659 13,171 da da 13,495 14,045
High School Graduate da da da da 45,568 45,802 6,474 6,420 39,094 39,382 da da 42,727 43,256
Some College/Associate’s Degree da da da da 53,071 52,656 7,895 7,549 45,176 45,108 da da 50,670 50,476
College Graduate da da da da 52,748a 54,598 3,198 3,286 49,550 51,311 da da 52,723 54,578
EMPLOYMENT STATUS                            
Full-Time da da da da 80,395 82,095 9,055 8,812 71,340 73,283 da da 78,159 80,320
Part-Time da da da da 20,085 19,786 4,518 4,444 15,567 15,342 da da 18,143 18,021
Unemployed da da da da 7,143 7,134 1,912 1,851 5,232 5,283 da da 6,410 6,459
Other2 da da da da 58,354 59,113 4,013 4,048 54,341 55,065 da da 56,904 57,555
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.10B – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 60.7 61.2 20.6 20.4 64.8 65.3 56.0 56.3 66.1 66.7 30.1 29.1 65.6 66.2
SEX                            
Male 66.9 67.8 18.4 18.2 72.0 73.1 57.4 57.9 74.3 75.4 29.0 27.5 73.3 74.4
Female 54.8 54.8 22.8 22.8 57.9 57.9 54.6 54.6 58.4 58.4 31.4 30.8 58.3 58.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 62.8 63.3 20.6 20.4 66.6 67.2 56.9 57.4 68.0 68.5 30.2 29.5 67.4 68.0
AIAN 66.2 64.7 28.5 25.0 72.9 73.2 * * 73.5 74.9 39.3 29.5 73.9 74.5
Asian 35.5 34.8 9.8 8.0 38.2 37.3 37.0 31.3 38.4 38.2 16.1 13.3 38.8 38.2
Black or African American 51.2 53.5 20.9 20.5 54.6 57.3 45.1 48.5 56.3 58.9 26.9 26.3 55.6 58.4
NHOPI * * * * * * * * * * * * * *
White 67.7 68.2 21.6 21.1 71.4 72.0 62.2 62.7 72.7 73.2 32.6 31.9 72.2 72.7
Two or More Races 64.4 66.4 22.5 28.1 71.4 73.2 60.2 62.4 74.1 76.0 33.5 36.3 73.1 74.9
Hispanic or Latino 51.4 51.7 20.5 20.4 56.1 56.4 53.2 52.7 56.7 57.2 29.9 28.0 56.6 57.3
EDUCATION LEVEL                            
< High School da da da da 59.9 61.6 53.8 53.2 60.9 63.0 da da 61.2 63.3
High School Graduate da da da da 65.9 65.9 55.7 55.6 68.0 68.0 da da 67.5 67.4
Some College/Associate’s Degree da da da da 68.2 68.4 56.9 57.3 70.7 70.6 da da 69.4 69.6
College Graduate da da da da 62.1 63.1 56.1 57.1 62.5 63.5 da da 62.1 63.1
EMPLOYMENT STATUS                            
Full-Time da da da da 67.9 67.9 64.3 63.7 68.4 68.4 da da 68.1 68.1
Part-Time da da da da 61.2 62.7 51.4 53.2 64.8 66.2 da da 63.4 65.1
Unemployed da da da da 64.8 62.3 59.6 55.4 67.0 65.2 da da 66.1 64.4
Other2 da da da da 62.0 63.2 46.1 47.6 63.7 64.7 da da 63.1 64.2
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 78,261 79,144 3,830 3,692 74,431 75,452 14,041 13,928 60,390 61,523 8,585 8,106 69,676 71,038
SEX                            
Male 45,668 46,163 1,645 1,593 44,023 44,569 7,559 7,630 36,464 36,939 4,216 3,931 41,452 42,232
Female 32,593 32,981 2,185 2,099 30,408 30,882 6,482 6,298 23,926 24,584 4,369 4,175 28,224 28,806
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 66,217 66,707 2,828 2,774 63,389 63,933 11,042 11,024 52,347 52,909 6,472 6,223 59,745 60,485
AIAN 614 523 46 34 567 489 * 61 442 428 103a 56 511 467
Asian 2,316 2,368 92 79 2,224 2,289 540 504 1,684 1,786 262 227 2,054 2,141
Black or African American 10,002 10,456 581 518 9,421 9,938 1,519 1,645 7,902 8,293 1,063 1,026 8,939 9,430
NHOPI * * * * * * * * * * * * * *
White 50,509 50,716 1,962 1,945 48,547 48,772 8,365 8,256 40,181 40,515 4,702 4,524 45,807 46,193
Two or More Races 2,248 2,240 139 188 2,109 2,052 451 506 1,658 1,546 329 372 1,919 1,869
Hispanic or Latino 12,044 12,436 1,002 918 11,042 11,519 3,000 2,904 8,042 8,615 2,113 1,883 9,931 10,553
EDUCATION LEVEL                            
< High School da da da da 9,127 9,122 1,492 1,478 7,635 7,644 da da 8,319 8,346
High School Graduate da da da da 25,156 25,852 4,886 5,001 20,270 20,851 da da 23,031 23,833
Some College/Associate’s Degree da da da da 25,142 24,625 5,705 5,464 19,437 19,161 da da 23,332 23,017
College Graduate da da da da 15,006 15,853 1,959 1,985 13,047 13,867 da da 14,995 15,842
EMPLOYMENT STATUS                            
Full-Time da da da da 37,493 38,847 6,567 6,326 30,926 32,521 da da 35,771 37,470
Part-Time da da da da 9,453 8,595 3,246 3,179 6,207 5,416 da da 8,030 7,308
Unemployed da da da da 4,994 4,909 1,406 1,496 3,588 3,412 da da 4,405 4,359
Other2 da da da da 22,491 23,101 2,823 2,927 19,668 20,175 da da 21,470 21,900
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 27.8 27.9 14.9 14.2 29.0 29.3 40.4 40.9 27.3 27.5 22.2 21.3 28.6 28.9
SEX                            
Male 33.0 33.3 12.5 12.0 35.2 35.6 43.2 44.7 33.9 34.1 21.0 20.1 35.1 35.5
Female 22.7 22.8 17.4 16.6 23.2 23.4 37.5 37.1 21.0 21.3 23.5 22.6 22.6 22.8
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 28.7 28.9 14.8 14.5 29.9 30.1 41.6 42.8 28.2 28.4 22.5 22.1 29.5 29.8
AIAN 42.0 39.1 21.1 14.3 45.6 44.3 * 43.3 42.7 44.5 31.6a 19.2 44.9 44.6
Asian 13.6 13.5 5.7 5.4 14.4 14.3 23.8 22.7 12.8 12.9 10.7 9.6 14.1 14.2
Black or African American 29.0 30.1 16.6 14.4 30.5 31.9 32.6 36.1 30.1 31.2 20.1 19.6 30.7 32.0
NHOPI * * * * * * * * * * * * * *
White 29.5 29.8 15.3 15.2 30.7 31.0 45.8 46.8 28.7 29.0 24.3 24.1 30.2 30.5
Two or More Races 38.2 36.2 16.7 20.3 41.8 39.0 45.0 46.3 41.0 37.1 25.5 27.4 41.8 38.6
Hispanic or Latino 23.7 23.8 15.1 13.5 25.0 25.3 36.3 35.2 22.3 23.2 21.4 19.0 24.2 24.9
EDUCATION LEVEL                            
< High School da da da da 37.5 37.3 41.6 41.3 36.7 36.6 da da 37.7 37.6
High School Graduate da da da da 36.4 37.2 42.1 43.3 35.2 36.0 da da 36.4 37.1
Some College/Associate’s Degree da da da da 32.3 32.0 41.1 41.5 30.4 30.0 da da 31.9 31.7
College Graduate da da da da 17.7 18.3 34.4 34.5 16.5 17.2 da da 17.7 18.3
EMPLOYMENT STATUS                            
Full-Time da da da da 31.7 32.1 46.7 45.8 29.6 30.3 da da 31.2 31.8
Part-Time da da da da 28.8 27.2 36.9 38.0 25.8 23.4 da da 28.0 26.4
Unemployed da da da da 45.3 42.9 43.8 44.8 46.0 42.1 da da 45.4 43.5
Other2 da da da da 23.9 24.7 32.4 34.4 23.0 23.7 da da 23.8 24.4
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 63,905 64,389 1,885 1,920 62,019 62,469 10,441 10,212 51,578 52,257 5,194 5,006 58,711 59,384
SEX                            
Male 37,629 37,305 775 781 36,855 36,524 5,778 5,581 31,076 30,944 2,565 2,374 35,064 34,931
Female 26,275 27,084 1,111 1,139 25,165 25,945 4,663 4,631 20,502 21,314 2,629 2,632 23,646 24,453
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 54,895 55,035 1,437 1,489 53,457 53,546 8,386 8,332 45,071 45,214 4,079 3,993 50,815 51,043
AIAN 497 456 25 16 473 440 * 52 380 388 66 36 431 420
Asian 1,696 1,796 49 41 1,646 1,755 332 352 1,315 1,404 138 115 1,558 1,681
Black or African American 8,123 8,424 230 262 7,893 8,162 1,153 1,266 6,740 6,896 568 628 7,556 7,796
NHOPI * * * * * * * * * * * * * *
White 42,216 42,112 1,061 1,051 41,155 41,061 6,418 6,232 34,737 34,829 3,074 2,959 39,142 39,153
Two or More Races 1,908 1,894 65 110 1,843 1,783 356 401 1,487 1,383 223 242 1,685 1,652
Hispanic or Latino 9,010 9,354 448 431 8,562 8,923 2,055 1,880 6,506 7,043 1,115 1,013 7,895 8,341
EDUCATION LEVEL                            
< High School da da da da 8,334 8,257 1,220 1,151 7,114 7,106 da da 7,725 7,704
High School Graduate da da da da 22,165 22,894 3,810 3,921 18,355 18,973 da da 20,666 21,454
Some College/Associate’s Degree da da da da 20,821 20,462 4,115 3,891 16,707 16,571 da da 19,630 19,377
College Graduate da da da da 10,699 10,856 1,296 1,249 9,403 9,607 da da 10,690 10,847
EMPLOYMENT STATUS                            
Full-Time da da da da 30,655 31,372 5,054 4,814 25,601 26,558 da da 29,370 30,335
Part-Time da da da da 7,512 6,733 2,231 2,093 5,281 4,640 da da 6,618 5,888
Unemployed da da da da 4,169 4,193 1,084 1,136 3,085 3,057 da da 3,768 3,836
Other2 da da da da 19,684 20,171 2,073 2,169 17,611 18,002 da da 18,955 19,324
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 22.7 22.7 7.3 7.4 24.2 24.3 30.0 30.0 23.3 23.4 13.4 13.2 24.1 24.2
SEX                            
Male 27.2 26.9 5.9 5.9 29.5 29.1 33.0 32.7 28.9 28.6 12.8 12.1 29.7 29.3
Female 18.3 18.7 8.8 9.0 19.2 19.6 27.0 27.3 18.0 18.5 14.1 14.2 18.9 19.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 23.8 23.8 7.5 7.8 25.2 25.2 31.6 32.3 24.3 24.3 14.2 14.2 25.1 25.1
AIAN 34.0 34.0 11.2 6.9 38.0 39.8 * 36.6 36.8 40.3 20.5 12.3 37.8 40.1
Asian 10.0 10.3 3.1 2.8 10.7 10.9 14.6 15.9 10.0 10.2 5.6 4.8 10.7 11.1
Black or African American 23.6 24.2 6.6 7.3 25.5 26.2 24.7 27.8 25.7 25.9 10.7 12.0 25.9 26.4
NHOPI * * * * * * * * * * * * * *
White 24.7 24.7 8.3 8.2 26.0 26.1 35.2 35.3 24.8 24.9 15.9 15.7 25.8 25.8
Two or More Races 32.4 30.6 7.8 11.9 36.5 33.9 35.5 36.6 36.8 33.1 17.3 17.8 36.7 34.1
Hispanic or Latino 17.7 17.9 6.7 6.3 19.3 19.6 24.9 22.8 18.1 18.9 11.3 10.2 19.2 19.7
EDUCATION LEVEL                            
< High School da da da da 34.2 33.7 34.0 32.2 34.2 34.0 da da 35.0 34.7
High School Graduate da da da da 32.1 33.0 32.8 34.0 31.9 32.7 da da 32.6 33.4
Some College/Associate’s Degree da da da da 26.8 26.6 29.6 29.6 26.2 25.9 da da 26.9 26.7
College Graduate da da da da 12.6 12.5 22.7 21.7 11.9 11.9 da da 12.6 12.5
EMPLOYMENT STATUS                            
Full-Time da da da da 25.9 25.9 35.9 34.8 24.5 24.8 da da 25.6 25.7
Part-Time da da da da 22.9 21.3 25.4 25.0 22.0 20.0 da da 23.1 21.3
Unemployed da da da da 37.8 36.6 33.8 34.0 39.5 37.7 da da 38.8 38.3
Other2 da da da da 20.9 21.6 23.8 25.5 20.6 21.2 da da 21.0 21.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.13A – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 161,196 163,207 2,227 2,144 158,968 161,062 14,469 14,229 144,499 146,834 6,137 5,774 155,059 157,433
SEX                            
Male 88,654 89,924 1,176 1,074 87,478 88,850 8,042 7,981 79,435 80,870 3,455 3,214 85,198 86,710
Female 72,542 73,283 1,052 1,071 71,491 72,212 6,427 6,248 65,064 65,964 2,681 2,560 69,861 70,723
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 137,733 138,999 1,696 1,663 136,037 137,336 11,442 11,248 124,595 126,089 4,737 4,540 132,996 134,459
AIAN 916 808 39 24 877 784 * 68 755 716 91b 41 825 767
Asian 5,412 5,728 35 46 5,378 5,681 542 492 4,836 5,190 124 173 5,288 5,554
Black or African American 15,988 16,679 262 228 15,727 16,451 1,400 1,442 14,327 15,009 619 563 15,370 16,116
NHOPI * * * * * * * * * * * * * *
White 111,184 111,432 1,287 1,233 109,897 110,198 8,905 8,693 100,992 101,505 3,658 3,481 107,526 107,951
Two or More Races 3,423 3,781 72a 121 3,350 3,659 430 509 2,921 3,151 240 269 3,183 3,512
Hispanic or Latino 23,462 24,208 531 481 22,931 23,726 3,027 2,981 19,905 20,745 1,400 1,234 22,063 22,973
EDUCATION LEVEL                            
< High School da da da da 13,997 14,462 1,453 1,388 12,544 13,074 da da 13,286 13,820
High School Graduate da da da da 43,359 43,523 4,740 4,737 38,619 38,786 da da 41,565 41,890
Some College/Associate’s Degree da da da da 50,179 49,833 5,670 5,511 44,509 44,322 da da 48,790 48,485
College Graduate da da da da 51,433a 53,244 2,606 2,593 48,827 50,652 da da 51,419 53,237
EMPLOYMENT STATUS                            
Full-Time da da da da 77,081 78,838 6,993 6,828 70,088 72,011 da da 75,675 77,688
Part-Time da da da da 18,388 18,117 2,994 3,010 15,394 15,107 da da 17,297 17,134
Unemployed da da da da 6,559 6,440 1,470 1,353 5,089 5,087 da da 6,076 6,006
Other2 da da da da 56,941 57,667 3,012 3,038 53,929 54,629 da da 56,012 56,605
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.13B – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 57.2 57.6 8.7 8.3 62.0 62.5 41.6 41.8 65.2 65.7 15.9 15.2 63.7 64.2
SEX                            
Male 64.1 64.9 8.9 8.1 69.9 70.9 46.0 46.8 73.8 74.7 17.3 16.4 72.1 72.8
Female 50.5 50.6 8.4 8.5 54.5 54.6 37.2 36.8 57.1 57.3 14.4 13.9 55.8 56.0
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 59.6 60.1 8.9 8.7 64.2 64.8 43.1 43.6 67.2 67.7 16.5 16.1 65.7 66.2
AIAN 62.6 60.3 17.7 10.2 70.5 71.0 * 47.9 73.1 74.4 27.9a 14.1 72.5 73.1
Asian 31.8 32.7 2.2 3.2 34.9 35.4 23.9 22.2 36.8 37.6 5.1 7.3 36.3 36.7
Black or African American 46.4 48.0 7.5 6.3 50.8 52.8 30.0 31.6 54.5 56.4 11.7 10.7 52.7 54.6
NHOPI * * * * * * * * * * * * * *
White 65.0 65.4 10.0 9.6 69.5 70.0 48.8 49.3 72.2 72.6 18.9 18.5 70.9 71.2
Two or More Races 58.2 61.0 8.6 13.1 66.4 69.5 42.8 46.5 72.2 75.5 18.6 19.8 69.3 72.6
Hispanic or Latino 46.1 46.3 8.0 7.1 51.8 52.2 36.6 36.1 55.3 55.8 14.2 12.5 53.8 54.2
EDUCATION LEVEL                            
< High School da da da da 57.5 59.1 40.5 38.8 60.4 62.5 da da 60.3 62.3
High School Graduate da da da da 62.7 62.6 40.8 41.0 67.1 66.9 da da 65.6 65.3
Some College/Associate’s Degree da da da da 64.5 64.7 40.8 41.9 69.7 69.4 da da 66.8 66.9
College Graduate da da da da 60.5 61.5 45.8 45.1 61.6 62.7 da da 60.5 61.5
EMPLOYMENT STATUS                            
Full-Time da da da da 65.1 65.2 49.7 49.4 67.2 67.2 da da 65.9 65.8
Part-Time da da da da 56.0 57.4 34.1 36.0 64.0 65.1 da da 60.4 61.9
Unemployed da da da da 59.5 56.3 45.8 40.5 65.2 62.8 da da 62.6 59.9
Other2 da da da da 60.5 61.6 34.6 35.7 63.2 64.2 da da 62.1 63.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.14A – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 63,536 63,490 1,224 1,242 62,311 62,248 8,610 8,794 53,701 53,454 3,739 3,699 59,796 59,791
SEX                            
Male 39,222 39,429 636 656 38,586 38,773 5,302 5,462 33,284 33,311 2,207 2,242 37,015 37,187
Female 24,314 24,061 588 586 23,725 23,475 3,308 3,332 20,417 20,143 1,533 1,457 22,781 22,604
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 54,690 54,067 914 931 53,776 53,135 6,994 7,112 46,782 46,023 2,922 2,949 51,768 51,118
AIAN 501 408 23 10 479 397 * 43 404 354 51 24 450 384
Asian 1,626 1,826 22 29 1,604 1,797 273 302 1,332 1,495 73 101 1,554 1,725
Black or African American 8,275 8,533 149 119 8,126 8,414 923 939 7,203 7,475 377 395 7,898 8,138
NHOPI * * * * * * * * * * * * * *
White 42,173 41,215 683 694 41,490 40,521 5,476 5,477 36,015 35,044 2,274 2,239 39,899 38,976
Two or More Races 1,653 1,785 36 75 1,616 1,710 229 325 1,388 1,385 143 182 1,509 1,603
Hispanic or Latino 8,846 9,423 311 310 8,535 9,113 1,616 1,682 6,919 7,431 818 750 8,028 8,673
EDUCATION LEVEL                            
< High School da da da da 8,208 8,047 995 922 7,213 7,125 da da 7,746 7,638
High School Graduate da da da da 21,322 21,486 2,909 3,137 18,413 18,349 da da 20,243 20,355
Some College/Associate’s Degree da da da da 20,086 19,490 3,338 3,370 16,748 16,120 da da 19,121 18,575
College Graduate da da da da 12,695 13,226 1,368 1,365 11,328 11,861 da da 12,686 13,223
EMPLOYMENT STATUS                            
Full-Time da da da da 30,914 31,575 4,034 4,008 26,880 27,567 da da 30,031 30,844
Part-Time da da da da 7,373 6,513 1,931 1,926 5,443a 4,588 da da 6,634 5,846
Unemployed da da da da 4,187 4,014 918 954 3,269 3,060 da da 3,854 3,708
Other2 da da da da 19,837 20,146 1,727 1,907 18,110 18,239 da da 19,277 19,393
* = 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. 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 2023 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, 2022 and 2023.
240430
Table 2.14B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 22.5 22.4 4.8 4.8 24.3 24.2 24.8 25.8 24.2 23.9 9.7 9.7 24.6 24.4
SEX                            
Male 28.4 28.4 4.8 4.9 30.8 30.9 30.3 32.0 30.9 30.8 11.0 11.4 31.3 31.2
Female 16.9 16.6 4.7 4.6 18.1 17.8 19.1 19.6 17.9 17.5 8.2 7.9 18.2 17.9
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 23.7 23.4 4.8 4.9 25.4 25.1 26.4 27.6 25.2 24.7 10.2 10.5 25.6 25.2
AIAN 34.3 30.4 10.3 4.3 38.5 36.0 * 30.7 39.1 36.8 15.7 8.1 39.5 36.6
Asian 9.6 10.4 1.4 2.0 10.4 11.2 12.0 13.6 10.1 10.8 3.0 4.3 10.7 11.4
Black or African American 24.0 24.6 4.3 3.3 26.3 27.0 19.8 20.6 27.4 28.1 7.1 7.5 27.1 27.6
NHOPI * * * * * * * * * * * * * *
White 24.7 24.2 5.3 5.4 26.2 25.7 30.0 31.0 25.7 25.1 11.8 11.9 26.3 25.7
Two or More Races 28.1 28.8 4.4 8.1 32.0 32.5 22.8 29.7 34.3 33.2 11.1 13.4 32.9 33.1
Hispanic or Latino 17.4 18.0 4.7 4.6 19.3 20.1 19.6 20.4 19.2 20.0 8.3 7.6 19.6 20.5
EDUCATION LEVEL                            
< High School da da da da 33.7 32.9 27.7 25.8 34.7 34.1 da da 35.1 34.4
High School Graduate da da da da 30.8 30.9 25.0 27.2 32.0 31.7 da da 32.0 31.7
Some College/Associate’s Degree da da da da 25.8 25.3 24.0 25.6 26.2 25.2 da da 26.2 25.6
College Graduate da da da da 14.9 15.3 24.0 23.7 14.3 14.7 da da 14.9 15.3
EMPLOYMENT STATUS                            
Full-Time da da da da 26.1 26.1 28.7 29.0 25.8 25.7 da da 26.2 26.1
Part-Time da da da da 22.5 20.6 22.0 23.0 22.6 19.8 da da 23.2 21.1
Unemployed da da da da 38.0 35.1 28.6 28.5 41.9 37.8 da da 39.7 37.0
Other2 da da da da 21.1 21.5 19.8 22.4 21.2 21.4 da da 21.4 21.6
* = 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. 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 2023 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, 2022 and 2023.
