Section 2 PE Tables - Results from the 2023 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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Table 2.1A – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 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	3,677^a	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	1,992^a	1,675	25,082	25,650	625	614	26,653	26,880
Nicotine Vaping	67,445^a	70,190	4,872	4,847	62,574^a	65,342	17,268	17,062	45,306^b	48,280	10,799	10,148	56,646^a	60,042
Alcohol	221,306^a	224,265	5,745	5,593	215,561^b	218,672	25,747	25,439	189,814^b	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	8,290^a	9,451	188	205	8,102^a	9,246	1,475	1,575	6,627^a	7,671	651	717	7,639^a	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	35,101^b	37,948	3,559	3,420	31,542^b	34,528	11,608	11,558	19,934^b	22,971	7,846	7,362	27,255^b	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	41,062^a	38,692	319	344	40,743^a	38,348	3,729	3,616	37,014^a	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	6,084^a	7,003	59	72	6,026^a	6,931	818	949	5,207	5,981	304	305	5,780^a	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	23,503^b	26,605	1,769	1,754	21,733^b	24,850	8,335	8,207	13,399^b	16,643	4,719	4,458	18,784^b	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	63^a	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	5.7^a	4.9	11.3	11.5	1.6	1.6	11.0	11.0
Nicotine Vaping	23.9	24.8	18.9	18.7	24.4^a	25.4	49.6	50.1	20.5^a	21.6	27.9	26.7	23.3^a	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	2.9^a	3.3	0.7	0.8	3.2^a	3.6	4.2	4.6	3.0^a	3.4	1.7	1.9	3.1^a	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	12.4^b	13.4	13.8	13.2	12.3^b	13.4	33.4	34.0	9.0^b	10.3	20.3	19.3	11.2^b	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	14.6^a	13.7	1.2	1.3	15.9^a	14.9	10.7	10.6	16.7^a	15.5	3.1	3.3	16.4^a	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	2.2^a	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	8.3^b	9.4	6.9	6.8	8.5^b	9.6	24.0	24.1	6.0^b	7.4	12.2	11.7	7.7^b	9.0
Alcohol	48.7^a	47.5	6.8	6.9	52.9^a	51.6	50.2	49.6	53.4^a	51.9	15.1	14.6	54.1^a	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	0.2^a	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	6,362^a	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	77,712^a	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	35,917^b	38,235	6,867^b	8,368	6,110^a	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	33.4^a	30.2	24.1^a	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	12.2^a	14.4	10.8^a	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.

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Table 2.3A – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 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	77,534^a	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	35,879^b	38,098	6,587^a	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	24.3^a	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	25.9^a	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.

240430

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	41,062^a	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	40,743^a	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	37,014^a	34,732
26-49	60,520	60,347	24,496	23,295	20,309^a	18,707
26-29	8,617	9,003	3,895	3,527	2,885^a	2,405
30-34	13,400	12,643	5,646	5,032	4,457^a	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	33,509^b	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.

240430

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	14.6^a	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	16.4^a	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	15.9^a	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	16.7^a	15.5
26-49	59.0	58.3	23.9^a	22.5	19.8^b	18.1
26-29	50.6	51.2	22.9^a	20.1	16.9^b	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	22.1^a	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.

240430

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	8,290^a	9,451	6,084^a	7,003
12-20¹	1,342	1,237	651	717	304	305
21 or Older¹	37,486	36,692	7,639^a	8,734	5,780^a	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	8,102^a	9,246	6,026^a	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	6,627^a	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	744^a	1,039	486^b	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.

240430

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	2.9^a	3.3	2.2^a	2.5
12-20¹	3.5	3.2	1.7	1.9	0.8	0.8
21 or Older¹	15.4	15.0	3.1^a	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	3.2^a	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	3.0^a	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	2.2^a	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.

240430

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	118^a	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	15,617^b	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.

240430

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	1.4^a	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	27.6^b	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.

240430

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	67,445^a	70,190	35,101^b	37,948	23,503^b	26,605