240430
Table 2.15A – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 50,948 49,888 506 482 50,443 49,406 5,354 5,356 45,089 44,050 1,920 1,846 49,028 48,043
SEX                            
Male 31,232 30,619 250 213 30,983 30,406 3,374 3,353 27,609 27,053 1,120 1,083 30,113 29,536
Female 19,716 19,269 256 269 19,460 19,000 1,980 2,003 17,480 16,997 801 762 18,915 18,507
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 44,323 43,003 365 366 43,958 42,637 4,396 4,449 39,562 38,187 1,519 1,496 42,804 41,507
AIAN 404 353 11 5 393 348 * 31 347 317 23 17 381 336
Asian 1,108 1,405 13 16 1,095 1,389 142 187 953 1,202 46 36 1,063 1,369
Black or African American 7,018 6,947 53 71 6,966 6,875 736 718 6,229 6,157 213 273 6,805 6,674
NHOPI * * * * * * * * * * * * * *
White 34,025 32,533 276 224 33,750 32,310 3,308 3,275 30,442 29,035 1,161 1,046 32,864 31,487
Two or More Races 1,377 1,493 12 45 1,364 1,447 149 222 1,216 1,225 73 116 1,304 1,377
Hispanic or Latino 6,625 6,886 141 116 6,484 6,769 958 907 5,526 5,863 401 350 6,224 6,536
EDUCATION LEVEL                            
< High School da da da da 7,413 7,165 722 652 6,691 6,513 da da 7,146 6,903
High School Graduate da da da da 18,467 18,493 2,016 2,134 16,452 16,360 da da 17,816 17,837
Some College/Associate’s Degree da da da da 16,033 15,367 1,887 1,901 14,146 13,466 da da 15,544 14,924
College Graduate da da da da 8,529 8,380 729 669 7,800 7,711 da da 8,522 8,379
EMPLOYMENT STATUS                            
Full-Time da da da da 24,092 24,067 2,577 2,513 21,514 21,553 da da 23,542 23,668
Part-Time da da da da 5,593a 4,695 1,051 1,001 4,542a 3,694 da da 5,227a 4,333
Unemployed da da da da 3,450 3,357 619 660 2,831 2,697 da da 3,257 3,175
Other2 da da da da 17,308 17,287 1,107 1,181 16,201 16,106 da da 17,002 16,866
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.15B – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 18.1 17.6 2.0 1.9 19.7 19.2 15.4 15.7 20.4 19.7 5.0 4.8 20.1 19.6
SEX                            
Male 22.6 22.1 1.9 1.6 24.8 24.3 19.3 19.6 25.7 25.0 5.6 5.5 25.5 24.8
Female 13.7 13.3 2.0 2.1 14.8 14.4 11.4 11.8 15.3 14.8 4.3 4.1 15.1 14.6
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 19.2 18.6 1.9 1.9 20.7 20.1 16.6 17.3 21.3 20.5 5.3 5.3 21.2 20.4
AIAN 27.6 26.3 5.0 1.9 31.6 31.5 * 22.1 33.6 32.9 7.2 5.8 33.5 32.0
Asian 6.5 8.0 0.8 1.1 7.1 8.7 6.3 8.5 7.2 8.7 1.9 1.5 7.3 9.1
Black or African American 20.4 20.0 1.5 2.0 22.5 22.1 15.8 15.7 23.7 23.1 4.0 5.2 23.3 22.6
NHOPI * * * * * * * * * * * * * *
White 19.9 19.1 2.1 1.7 21.3 20.5 18.1 18.6 21.8 20.8 6.0 5.6 21.7 20.8
Two or More Races 23.4 24.1 1.5 4.9 27.0 27.5 14.8 20.3 30.1 29.4 5.7 8.5 28.4 28.5
Hispanic or Latino 13.0 13.2 2.1 1.7 14.7 14.9 11.6 11.0 15.4 15.8 4.1 3.5 15.2 15.4
EDUCATION LEVEL                            
< High School da da da da 30.4 29.3 20.1 18.2 32.2 31.2 da da 32.4 31.1
High School Graduate da da da da 26.7 26.6 17.4 18.5 28.6 28.2 da da 28.1 27.8
Some College/Associate’s Degree da da da da 20.6 19.9 13.6 14.4 22.1 21.1 da da 21.3 20.6
College Graduate da da da da 10.0 9.7 12.8 11.6 9.8 9.5 da da 10.0 9.7
EMPLOYMENT STATUS                            
Full-Time da da da da 20.4 19.9 18.3 18.2 20.6 20.1 da da 20.5 20.1
Part-Time da da da da 17.0 14.9 12.0 12.0 18.9a 15.9 da da 18.3a 15.6
Unemployed da da da da 31.3 29.3 19.3 19.8 36.3 33.3 da da 33.6 31.7
Other2 da da da da 18.4 18.5 12.7 13.9 19.0 18.9 da da 18.8 18.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.16A – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 146,135 147,213 1,710 1,738 144,425 145,475 12,190 11,790 132,235 133,685 4,933 4,679 141,202 142,534
SEX                            
Male 77,740 78,159 852 787 76,888 77,373 6,561 6,308 70,327 71,065 2,657 2,435 75,083 75,724
Female 68,396 69,054 858 952 67,538 68,102 5,629 5,482 61,909 62,620 2,276 2,244 66,119 66,810
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 124,945 125,077 1,299 1,353 123,645 123,724 9,568 9,231 114,077 114,493 3,800 3,670 121,144 121,407
AIAN 850 742 32 20 818 722 * 62 712 660 73a 35 777 708
Asian 4,979 5,069 33 41 4,946 5,028 478 455 4,468 4,573 112 163 4,867 4,906
Black or African American 13,825 14,265 142 172 13,683 14,092 942 890 12,741 13,202 355 358 13,469 13,906
NHOPI * * * * * * * * * * * * * *
White 101,306 101,016 1,034 1,005 100,272 100,012 7,632 7,340 92,640 92,672 3,051 2,868 98,255 98,148
Two or More Races 3,228 3,448 56a 106 3,172 3,342 365 440 2,807 2,902 203 235 3,025 3,214
Hispanic or Latino 21,191 22,136 411 385 20,780 21,751 2,622 2,559 18,158 19,192 1,133 1,009 20,058 21,127
EDUCATION LEVEL                            
< High School da da da da 13,321 13,678 1,301 1,229 12,019 12,450 da da 12,697 13,121
High School Graduate da da da da 40,532 40,540 4,115 4,003 36,416 36,537 da da 39,025 39,231
Some College/Associate’s Degree da da da da 46,189 45,664 4,720 4,518 41,468 41,146 da da 45,109 44,597
College Graduate da da da da 44,385 45,593 2,053 2,040 42,332 43,553 da da 44,370 45,585
EMPLOYMENT STATUS                            
Full-Time da da da da 68,421 69,504 5,844 5,560 62,577 63,944 da da 67,236 68,578
Part-Time da da da da 16,610 16,294 2,499 2,470 14,111 13,823 da da 15,732 15,468
Unemployed da da da da 5,958 5,884 1,251 1,133 4,706 4,750 da da 5,579 5,540
Other2 da da da da 53,437 53,794 2,596 2,626 50,841 51,168 da da 52,655 52,948
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.16B – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 51.8 51.9 6.6 6.7 56.4 56.5 35.0 34.6 59.7 59.8 12.8 12.3 58.0 58.1
SEX                            
Male 56.2 56.4 6.5 5.9 61.5 61.7 37.5 37.0 65.4 65.6 13.3 12.4 63.5 63.6
Female 47.6 47.7 6.8 7.5 51.5 51.5 32.5 32.3 54.4 54.3 12.2 12.1 52.8 52.9
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 54.1 54.1 6.8 7.1 58.3 58.3 36.1 35.8 61.5 61.4 13.2 13.0 59.9 59.8
AIAN 58.1 55.4 14.4 8.7 65.8 65.4 * 43.7 68.9 68.6 22.4a 11.9 68.3 67.5
Asian 29.3 29.0 2.0 2.8 32.1 31.4 21.1 20.6 34.0 33.1 4.6 6.8 33.4 32.5
Black or African American 40.1 41.0 4.1 4.8 44.2 45.2 20.2 19.5 48.5 49.6 6.7 6.8 46.2 47.1
NHOPI * * * * * * * * * * * * * *
White 59.2 59.3 8.1 7.8 63.4 63.5 41.8 41.6 66.2 66.3 15.8 15.3 64.8 64.8
Two or More Races 54.9 55.7 6.8 11.4 62.8 63.5 36.4 40.3 69.4 69.6 15.8 17.3 65.9 66.4
Hispanic or Latino 41.6 42.4 6.2 5.7 47.0 47.9 31.7 31.0 50.4 51.6 11.5 10.2 48.9 49.9
EDUCATION LEVEL                            
< High School da da da da 54.7 55.9 36.3 34.4 57.9 59.5 da da 57.6 59.2
High School Graduate da da da da 58.6 58.4 35.4 34.7 63.3 63.1 da da 61.6 61.1
Some College/Associate’s Degree da da da da 59.4 59.3 34.0 34.3 64.9 64.4 da da 61.8 61.5
College Graduate da da da da 52.2 52.7 36.0 35.5 53.4 53.9 da da 52.2 52.7
EMPLOYMENT STATUS                            
Full-Time da da da da 57.8 57.4 41.5 40.2 60.0 59.7 da da 58.6 58.1
Part-Time da da da da 50.6 51.6 28.4 29.6 58.7 59.6 da da 55.0 55.8
Unemployed da da da da 54.1 51.4 39.0 33.9 60.3 58.6 da da 57.5 55.3
Other2 da da da da 56.8 57.5 29.8 30.9 59.6 60.2 da da 58.4 59.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.17A – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 50,139 48,536 886 895 49,253 47,642 6,341 6,329 42,912 41,313 2,736 2,615 47,404 45,921
SEX                            
Male 28,232 26,939 424 406 27,808 26,533 3,657 3,666 24,151 22,866 1,503 1,429 26,729 25,510
Female 21,908 21,598 462 488 21,446 21,109 2,685 2,662 18,761 18,447 1,233 1,186 20,675 20,411
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 42,834 40,772 668 658 42,166 40,114 5,088 5,050 37,078 35,063 2,129 2,037 40,705 38,734
AIAN 419 359 16 9 403 349 * 36 333 313 44 20 375 338
Asian 1,343 1,450 22 25 1,321 1,425 212 240 1,109 1,185 53 79 1,289 1,371
Black or African American 6,344 6,316 83 69 6,261 6,248 473 432 5,788 5,816 182 189 6,162 6,127
NHOPI * * * * * * * * * * * * * *
White 32,835 30,957 525 486 32,310 30,471 4,131 4,085 28,178 26,386 1,740 1,604 31,094 29,353
Two or More Races 1,466 1,399 21a 65 1,445 1,334 186 233 1,259 1,102 107 139 1,360 1,261
Hispanic or Latino 7,305 7,765 218 237 7,087 7,528 1,253 1,278 5,834 6,250 607 578 6,699 7,187
EDUCATION LEVEL                            
< High School da da da da 7,513 7,147 821 729 6,692 6,418 da da 7,161 6,845
High School Graduate da da da da 17,980 17,828 2,261 2,254 15,719 15,574 da da 17,178 17,088
Some College/Associate’s Degree da da da da 15,945 14,922 2,359 2,367 13,586 12,555 da da 15,258 14,246
College Graduate da da da da 7,816 7,745 900 978 6,916 6,767 da da 7,806 7,743
EMPLOYMENT STATUS                            
Full-Time da da da da 22,449 22,337 2,869 2,827 19,581 19,510 da da 21,780 21,819
Part-Time da da da da 5,848 5,095 1,447 1,375 4,401 3,720 da da 5,292 4,639
Unemployed da da da da 3,598 3,316 673 690 2,924 2,626 da da 3,374 3,112
Other2 da da da da 17,358 16,894 1,352 1,436 16,006 15,458 da da 16,957 16,352
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.17B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 17.8 17.1 3.4 3.5 19.2 18.5 18.2 18.6 19.4 18.5 7.1 6.9 19.5 18.7
SEX                            
Male 20.4 19.4 3.2 3.1 22.2 21.2 20.9 21.5 22.4 21.1 7.5 7.3 22.6 21.4
Female 15.2 14.9 3.7 3.9 16.3 16.0 15.5 15.7 16.5 16.0 6.6 6.4 16.5 16.2
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 18.5 17.6 3.5 3.4 19.9 18.9 19.2 19.6 20.0a 18.8 7.4 7.2 20.1 19.1
AIAN 28.6 26.8 7.4 3.9 32.4 31.7 * 25.5 32.2 32.6 13.4 7.0 33.0 32.2
Asian 7.9 8.3 1.4 1.7 8.6 8.9 9.3 10.8 8.4 8.6 2.2 3.3 8.8 9.1
Black or African American 18.4 18.2 2.4 1.9 20.2 20.1 10.1 9.5 22.0 21.9 3.4 3.6 21.1 20.8
NHOPI * * * * * * * * * * * * * *
White 19.2 18.2 4.1 3.8 20.4 19.3 22.6 23.1 20.1 18.9 9.0 8.5 20.5 19.4
Two or More Races 24.9 22.6 2.5a 7.0 28.6 25.3 18.6 21.3 31.1 26.4 8.3 10.2 29.6 26.1
Hispanic or Latino 14.4 14.9 3.3 3.5 16.0 16.6 15.2 15.5 16.2 16.8 6.1 5.8 16.3 17.0
EDUCATION LEVEL                            
< High School da da da da 30.8 29.2 22.9 20.4 32.2 30.7 da da 32.5 30.9
High School Graduate da da da da 26.0 25.7 19.5 19.5 27.3 26.9 da da 27.1 26.6
Some College/Associate’s Degree da da da da 20.5 19.4 17.0 18.0 21.3 19.7 da da 20.9 19.6
College Graduate da da da da 9.2 8.9 15.8 17.0 8.7 8.4 da da 9.2 8.9
EMPLOYMENT STATUS                            
Full-Time da da da da 19.0 18.5 20.4 20.4 18.8 18.2 da da 19.0 18.5
Part-Time da da da da 17.8 16.1 16.5 16.5 18.3 16.0 da da 18.5 16.7
Unemployed da da da da 32.7 29.0 21.0 20.7 37.5 32.4 da da 34.8 31.0
Other2 da da da da 18.5 18.1 15.5 16.9 18.8 18.2 da da 18.8 18.2
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.18A – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 41,062a 38,692 319 344 40,743a 38,348 3,729 3,616 37,014a 34,732 1,211 1,248 39,852 37,444
SEX                            
Male 22,840a 21,140 135 123 22,706a 21,018 2,186 2,114 20,520a 18,903 624 663 22,216 20,477
Female 18,222 17,552 184 221 18,037 17,330 1,543 1,502 16,494 15,829 586 585 17,635 16,967
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 35,451a 33,008 240 262 35,211a 32,747 3,015 2,986 32,195a 29,760 951 1,009 34,499a 31,999
AIAN 339 313 6 4 332 310 * 26 291 284 17 14 321 300
Asian 911 1,166 13 12 898 1,154 106 150 792 1,004 30 22 882 1,144
Black or African American 5,452 5,197 19 36 5,434 5,161 358 324 5,076 4,837 70 123 5,383 5,074
NHOPI * * * * * * * * * * * * * *
White 27,152a 24,905 197 166 26,955a 24,739 2,389 2,329 24,566a 22,410 784 755 26,368a 24,150
Two or More Races 1,231 1,171 5a 39 1,226 1,133 112 147 1,114 986 51 88 1,180 1,083
Hispanic or Latino 5,612 5,684 79 82 5,532 5,601 713 630 4,819 4,972 259 239 5,352 5,445
EDUCATION LEVEL                            
< High School da da da da 6,769 6,330 573 521 6,197 5,809 da da 6,594 6,147
High School Graduate da da da da 15,510 15,260 1,427 1,496 14,083 13,765 da da 15,089 14,844
Some College/Associate’s Degree da da da da 12,898a 11,693 1,264 1,198 11,634 10,494 da da 12,611 11,389
College Graduate da da da da 5,565 5,065 465 401 5,101 4,664 da da 5,558 5,064
EMPLOYMENT STATUS                            
Full-Time da da da da 18,070 17,215 1,662 1,620 16,408 15,595 da da 17,774 16,948
Part-Time da da da da 4,556a 3,700 763 686 3,793a 3,014 da da 4,293a 3,465
Unemployed da da da da 3,050 2,842 461 464 2,589 2,378 da da 2,907 2,729
Other2 da da da da 15,067 14,591 843 847 14,223 13,744 da da 14,878 14,302
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.18B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 14.6a 13.7 1.2 1.3 15.9a 14.9 10.7 10.6 16.7a 15.5 3.1 3.3 16.4a 15.3
SEX                            
Male 16.5a 15.3 1.0 0.9 18.2a 16.8 12.5 12.4 19.1a 17.5 3.1 3.4 18.8a 17.2
Female 12.7 12.1 1.5 1.7 13.7 13.1 8.9 8.9 14.5 13.7 3.1 3.2 14.1 13.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 15.3a 14.3 1.3 1.4 16.6a 15.4 11.4 11.6 17.4a 16.0 3.3 3.6 17.1a 15.8
AIAN 23.1 23.4 2.8 1.6 26.7 28.1 * 18.5 28.1 29.5 5.3 4.7 28.2 28.6
Asian 5.4 6.7 0.8 0.8 5.8 7.2 4.7 6.8 6.0 7.3 1.2 0.9 6.1 7.6
Black or African American 15.8 15.0 0.5 1.0 17.6 16.6 7.7 7.1 19.3 18.2 1.3 2.3 18.5 17.2
NHOPI * * * * * * * * * * * * * *
White 15.9a 14.6 1.5 1.3 17.0a 15.7 13.1 13.2 17.6a 16.0 4.1 4.0 17.4a 15.9
Two or More Races 20.9 18.9 0.6a 4.2 24.3 21.5 11.2 13.4 27.5 23.6 3.9 6.5 25.7 22.4
Hispanic or Latino 11.0 10.9 1.2 1.2 12.5 12.3 8.6 7.6 13.4 13.4 2.6 2.4 13.0 12.9
EDUCATION LEVEL                            
< High School da da da da 27.8 25.9 16.0 14.6 29.8 27.8 da da 29.9 27.7
High School Graduate da da da da 22.4 22.0 12.3 13.0 24.5 23.8 da da 23.8 23.1
Some College/Associate’s Degree da da da da 16.6 15.2 9.1 9.1 18.2 16.4 da da 17.3 15.7
College Graduate da da da da 6.5 5.9 8.2 7.0 6.4 5.8 da da 6.5 5.9
EMPLOYMENT STATUS                            
Full-Time da da da da 15.3 14.2 11.8 11.7 15.7 14.6 da da 15.5 14.4
Part-Time da da da da 13.9a 11.7 8.7 8.2 15.8a 13.0 da da 15.0a 12.5
Unemployed da da da da 27.7 24.8 14.4 13.9 33.2 29.4 da da 30.0 27.2
Other2 da da da da 16.0 15.6 9.7 10.0 16.7 16.2 da da 16.5 16.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.19A – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 38,828 37,928 397 366 38,431 37,562 3,693 3,545 34,737 34,017 1,342 1,237 37,486 36,692
SEX                            
Male 32,761 32,339 258 247 32,503 32,093 2,910 2,729 29,593 29,364 1,002 895 31,759 31,444
Female 6,067 5,589 139 119 5,928 5,470 783 816 5,144 4,654 339 341 5,727 5,248
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 34,970 33,785 339 288 34,631 33,496 3,154 3,024 31,477 30,472 1,140 1,016 33,830 32,768
AIAN 355 256 3 6 352 251 31 14 320 237 18 8 337 248
Asian 761 566 * 5 761 561 71 90 690 471 14 45 748 522
Black or African American 2,188 2,037 51 47 2,137 1,990 192 190 1,945 1,800 97 86 2,092 1,950
NHOPI * * * * * * * * * * * * * *
White 30,597 29,751 271 216 30,326 29,535 2,766 2,597 27,560 26,938 953 838 29,644 28,913
Two or More Races 815 1,043 13 14 802 1,029 92 123 710 906 59 37 756 1,006
Hispanic or Latino 3,858 4,144 59 78 3,800 4,066 539 521 3,260 3,545 201 220 3,657 3,923
EDUCATION LEVEL                            
< High School da da da da 2,897 3,142 421 359 2,476 2,783 da da 2,706 2,998
High School Graduate da da da da 11,312 10,789 1,426 1,265 9,886 9,524 da da 10,850 10,400
Some College/Associate’s Degree da da da da 12,205 12,291 1,250 1,286 10,955 11,005 da da 11,915 11,955
College Graduate da da da da 12,018 11,340 597 635 11,420 10,706 da da 12,016 11,339
EMPLOYMENT STATUS                            
Full-Time da da da da 23,135 22,063 2,010 1,903 21,124 20,160 da da 22,699 21,778
Part-Time da da da da 4,168b 3,258 670 595 3,498a 2,663 da da 3,949b 3,054
Unemployed da da da da 1,654 1,753 390 321 1,264 1,432 da da 1,530 1,650
Other2 da da da da 9,474 10,488 623 726 8,851 9,762 da da 9,308 10,210
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.19B – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 13.8 13.4 1.5 1.4 15.0 14.6 10.6 10.4 15.7 15.2 3.5 3.2 15.4 15.0
SEX                            
Male 23.7 23.3 2.0 1.9 26.0 25.6 16.6 16.0 27.5 27.1 5.0 4.6 26.9 26.4
Female 4.2 3.9 1.1 0.9 4.5 4.1 4.5 4.8 4.5 4.0 1.8 1.8 4.6 4.2
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 15.1 14.6 1.8 1.5 16.3 15.8 11.9 11.7 17.0 16.4 4.0 3.6 16.7 16.1
AIAN 24.3 19.1 1.6 2.4 28.3 22.7 14.9 9.6 31.0 24.6 5.6 2.8 29.6 23.7
Asian 4.5 3.2 * 0.4 4.9 3.5 3.1 4.1 5.2 3.4 0.6 1.9 5.1 3.5
Black or African American 6.4 5.9 1.5 1.3 6.9 6.4 4.1 4.2 7.4 6.8 1.8 1.6 7.2 6.6
NHOPI * * * * * * * * * * * * * *
White 17.9 17.5 2.1 1.7 19.2 18.8 15.2 14.7 19.7 19.3 4.9 4.5 19.5 19.1
Two or More Races 13.9 16.8 1.5 1.5 15.9 19.5 9.1 11.3 17.6 21.7 4.6 2.8 16.5 20.8
Hispanic or Latino 7.6 7.9 0.9 1.1 8.6 8.9 6.5 6.3 9.1 9.5 2.0 2.2 8.9 9.3
EDUCATION LEVEL                            
< High School da da da da 11.9 12.8 11.7 10.1 11.9 13.3 da da 12.3 13.5
High School Graduate da da da da 16.4 15.5 12.3 11.0 17.2 16.4 da da 17.1 16.2
Some College/Associate’s Degree da da da da 15.7 16.0 9.0 9.8 17.1 17.2 da da 16.3 16.5
College Graduate da da da da 14.1 13.1 10.5 11.0 14.4 13.3 da da 14.1 13.1
EMPLOYMENT STATUS                            
Full-Time da da da da 19.5a 18.2 14.3 13.8 20.3a 18.8 da da 19.8a 18.5
Part-Time da da da da 12.7a 10.3 7.6 7.1 14.6a 11.5 da da 13.8a 11.0
Unemployed da da da da 15.0 15.3 12.1 9.6 16.2 17.7 da da 15.8 16.5
Other2 da da da da 10.1 11.2 7.2 8.5 10.4 11.5 da da 10.3 11.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.20A – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 8,290a 9,451 188 205 8,102a 9,246 1,475 1,575 6,627a 7,671 651 717 7,639a 8,734
SEX                            
Male 7,346a 8,455 118 146 7,229a 8,309 1,227 1,287 6,002a 7,021 487 565 6,860a 7,890
Female 944 996 70 59 873 938 248 288 625 650 164 152 780 844
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 7,544 8,450 147 157 7,396 8,293 1,254 1,386 6,142 6,907 535 599 7,008 7,851
AIAN 103 83 2 1 101 82 10 5 91 77 6 2 97 81
Asian 158 171 * 1 158 170 42 50 116 120 5 28 154 143
Black or African American 524 738 32 31 491 707 80 111 411 596 62 49 462 689
NHOPI * 16 * * * 15 * * * 8 * * * 14
White 6,487 7,243 105 117 6,382 7,127 1,108 1,173 5,274 5,953 450 503 6,037 6,741
Two or More Races 159 198 8 7 151 191 12a 39 139 152 12 16 146 182
Hispanic or Latino 746 1,002 41 48 706 954 221 190 484 764 116 118 631 884
EDUCATION LEVEL                            
< High School da da da da 884 1,070 175 136 709 933 da da 792 1,008
High School Graduate da da da da 3,202 3,492 517 618 2,685 2,874 da da 3,011 3,258
Some College/Associate’s Degree da da da da 2,460 2,850 564 589 1,897 2,261 da da 2,281 2,634
College Graduate da da da da 1,556 1,835 219 232 1,337 1,603 da da 1,555 1,834
EMPLOYMENT STATUS                            
Full-Time da da da da 4,769 5,359 765 822 4,004 4,537 da da 4,572 5,179
Part-Time da da da da 1,037a 660 316 249 721a 411 da da 915a 564
Unemployed da da da da 416a 698 129 135 287a 563 da da 366a 645
Other2 da da da da 1,880a 2,529 264 370 1,616 2,160 da da 1,787 2,346
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.20B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 2.9a 3.3 0.7 0.8 3.2a 3.6 4.2 4.6 3.0a 3.4 1.7 1.9 3.1a 3.6
SEX                            
Male 5.3a 6.1 0.9 1.1 5.8a 6.6 7.0 7.5 5.6a 6.5 2.4 2.9 5.8a 6.6
Female 0.7 0.7 0.6 0.5 0.7 0.7 1.4 1.7 0.5 0.6 0.9 0.8 0.6 0.7
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 3.3 3.7 0.8 0.8 3.5 3.9 4.7 5.4 3.3 3.7 1.9 2.1 3.5 3.9
AIAN 7.1 6.2 1.1 0.2 8.1 7.5 4.5 3.8 8.8 8.0 2.0 0.6 8.5 7.7
Asian 0.9 1.0 * 0.1 1.0 1.1 1.9 2.3 0.9 0.9 0.2 1.2 1.1 0.9
Black or African American 1.5 2.1 0.9 0.9 1.6 2.3 1.7 2.4 1.6 2.2 1.2 0.9 1.6 2.3
NHOPI * 1.4 * * * 1.5 * * * 0.9 * * * 1.4
White 3.8 4.3 0.8 0.9 4.0 4.5 6.1 6.6 3.8 4.3 2.3 2.7 4.0 4.4
Two or More Races 2.7 3.2 0.9 0.8 3.0 3.6 1.2 3.6 3.4 3.6 1.0 1.2 3.2 3.8
Hispanic or Latino 1.5 1.9 0.6 0.7 1.6 2.1 2.7 2.3 1.3 2.1 1.2 1.2 1.5 2.1
EDUCATION LEVEL                            
< High School da da da da 3.6 4.4 4.9 3.8 3.4 4.5 da da 3.6 4.5
High School Graduate da da da da 4.6 5.0 4.5 5.4 4.7 5.0 da da 4.8 5.1
Some College/Associate’s Degree da da da da 3.2 3.7 4.1 4.5 3.0 3.5 da da 3.1 3.6
College Graduate da da da da 1.8 2.1 3.8 4.0 1.7 2.0 da da 1.8 2.1
EMPLOYMENT STATUS                            
Full-Time da da da da 4.0 4.4 5.4 5.9 3.8 4.2 da da 4.0 4.4
Part-Time da da da da 3.2a 2.1 3.6 3.0 3.0a 1.8 da da 3.2a 2.0
Unemployed da da da da 3.8a 6.1 4.0 4.0 3.7a 7.0 da da 3.8a 6.4
Other2 da da da da 2.0a 2.7 3.0 4.3 1.9 2.5 da da 2.0a 2.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.21A – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 6,084a 7,003 59 72 6,026a 6,931 818 949 5,207 5,981 304 305 5,780a 6,698
SEX                            
Male 5,538 6,352 44 46 5,494 6,306 684 803 4,810 5,503 232 228 5,306 6,124
Female 546 651 15 26 532 625 135 146 397 478 72 77 475 574
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 5,627 6,295 45 47 5,582 6,248 720 826 4,862 5,421 264 245 5,363 6,051
AIAN 67 70 <1 <1 66 70 6 5 61 65 1 1 66 69
Asian 81 78 * 1 81 77 15 21 66 56 1 1 80 77
Black or African American 346 550 9 22 337 527 61 78 276 449 31 35 316 514
NHOPI * 16 * * * 15 * * * 8 * * * 14
White 4,910 5,422 29 21 4,881 5,401 630 697 4,250 4,703 222 201 4,687 5,221
Two or More Races 116 159 6 2 110 157 7 18 103 139 9 5 108 154
Hispanic or Latino 458 708 14 25 444 683 98 123 346 560 40 60 418 648
EDUCATION LEVEL                            
< High School da da da da 677 839 113 74 564 765 da da 611 810
High School Graduate da da da da 2,509 2,564 341 390 2,168 2,175 da da 2,400 2,435
Some College/Associate’s Degree da da da da 1,727 2,175 258 342 1,469 1,834 da da 1,658 2,101
College Graduate da da da da 1,113 1,352 107 144 1,006 1,208 da da 1,111 1,352
EMPLOYMENT STATUS                            
Full-Time da da da da 3,652 4,016 474 515 3,178 3,501 da da 3,527 3,923
Part-Time da da da da 618 465 163 135 456 330 da da 550 434
Unemployed da da da da 241b 493 73 83 168b 410 da da 219a 464
Other2 da da da da 1,515 1,956 109b 216 1,405 1,740 da da 1,485 1,877
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.21B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 2.2a 2.5 0.2 0.3 2.4 2.7 2.4 2.8 2.4 2.7 0.8 0.8 2.4 2.7
SEX                            
Male 4.0 4.6 0.3 0.3 4.4 5.0 3.9 4.7 4.5 5.1 1.2 1.2 4.5 5.1
Female 0.4 0.4 0.1 0.2 0.4 0.5 0.8 0.9 0.3 0.4 0.4 0.4 0.4 0.5
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 2.4 2.7 0.2 0.2 2.6 2.9 2.7 3.2 2.6 2.9 0.9 0.9 2.7 3.0
AIAN 4.6 5.3 0.2 0.1 5.3 6.4 2.7 3.3 5.9 6.8 0.3 0.4 5.8 6.6
Asian 0.5 0.4 * 0.1 0.5 0.5 0.6 1.0 0.5 0.4 0.1 <0.1 0.5 0.5
Black or African American 1.0 1.6 0.3 0.6 1.1 1.7 1.3 1.7 1.1 1.7 0.6 0.7 1.1 1.7
NHOPI * 1.4 * * * 1.5 * * * 0.9 * * * 1.4
White 2.9 3.2 0.2 0.2 3.1 3.4 3.5 4.0 3.0 3.4 1.2 1.1 3.1 3.4
Two or More Races 2.0 2.6 0.8 0.2 2.2 3.0 0.7 1.6 2.5 3.3 0.7 0.3 2.3 3.2
Hispanic or Latino 0.9 1.4 0.2 0.4 1.0 1.5 1.2 1.5 1.0 1.5 0.4 0.6 1.0 1.5
EDUCATION LEVEL                            
< High School da da da da 2.8 3.4 3.1 2.1 2.7 3.7 da da 2.8 3.7
High School Graduate da da da da 3.6 3.7 2.9 3.4 3.8 3.8 da da 3.8 3.8
Some College/Associate’s Degree da da da da 2.2 2.8 1.9 2.6 2.3 2.9 da da 2.3 2.9
College Graduate da da da da 1.3 1.6 1.9 2.5 1.3 1.5 da da 1.3 1.6
EMPLOYMENT STATUS                            
Full-Time da da da da 3.1 3.3 3.4 3.7 3.0 3.3 da da 3.1 3.3
Part-Time da da da da 1.9 1.5 1.8 1.6 1.9 1.4 da da 1.9 1.6
Unemployed da da da da 2.2b 4.3 2.3 2.5 2.1b 5.1 da da 2.3a 4.6
Other2 da da da da 1.6 2.1 1.3b 2.5 1.6 2.0 da da 1.6 2.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.22A – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 67,445a 70,190 4,872 4,847 62,574a 65,342 17,268 17,062 45,306b 48,280 10,799 10,148 56,646a 60,042
SEX                            
Male 36,469 37,013 2,153 2,119 34,316 34,894 8,772 8,555 25,544 26,339 5,256 4,762 31,213 32,252
Female 30,976b 33,177 2,719 2,729 28,258b 30,448 8,496 8,507 19,762b 21,941 5,543 5,386 25,433b 27,791
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 55,235a 57,655 3,587 3,565 51,648a 54,091 13,419 13,155 38,229b 40,936 8,061 7,572 47,174a 50,083
AIAN 497 429 57 50 440 379 * * 312 302 117 75 380 355
Asian 2,451 2,328 142 108 2,309 2,219 732 631 1,577 1,588 369 291 2,082 2,037
Black or African American 6,970 7,865 657 676 6,313 7,189 1,769 1,890 4,544 5,300 1,267 1,273 5,703a 6,592
NHOPI * * * * * * * * * * * * * *
White 42,809 44,436 2,544 2,462 40,265 41,973 10,198 9,881 30,067 32,093 5,876 5,441 36,933 38,995
Two or More Races 2,104 2,168 178 248 1,927 1,920 551 618 1,376 1,302 413 466 1,691 1,702
Hispanic or Latino 12,210 12,534 1,285 1,283 10,925 11,252 3,849 3,907 7,077 7,344 2,738 2,576 9,472 9,959
EDUCATION LEVEL                            
< High School da da da da 5,706 5,896 1,667 1,663 4,040 4,232 da da 4,707 4,942
High School Graduate da da da da 19,081a 20,557 5,767 5,783 13,314a 14,774 da da 16,427a 18,180
Some College/Associate’s Degree da da da da 23,583 23,754 7,150 6,810 16,433 16,944 da da 21,328 21,800
College Graduate da da da da 14,204 15,135 2,684 2,805 11,519 12,330 da da 14,184 15,120
EMPLOYMENT STATUS                            
Full-Time da da da da 34,193 35,845 8,008 7,809 26,185 28,036 da da 32,074 34,188
Part-Time da da da da 9,269 8,643 4,112 4,021 5,157 4,622 da da 7,461 7,005
Unemployed da da da da 4,092 4,630 1,667 1,717 2,425 2,913 da da 3,389a 3,995
Other2 da da da da 15,019 16,224 3,480 3,514 11,539 12,710 da da 13,722 14,854
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.22B – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 23.9 24.8 18.9 18.7 24.4a 25.4 49.6 50.1 20.5a 21.6 27.9 26.7 23.3a 24.5
SEX                            
Male 26.4 26.7 16.4 16.0 27.4 27.8 50.2 50.1 23.7 24.3 26.2 24.3 26.4 27.1
Female 21.5a 22.9 21.6 21.6 21.5b 23.0 49.1 50.1 17.4b 19.0 29.8 29.2 20.3b 22.0
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 23.9a 24.9 18.8 18.6 24.4a 25.5 50.6 51.0 20.6b 22.0 28.0 26.9 23.3b 24.7
AIAN 34.0 32.1 25.9 21.5 35.4 34.3 * * 30.2 31.4 36.0 25.8 33.4 33.8
Asian 14.4 13.3 8.8 7.4 15.0 13.8 32.3 28.5 12.0 11.5 15.1 12.2 14.3 13.5
Black or African American 20.2a 22.6 18.7 18.8 20.4a 23.1 37.9 41.4 17.3a 19.9 24.0 24.3 19.6a 22.3
NHOPI * * * * * * * * * * * * * *
White 25.0 26.1 19.8 19.2 25.5a 26.6 55.9 56.0 21.5a 22.9 30.4 29.0 24.3a 25.7
Two or More Races 35.8 35.0 21.3 26.7 38.2 36.5 54.9 56.5 34.0 31.2 32.1 34.3 36.8 35.2
Hispanic or Latino 24.0 24.0 19.3 18.9 24.7 24.8 46.6 47.3 19.7 19.8 27.7 26.0 23.1 23.5
EDUCATION LEVEL                            
< High School da da da da 23.4 24.1 46.5 46.5 19.4 20.2 da da 21.4 22.3
High School Graduate da da da da 27.6a 29.6 49.6 50.1 23.1a 25.5 da da 25.9a 28.3
Some College/Associate’s Degree da da da da 30.3 30.8 51.5 51.7 25.7 26.5 da da 29.2 30.1
College Graduate da da da da 16.7 17.5 47.1 48.8 14.5 15.3 da da 16.7 17.5
EMPLOYMENT STATUS                            
Full-Time da da da da 28.9 29.6 56.9 56.5 25.1 26.2 da da 27.9 29.0
Part-Time da da da da 28.2 27.4 46.8 48.1 21.5 19.9 da da 26.1 25.3
Unemployed da da da da 37.1 40.5 51.9 51.4 31.1 36.0 da da 34.9a 39.9
Other2 da da da da 16.0 17.3 40.0 41.3 13.5a 14.9 da da 15.2 16.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.23A – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 35,101b 37,948 3,559 3,420 31,542b 34,528 11,608 11,558 19,934b 22,971 7,846 7,362 27,255b 30,586
SEX                            
Male 18,488 19,606 1,462 1,416 17,027 18,190 6,006 6,031 11,021a 12,159 3,681 3,404 14,807a 16,202
Female 16,613b 18,342 2,097 2,004 14,515b 16,338 5,603 5,526 8,913b 10,811 4,165 3,958 12,447b 14,385
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 28,376b 31,478 2,604 2,571 25,773b 28,907 9,087 9,145 16,685b 19,761 5,861 5,622 22,515b 25,856
AIAN 292 267 40 31 252 236 * 50 146 186 94a 50 198 217
Asian 1,282 1,175 87 72 1,196 1,102 489 434 706 669 246 201 1,036 973
Black or African American 3,808 4,262 535 484 3,273 3,778 1,152 1,323 2,121 2,455 950 935 2,858 3,326
NHOPI 164 * * * 157 * * * * * * * * *
White 21,608b 24,326 1,800 1,791 19,808b 22,535 6,918 6,859 12,890b 15,676 4,258 4,070 17,350b 20,257
Two or More Races 1,223 1,193 135 182 1,089 1,011 387 436 702 575 301 347 922 846
Hispanic or Latino 6,725 6,470 955 848 5,769 5,622 2,521 2,412 3,249 3,209 1,985 1,740 4,739 4,730
EDUCATION LEVEL                            
< High School da da da da 3,101 3,552 1,194 1,242 1,907 2,310 da da 2,412 2,844
High School Graduate da da da da 10,411b 11,940 4,173 4,234 6,238b 7,706 da da 8,472b 10,133
Some College/Associate’s Degree da da da da 12,393 12,700 4,843 4,567 7,550 8,133 da da 10,740 11,282
College Graduate da da da da 5,637a 6,336 1,398 1,514 4,239 4,822 da da 5,630 6,327
EMPLOYMENT STATUS                            
Full-Time da da da da 16,951a 18,555 5,423 5,292 11,528b 13,263 da da 15,366b 17,282
Part-Time da da da da 5,048 4,653 2,755 2,574 2,293 2,079 da da 3,766 3,520
Unemployed da da da da 2,428b 3,029 1,148 1,298 1,279a 1,732 da da 1,897b 2,529
Other2 da da da da 7,116a 8,290 2,282 2,393 4,833a 5,897 da da 6,225a 7,254
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.23B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 12.4b 13.4 13.8 13.2 12.3b 13.4 33.4 34.0 9.0b 10.3 20.3 19.3 11.2b 12.5
SEX                            
Male 13.4 14.1 11.1 10.7 13.6 14.5 34.3 35.3 10.2 11.2 18.4 17.4 12.5a 13.6
Female 11.6b 12.7 16.7 15.8 11.1b 12.4 32.4 32.6 7.8b 9.4 22.4 21.4 9.9b 11.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 12.3b 13.6 13.6 13.5 12.2b 13.6 34.3 35.5 9.0b 10.6 20.4 20.0 11.1b 12.7
AIAN 19.9 19.9 18.2 13.2 20.2 21.4 * 35.2 14.2 19.4 28.9a 17.3 17.4 20.7
Asian 7.5 6.7 5.4 5.0 7.8 6.9 21.6 19.6 5.4 4.8 10.0 8.5 7.1 6.4
Black or African American 11.1 12.3 15.2 13.4 10.6 12.1 24.7a 29.0 8.1 9.2 18.0 17.8 9.8 11.3
NHOPI 12.9 * * * 12.9 * * * * * * * * *
White 12.6b 14.3 14.0 14.0 12.5b 14.3 37.9 38.9 9.2b 11.2 22.0 21.7 11.4b 13.4
Two or More Races 20.8 19.3 16.1 19.6 21.6 19.2 38.6 39.8 17.3 13.8 23.3 25.6 20.1 17.5
Hispanic or Latino 13.2 12.4 14.4 12.5 13.0 12.4 30.5 29.2 9.0 8.6 20.1 17.6 11.6 11.2
EDUCATION LEVEL                            
< High School da da da da 12.7 14.5 33.3 34.8 9.2 11.0 da da 10.9 12.8
High School Graduate da da da da 15.1b 17.2 35.9 36.7 10.8b 13.3 da da 13.4b 15.8
Some College/Associate’s Degree da da da da 15.9 16.5 34.9 34.7 11.8 12.7 da da 14.7 15.6
College Graduate da da da da 6.6 7.3 24.5 26.3 5.3 6.0 da da 6.6 7.3
EMPLOYMENT STATUS                            
Full-Time da da da da 14.3a 15.3 38.5 38.3 11.1b 12.4 da da 13.4b 14.6
Part-Time da da da da 15.4 14.8 31.3 30.8 9.5 9.0 da da 13.2 12.7
Unemployed da da da da 22.0a 26.5 35.8 38.8 16.4a 21.4 da da 19.6b 25.2
Other2 da da da da 7.6b 8.9 26.2 28.1 5.7a 6.9 da da 6.9a 8.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.24A – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 23,503b 26,605 1,769 1,754 21,733b 24,850 8,335 8,207 13,399b 16,643 4,719 4,458 18,784b 22,146
SEX                            
Male 12,834 13,694 701 713 12,133 12,981 4,447 4,255 7,687a 8,726 2,249 2,052 10,585 11,643
Female 10,669b 12,911 1,069 1,041 9,600b 11,869 3,888 3,953 5,712b 7,917 2,470 2,407 8,199b 10,504
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 19,282b 22,340 1,356 1,363 17,926b 20,977 6,683 6,697 11,243b 14,280 3,704 3,550 15,578b 18,790
AIAN 184 192 19 15 164 177 * 43 100 134 58 29 126 162
Asian 929 746 47 33 882 713 310 281 572 433 133 104 796 642
Black or African American 2,093a 2,537 211 218 1,882a 2,319 758 900 1,124 1,419 465 521 1,628a 2,015
NHOPI 133 * * * * * * * * * * * * *
White 15,137b 17,816 1,011 990 14,126b 16,825 5,250 5,118 8,876b 11,707 2,853 2,675 12,284b 15,141
Two or More Races 807 865 61 98 746 767 275 332 471 435 188 207 619 658
Hispanic or Latino 4,220 4,265 413 392 3,807 3,873 1,652 1,510 2,156 2,363 1,015 908 3,206 3,356
EDUCATION LEVEL                            
< High School da da da da 1,994b 2,630 905 908 1,089b 1,722 da da 1,456b 2,135
High School Graduate da da da da 7,410b 8,820 3,065 3,164 4,345b 5,657 da da 6,092b 7,574
Some College/Associate’s Degree da da da da 8,644 9,250 3,414 3,175 5,231a 6,074 da da 7,557 8,295
College Graduate da da da da 3,684 4,150 950 960 2,734 3,191 da da 3,678 4,143
EMPLOYMENT STATUS                            
Full-Time da da da da 12,105a 13,532 4,039 3,878 8,066b 9,653 da da 10,953b 12,595
Part-Time da da da da 3,467 3,256 1,863 1,696 1,604 1,560 da da 2,685 2,520
Unemployed da da da da 1,681a 2,149 858 901 823b 1,248 da da 1,304b 1,852
Other2 da da da da 4,481b 5,914 1,575 1,731 2,906b 4,183 da da 3,842b 5,179
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.24B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 8.3b 9.4 6.9 6.8 8.5b 9.6 24.0 24.1 6.0b 7.4 12.2 11.7 7.7b 9.0
SEX                            
Male 9.3 9.9 5.3 5.4 9.7 10.4 25.4 24.9 7.1a 8.1 11.2 10.5 9.0 9.8
Female 7.4b 8.9 8.5 8.2 7.3b 9.0 22.5 23.3 5.0b 6.9 13.3 13.0 6.6b 8.3
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 8.3b 9.7 7.1 7.1 8.5b 9.9 25.2 26.0 6.1b 7.7 12.9 12.6 7.7b 9.3
AIAN 12.6 14.3 8.9 6.3 13.2 16.0 * 30.4 9.6 13.9 17.9 10.1 11.1 15.5
Asian 5.5 4.3 2.9 2.3 5.7 4.4 13.7 12.7 4.4 3.1 5.4 4.4 5.5 4.2
Black or African American 6.1a 7.3 6.0 6.1 6.1a 7.4 16.2 19.7 4.3 5.3 8.8 9.9 5.6a 6.8
NHOPI 10.4 * * * * * * * * * * * * *
White 8.9b 10.5 7.9 7.7 8.9b 10.7 28.8 29.0 6.3b 8.4 14.8 14.2 8.1b 10.0
Two or More Races 13.7 14.0 7.3 10.6 14.8 14.6 27.4 30.4 11.6 10.4 14.6 15.3 13.5 13.6
Hispanic or Latino 8.3 8.2 6.2 5.8 8.6 8.5 20.0 18.3 6.0 6.4 10.3 9.2 7.8 7.9
EDUCATION LEVEL                            
< High School da da da da 8.2b 10.7 25.2 25.4 5.2b 8.2 da da 6.6b 9.6
High School Graduate da da da da 10.7b 12.7 26.4 27.4 7.6b 9.8 da da 9.6b 11.8
Some College/Associate’s Degree da da da da 11.1 12.0 24.6 24.1 8.2a 9.5 da da 10.3 11.4
College Graduate da da da da 4.3 4.8 16.7 16.7 3.4 3.9 da da 4.3 4.8
EMPLOYMENT STATUS                            
Full-Time da da da da 10.2a 11.2 28.7 28.1 7.7b 9.0 da da 9.5b 10.7
Part-Time da da da da 10.6 10.3 21.2 20.3 6.7 6.7 da da 9.4 9.1
Unemployed da da da da 15.3a 18.8 26.7 27.0 10.5b 15.4 da da 13.4b 18.5
Other2 da da da da 4.8b 6.3 18.1 20.3 3.4b 4.9 da da 4.3b 5.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.25A – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 221,306a 224,265 5,745 5,593 215,561b 218,672 25,747 25,439 189,814b 193,233 13,224 12,615 208,082 211,649
SEX                            
Male 110,160 111,096 2,662 2,536 107,498 108,560 12,512 12,480 94,987 96,080 6,468 6,100 103,692 104,996
Female 111,146a 113,169 3,083 3,057 108,063a 110,112 13,235 12,959 94,828b 97,153 6,755 6,516 104,390 106,653
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 184,503 186,319 4,196 4,067 180,307a 182,252 19,806 19,468 160,501a 162,784 9,844 9,450 174,659 176,868
AIAN 976 890 53 44 922 847 * 94 787 753 101 68 874 822
Asian 10,066 10,878 173 175 9,893 10,703 1,365 1,313 8,527 9,390 536 563 9,529 10,315
Black or African American 24,055 24,516 610 541 23,445 23,975 2,955 3,045 20,490 20,930 1,439 1,362 22,616 23,154
NHOPI * * * * * * * * * * * * * *
White 144,051 144,346 3,153 3,077 140,898 141,269 14,540 14,073 126,358 127,197 7,295 6,947 136,755 137,399
Two or More Races 4,468 4,941 195 220 4,273 4,720 731 876 3,541 3,845 447 495 4,021 4,446
Hispanic or Latino 36,803 37,946 1,549 1,526 35,254a 36,420 5,941 5,970 29,313a 30,450 3,380 3,165 33,423 34,781
EDUCATION LEVEL                            
< High School da da da da 16,581 16,758 2,098 2,089 14,483 14,669 da da 15,407 15,640
High School Graduate da da da da 54,483a 55,726 7,686 7,780 46,797 47,946 da da 51,364 52,895
Some College/Associate’s Degree da da da da 68,109 68,008 10,850 10,463 57,259 57,545 da da 64,955 64,955
College Graduate da da da da 76,388b 78,181 5,113 5,107 71,275 73,073 da da 76,357 78,160
EMPLOYMENT STATUS                            
Full-Time da da da da 105,907 108,482 11,719 11,613 94,188 96,869 da da 103,472 106,491
Part-Time da da da da 27,324 26,768 6,503 6,238 20,821 20,530 da da 24,759 24,355
Unemployed da da da da 8,515 8,888 2,260 2,232 6,255 6,656 da da 7,779 8,161
Other2 da da da da 73,815 74,534 5,265 5,355 68,551 69,179 da da 72,073 72,643
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.25B – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 78.5 79.1 22.3 21.6 84.1 84.9 74.0 74.7 85.7 86.5 34.2 33.1 85.5 86.2
SEX                            
Male 79.7 80.1 20.2 19.1 85.9 86.6 71.5 73.1 88.3 88.7 32.3 31.1 87.7 88.2
Female 77.3 78.1 24.5 24.1 82.4 83.3 76.5 76.4 83.3 84.3 36.3 35.3 83.4 84.4
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 79.8 80.6 22.0 21.3 85.0a 85.9 74.7 75.5 86.5 87.4 34.2 33.5 86.3 87.1
AIAN 66.7 66.5 24.2 18.5 74.2 76.7 * 66.6 76.2 78.2 31.1 23.6 76.8 78.4
Asian 59.1 62.2 10.8 12.0 64.2 66.8 60.3 59.3 64.9 68.0 21.9 23.7 65.4 68.2
Black or African American 69.8 70.5 17.4 15.1 75.8 76.9 63.3 66.8 78.0 78.7 27.2 26.0 77.6 78.5
NHOPI * * * * * * * * * * * * * *
White 84.2 84.7 24.5 24.0 89.1 89.7 79.7 79.7 90.3 90.9 37.8 37.0 90.1 90.7
Two or More Races 76.0 79.8 23.4 23.7 84.6a 89.6 72.9 80.1 87.6 92.2 34.7 36.5 87.6 91.9
Hispanic or Latino 72.3 72.6 23.3 22.4 79.7 80.1 71.9 72.3 81.4 81.9 34.2 32.0 81.5 82.1
EDUCATION LEVEL                            
< High School da da da da 68.1 68.5 58.5 58.4 69.7 70.2 da da 69.9 70.5
High School Graduate da da da da 78.8 80.2 66.2 67.4 81.3 82.8 da da 81.1 82.4
Some College/Associate’s Degree da da da da 87.6 88.3 78.1 79.5 89.6 90.1 da da 88.9 89.6
College Graduate da da da da 89.9 90.3 89.8 88.8 89.9 90.4 da da 89.9 90.3
EMPLOYMENT STATUS                            
Full-Time da da da da 89.5 89.7 83.3 84.0 90.3 90.4 da da 90.1 90.2
Part-Time da da da da 83.2 84.8 74.0 74.7 86.6 88.5 da da 86.5 87.9
Unemployed da da da da 77.3 77.7 70.4 66.8 80.1 82.2 da da 80.2 81.4
Other2 da da da da 78.5 79.7 60.4 62.9 80.3 81.3 da da 79.9 81.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.26A – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 176,975 177,278 4,301 4,388 172,675 172,890 23,608 23,179 149,067 149,711 10,934 10,604 166,041 166,673
SEX                            
Male 88,983 88,581 1,930 1,953 87,053 86,628 11,513 11,339 75,539 75,289 5,358 5,096 83,624 83,485
Female 87,992 88,697 2,370 2,435 85,622 86,262 12,094 11,840 73,528 74,422 5,575 5,509 82,417 83,188
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 146,782 147,581 3,207 3,175 143,575 144,406 18,283 17,888 125,293 126,518 8,259 8,001 138,523 139,580
AIAN 688 606 35 * 653 572 * 79 532 493 76 51 612 555
Asian 8,348 8,452 135 138 8,213 8,314 1,240 1,205 6,973 7,109 458 474 7,890 7,978
Black or African American 18,817 19,842 396 366 18,421 19,475 2,637 2,707 15,784 16,768 1,100 1,097 17,717 18,745
NHOPI * * * * * * * * * * * * * *
White 114,835 114,334 2,480 2,443 112,356 111,891 13,542 13,066 98,813 98,826 6,240 5,954 108,595 108,380
Two or More Races 3,554 3,812 150 187 3,405 3,625 673 768 2,731 2,857 363 414 3,191 3,398
Hispanic or Latino 30,193 29,697 1,094 1,212 29,099 28,485 5,325 5,292 23,774 23,193 2,675 2,604 27,518 27,093
EDUCATION LEVEL                            
< High School da da da da 11,281 10,989 1,726 1,760 9,555 9,230 da da 10,336 10,073
High School Graduate da da da da 40,177 40,841 6,709 6,891 33,468 33,950 da da 37,472 38,369
Some College/Associate’s Degree da da da da 54,675 53,574 10,247 9,670 44,428 43,904 da da 51,722 50,766
College Graduate da da da da 66,542 67,486 4,926 4,859 61,616 62,627 da da 66,511 67,466
EMPLOYMENT STATUS                            
Full-Time da da da da 91,323 92,301 10,978 10,781 80,346 81,520 da da 89,108 90,588
Part-Time da da da da 22,870 21,814 5,994 5,714 16,876 16,101 da da 20,579 19,649
Unemployed da da da da 6,598 7,188 1,998 2,004 4,599 5,184 da da 5,972 6,554
Other2 da da da da 51,884 51,587 4,638 4,680 47,246 46,907 da da 50,382 49,882
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.26B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 62.8 62.5 16.7 16.9 67.4 67.1 67.9 68.1 67.3 67.0 28.3 27.9 68.2 67.9
SEX                            
Male 64.4 63.9 14.7 14.7 69.6 69.1 65.8 66.4 70.2 69.5 26.8 26.0 70.7 70.1
Female 61.2 61.2 18.9 19.2 65.3 65.3 69.9 69.8 64.6 64.6 29.9 29.8 65.9 65.8
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 63.5 63.8 16.8 16.6 67.7 68.1 68.9 69.4 67.5 67.9 28.7 28.4 68.5 68.7
AIAN 47.1 45.3 15.9 * 52.6 51.8 * 55.9 51.5 51.2 23.5 17.7 53.8 52.9
Asian 49.1 48.3 8.4 9.5 53.3 51.9 54.7 54.4 53.0 51.5 18.7 20.0 54.2 52.8
Black or African American 54.6 57.1 11.3 10.2 59.6 62.5 56.5 59.4 60.1 63.0 20.8 20.9 60.8 63.5
NHOPI * * * * * * * * * * * * * *
White 67.1 67.1 19.3 19.1 71.0 71.0 74.2 74.0 70.6 70.7 32.3 31.7 71.6 71.5
Two or More Races 60.4 61.5 18.0 20.1 67.4 68.8 67.1 70.3 67.5 68.5 28.2 30.5 69.5 70.2
Hispanic or Latino 59.3 56.8 16.5 17.8 65.8a 62.7 64.5 64.1 66.0a 62.4 27.1 26.3 67.1 64.0
EDUCATION LEVEL                            
< High School da da da da 46.3 44.9 48.1 49.2 46.0 44.1 da da 46.9 45.4
High School Graduate da da da da 58.1 58.8 57.8 59.7 58.2 58.6 da da 59.2 59.8
Some College/Associate’s Degree da da da da 70.3 69.5 73.8 73.4 69.5 68.7 da da 70.8 70.0
College Graduate da da da da 78.3 78.0 86.5 84.5 77.7 77.5 da da 78.3 78.0
EMPLOYMENT STATUS                            
Full-Time da da da da 77.1 76.3 78.0 78.0 77.0 76.1 da da 77.6 76.8
Part-Time da da da da 69.7 69.1 68.2 68.4 70.2 69.4 da da 71.9 70.9
Unemployed da da da da 59.9 62.8 62.3 60.0 58.9 64.0 da da 61.6 65.4
Other2 da da da da 55.2 55.1 53.2 55.0 55.4 55.1 da da 55.8 55.6
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.27A – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 137,446 134,729 1,753 1,800 135,694 132,929 17,467 16,878 118,227 116,051 5,843 5,575 131,603 129,154
SEX                            
Male 71,048 69,489 708 799 70,340 68,689 8,507 8,258 61,833 60,432 2,763 2,691 68,285 66,798
Female 66,398 65,240 1,044 1,001 65,354 64,240 8,960 8,620 56,394 55,619 3,080 2,884 63,318 62,356
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 115,241 113,227 1,308 1,307 113,933 111,920 13,743 13,260 100,190 98,659 4,513 4,339 110,728 108,887
AIAN 520 401 12 9 508 392 * * 410 339 38 17 481 385
Asian 6,252 5,685 36 19 6,217 5,666 805 781 5,412 4,885 258 180 5,994 5,505
Black or African American 14,321 14,787 124 155 14,198 14,632 1,802 1,946 12,395 12,686 502 558 13,819 14,229
NHOPI * * * * * * * * * * * * * *
White 91,308 89,086 1,070 1,046 90,238 88,041 10,501 9,874 79,737 78,167 3,483 3,356 87,825 85,731
Two or More Races 2,510 2,881 61 73 2,449 2,808 506 565 1,943 2,243 220 223 2,290 2,658
Hispanic or Latino 22,205 21,502 444 493 21,761 21,009 3,724 3,617 18,037 17,392 1,330 1,236 20,875 20,266
EDUCATION LEVEL                            
< High School da da da da 7,941a 7,063 1,030 1,000 6,911 6,064 da da 7,441 6,619
High School Graduate da da da da 29,293 29,313 4,599 4,646 24,694 24,667 da da 27,636 27,824
Some College/Associate’s Degree da da da da 42,168a 40,560 7,663 7,134 34,505 33,426 da da 40,255 38,736
College Graduate da da da da 56,292 55,992 4,175 4,098 52,117 51,894 da da 56,272 55,975
EMPLOYMENT STATUS                            
Full-Time da da da da 74,615 73,422 8,619 8,290 65,995 65,132 da da 73,200 72,328
Part-Time da da da da 17,533 16,404 4,313 4,166 13,219 12,238 da da 16,083 15,093
Unemployed da da da da 4,874 5,286 1,334 1,373 3,541 3,913 da da 4,520 4,911
Other2 da da da da 38,672 37,817 3,200 3,048 35,472 34,769 da da 37,801 36,822
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.27B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 48.7a 47.5 6.8 6.9 52.9a 51.6 50.2 49.6 53.4a 51.9 15.1 14.6 54.1a 52.6
SEX                            
Male 51.4 50.1 5.4 6.0 56.2 54.8 48.6 48.4 57.5 55.8 13.8 13.7 57.8 56.1
Female 46.2 45.0 8.3 7.9 49.8 48.6 51.8 50.8 49.5 48.3 16.5 15.6 50.6 49.3
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 49.9 49.0 6.9 6.8 53.7 52.8 51.8 51.4 54.0 52.9 15.7 15.4 54.7 53.6
AIAN 35.5 30.0 5.4 4.0 40.8 35.5 * * 39.7 35.2 11.8 5.8 42.3 36.7
Asian 36.7 32.5 2.2 1.3 40.3a 35.3 35.5 35.3 41.2a 35.4 10.5 7.6 41.1 36.4
Black or African American 41.6 42.5 3.5 4.3 45.9 47.0 38.6 42.7 47.2 47.7 9.5 10.6 47.4 48.2
NHOPI * * * * * * * * * * * * * *
White 53.4 52.3 8.3 8.2 57.0 55.9 57.5 56.0 57.0 55.9 18.0 17.9 57.9 56.6
Two or More Races 42.7 46.5 7.3 7.9 48.5 53.3 50.4 51.7 48.0 53.8 17.1 16.4 49.9 55.0
Hispanic or Latino 43.6 41.2 6.7 7.3 49.2a 46.2 45.1 43.8 50.1 46.8 13.5 12.5 50.9 47.9
EDUCATION LEVEL                            
< High School da da da da 32.6a 28.9 28.7 28.0 33.3a 29.0 da da 33.8a 29.8
High School Graduate da da da da 42.4 42.2 39.6 40.3 42.9 42.6 da da 43.6 43.4
Some College/Associate’s Degree da da da da 54.2 52.6 55.2 54.2 54.0 52.3 da da 55.1 53.4
College Graduate da da da da 66.2 64.7 73.3 71.2 65.7 64.2 da da 66.2 64.7
EMPLOYMENT STATUS                            
Full-Time da da da da 63.0b 60.7 61.2 60.0 63.3b 60.8 da da 63.8b 61.3
Part-Time da da da da 53.4 52.0 49.1 49.9 55.0 52.8 da da 56.2 54.5
Unemployed da da da da 44.2 46.2 41.6 41.1 45.3 48.3 da da 46.6 49.0
Other2 da da da da 41.1 40.4 36.7 35.8 41.6 40.9 da da 41.9 41.1
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.28A – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 61,157 61,428 834 1,016 60,323 60,412 10,261 9,764 50,062 50,649 3,154 3,283 58,003 58,144
SEX                            
Male 33,625 33,641 337 441 33,288 33,199 4,983 4,783 28,305 28,417 1,503 1,584 32,122 32,056
Female 27,532 27,787 498 574 27,035 27,213 5,278 4,981 21,757 22,232 1,650 1,699 25,882 26,088
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 49,311 49,479 625 732 48,686 48,747 7,931 7,539 40,755 41,208 2,439 2,525 46,872 46,955
AIAN 373 256 9 6 363 250 * * 286 213 33 13 340 244
Asian 1,758 1,869 17 10 1,741 1,858 333 309 1,408 1,549 78 55 1,679 1,814
Black or African American 7,215 7,515 47 85 7,167 7,430 977 1,075 6,191 6,355 244 312 6,970 7,203
NHOPI * * * * * * * * * * * * * *
White 38,510 38,184 519 590 37,991 37,594 6,214 5,775 31,777 31,819 1,965 2,011 36,545 36,173
Two or More Races 1,205 1,376 32 36 1,173 1,340 307 317 866 1,023 119 127 1,087 1,249
Hispanic or Latino 11,846 11,949 210 283 11,637 11,665 2,330 2,224 9,306 9,441 714 759 11,132 11,190
EDUCATION LEVEL                            
< High School da da da da 4,903 4,507 668 649 4,235 3,858 da da 4,593 4,233
High School Graduate da da da da 15,307a 16,657 2,671 2,924 12,636 13,733 da da 14,356 15,760
Some College/Associate’s Degree da da da da 19,556 19,151 4,475 4,012 15,081 15,139 da da 18,508 18,064
College Graduate da da da da 20,557 20,098 2,448 2,179 18,110 17,919 da da 20,546 20,088
EMPLOYMENT STATUS                            
Full-Time da da da da 36,588 35,444 5,212 4,778 31,376 30,666 da da 35,718 34,752
Part-Time da da da da 7,244 6,806 2,314 2,289 4,930 4,517 da da 6,481 6,037
Unemployed da da da da 2,821a 3,387 872 878 1,948a 2,509 da da 2,605a 3,172
Other2 da da da da 13,670 14,774 1,863 1,818 11,807 12,957 da da 13,200 14,184
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.28B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 21.7 21.7 3.2 3.9 23.5 23.5 29.5 28.7 22.6 22.7 8.2 8.6 23.8 23.7
SEX                            
Male 24.3 24.3 2.6 3.3 26.6 26.5 28.5 28.0 26.3 26.2 7.5 8.1 27.2 26.9
Female 19.2 19.2 4.0 4.5 20.6 20.6 30.5 29.4 19.1 19.3 8.9 9.2 20.7 20.6
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 21.3 21.4 3.3 3.8 23.0 23.0 29.9 29.3 22.0 22.1 8.5 9.0 23.2 23.1
AIAN 25.5 19.1 4.3 2.6 29.2 22.6 * * 27.7 22.2 10.0 4.3 29.9 23.2
Asian 10.3 10.7 1.0 0.7 11.3 11.6 14.7 14.0 10.7 11.2 3.2 2.3 11.5 12.0
Black or African American 20.9 21.6 1.3 2.4 23.2 23.8 20.9 23.6 23.6 23.9 4.6 5.9 23.9 24.4
NHOPI * * * * * * * * * * * * * *
White 22.5 22.4 4.0 4.6 24.0 23.9 34.0 32.7 22.7 22.7 10.2 10.7 24.1 23.9
Two or More Races 20.5 22.2 3.9 3.9 23.2 25.4 30.6 28.9 21.4 24.5 9.2 9.4 23.7 25.8
Hispanic or Latino 23.3 22.9 3.2 4.2 26.3 25.7 28.2 26.9 25.9 25.4 7.2 7.7 27.1 26.4
EDUCATION LEVEL                            
< High School da da da da 20.1 18.4 18.6 18.2 20.4 18.5 da da 20.8 19.1
High School Graduate da da da da 22.1 24.0 23.0 25.3 22.0 23.7 da da 22.7 24.6
Some College/Associate’s Degree da da da da 25.1 24.9 32.2 30.5 23.6 23.7 da da 25.3 24.9
College Graduate da da da da 24.2 23.2 43.0a 37.9 22.8 22.2 da da 24.2 23.2
EMPLOYMENT STATUS                            
Full-Time da da da da 30.9a 29.3 37.0 34.6 30.1 28.6 da da 31.1a 29.5
Part-Time da da da da 22.1 21.6 26.3 27.4 20.5 19.5 da da 22.6 21.8
Unemployed da da da da 25.6 29.6 27.2 26.3 25.0a 31.0 da da 26.9a 31.6
Other2 da da da da 14.5 15.8 21.4 21.4 13.8 15.2 da da 14.6 15.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.29A – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 16,089 16,412 63a 141 16,025 16,271 2,633 2,356 13,393 13,914 646 663 15,443 15,749
SEX                            
Male 10,199 9,848 33 71 10,167 9,777 1,501b 1,139 8,666 8,638 377 321 9,823 9,527
Female 5,889 6,564 31 70 5,859 6,494 1,132 1,218 4,726 5,276 269 342 5,620 6,222
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 13,518 14,068 47 86 13,470 13,982 2,113 1,908 11,358 12,075 530 521 12,988 13,547
AIAN 118 75 * 4 114 71 * 4 86 66 * 5 104 70
Asian 323 348 <1 * 323 348 49 36 274 312 12 5 311 343
Black or African American 1,455 1,649 3 11 1,451 1,638 162 209 1,290 1,429 13 32 1,441 1,616
NHOPI * * * * * * * * * * * * * *
White 11,262 11,438 39 60 11,223 11,377 1,799 1,571 9,424 9,807 459 414 10,803 11,024
Two or More Races 276a 468 2 11 274a 458 71 83 203a 375 31 63 245 405
Hispanic or Latino 2,571 2,344 16 55 2,555 2,288 520 449 2,035 1,840 116 142 2,455 2,202
EDUCATION LEVEL                            
< High School da da da da 1,458 1,251 188 159 1,270 1,092 da da 1,376 1,177
High School Graduate da da da da 4,045a 4,909 655 712 3,389a 4,197 da da 3,802a 4,684
Some College/Associate’s Degree da da da da 5,333 5,143 1,205 1,004 4,128 4,139 da da 5,077 4,921
College Graduate da da da da 5,190 4,968 585 482 4,605 4,486 da da 5,188 4,967
EMPLOYMENT STATUS                            
Full-Time da da da da 9,930 9,529 1,374 1,146 8,556 8,383 da da 9,711 9,369
Part-Time da da da da 1,789 1,590 609 551 1,180 1,039 da da 1,583 1,408
Unemployed da da da da 866 1,013 209 266 657 747 da da 800 964
Other2 da da da da 3,440 4,139 441 394 2,999a 3,745 da da 3,349 4,008
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Heavy alcohol users are a subset of binge alcohol users.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.29B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 5.7 5.8 0.2a 0.5 6.3 6.3 7.6 6.9 6.0 6.2 1.7 1.7 6.3 6.4
SEX                            
Male 7.4 7.1 0.2 0.5 8.1 7.8 8.6b 6.7 8.1 8.0 1.9 1.6 8.3 8.0
Female 4.1 4.5 0.2 0.6 4.5 4.9 6.5 7.2 4.1 4.6 1.4 1.9 4.5 4.9
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 5.8 6.1 0.2 0.5 6.4 6.6 8.0 7.4 6.1 6.5 1.8 1.9 6.4 6.7
AIAN 8.0 5.6 * 1.9 9.2 6.4 * 3.1 8.4 6.9 * 1.8 9.1 6.7
Asian 1.9 2.0 <0.1 * 2.1 2.2 2.2 1.6 2.1 2.3 0.5 0.2 2.1 2.3
Black or African American 4.2 4.7 0.1 0.3 4.7 5.3 3.5 4.6 4.9 5.4 0.2 0.6 4.9 5.5
NHOPI * * * * * * * * * * * * * *
White 6.6 6.7 0.3 0.5 7.1 7.2 9.9 8.9 6.7 7.0 2.4 2.2 7.1 7.3
Two or More Races 4.7a 7.6 0.2 1.2 5.4a 8.7 7.1 7.6 5.0a 9.0 2.4 4.7 5.3 8.4
Hispanic or Latino 5.1 4.5 0.2 0.8 5.8 5.0 6.3 5.4 5.7 4.9 1.2 1.4 6.0 5.2
EDUCATION LEVEL                            
< High School da da da da 6.0 5.1 5.2 4.4 6.1 5.2 da da 6.2 5.3
High School Graduate da da da da 5.8a 7.1 5.6 6.2 5.9a 7.2 da da 6.0a 7.3
Some College/Associate’s Degree da da da da 6.9 6.7 8.7 7.6 6.5 6.5 da da 7.0 6.8
College Graduate da da da da 6.1 5.7 10.3 8.4 5.8 5.6 da da 6.1 5.7
EMPLOYMENT STATUS                            
Full-Time da da da da 8.4 7.9 9.8 8.3 8.2 7.8 da da 8.5 7.9
Part-Time da da da da 5.4 5.0 6.9 6.6 4.9 4.5 da da 5.5 5.1
Unemployed da da da da 7.9 8.9 6.5 8.0 8.4 9.2 da da 8.3 9.6
Other2 da da da da 3.7a 4.4 5.1 4.6 3.5a 4.4 da da 3.7 4.5
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Heavy alcohol users are a subset of binge alcohol users.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 78,261 79,144 3,830 3,692 74,431 75,452 14,041 13,928 60,390 61,523 8,585 8,106 69,676 71,038
GEOGRAPHIC REGION                            
Northeast 12,869 12,542 641 592 12,228 11,949 2,195 2,374 10,034 9,575 1,396 1,344 11,473 11,198
Midwest 17,740 17,660 827 834 16,913 16,826 3,325 3,149 13,588 13,677 1,952 1,863 15,788 15,797
South 31,953 33,625 1,599 1,534 30,355a 32,091 5,431 5,581 24,924 26,510 3,454 3,211 28,500 30,414
West 15,699 15,317 764 732 14,935 14,586 3,091 2,824 11,844 11,762 1,783 1,688 13,916 13,629
COUNTY TYPE                            
Large Metro 38,239 39,953 2,024 1,830 36,215 38,123 7,114 6,815 29,101 31,308 4,324 3,855 33,915 36,097
Small Metro 27,091 26,386 1,310 1,270 25,781 25,116 4,992 4,932 20,788 20,183 3,075 2,915 24,016 23,471
Nonmetro 12,932 12,805 496 592 12,435 12,213 1,935 2,181 10,500 10,032 1,186 1,336 11,746 11,469
Urbanized 5,136 5,472 239 195 4,897 5,277 863 940 4,034 4,337 546 548 4,590 4,924
Less Urbanized 6,580 6,377 178b 338 6,402 6,040 968 1,088 5,434 4,951 515 700 6,065 5,677
Completely Rural * 956 * * * 897 * 153 * 744 * 88 * 868
POVERTY LEVEL2                            
Less Than 100% 15,238a 16,909 867 854 14,371a 16,056 3,165 3,556 11,206a 12,500 2,024 2,048 13,215a 14,862
100-199% 18,586 17,358 975 850 17,611 16,509 3,714 3,341 13,897 13,168 2,252a 1,859 16,334 15,499
200% or More 44,434 44,864 1,988 1,989 42,446 42,876 7,159 7,020 35,286 35,856 4,306 4,189 40,128 40,676
HEALTH INSURANCE3                            
Private 40,759 41,716 1,873 1,865 38,886 39,851 7,981 7,755 30,905 32,095 4,299 4,154 36,461 37,562
Medicaid/CHIP 21,613 21,933 1,770 1,795 19,843 20,138 3,802 3,835 16,041 16,303 3,454 3,290 18,159 18,643
Other4 15,977 16,172 230 165 15,747 16,006 1,123 1,165 14,624 14,842 645 535 15,332 15,636
No Coverage 9,796 9,890 170 145 9,626 9,745 1,851 1,908 7,775 7,837 685 637 9,110 9,253
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 27.8 27.9 14.9 14.2 29.0 29.3 40.4 40.9 27.3 27.5 22.2 21.3 28.6 28.9
GEOGRAPHIC REGION                            
Northeast 26.3 25.6 15.8 14.6 27.2 26.6 37.1a 41.3 25.7 24.4 22.6 22.3 26.8 26.1
Midwest 30.5 30.3 15.3 15.4 32.1 31.9 45.6 44.1 29.9 29.9 24.2 23.0 31.5 31.5
South 29.6 30.8 15.8 14.9 31.0 32.4 40.7 42.5 29.4 30.9 22.7 21.7 30.7 32.2
West 23.5 22.9 12.4 11.9 24.7 24.0 37.5 35.2 22.6 22.3 19.4 18.4 24.2 23.6
COUNTY TYPE                            
Large Metro 24.5 25.5 13.7 12.8 25.7 26.7 37.2 37.2 23.9 25.2 19.8 18.6 25.3 26.5
Small Metro 30.3 29.7 16.4 15.4 31.7 31.1 42.7 43.2 29.8 29.1 24.9 23.4 31.2 30.7
Nonmetro 35.2 34.0 16.9 17.5 36.8 35.7 48.6 51.2 35.2 33.5 26.5 27.0 36.4 35.1
Urbanized 33.2 36.1 19.3 16.0 34.4 37.8 49.0 49.9 32.3 35.9 28.7 28.5 33.8 37.2
Less Urbanized 35.7 33.0 12.6a 18.1 37.6 34.5 49.1 52.2 36.1 32.2 23.6 26.4 37.4 34.0
Completely Rural * 30.8 * * * 32.0 * 52.3 * 29.6 * 22.9 * 31.9
POVERTY LEVEL2                            
Less Than 100% 36.7 37.4 16.5 14.9 39.7 40.7 39.3 42.3 39.8 40.3 23.7 22.7 40.1 41.1
100-199% 33.4 31.9 16.8 15.9 35.3 33.7 43.8 42.4 33.6 32.0 25.4 23.1 34.9 33.5
200% or More 24.0 24.4 13.6 13.4 24.9 25.4 39.2 39.6 23.2 23.7 20.3 20.0 24.5 25.0
HEALTH INSURANCE3                            
Private 24.0 24.4 13.3 13.3 24.9 25.4 40.2 40.7 22.7 23.3 20.7 20.4 24.4 24.9
Medicaid/CHIP 36.8 36.1 16.6 16.4 41.3 40.4 41.0 40.3 41.3 40.5 23.1 21.8 41.4 40.8
Other4 20.4 20.6 15.2 11.9 20.5 20.7 40.0 41.3 19.8 20.0 24.5 22.1 20.3 20.5
No Coverage 40.4 41.6 16.8 11.6 41.4 43.3 40.0 42.6 41.8 43.4 26.9 24.1 42.0 43.8
* = 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. Tobacco product use or nicotine vaping 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 63,905 64,389 1,885 1,920 62,019 62,469 10,441 10,212 51,578 52,257 5,194 5,006 58,711 59,384
GEOGRAPHIC REGION                            
Northeast 10,459 9,945 344 283 10,115 9,662 1,667 1,738 8,448 7,924 892 791 9,567 9,154
Midwest 15,052 14,454 443 439 14,609 14,015 2,579 2,372 12,030 11,643 1,297 1,179 13,755 13,275
South 26,432 27,874 755 772 25,678 27,102 4,054 4,210 21,624 22,892 1,978 1,989 24,454 25,885
West 11,961 12,117 344 426 11,617 11,690 2,142 1,892 9,475 9,798 1,027 1,047 10,935 11,070
COUNTY TYPE                            
Large Metro 30,178 31,282 989 936 29,189 30,346 5,173 4,805 24,016 25,541 2,508 2,269 27,670 29,013
Small Metro 22,564 21,815 639 658 21,925 21,157 3,796 3,730 18,129 17,427 1,951 1,896 20,613 19,918
Nonmetro 11,163 11,293 257 327 10,906 10,966 1,472 1,677 9,433 9,289 735 840 10,428 10,452
Urbanized 4,352 4,827 129 99 4,224 4,727 632 722 3,592 4,005 331 344 4,021 4,483
Less Urbanized 5,773 5,627 81b 188 5,692 5,439 757 843 4,934 4,597 314 437 5,458 5,191
Completely Rural 1,037 839 * 39 * 800 * * * 687 * 60 948 779
POVERTY LEVEL2                            
Less Than 100% 12,783a 14,452 385 423 12,398a 14,029 2,373 2,707 10,024a 11,322 1,234 1,316 11,548a 13,135
100-199% 15,926 14,865 478 468 15,448 14,397 2,810 2,460 12,638 11,937 1,323 1,182 14,603 13,683
200% or More 35,194 35,063 1,022 1,029 34,172 34,034 5,256 5,036 28,916 28,998 2,635 2,500 32,559 32,563
HEALTH INSURANCE3                            
Private 32,014 32,351 985 956 31,029 31,395 5,885 5,461 25,144 25,934 2,683 2,520 29,331 29,831
Medicaid/CHIP 18,092 18,689 840 930 17,253 17,759 2,815 2,955 14,437 14,805 1,987 1,988 16,105 16,702
Other4 13,994 14,195 108 72 13,886 14,123 806 908 13,080 13,215 375 352 13,618 13,843
No Coverage 8,494 8,457 70 91 8,424 8,367 1,465 1,437 6,959 6,930 451 427 8,043 8,030
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 22.7 22.7 7.3 7.4 24.2 24.3 30.0 30.0 23.3 23.4 13.4 13.2 24.1 24.2
GEOGRAPHIC REGION                            
Northeast 21.3 20.3 8.5 6.9 22.5 21.5 28.2 30.2 21.6 20.2 14.4 13.1 22.3 21.3
Midwest 25.9 24.8 8.2 8.1 27.7 26.5 35.3 33.2 26.5 25.5 16.0 14.6 27.5 26.5
South 24.5 25.5 7.5 7.5 26.2 27.4 30.4 32.1 25.5 26.7 13.0 13.5 26.3 27.4
West 17.9 18.1 5.6 6.9 19.2 19.2 26.0 23.6 18.1 18.6 11.2 11.4 19.0 19.1
COUNTY TYPE                            
Large Metro 19.4 19.9 6.7 6.6 20.7 21.3 27.1 26.2 19.7 20.6 11.5 11.0 20.6 21.3
Small Metro 25.3 24.5 8.0 8.0 27.0 26.2 32.5 32.6 26.0 25.2 15.8 15.3 26.8 26.0
Nonmetro 30.4 30.0 8.8 9.6 32.3 32.0 37.0 39.4 31.6 31.0 16.4 17.0 32.3 32.0
Urbanized 28.1 31.8 10.4 8.1 29.7 33.9 35.9 38.3 28.8 33.2 17.4 17.9 29.6 33.8
Less Urbanized 31.3 29.1 5.7a 10.1 33.5 31.1 38.4 40.4 32.8 29.8 14.4 16.5 33.6 31.1
Completely Rural 36.4 27.0 * 12.7 * 28.5 * * * 27.4 * 15.7 38.3 28.6
POVERTY LEVEL2                            
Less Than 100% 30.8 32.0 7.3 7.4 34.2 35.6 29.5 32.2 35.6 36.5 14.5 14.6 35.1 36.3
100-199% 28.6 27.4 8.3 8.7 31.0 29.4 33.1 31.2 30.6 29.0 14.9 14.7 31.2 29.6
200% or More 19.0 19.1 7.0 6.9 20.1 20.1 28.8 28.4 19.0 19.2 12.4 11.9 19.9 20.0
HEALTH INSURANCE3                            
Private 18.8 18.9 7.0 6.8 19.9 20.0 29.6 28.6 18.5 18.8 12.9 12.4 19.7 19.8
Medicaid/CHIP 30.8 30.8 7.9 8.5 35.9 35.7 30.4 31.0 37.2 36.7 13.3 13.2 36.7 36.6
Other4 17.9 18.1 7.2 5.2 18.1 18.3 28.7 32.2 17.7 17.8 14.3 14.5 18.0 18.2
No Coverage 35.0 35.6 7.0 7.2 36.2 37.1 31.7 32.1 37.4 38.4 17.7 16.2 37.1 38.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 63,536 63,490 1,224 1,242 62,311 62,248 8,610 8,794 53,701 53,454 3,739 3,699 59,796 59,791
GEOGRAPHIC REGION                            
Northeast 10,507 10,011 188 194 10,318 9,817 1,322 1,498 8,996 8,320 567 607 9,940 9,404
Midwest 14,697 14,110 272 294 14,425 13,816 2,134 1,924 12,291 11,892 913 829 13,783 13,281
South 26,225 27,087 485 471 25,740 26,617 3,370 3,636 22,370 22,981 1,468 1,473 24,756 25,614
West 12,108 12,281 279 283 11,828 11,998 1,784 1,737 10,044 10,261 791 789 11,317 11,492
COUNTY TYPE                            
Large Metro 30,308 32,087 667 633 29,641 31,455 4,209 4,385 25,432 27,070 1,824 1,763 28,484 30,325
Small Metro 22,029 20,841 385 392 21,644 20,449 3,134 3,066 18,510 17,383 1,360 1,318 20,669 19,523
Nonmetro 11,199 10,561 173 217 11,027 10,344 1,267 1,344 9,759 9,001 555 618 10,644 9,943
Urbanized 4,379 4,411 77 48 4,303 4,362 577 554 3,726 3,808 238 227 4,142 4,184
Less Urbanized 5,773 5,328 79 119 5,694 5,209 611 698 5,082 4,511 269 333 5,503 4,995
Completely Rural 1,047 822 * * * 773 * * * 681 * * * 764
POVERTY LEVEL2                            
Less Than 100% 12,636 13,945 268 272 12,368 13,673 2,026 2,349 10,342 11,324 907 996 11,729 12,950
100-199% 14,915 13,615 280 265 14,635 13,350 2,209 2,139 12,426 11,211 861 822 14,055 12,793
200% or More 35,982 35,924 676 705 35,306 35,219 4,372 4,300 30,933 30,919 1,969 1,875 34,013 34,049
HEALTH INSURANCE3                            
Private 32,607 32,818 644 651 31,963 32,166 5,038 4,963 26,925 27,203 1,967 1,964 30,640 30,854
Medicaid/CHIP 17,192 17,197 545 572 16,648 16,625 2,177 2,282 14,471 14,343 1,413 1,313 15,779 15,884
Other4 14,408 14,382 73 56 14,334 14,327 651 727 13,683 13,599 296 247 14,112 14,135
No Coverage 8,152 8,289 36 46 8,116 8,243 1,160 1,288 6,956 6,955 309 361 7,843 7,929
* = 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. 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 2023 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, 2022 and 2023.
240430
Table 2.32B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 22.5 22.4 4.8 4.8 24.3 24.2 24.8 25.8 24.2 23.9 9.7 9.7 24.6 24.4
GEOGRAPHIC REGION                            
Northeast 21.4 20.4 4.6 4.8 23.0 21.9 22.4 26.1 23.0 21.2 9.2 10.1 23.2 21.9
Midwest 25.3 24.2 5.0 5.4 27.3 26.2 29.2 27.0 27.0 26.0 11.3 10.2 27.5 26.5
South 24.3 24.8 4.8 4.6 26.3 26.9 25.3 27.7 26.4 26.8 9.7 10.0 26.6 27.1
West 18.1 18.3 4.5 4.6 19.5 19.7 21.7 21.6 19.2 19.4 8.6 8.6 19.7 19.9
COUNTY TYPE                            
Large Metro 19.4 20.5 4.5 4.4 21.0 22.1 22.0 23.9 20.8 21.8 8.4 8.5 21.2 22.3
Small Metro 24.7 23.4 4.8 4.7 26.6 25.3 26.8 26.8 26.6 25.1 11.0 10.6 26.9 25.5
Nonmetro 30.5 28.1 5.9 6.4 32.6 30.2 31.8 31.5 32.7 30.0 12.4 12.5 33.0 30.4
Urbanized 28.3 29.1 6.2 4.0 30.2 31.3 32.8 29.4 29.9 31.6 12.5 11.8 30.5 31.6
Less Urbanized 31.3 27.5 5.6 6.4 33.5 29.8 31.0 33.5 33.8 29.3 12.3 12.6 33.9 29.9
Completely Rural 36.7 26.4 * * * 27.6 * * * 27.2 * * * 28.0
POVERTY LEVEL2                            
Less Than 100% 30.5 30.9 5.1 4.8 34.2 34.7 25.2 27.9 36.7 36.5 10.6 11.0 35.6 35.8
100-199% 26.8 25.1 4.8 4.9 29.4 27.2 26.0 27.2 30.1a 27.3 9.7 10.2 30.1 27.6
200% or More 19.5 19.5 4.6 4.7 20.7 20.8 24.0 24.3 20.4 20.4 9.3 8.9 20.8 20.9
HEALTH INSURANCE3                            
Private 19.2 19.2 4.6 4.7 20.5 20.5 25.3 26.0 19.8 19.7 9.5 9.7 20.5 20.5
Medicaid/CHIP 29.3 28.3 5.1 5.2 34.6 33.4 23.5 24.0 37.3 35.6 9.5 8.7 36.0 34.8
Other4 18.4 18.3 4.9 4.0 18.7 18.6 23.2 25.8 18.5 18.3 11.2 10.2 18.7 18.6
No Coverage 33.6 34.9 3.6 3.7 34.9 36.6 25.1 28.7 37.4 38.5 12.1 13.7 36.1 37.5
* = 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. 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 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 50,948 49,888 506 482 50,443 49,406 5,354 5,356 45,089 44,050 1,920 1,846 49,028 48,043
GEOGRAPHIC REGION                            
Northeast 8,318 7,721 57 62 8,261 7,659 774 917 7,487 6,743 284 286 8,034 7,435
Midwest 12,077 11,147 120 95 11,958 11,052 1,314 1,186 10,643 9,866 484 383 11,594 10,764
South 21,429 21,628 192 195 21,237 21,433 2,163 2,284 19,074 19,149 726 738 20,703 20,890
West 9,124 9,392 137 130 8,987 9,262 1,103 970 7,884 8,292 427 438 8,697 8,954
COUNTY TYPE                            
Large Metro 23,395 23,979 255 239 23,140 23,740 2,523 2,555 20,617 21,186 899 813 22,496 23,166
Small Metro 18,033 16,749 159 154 17,874 16,594 2,004 1,882 15,870 14,712 721 705 17,312 16,044
Nonmetro 9,520 9,161 91 90 9,428 9,071 826 919 8,602 8,152 300 327 9,219 8,834
Urbanized 3,606 3,790 40 27 3,566 3,764 354 346 3,212 3,418 119 129 3,487 3,661
Less Urbanized 5,032 4,676 39 44 4,993 4,632 440 502 4,553 4,130 158 173 4,874 4,503
Completely Rural 882 694 * * 869 675 32a 71 836 604 * 25 859 669
POVERTY LEVEL2                            
Less Than 100% 10,784 11,853 123 137 10,660 11,715 1,415 1,523 9,246 10,193 539 548 10,244 11,304
100-199% 12,674 11,389 134 85 12,540 11,304 1,387 1,305 11,154 9,999 431 434 12,244 10,955
200% or More 27,490 26,641 249 260 27,241 26,381 2,552 2,523 24,689 23,858 950 858 26,540 25,783
HEALTH INSURANCE3                            
Private 24,571 24,090 260 252 24,311 23,838 2,966 2,821 21,345 21,017 997 930 23,574 23,161
Medicaid/CHIP 14,628 14,675 240 221 14,388 14,454 1,465 1,615 12,923 12,838 732 687 13,896 13,987
Other4 12,517 12,334 25 17 12,492 12,318 379 402 12,113 11,915 118 124 12,399 12,211
No Coverage 6,945 6,823 19 18 6,926 6,805 832 844 6,094 5,961 195 184 6,750 6,639
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.33B – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 18.1 17.6 2.0 1.9 19.7 19.2 15.4 15.7 20.4 19.7 5.0 4.8 20.1 19.6
GEOGRAPHIC REGION                            
Northeast 17.0 15.8 1.4 1.5 18.4 17.1 13.1 16.0 19.2 17.2 4.6 4.8 18.8 17.3
Midwest 20.8 19.1 2.2 1.8 22.7 20.9 18.0 16.6 23.4 21.6 6.0 4.7 23.2 21.5
South 19.8 19.8 1.9 1.9 21.7 21.7 16.2 17.4 22.5 22.3 4.8 5.0 22.3 22.1
West 13.7 14.0 2.2 2.1 14.8 15.2 13.4 12.1 15.1 15.7 4.6 4.8 15.1 15.5
COUNTY TYPE                            
Large Metro 15.0 15.3 1.7 1.7 16.4 16.6 13.2 13.9 16.9 17.0 4.1 3.9 16.8 17.0
Small Metro 20.2 18.8 2.0 1.9 22.0 20.6 17.1 16.5 22.8 21.2 5.8 5.7 22.5 21.0
Nonmetro 25.9 24.3 3.1 2.6 27.9 26.5 20.8 21.6 28.8 27.2 6.7 6.6 28.6 27.0
Urbanized 23.3 25.0 3.2 2.2 25.1 27.0 20.1 18.4 25.8 28.3 6.2 6.7 25.7 27.6
Less Urbanized 27.3 24.2 2.7 2.3 29.4 26.5 22.3 24.1 30.3 26.8 7.2 6.5 30.0 27.0
Completely Rural 30.9 22.3 * * 33.7 24.1 13.0a 24.4 36.0 24.1 * 6.6 34.7 24.5
POVERTY LEVEL2                            
Less Than 100% 26.0 26.2 2.3 2.4 29.4 29.7 17.6 18.1 32.8 32.8 6.3 6.1 31.1 31.3
100-199% 22.8 21.0 2.3 1.6 25.2 23.1 16.4 16.6 27.0 24.3 4.8 5.4 26.2a 23.7
200% or More 14.9 14.5 1.7 1.8 16.0 15.6 14.0 14.2 16.2 15.8 4.5 4.1 16.2 15.8
HEALTH INSURANCE3                            
Private 14.5 14.1 1.8 1.8 15.6 15.2 14.9 14.8 15.7 15.2 4.8 4.6 15.8 15.4
Medicaid/CHIP 24.9 24.2 2.3 2.0 29.9 29.0 15.8 17.0 33.3 31.9 4.9 4.6 31.7 30.6
Other4 16.0 15.7 1.7 1.2 16.3 16.0 13.5 14.3 16.4 16.0 4.5 5.1 16.4 16.0
No Coverage 28.6 28.7 1.8 1.4 29.8 30.2 18.0 18.8 32.7 33.0 7.6 7.0 31.1 31.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 50,139 48,536 886 895 49,253 47,642 6,341 6,329 42,912 41,313 2,736 2,615 47,404 45,921
GEOGRAPHIC REGION                            
Northeast 8,133 7,421 138 131 7,995 7,290 990 1,082 7,006 6,208 405 402 7,728 7,019
Midwest 11,744 10,762 212 207 11,532 10,555 1,615a 1,393 9,917 9,162 698 597 11,046 10,165
South 20,669 20,634 329 324 20,339 20,310 2,358 2,469 17,981 17,840 999 971 19,669 19,663
West 9,593 9,719 206 233 9,387 9,487 1,378 1,384 8,009 8,103 634 645 8,960 9,075
COUNTY TYPE                            
Large Metro 23,298 24,176 448 468 22,850 23,707 3,010 3,074 19,840 20,634 1,243 1,223 22,055 22,953
Small Metro 17,689 16,139 311 283 17,377 15,856 2,340 2,215 15,038 13,641 1,041 949 16,648 15,191
Nonmetro 9,153 8,222 127 143 9,027 8,078 992 1,039 8,035 7,039 452 443 8,701 7,778
Urbanized 3,587 3,546 60 35 3,527 3,511 442 431 3,086 3,080 187 177 3,400 3,369
Less Urbanized 4,717 4,004 54 74 4,662 3,930 481 530 4,181 3,400 223 224 4,494 3,780
Completely Rural 849 672 * 35 837 637 * * 768 559 * 42 808 630
POVERTY LEVEL2                            
Less Than 100% 11,394 12,319 205 205 11,189 12,115 1,630 1,811 9,559 10,304 700 735 10,694 11,584
100-199% 12,930a 11,339 191 192 12,738a 11,147 1,660 1,504 11,078a 9,644 648 555 12,281a 10,784
200% or More 25,813 24,872 490 498 25,324 24,374 3,048 3,008 22,276 21,366 1,385 1,319 24,428 23,554
HEALTH INSURANCE3                            
Private 23,206 22,454 453 478 22,753 21,976 3,598 3,508 19,155 18,468 1,393 1,420 21,813 21,034
Medicaid/CHIP 15,224 14,970 406 410 14,818 14,560 1,631 1,677 13,187 12,883 1,046 900 14,178 14,070
Other4 11,825 11,102 52 42 11,773 11,060 449 532 11,324 10,527 190 184 11,636 10,917
No Coverage 7,213 7,212 26 30 7,187 7,182 949 949 6,238 6,233 262 253 6,950 6,960
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.34B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 17.8 17.1 3.4 3.5 19.2 18.5 18.2 18.6 19.4 18.5 7.1 6.9 19.5 18.7
GEOGRAPHIC REGION                            
Northeast 16.6 15.2 3.4 3.2 17.8 16.2 16.7 18.8 17.9 15.9 6.5 6.7 18.0 16.3
Midwest 20.2 18.5 3.9 3.8 21.9 20.0 22.1 19.5 21.8 20.1 8.6 7.4 22.1 20.3
South 19.1 18.9 3.3 3.2 20.8 20.5 17.7 18.8 21.2 20.8 6.6 6.6 21.2 20.8
West 14.4 14.5 3.4 3.8 15.5 15.6 16.7 17.2 15.3 15.3 6.9 7.0 15.6 15.7
COUNTY TYPE                            
Large Metro 14.9 15.4 3.0 3.3 16.2 16.6 15.7 16.8 16.3 16.6 5.7 5.9 16.4 16.9
Small Metro 19.8a 18.1 3.9 3.4 21.4a 19.6 20.0 19.4 21.6a 19.7 8.4 7.6 21.6a 19.8
Nonmetro 24.9a 21.9 4.3 4.2 26.7a 23.6 24.9 24.4 26.9a 23.5 10.1 9.0 27.0a 23.8
Urbanized 23.2 23.4 4.8 2.8 24.8 25.2 25.1 22.9 24.7 25.5 9.8 9.2 25.1 25.4
Less Urbanized 25.6a 20.7 3.8 4.0 27.4a 22.5 24.4 25.4 27.8a 22.1 10.2 8.5 27.7a 22.6
Completely Rural 29.8 21.6 * 11.4 32.5 22.7 * * 33.0 22.3 * 11.1 32.7 23.1
POVERTY LEVEL2                            
Less Than 100% 27.5 27.3 3.9 3.6 30.9 30.7 20.2 21.5 34.0 33.2 8.2 8.1 32.5 32.1
100-199% 23.2a 20.9 3.3 3.6 25.6a 22.8 19.6 19.1 26.8b 23.5 7.3 6.9 26.3a 23.3
200% or More 14.0 13.5 3.3 3.4 14.9 14.4 16.7 17.0 14.7 14.1 6.5 6.3 14.9 14.5
HEALTH INSURANCE3                            
Private 13.7 13.1 3.2 3.4 14.6 14.0 18.1 18.4 14.1 13.4 6.7 7.0 14.6 14.0
Medicaid/CHIP 25.9 24.6 3.8 3.7 30.8 29.2 17.6 17.6 34.0 32.0 7.0 6.0 32.3 30.8
Other4 15.1 14.1 3.5 3.0 15.3 14.3 16.0 18.9 15.3 14.2 7.2 7.6 15.4 14.3
No Coverage 29.7 30.3 2.6 2.4 30.9 31.9 20.5 21.2 33.5 34.5 10.3 9.6 32.0 32.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 41,062a 38,692 319 344 40,743a 38,348 3,729 3,616 37,014a 34,732 1,211 1,248 39,852 37,444
GEOGRAPHIC REGION                            
Northeast 6,630 5,936 31 44 6,599 5,892 541 646 6,058 5,246 168 209 6,461 5,726
Midwest 9,996b 8,691 91 74 9,905b 8,617 935 802 8,970a 7,815 338 275 9,658a 8,416
South 16,931 16,562 110 121 16,821 16,441 1,431 1,457 15,390 14,984 391 431 16,540 16,131
West 7,505 7,504 87 106 7,418 7,398 822 712 6,596 6,686 313 332 7,192 7,171
COUNTY TYPE                            
Large Metro 18,618 18,383 138 156 18,480 18,227 1,651 1,622 16,829 16,605 489 527 18,129 17,857
Small Metro 14,647a 13,229 115 114 14,532a 13,115 1,466 1,325 13,065 11,790 508 483 14,138a 12,746
Nonmetro 7,797 7,080 66 74 7,731 7,006 611 669 7,120 6,337 213 238 7,584 6,842
Urbanized 3,024 3,081 32 25 2,992 3,057 273 243 2,719 2,814 86 97 2,938 2,985
Less Urbanized 4,078 3,456 22 32 4,056 3,423 308 372 3,748 3,052 105 118 3,973 3,337
Completely Rural 695 543 * * 683 526 30 55 653 472 * 23 673 520
POVERTY LEVEL2                            
Less Than 100% 9,766 10,613 77 87 9,690 10,526 1,127 1,137 8,562 9,389 377 369 9,389 10,244
100-199% 10,970a 9,557 87 66 10,882a 9,491 983 869 9,899a 8,622 288 288 10,682a 9,269
200% or More 20,326a 18,517 155 192 20,171a 18,326 1,618 1,605 18,552a 16,721 546 586 19,780a 17,932
HEALTH INSURANCE3                            
Private 17,879 16,647 149 185 17,730 16,462 1,952 1,822 15,778 14,640 576 634 17,303 16,013
Medicaid/CHIP 13,141 12,792 165 154 12,976 12,639 1,080 1,146 11,896 11,493 499 465 12,642 12,327
Other4 10,334 9,602 16 11 10,319 9,591 253 285 10,065 9,306 72 92 10,262 9,510
No Coverage 6,123 5,968 15 14 6,108 5,955 616 578 5,492 5,376 128 110 5,996 5,859
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.35B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 14.6a 13.7 1.2 1.3 15.9a 14.9 10.7 10.6 16.7a 15.5 3.1 3.3 16.4a 15.3
GEOGRAPHIC REGION                            
Northeast 13.5 12.1 0.8 1.1 14.7 13.1 9.1 11.2 15.5 13.4 2.7 3.5 15.1 13.3
Midwest 17.2b 14.9 1.7 1.4 18.8b 16.3 12.8 11.2 19.7a 17.1 4.2 3.4 19.3a 16.8
South 15.7 15.2 1.1 1.2 17.2 16.6 10.7 11.1 18.2 17.5 2.6 2.9 17.8 17.1
West 11.2 11.2 1.4 1.7 12.2 12.2 10.0 8.9 12.6 12.7 3.4 3.6 12.5 12.4
COUNTY TYPE                            
Large Metro 11.9 11.7 0.9 1.1 13.1 12.8 8.6 8.8 13.8 13.4 2.2 2.5 13.5 13.1
Small Metro 16.4a 14.9 1.4 1.4 17.9a 16.3 12.5 11.6 18.8a 17.0 4.1 3.9 18.4a 16.7
Nonmetro 21.2 18.8 2.3 2.2 22.9 20.5 15.4 15.7 23.9 21.1 4.8 4.8 23.5 20.9
Urbanized 19.5 20.3 2.6 2.0 21.0 21.9 15.5 12.9 21.8 23.3 4.5 5.0 21.7 22.5
Less Urbanized 22.1a 17.9 1.6 1.7 23.9a 19.6 15.7 17.8 24.9a 19.8 4.8 4.5 24.5a 20.0
Completely Rural 24.4 17.5 * * 26.5 18.8 12.1 18.6 28.1 18.8 * 6.0 27.2 19.1
POVERTY LEVEL2                            
Less Than 100% 23.5 23.5 1.5 1.5 26.8 26.7 14.0 13.5 30.4 30.2 4.4 4.1 28.5 28.3
100-199% 19.7a 17.6 1.5 1.2 21.8a 19.4 11.6 11.0 23.9a 21.0 3.2 3.6 22.9a 20.0
200% or More 11.0a 10.1 1.1 1.3 11.8a 10.8 8.9 9.1 12.2a 11.0 2.6 2.8 12.1a 11.0
HEALTH INSURANCE3                            
Private 10.5 9.7 1.1 1.3 11.4 10.5 9.8 9.6 11.6 10.6 2.8 3.1 11.6 10.6
Medicaid/CHIP 22.4 21.1 1.5 1.4 27.0 25.4 11.7 12.0 30.6 28.5 3.3 3.1 28.8 27.0
Other4 13.2 12.2 1.0 0.8 13.4 12.4 9.0 10.1 13.6 12.5 2.7 3.8 13.6 12.5
No Coverage 25.2 25.1 1.5 1.1 26.3 26.4 13.3 12.9 29.5 29.8 5.0 4.2 27.6 27.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 8,290a 9,451 188 205 8,102a 9,246 1,475 1,575 6,627a 7,671 651 717 7,639a 8,734
GEOGRAPHIC REGION                            
Northeast 1,204 1,333 26 26 1,178 1,307 215b 364 963 943 104 150 1,100 1,183
Midwest 1,903 2,263 38 59 1,865 2,204 426 314 1,438a 1,889 161 149 1,742 2,114
South 3,555 4,119 94 81 3,461 4,038 522 615 2,938 3,423 272 294 3,283 3,826
West 1,628 1,736 30 38 1,599 1,697 312 281 1,287 1,416 113 124 1,515 1,612
COUNTY TYPE                            
Large Metro 3,013a 3,737 83 88 2,930a 3,649 626 661 2,303a 2,988 265 267 2,747a 3,470
Small Metro 3,134 3,367 57 52 3,077 3,315 545 560 2,532 2,755 241 277 2,892 3,091
Nonmetro 2,143 2,347 49 64 2,095 2,283 303 355 1,791 1,928 144 173 1,999 2,174
Urbanized 715 923 7 14 708 909 143 130 565 779 48 42 667 882
Less Urbanized 1,176 1,211 25 45 1,151 1,166 150 201 1,001 965 79 126 1,097 1,085
Completely Rural 252 212 * * 235 207 * 23 225 184 * 5 235 207
POVERTY LEVEL2                            
Less Than 100% 1,325 1,574 55 52 1,269 1,521 336 363 933 1,159 166 180 1,159 1,394
100-199% 1,610 1,829 50 36 1,560 1,793 367 362 1,193 1,431 163 147 1,448 1,682
200% or More 5,355 6,049 83 117 5,272 5,932 772 850 4,501 5,082 322 391 5,033 5,659
HEALTH INSURANCE3                            
Private 4,907 5,605 78 121 4,829 5,484 948 996 3,881 4,488 352 443 4,555 5,162
Medicaid/CHIP 1,612a 2,075 100 85 1,511a 1,990 291 340 1,220a 1,650 215 209 1,396a 1,866
Other4 1,878 1,980 20 5 1,858 1,975 152 104 1,706 1,871 46 35 1,832 1,945
No Coverage 931 1,040 3 9 928 1,031 180 213 748 818 72 51 859 989
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.36B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 2.9a 3.3 0.7 0.8 3.2a 3.6 4.2 4.6 3.0a 3.4 1.7 1.9 3.1a 3.6
GEOGRAPHIC REGION                            
Northeast 2.5 2.7 0.6 0.6 2.6 2.9 3.6b 6.3 2.5 2.4 1.7 2.5 2.6 2.8
Midwest 3.3 3.9 0.7 1.1 3.5 4.2 5.8 4.4 3.2a 4.1 2.0 1.8 3.5 4.2
South 3.3 3.8 0.9 0.8 3.5 4.1 3.9 4.7 3.5 4.0 1.8 2.0 3.5 4.0
West 2.4 2.6 0.5 0.6 2.6 2.8 3.8 3.5 2.5 2.7 1.2 1.3 2.6 2.8
COUNTY TYPE                            
Large Metro 1.9a 2.4 0.6 0.6 2.1a 2.6 3.3 3.6 1.9a 2.4 1.2 1.3 2.0a 2.5
Small Metro 3.5 3.8 0.7 0.6 3.8 4.1 4.7 4.9 3.6 4.0 2.0 2.2 3.8 4.0
Nonmetro 5.8 6.2 1.7 1.9 6.2 6.7 7.6 8.3 6.0 6.4 3.2 3.5 6.2 6.7
Urbanized 4.6 6.1 0.5 1.1 5.0 6.5 8.1 6.9 4.5 6.5 2.5 2.2 4.9 6.7
Less Urbanized 6.4 6.3 1.8 2.4 6.8 6.7 7.6 9.6 6.7 6.3 3.6 4.8 6.8 6.5
Completely Rural 8.8 6.8 * * 9.1 7.4 * 8.0 9.7 7.3 * 1.4 9.5 7.6
POVERTY LEVEL2                            
Less Than 100% 3.2 3.5 1.1 0.9 3.5 3.9 4.2 4.3 3.3 3.7 1.9 2.0 3.5 3.9
100-199% 2.9 3.4 0.9 0.7 3.1 3.7 4.3 4.6 2.9 3.5 1.8 1.8 3.1 3.6
200% or More 2.9 3.3 0.6 0.8 3.1 3.5 4.2 4.8 3.0 3.4 1.5 1.9 3.1 3.5
HEALTH INSURANCE3                            
Private 2.9 3.3 0.6 0.9 3.1 3.5 4.8 5.2 2.9 3.3 1.7 2.2 3.1 3.4
Medicaid/CHIP 2.7 3.4 0.9 0.8 3.1 4.0 3.1 3.6 3.1 4.1 1.4 1.4 3.2 4.1
Other4 2.4 2.5 1.3 0.4 2.4 2.6 5.4 3.7 2.3 2.5 1.8 1.4 2.4 2.6
No Coverage 3.8 4.4 0.3 0.7 4.0 4.6 3.9 4.7 4.0 4.5 2.8 1.9 4.0 4.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 6,084a 7,003 59 72 6,026a 6,931 818 949 5,207 5,981 304 305 5,780a 6,698
GEOGRAPHIC REGION                            
Northeast 943 857 7 12 936 845 117a 197 819 648 48 47 896 810
Midwest 1,304a 1,668 14 12 1,290a 1,656 215 226 1,075a 1,430 77 64 1,227a 1,604
South 2,670 3,178 23 40 2,648 3,138 331 353 2,316 2,785 131 126 2,540 3,052
West 1,167 1,300 15 8 1,152 1,291 155 174 997 1,118 48 68 1,118 1,232
COUNTY TYPE                            
Large Metro 2,042 2,575 23 48 2,019 2,527 290 390 1,729 2,137 109 118 1,933 2,457
Small Metro 2,316 2,539 21 16 2,295 2,522 319 317 1,976 2,206 123 131 2,194 2,408
Nonmetro 1,726 1,889 15 8 1,711 1,882 209 243 1,502 1,639 72 56 1,654 1,833
Urbanized 568 701 2 4 566 697 89 98 478 599 21 20 547 680
Less Urbanized 974 1,005 12 3 962 1,002 119 123 843 880 50 35 924 970
Completely Rural 184 184 * 1 183 183 * 23 182 160 1 1 183 183
POVERTY LEVEL2                            
Less Than 100% 889 1,057 14 28 875 1,030 183 206 692 823 81 71 808 986
100-199% 1,132 1,321 15 11 1,116 1,311 229 225 887 1,085 67 61 1,065 1,260
200% or More 4,063 4,625 29 34 4,034 4,591 407 518 3,628 4,073 156 173 3,907 4,452
HEALTH INSURANCE3                            
Private 3,681 4,296 35 42 3,646 4,254 489 605 3,157 3,649 180 221 3,501 4,075
Medicaid/CHIP 1,122 1,465 23 24 1,099 1,441 154 185 945 1,257 73 52 1,049 1,413
Other4 1,593 1,735 7 4 1,587 1,732 114 62 1,473 1,670 25 9 1,568 1,726
No Coverage 594 597 1 4 593 593 128 150 465 442 52 26 542 571
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.37B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 2.2a 2.5 0.2 0.3 2.4 2.7 2.4 2.8 2.4 2.7 0.8 0.8 2.4 2.7
GEOGRAPHIC REGION                            
Northeast 1.9 1.7 0.2 0.3 2.1 1.9 2.0a 3.4 2.1 1.7 0.8 0.8 2.1 1.9
Midwest 2.2a 2.9 0.3 0.2 2.4a 3.1 2.9 3.2 2.4a 3.1 1.0 0.8 2.4a 3.2
South 2.5 2.9 0.2 0.4 2.7 3.2 2.5 2.7 2.7 3.2 0.9 0.9 2.7 3.2
West 1.7 1.9 0.2 0.1 1.9 2.1 1.9 2.2 1.9 2.1 0.5 0.7 1.9 2.1
COUNTY TYPE                            
Large Metro 1.3 1.6 0.2 0.3 1.4 1.8 1.5 2.1 1.4 1.7 0.5 0.6 1.4 1.8
Small Metro 2.6 2.9 0.3 0.2 2.8 3.1 2.7 2.8 2.8 3.2 1.0 1.1 2.9 3.1
Nonmetro 4.7 5.0 0.5 0.2 5.1 5.5 5.2 5.7 5.0 5.5 1.6 1.1 5.1 5.6
Urbanized 3.7 4.6 0.1 0.3 4.0 5.0 5.0 5.2 3.8 5.0 1.1 1.1 4.0 5.1
Less Urbanized 5.3 5.2 0.9 0.2 5.7 5.7 6.0 5.9 5.6 5.7 2.3 1.3 5.7 5.8
Completely Rural 6.4 5.9 * 0.3 7.1 6.5 * 7.7 7.8 6.4 0.3 0.3 7.4 6.7
POVERTY LEVEL2                            
Less Than 100% 2.1 2.3 0.3 0.5 2.4 2.6 2.3 2.5 2.5 2.7 0.9 0.8 2.5 2.7
100-199% 2.0 2.4 0.3 0.2 2.2 2.7 2.7 2.9 2.1 2.6 0.8 0.8 2.3 2.7
200% or More 2.2 2.5 0.2 0.2 2.4 2.7 2.2 2.9 2.4 2.7 0.7 0.8 2.4 2.7
HEALTH INSURANCE3                            
Private 2.2 2.5 0.2 0.3 2.3 2.7 2.5 3.2 2.3 2.6 0.9 1.1 2.3 2.7
Medicaid/CHIP 1.9 2.4 0.2 0.2 2.3 2.9 1.7 1.9 2.4 3.1 0.5 0.3 2.4 3.1
Other4 2.0 2.2 0.4 0.3 2.1 2.2 4.1 2.2 2.0 2.2 1.0 0.4 2.1 2.3
No Coverage 2.4 2.5 0.1 0.3 2.5 2.6 2.8 3.3 2.5 2.5 2.0 1.0 2.5 2.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 35,101b 37,948 3,559 3,420 31,542b 34,528 11,608 11,558 19,934b 22,971 7,846 7,362 27,255b 30,586
GEOGRAPHIC REGION                            
Northeast 5,411 5,770 599 549 4,812 5,221 1,803 1,992 3,009 3,229 1,278 1,232 4,133 4,539
Midwest 7,664a 8,541 774 769 6,890a 7,772 2,774 2,663 4,117b 5,109 1,779 1,686 5,885a 6,855
South 14,033b 15,910 1,493 1,405 12,540b 14,505 4,404 4,541 8,136b 9,963 3,134 2,882 10,899b 13,028
West 7,993 7,726 693 696 7,300 7,030 2,628 2,361 4,672 4,669 1,655 1,561 6,337 6,165
COUNTY TYPE                            
Large Metro 17,731 18,760 1,845 1,705 15,886 17,055 5,930 5,558 9,957a 11,497 3,929 3,466 13,802a 15,294
Small Metro 12,404 13,085 1,257 1,183 11,146 11,902 4,117 4,152 7,029 7,750 2,809 2,692 9,595 10,393
Nonmetro 4,966b 6,103 457 532 4,509a 5,571 1,561 1,847 2,948a 3,724 1,109 1,203 3,858b 4,900
Urbanized 2,180 2,706 214 184 1,967a 2,522 704 825 1,263a 1,697 502 516 1,679a 2,190
Less Urbanized 2,382 2,950 168b 318 2,214 2,632 770 883 1,444 1,749 488 629 1,893 2,321
Completely Rural 404 447 * 31 329 417 * 139 241 278 * 59 285 389
POVERTY LEVEL2                            
Less Than 100% 7,260b 8,498 837 790 6,423b 7,708 2,596 2,919 3,828b 4,789 1,872 1,873 5,388b 6,625
100-199% 8,450 8,786 919 798 7,530 7,988 3,061 2,757 4,470a 5,231 2,089a 1,705 6,361 7,081
200% or More 19,388 20,655 1,803 1,832 17,585 18,823 5,949 5,873 11,636a 12,950 3,882 3,777 15,506a 16,878
HEALTH INSURANCE3                            
Private 18,414 19,829 1,718 1,715 16,697a 18,114 6,538 6,414 10,159b 11,700 3,907 3,743 14,507a 16,085
Medicaid/CHIP 10,791 11,791 1,675 1,685 9,116a 10,107 3,217 3,288 5,900a 6,819 3,159 3,058 7,632a 8,733
Other4 4,190 4,500 216 152 3,975 4,348 910 949 3,065 3,399 558 497 3,633 4,003
No Coverage 4,611 5,128 155 135 4,456 4,993 1,505 1,498 2,950 3,495 648 542 3,963 4,586
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.38B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 12.4b 13.4 13.8 13.2 12.3b 13.4 33.4 34.0 9.0b 10.3 20.3 19.3 11.2b 12.5
GEOGRAPHIC REGION                            
Northeast 11.0 11.8 14.7 13.5 10.7 11.6 30.5a 34.7 7.7 8.2 20.7 20.5 9.6 10.6
Midwest 13.2a 14.7 14.3 14.2 13.1a 14.7 38.0 37.3 9.1b 11.2 22.0 20.8 11.8b 13.7
South 13.0b 14.6 14.8 13.7 12.8b 14.7 33.0 34.6 9.6b 11.6 20.6 19.5 11.7b 13.8
West 12.0 11.5 11.3 11.3 12.1 11.6 31.9 29.4 8.9 8.8 18.0 17.0 11.0 10.7
COUNTY TYPE                            
Large Metro 11.4 12.0 12.4 12.0 11.3 12.0 31.0 30.3 8.2a 9.3 18.0 16.8 10.3 11.2
Small Metro 13.9 14.7 15.8 14.3 13.7 14.7 35.2 36.3 10.1 11.2 22.7 21.7 12.5 13.6
Nonmetro 13.5b 16.2 15.6 15.7 13.3b 16.3 39.2 43.4 9.9b 12.4 24.8 24.3 12.0b 15.0
Urbanized 14.1b 17.8 17.3 15.0 13.8b 18.1 40.0 43.8 10.1b 14.1 26.3 26.9 12.4b 16.5
Less Urbanized 12.9 15.2 11.9a 17.1 13.0 15.1 39.1 42.4 9.6 11.4 22.3 23.7 11.7 13.9
Completely Rural 14.2 14.4 * 10.0 12.8 14.9 * 47.4 10.3 11.1 * 15.3 11.5 14.3
POVERTY LEVEL2                            
Less Than 100% 17.5 18.8 15.9 13.8 17.7 19.5 32.2 34.7 13.6 15.4 21.9 20.7 16.4 18.3
100-199% 15.2 16.2 15.9 14.9 15.1 16.3 36.1 35.0 10.8a 12.7 23.5 21.2 13.6a 15.3
200% or More 10.5a 11.2 12.3 12.3 10.3a 11.1 32.6 33.1 7.7a 8.6 18.3 18.0 9.5a 10.4
HEALTH INSURANCE3                            
Private 10.8a 11.6 12.2 12.3 10.7a 11.5 32.9 33.6 7.5a 8.5 18.8 18.4 9.7a 10.7
Medicaid/CHIP 18.4 19.4 15.7 15.4 19.0 20.3 34.7 34.5 15.2 16.9 21.2 20.3 17.4 19.1
Other4 5.4 5.7 14.3 10.9 5.2 5.6 32.4 33.6 4.1 4.6 21.2 20.6 4.8 5.3
No Coverage 19.0 21.6 15.4 10.8 19.2a 22.2 32.5 33.4 15.8a 19.4 25.4 20.6 18.3a 21.7
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 23,503b 26,605 1,769 1,754 21,733b 24,850 8,335 8,207 13,399b 16,643 4,719 4,458 18,784b 22,146
GEOGRAPHIC REGION                            
Northeast 3,729 3,938 339 251 3,390 3,687 1,363 1,403 2,028 2,284 816 715 2,913 3,223
Midwest 5,369a 6,033 414 418 4,955a 5,616 2,114 1,902 2,841b 3,713 1,194 1,065 4,176b 4,968
South 9,257b 11,254 703 700 8,554b 10,554 3,137 3,327 5,417b 7,226 1,769 1,757 7,488b 9,497
West 5,147 5,380 313 385 4,834 4,994 1,722 1,575 3,113 3,419 941 922 4,207 4,458
COUNTY TYPE                            
Large Metro 11,898 12,847 928 849 10,970 11,998 4,244 3,826 6,726b 8,172 2,304 1,996 9,594a 10,852
Small Metro 8,342 9,237 602 618 7,740 8,620 2,956 3,053 4,784a 5,567 1,723 1,714 6,619a 7,523
Nonmetro 3,263b 4,521 240 288 3,023b 4,233 1,134 1,328 1,889b 2,904 692 749 2,570b 3,772
Urbanized 1,481b 2,072 124 84 1,357b 1,988 516 619 841b 1,369 318 317 1,164b 1,755
Less Urbanized 1,510b 2,148 68b 180 1,442a 1,968 550 618 892a 1,351 289 386 1,221b 1,762
Completely Rural 271 300 * 24 224 276 * * 156 185 * 45 186 255
POVERTY LEVEL2                            
Less Than 100% 4,582b 5,865 372 353 4,211b 5,512 1,834 2,146 2,376b 3,367 1,120 1,151 3,462b 4,714
100-199% 5,678 6,326 438 448 5,240 5,877 2,169 2,008 3,071a 3,870 1,199 1,065 4,480a 5,261
200% or More 13,240 14,408 960 954 12,280a 13,455 4,329 4,048 7,951b 9,407 2,398 2,238 10,842a 12,170
HEALTH INSURANCE3                            
Private 12,682 13,816 914 888 11,768a 12,928 4,768 4,375 7,000b 8,553 2,456 2,225 10,226a 11,592
Medicaid/CHIP 6,943b 8,013 800 839 6,143b 7,174 2,276 2,404 3,867b 4,770 1,817 1,801 5,126b 6,212
Other4 2,675a 3,317 107 69 2,568a 3,248 634 733 1,934a 2,515 339 329 2,335a 2,988
No Coverage 3,159a 3,732 62 81 3,097 3,652 1,088 1,082 2,010a 2,570 394 361 2,764a 3,371
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.39B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 8.3b 9.4 6.9 6.8 8.5b 9.6 24.0 24.1 6.0b 7.4 12.2 11.7 7.7b 9.0
GEOGRAPHIC REGION                            
Northeast 7.6 8.0 8.3 6.2 7.5 8.2 23.0 24.4 5.2 5.8 13.2 11.9 6.8 7.5
Midwest 9.2a 10.4 7.7 7.7 9.4a 10.6 29.0 26.7 6.2b 8.1 14.8 13.2 8.3b 9.9
South 8.6b 10.3 6.9 6.8 8.7b 10.7 23.5 25.4 6.4b 8.4 11.6 11.9 8.1b 10.1
West 7.7 8.0 5.1 6.3 8.0 8.2 20.9 19.6 5.9 6.5 10.2 10.0 7.3 7.7
COUNTY TYPE                            
Large Metro 7.6 8.2 6.3 6.0 7.8 8.4 22.2 20.9 5.5b 6.6 10.6 9.7 7.2a 8.0
Small Metro 9.3a 10.4 7.6 7.5 9.5a 10.7 25.3 26.7 6.9a 8.0 13.9 13.8 8.6a 9.8
Nonmetro 8.9b 12.0 8.2 8.5 8.9b 12.4 28.5 31.2 6.3b 9.7 15.5 15.1 8.0b 11.5
Urbanized 9.6b 13.7 10.0 6.8 9.5b 14.3 29.3 32.9 6.7b 11.3 16.7 16.5 8.6b 13.2
Less Urbanized 8.2b 11.1 4.8b 9.7 8.5b 11.3 27.9 29.6 5.9b 8.8 13.2 14.6 7.5b 10.6
Completely Rural 9.5 9.7 * 8.0 8.7 9.8 * * 6.7 7.4 * 11.9 7.5 9.4
POVERTY LEVEL2                            
Less Than 100% 11.0a 13.0 7.0 6.2 11.6b 14.0 22.8 25.5 8.4b 10.8 13.1 12.7 10.5b 13.0
100-199% 10.2a 11.6 7.6 8.4 10.5a 12.0 25.6 25.5 7.4b 9.4 13.5 13.2 9.6a 11.4
200% or More 7.2a 7.8 6.5 6.4 7.2a 8.0 23.7 22.8 5.2b 6.2 11.3 10.7 6.6b 7.5
HEALTH INSURANCE3                            
Private 7.5 8.1 6.5 6.3 7.5a 8.2 24.0 22.9 5.1b 6.2 11.8 10.9 6.9a 7.7
Medicaid/CHIP 11.8a 13.2 7.5 7.7 12.8a 14.4 24.6 25.2 10.0a 11.8 12.2 11.9 11.7a 13.6
Other4 3.4a 4.2 7.1 4.9 3.3a 4.2 22.6 26.0 2.6a 3.4 12.9 13.6 3.1a 3.9
No Coverage 13.0a 15.7 6.1 6.4 13.3a 16.2 23.5 24.1 10.8b 14.2 15.5 13.7 12.7b 15.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 176,975 177,278 4,301 4,388 172,675 172,890 23,608 23,179 149,067 149,711 10,934 10,604 166,041 166,673
GEOGRAPHIC REGION                            
Northeast 32,780 32,072 773 738 32,006 31,335 4,145 4,129 27,862 27,206 1,918 1,801 30,862 30,271
Midwest 38,466 37,681 954 897 37,513 36,784 5,260 5,041 32,253 31,743 2,424 2,329 36,042 35,352
South 64,149a 66,628 1,581 1,694 62,569a 64,934 8,789 8,846 53,780a 56,087 4,106 3,942 60,043 62,686
West 41,580 40,897 993 1,059 40,587 39,837 5,414 5,163 35,173 34,675 2,486 2,533 39,094 38,364
COUNTY TYPE                            
Large Metro 100,100 101,173 2,412 2,449 97,688 98,724 13,104 12,420 84,584 86,304 6,007 5,560 94,093 95,613
Small Metro 55,694 54,614 1,399 1,440 54,296 53,173 7,843 7,944 46,453 45,230 3,637 3,743 52,057 50,871
Nonmetro 21,181 21,491 490 498 20,691 20,993 2,661 2,815 18,030 18,178 1,289 1,302 19,891 20,189
Urbanized 9,270 8,903 234 191 9,036 8,713 1,177 1,309 7,859 7,403 582 585 8,688 8,318
Less Urbanized 10,297 10,846 203 265 10,094 10,581 1,326 1,308 8,768 9,273 617 648 9,680 10,198
Completely Rural 1,614 1,742 * * 1,561 1,699 * 198 1,403 1,502 90 69 1,524 1,672
POVERTY LEVEL2                            
Less Than 100% 19,169a 20,893 631 650 18,538a 20,243 4,818 5,046 13,720a 15,197 2,096 2,193 17,073a 18,700
100-199% 29,419 28,666 900 842 28,520 27,824 5,500 5,177 23,019 22,647 2,356 2,106 27,063 26,560
200% or More 128,381 127,702 2,770 2,895 125,611 124,806 13,283 12,940 112,328 111,867 6,478 6,291 121,903 121,411
HEALTH INSURANCE3                            
Private 117,306 117,612 2,658 2,673 114,647 114,939 14,889 14,307 99,758 100,632 6,575 6,365 110,731 111,247
Medicaid/CHIP 27,665 28,544 1,494 1,563 26,171 26,981 5,221 5,365 20,950 21,617 3,314 3,279 24,351 25,265
Other4 44,359 44,740 250 226 44,109 44,514 1,766 1,884 42,343 42,630 816 766 43,543 43,974
No Coverage 14,506 14,278 152 172 14,354 14,106 2,817 2,694 11,537 11,412 833 762 13,673 13,516
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.40B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 62.8 62.5 16.7 16.9 67.4 67.1 67.9 68.1 67.3 67.0 28.3 27.9 68.2 67.9
GEOGRAPHIC REGION                            
Northeast 66.9 65.5 19.0 18.1 71.2 69.8 70.1 71.9 71.4 69.5 31.0 29.9 72.0 70.5
Midwest 66.1 64.7 17.7 16.5 71.1 69.6 72.1 70.6 71.0 69.5 30.0 28.8 72.0 70.5
South 59.3 61.0 15.6 16.5 63.9 65.6 65.9 67.4 63.5 65.3 27.0 26.7 64.6 66.4
West 62.3 61.1 16.2 17.2 67.0 65.5 65.8 64.3 67.2 65.7 27.0 27.6 67.9 66.4
COUNTY TYPE                            
Large Metro 64.2 64.5 16.3 17.2 69.2 69.2 68.6 67.7 69.3 69.5 27.5 26.9 70.2 70.2
Small Metro 62.4 61.4 17.5 17.4 66.7 65.9 67.1 69.5 66.7 65.3 29.4 30.1 67.6 66.5
Nonmetro 57.6 57.1 16.7 14.7 61.2 61.3 66.9 66.1 60.4 60.6 28.8 26.3 61.6 61.8
Urbanized 59.9 58.7 18.9 15.6 63.5 62.5 66.8 69.5 63.0 61.4 30.6 30.5 64.0 62.8
Less Urbanized 55.9 56.1 14.4 14.2 59.4 60.5 67.3 62.8 58.3 60.2 28.2 24.5 59.6 61.1
Completely Rural 56.6 56.0 * * 60.6 60.6 * 67.4 60.3 59.8 23.6 18.1 61.6 61.4
POVERTY LEVEL2                            
Less Than 100% 46.2 46.3 12.0 11.4 51.2 51.3 59.8 60.0 48.7 49.0 24.6 24.3 51.8 51.7
100-199% 52.9 52.7 15.5 15.7 57.2 56.8 64.8 65.7 55.7 55.1 26.5 26.2 57.9 57.4
200% or More 69.4 69.4 18.9 19.5 73.8 73.8 72.8 73.0 73.9 73.9 30.5 30.0 74.5 74.5
HEALTH INSURANCE3                            
Private 69.0 68.7 18.9 19.1 73.5 73.2 74.9 75.0 73.3 72.9 31.6 31.3 74.2 73.8
Medicaid/CHIP 47.1 47.0 14.0 14.3 54.4 54.2 56.3 56.3 54.0 53.7 22.2 21.7 55.6 55.3
Other4 56.7 57.0 16.6 16.2 57.5 57.7 62.9 66.8 57.3 57.4 31.0 31.7 57.6 57.8
No Coverage 59.8 60.0 15.1 13.8 61.8 62.6 60.9 60.1 62.0 63.2 32.6 28.9 63.0 63.9
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 137,446 134,729 1,753 1,800 135,694 132,929 17,467 16,878 118,227 116,051 5,843 5,575 131,603 129,154
GEOGRAPHIC REGION                            
Northeast 25,496 24,728 300 271 25,195 24,456 3,230 3,063 21,966 21,394 1,063 940 24,432 23,787
Midwest 29,838 29,363 398 379 29,440 28,983 3,939 3,758 25,501 25,225 1,336 1,293 28,503 28,069
South 49,506 49,423 639 707 48,867 48,716 6,317 6,431 42,550 42,285 2,065 2,077 47,441 47,346
West 32,607 31,216 416 442 32,191 30,773 3,981a 3,625 28,210 27,148 1,380 1,265 31,227 29,951
COUNTY TYPE                            
Large Metro 78,596 77,712 1,016 1,004 77,581 76,708 9,744 9,128 67,837 67,581 3,270a 2,829 75,326 74,883
Small Metro 43,117 41,238 554 602 42,563 40,635 5,891 5,780 36,672 34,856 1,933 2,033 41,184 39,205
Nonmetro 15,733 15,779 183 194 15,549 15,585 1,831 1,971 13,718 13,615 640 713 15,093 15,066
Urbanized 6,951 6,590 91 80 6,860 6,510 834 947 6,026 5,563 288 351 6,663 6,239
Less Urbanized 7,576 7,997 80 91 7,496 7,906 908 908 6,588 6,997 315 323 7,261 7,674
Completely Rural 1,206 1,193 12 * 1,193 1,169 * 115 1,105 1,054 37 39 1,169 1,153
POVERTY LEVEL2                            
Less Than 100% 13,221 14,309 251 265 12,970 14,044 3,484 3,587 9,486 10,456 1,189 1,274 12,032 13,035
100-199% 20,722 19,907 364 320 20,358 19,588 3,905 3,653 16,453 15,935 1,187 1,041 19,535 18,867
200% or More 103,498 100,501 1,137 1,215 102,360 99,286 10,073 9,626 92,288 89,660 3,463 3,251 100,035 97,251
HEALTH INSURANCE3                            
Private 94,647 92,303 1,100 1,132 93,547 91,171 11,636 10,943 81,911 80,228 3,626 3,480 91,021 88,824
Medicaid/CHIP 18,607 18,870 595 606 18,011 18,265 3,380 3,436 14,631 14,829 1,663 1,474 16,944 17,396
Other4 33,838 33,783 113 81 33,725 33,703 1,231 1,359 32,494 32,344 412 430 33,425 33,354
No Coverage 10,805 10,479 62 73 10,743 10,405 1,966 1,882 8,777 8,524 469 457 10,335 10,022
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.41B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 48.7a 47.5 6.8 6.9 52.9a 51.6 50.2 49.6 53.4a 51.9 15.1 14.6 54.1a 52.6
GEOGRAPHIC REGION                            
Northeast 52.0 50.5 7.4 6.7 56.0 54.5 54.6 53.3 56.3 54.6 17.2 15.6 57.0 55.4
Midwest 51.3 50.4 7.4 7.0 55.8 54.9 54.0 52.7 56.1 55.2 16.5 16.0 56.9 56.0
South 45.8 45.2 6.3 6.9 49.9 49.2 47.3 49.0 50.3 49.2 13.6 14.1 51.1 50.1
West 48.9 46.6 6.8 7.2 53.1 50.6 48.4 45.1 53.9 51.4 15.0 13.8 54.3 51.8
COUNTY TYPE                            
Large Metro 50.4 49.5 6.9 7.0 55.0 53.8 51.0 49.8 55.6 54.4 15.0 13.7 56.2 55.0
Small Metro 48.3a 46.3 6.9 7.3 52.3 50.4 50.4 50.6 52.6a 50.3 15.6 16.4 53.5a 51.2
Nonmetro 42.8 41.9 6.3 5.7 46.0 45.5 46.0 46.3 46.0 45.4 14.3 14.4 46.8 46.1
Urbanized 44.9 43.4 7.3 6.5 48.2 46.7 47.4 50.3 48.3 46.1 15.1 18.3 49.1 47.1
Less Urbanized 41.1 41.3 5.7 4.9 44.1 45.2 46.1 43.6 43.8 45.4 14.4 12.2 44.7 46.0
Completely Rural 42.3 38.4 4.4 * 46.3 41.7 * 39.1 47.5 42.0 9.7 10.3 47.3 42.3
POVERTY LEVEL2                            
Less Than 100% 31.9 31.7 4.8 4.6 35.8 35.6 43.3 42.7 33.7 33.7 13.9 14.1 36.5 36.1
100-199% 37.3 36.6 6.3 6.0 40.9 40.0 46.0 46.4 39.8 38.8 13.4 12.9 41.8 40.8
200% or More 56.0 54.6 7.8 8.2 60.1 58.7 55.2 54.3 60.7 59.2 16.3 15.5 61.1 59.7
HEALTH INSURANCE3                            
Private 55.7a 53.9 7.8 8.1 60.0b 58.0 58.5 57.4 60.2b 58.1 17.4 17.1 61.0b 58.9
Medicaid/CHIP 31.7 31.1 5.6 5.5 37.5 36.7 36.5 36.1 37.7 36.8 11.1 9.8 38.7 38.1
Other4 43.3 43.0 7.5 5.8 44.0 43.7 43.9 48.2 44.0 43.5 15.7 17.8 44.2 43.8
No Coverage 44.5 44.1 6.1 5.9 46.2 46.2 42.5 42.0 47.1 47.2 18.4 17.3 47.6 47.4
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 61,157 61,428 834 1,016 60,323 60,412 10,261 9,764 50,062 50,649 3,154 3,283 58,003 58,144
GEOGRAPHIC REGION                            
Northeast 11,266 10,755 154 156 11,112 10,599 1,916 1,831 9,196 8,768 584 576 10,682 10,179
Midwest 13,826 13,860 194 195 13,632 13,665 2,334 2,237 11,298 11,428 783 753 13,044 13,107
South 21,902 23,127 279 399 21,623 22,728 3,626 3,697 17,997 19,031 1,055 1,236 20,847 21,891
West 14,163 13,686 207 266 13,956 13,420 2,386b 1,998 11,571 11,422 732 719 13,431 12,967
COUNTY TYPE                            
Large Metro 34,114 34,982 456 570 33,657 34,413 5,668 5,212 27,989 29,201 1,683 1,652 32,430 33,330
Small Metro 19,702 18,917 283 332 19,419 18,585 3,508 3,367 15,911 15,217 1,084 1,176 18,618 17,741
Nonmetro 7,342 7,528 95 114 7,246 7,415 1,085 1,184 6,162 6,230 387 455 6,955 7,073
Urbanized 3,094 3,158 64 47 3,031 3,110 502 533 2,529 2,578 197 210 2,897 2,948
Less Urbanized 3,744 3,862 28 61 3,717 3,801 542 597 3,175 3,204 170 230 3,574 3,632
Completely Rural 503 509 4 * 499 503 * 55 458 448 19 16 484 493
POVERTY LEVEL2                            
Less Than 100% 7,981 8,661 142 163 7,839 8,498 2,293 2,238 5,546 6,261 737 751 7,244 7,910
100-199% 10,950 10,498 175 179 10,775 10,319 2,381 2,233 8,394 8,086 686 675 10,264 9,823
200% or More 42,223 42,260 517 674 41,706 41,586 5,585 5,284 36,121 36,302 1,727 1,850 40,496 40,410
HEALTH INSURANCE3                            
Private 40,323 40,009 492 613 39,831 39,396 6,768 6,174 33,062 33,223 1,889 1,993 38,434 38,016
Medicaid/CHIP 10,200 10,770 331 369 9,868 10,401 2,004 1,985 7,864 8,417 981 898 9,219 9,873
Other4 10,661 11,186 34 32 10,627 11,154 752 708 9,875 10,446 224 230 10,437 10,957
No Coverage 6,478 6,172 36 48 6,442 6,125 1,187 1,284 5,255 4,841 266 285 6,212 5,888
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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Table 2.42B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 21.7 21.7 3.2 3.9 23.5 23.5 29.5 28.7 22.6 22.7 8.2 8.6 23.8 23.7
GEOGRAPHIC REGION                            
Northeast 23.0 22.0 3.8 3.8 24.7 23.6 32.4 31.9 23.6 22.4 9.4 9.6 24.9 23.7
Midwest 23.8 23.8 3.6 3.6 25.8 25.9 32.0 31.3 24.9 25.0 9.7 9.3 26.0 26.1
South 20.3 21.2 2.8 3.9 22.1 23.0 27.2 28.2 21.3 22.2 6.9 8.4 22.4 23.2
West 21.2 20.4 3.4 4.3 23.0 22.1 29.0a 24.9 22.1 21.6 8.0 7.8 23.3 22.4
COUNTY TYPE                            
Large Metro 21.9 22.3 3.1 4.0 23.8 24.1 29.7 28.4 22.9 23.5 7.7 8.0 24.2 24.5
Small Metro 22.1 21.3 3.6 4.0 23.9 23.0 30.0 29.5 22.8 22.0 8.8 9.5 24.2 23.2
Nonmetro 20.0 20.0 3.2 3.4 21.4 21.7 27.3 27.8 20.7 20.8 8.7 9.2 21.6 21.6
Urbanized 20.0 20.8 5.1 3.9 21.3 22.3 28.5 28.3 20.3 21.4 10.4 10.9 21.4 22.3
Less Urbanized 20.3 20.0 2.0 3.3 21.9 21.7 27.5 28.6 21.1 20.8 7.8 8.7 22.0 21.8
Completely Rural 17.6 16.4 1.4 * 19.4 17.9 * 18.7 19.7 17.9 5.1 4.1 19.6 18.1
POVERTY LEVEL2                            
Less Than 100% 19.2 19.2 2.7 2.8 21.7 21.5 28.5 26.6 19.7 20.2 8.6 8.3 22.0 21.9
100-199% 19.7 19.3 3.0 3.3 21.6 21.1 28.1 28.4 20.3 19.7 7.7 8.4 22.0 21.2
200% or More 22.8 23.0 3.5a 4.5 24.5 24.6 30.6 29.8 23.8 24.0 8.1 8.8 24.7 24.8
HEALTH INSURANCE3                            
Private 23.7 23.4 3.5 4.4 25.5 25.1 34.1 32.4 24.3 24.1 9.1 9.8 25.8 25.2
Medicaid/CHIP 17.4 17.7 3.1 3.4 20.5 20.9 21.6 20.8 20.3 20.9 6.6 5.9 21.0 21.6
Other4 13.6 14.2 2.3 2.3 13.9 14.5 26.8 25.1 13.4 14.1 8.5 9.5 13.8 14.4
No Coverage 26.7 26.0 3.6 3.8 27.7 27.2 25.7 28.6 28.2 26.8 10.4 10.8 28.6 27.8
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
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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, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 16,089 16,412 63a 141 16,025 16,271 2,633 2,356 13,393 13,914 646 663 15,443 15,749
GEOGRAPHIC REGION                            
Northeast 2,758 2,790 16 10 2,743 2,780 461 500 2,281 2,280 93 145 2,665 2,645
Midwest 4,007 3,936 4a 23 4,003 3,913 729 589 3,274 3,324 220 168 3,788 3,768
South 5,561 6,254 20 52 5,541 6,202 813 776 4,728a 5,426 157 185 5,404 6,069
West 3,762 3,432 24 57 3,738 3,376 630 491 3,109 2,885 176 165 3,586 3,267
COUNTY TYPE                            
Large Metro 8,472 8,711 37 65 8,435 8,647 1,418 1,189 7,017 7,457 316 310 8,156 8,402
Small Metro 5,543 5,347 15 45 5,528 5,303 864 856 4,663 4,447 205 256 5,338 5,092
Nonmetro 2,074 2,353 11 32 2,063 2,321 351 311 1,712 2,010 124 98 1,949 2,255
Urbanized 881 1,017 9 15 871 1,002 163 135 708 867 70 49 811 968
Less Urbanized 1,061 1,123 1 16 1,060 1,107 175 155 885 952 50 45 1,012 1,077
Completely Rural 132 213 <1 1 131 212 * 21 119 191 5 3 127 210
POVERTY LEVEL2                            
Less Than 100% 1,920a 2,413 14 28 1,906a 2,385 548 605 1,358 1,780 174 179 1,745a 2,234
100-199% 2,953 2,640 3a 21 2,949 2,619 737b 467 2,213 2,152 146 97 2,807 2,543
200% or More 11,215 11,359 46 92 11,168 11,267 1,346 1,285 9,822 9,982 324 387 10,890 10,971
HEALTH INSURANCE3                            
Private 10,602 10,395 41 65 10,560 10,330 1,740 1,525 8,821 8,806 390 425 10,212 9,970
Medicaid/CHIP 2,856 2,817 15b 71 2,841 2,746 517 475 2,324 2,271 192 190 2,664 2,628
Other4 2,736 3,050 4 3 2,731 3,047 229a 129 2,502 2,918 39 35 2,696 3,014
No Coverage 1,782 1,944 5 7 1,778 1,937 270 308 1,508 1,629 50 43 1,732 1,901
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Heavy alcohol users are a subset of binge alcohol users.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.43B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2022 and 2023
Geographic/Socioeconomic
Characteristic
Aged 12+
(2022)
Aged 12+
(2023)
Aged 12-17
(2022)
Aged 12-17
(2023)
Aged 18+
(2022)
Aged 18+
(2023)
Aged 18-25
(2022)
Aged 18-25
(2023)
Aged 26+
(2022)
Aged 26+
(2023)
Aged 12-201
(2022)
Aged 12-201
(2023)
Aged 21+1
(2022)
Aged 21+1
(2023)
TOTAL 5.7 5.8 0.2a 0.5 6.3 6.3 7.6 6.9 6.0 6.2 1.7 1.7 6.3 6.4
GEOGRAPHIC REGION                            
Northeast 5.6 5.7 0.4 0.3 6.1 6.2 7.8 8.7 5.8 5.8 1.5 2.4 6.2 6.2
Midwest 6.9 6.8 0.1a 0.4 7.6 7.4 10.0 8.3 7.2 7.3 2.7 2.1 7.6 7.5
South 5.1 5.7 0.2 0.5 5.7 6.3 6.1 5.9 5.6 6.3 1.0 1.3 5.8 6.4
West 5.6 5.1 0.4 0.9 6.2 5.5 7.6 6.1 5.9 5.5 1.9 1.8 6.2 5.7
COUNTY TYPE                            
Large Metro 5.4 5.6 0.3 0.5 6.0 6.1 7.4 6.5 5.8 6.0 1.4 1.5 6.1 6.2
Small Metro 6.2 6.0 0.2 0.5 6.8 6.6 7.4 7.5 6.7 6.4 1.7 2.1 6.9 6.7
Nonmetro 5.6 6.3 0.4 0.9 6.1 6.8 8.8 7.3 5.7 6.7 2.8 2.0 6.0 6.9
Urbanized 5.7 6.7 0.8 1.2 6.1 7.2 9.3 7.2 5.7 7.2 3.7 2.6 6.0 7.3
Less Urbanized 5.8 5.8 0.1 0.9 6.2 6.3 8.9 7.4 5.9 6.2 2.3 1.7 6.2 6.5
Completely Rural 4.6 6.9 0.1 0.3 5.1 7.6 * 7.3 5.1 7.6 1.3 0.9 5.1 7.7
POVERTY LEVEL2                            
Less Than 100% 4.6 5.3 0.3 0.5 5.3 6.0 6.8 7.2 4.8 5.7 2.0 2.0 5.3 6.2
100-199% 5.3 4.9 0.1a 0.4 5.9 5.3 8.7b 5.9 5.4 5.2 1.6 1.2 6.0 5.5
200% or More 6.1 6.2 0.3 0.6 6.6 6.7 7.4 7.2 6.5 6.6 1.5 1.8 6.7 6.7
HEALTH INSURANCE3                            
Private 6.2 6.1 0.3 0.5 6.8 6.6 8.8 8.0 6.5 6.4 1.9 2.1 6.8 6.6
Medicaid/CHIP 4.9 4.6 0.1b 0.6 5.9 5.5 5.6 5.0 6.0 5.6 1.3 1.3 6.1 5.8
Other4 3.5 3.9 0.3 0.2 3.6 3.9 8.2a 4.6 3.4 3.9 1.5 1.5 3.6 4.0
No Coverage 7.3 8.2 0.4 0.6 7.6 8.6 5.8 6.9 8.1 9.0 2.0 1.6 8.0 9.0
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Heavy alcohol users are a subset of binge alcohol users.
a,b The difference between this estimate and the 2023 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, 2022 and 2023.
240430
Table 2.44A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Lifetime
Alcohol
Use
(2022)
Lifetime
Alcohol
Use
(2023)
Past
Year
Alcohol
Use
(2022)
Past
Year
Alcohol
Use
(2023)
Past
Month
Alcohol
Use
(2022)
Past
Month
Alcohol
Use
(2023)
Past
Month
Binge
Alcohol
Use
(2022)
Past
Month
Binge
Alcohol
Use
(2023)
Past
Month
Heavy
Alcohol
Use1
(2022)
Past
Month
Heavy
Alcohol
Use1
(2023)
TOTAL 13,224 12,615 10,934 10,604 5,843 5,575 3,154 3,283 646 663
SEX                    
Male 6,468 6,100 5,358 5,096 2,763 2,691 1,503 1,584 377 321
Female 6,755 6,516 5,575 5,509 3,080 2,884 1,650 1,699 269 342
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 9,844 9,450 8,259 8,001 4,513 4,339 2,439 2,525 530 521
AIAN 101 68 76 51 38 17 33 13 * 5
Asian 536 563 458 474 258 180 78 55 12 5
Black or African American 1,439 1,362 1,100 1,097 502 558 244 312 13 32
NHOPI * * * * * * * * * *
White 7,295 6,947 6,240 5,954 3,483 3,356 1,965 2,011 459 414
Two or More Races 447 495 363 414 220 223 119 127 31 63
Hispanic or Latino 3,380 3,165 2,675 2,604 1,330 1,236 714 759 116 142
SEX/RACE/HISPANIC ORIGIN                    
Male, Black, Not Hispanic 688 619 526 487 197 208 102 127 7 13
Female, Black, Not Hispanic 752 743 574 610 305 350 143 185 6 20
Male, White, Not Hispanic 3,536 3,364 3,026 2,895 1,650 1,644 979 975 267 226
Female, White, Not Hispanic 3,760 3,582 3,214 3,059 1,833 1,712 986 1,037 192 188
Male, Hispanic 1,674 1,594 1,334 1,285 657 645 337 397 89 49
Female, Hispanic 1,706 1,571 1,340 1,319 673 591 377 362 28a 93
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
a,b The difference between this estimate and the 2023 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
240430
Table 2.44B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Lifetime
Alcohol
Use
(2022)
Lifetime
Alcohol
Use
(2023)
Past
Year
Alcohol
Use
(2022)
Past
Year
Alcohol
Use
(2023)
Past
Month
Alcohol
Use
(2022)
Past
Month
Alcohol
Use
(2023)
Past
Month
Binge
Alcohol
Use
(2022)
Past
Month
Binge
Alcohol
Use
(2023)
Past
Month
Heavy
Alcohol
Use1
(2022)
Past
Month
Heavy
Alcohol
Use1
(2023)
TOTAL 34.2 33.1 28.3 27.9 15.1 14.6 8.2 8.6 1.7 1.7
SEX                    
Male 32.3 31.1 26.8 26.0 13.8 13.7 7.5 8.1 1.9 1.6
Female 36.3 35.3 29.9 29.8 16.5 15.6 8.9 9.2 1.4 1.9
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 34.2 33.5 28.7 28.4 15.7 15.4 8.5 9.0 1.8 1.9
AIAN 31.1 23.6 23.5 17.7 11.8 5.8 10.0 4.3 * 1.8
Asian 21.9 23.7 18.7 20.0 10.5 7.6 3.2 2.3 0.5 0.2
Black or African American 27.2 26.0 20.8 20.9 9.5 10.6 4.6 5.9 0.2 0.6
NHOPI * * * * * * * * * *
White 37.8 37.0 32.3 31.7 18.0 17.9 10.2 10.7 2.4 2.2
Two or More Races 34.7 36.5 28.2 30.5 17.1 16.4 9.2 9.4 2.4 4.7
Hispanic or Latino 34.2 32.0 27.1 26.3 13.5 12.5 7.2 7.7 1.2 1.4
SEX/RACE/HISPANIC ORIGIN                    
Male, Black, Not Hispanic 26.4 23.6 20.2 18.6 7.6 7.9 3.9 4.8 0.3 0.5
Female, Black, Not Hispanic 28.1 28.3 21.4 23.3 11.4 13.3 5.3 7.1 0.2 0.7
Male, White, Not Hispanic 35.2 34.5 30.1 29.7 16.4 16.9 9.7 10.0 2.7 2.3
Female, White, Not Hispanic 40.6 39.6 34.7 33.9 19.8 18.9 10.6 11.5 2.1 2.1
Male, Hispanic 32.8 31.2 26.1 25.2 12.9 12.6 6.6 7.8 1.7 1.0
Female, Hispanic 35.7 32.8 28.0 27.6 14.1 12.4 7.9 7.6 0.6a 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: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
a,b The difference between this estimate and the 2023 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
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Table 2.45A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Numbers in Thousands, 2022 and 2023
Demographic Characteristic Lifetime
Alcohol
Use
(2022)
Lifetime
Alcohol
Use
(2023)
Past
Year
Alcohol
Use
(2022)
Past
Year
Alcohol
Use
(2023)
Past
Month
Alcohol
Use
(2022)
Past
Month
Alcohol
Use
(2023)
Past
Month
Binge
Alcohol
Use
(2022)
Past
Month
Binge
Alcohol
Use
(2023)
Past
Month
Heavy
Alcohol
Use1
(2022)
Past
Month
Heavy
Alcohol
Use1
(2023)
TOTAL 208,082 211,649 166,041 166,673 131,603 129,154 58,003 58,144 15,443 15,749
SEX                    
Male 103,692 104,996 83,624 83,485 68,285 66,798 32,122 32,056 9,823 9,527
Female 104,390 106,653 82,417 83,188 63,318 62,356 25,882 26,088 5,620 6,222
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 174,659 176,868 138,523 139,580 110,728 108,887 46,872 46,955 12,988 13,547
AIAN 874 822 612 555 481 385 340 244 104 70
Asian 9,529 10,315 7,890 7,978 5,994 5,505 1,679 1,814 311 343
Black or African American 22,616 23,154 17,717 18,745 13,819 14,229 6,970 7,203 1,441 1,616
NHOPI * * * * * * * * * *
White 136,755 137,399 108,595 108,380 87,825 85,731 36,545 36,173 10,803 11,024
Two or More Races 4,021 4,446 3,191 3,398 2,290 2,658 1,087 1,249 245 405
Hispanic or Latino 33,423 34,781 27,518 27,093 20,875 20,266 11,132 11,190 2,455 2,202
SEX/RACE/HISPANIC ORIGIN                    
Male, Black, Not Hispanic 11,024 10,912 8,681 8,903 6,788 6,835 3,543 3,679 792 837
Female, Black, Not Hispanic 11,592 12,243 9,036 9,841 7,031 7,394 3,427 3,525 649 780
Male, White, Not Hispanic 67,378 67,647 54,120 53,861 45,274 44,247 20,232 20,097 6,853 6,737
Female, White, Not Hispanic 69,377 69,752 54,475 54,519 42,551 41,484 16,313 16,076 3,951 4,287
Male, Hispanic 17,505 18,232 14,520 14,488 11,353 11,014 6,382 6,541 1,668 1,523
Female, Hispanic 15,918 16,549 12,998 12,605 9,522 9,252 4,750 4,649 786 678
* = low precision; -- = not available or not comparable due to methodological changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Tables among people aged 12-20 and aged 21+ are included because they are the underage and legal age groups for alcohol.
a,b The difference between this estimate and the 2023 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Heavy alcohol users are a subset of binge 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, 2022 and 2023.
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Table 2.45B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Percentages, 2022 and 2023
Demographic Characteristic Lifetime
Alcohol
Use
(2022)
Lifetime
Alcohol
Use
(2023)
Past
Year
Alcohol
Use
(2022)
Past
Year
Alcohol
Use
(2023)
Past
Month
Alcohol
Use
(2022)
Past
Month
Alcohol
Use
(2023)
Past
Month
Binge
Alcohol
Use
(2022)
Past
Month
Binge
Alcohol
Use
(2023)
Past
Month
Heavy
Alcohol
Use1
(2022)
Past
Month
Heavy
Alcohol
Use1
(2023)
TOTAL 85.5 86.2 68.2 67.9 54.1a 52.6 23.8 23.7 6.3 6.4
SEX                    
Male 87.7 88.2 70.7 70.1 57.8 56.1 27.2 26.9 8.3 8.0
Female 83.4 84.4 65.9 65.8 50.6 49.3 20.7 20.6 4.5 4.9
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 86.3 87.1 68.5 68.7 54.7 53.6 23.2 23.1 6.4 6.7
AIAN 76.8 78.4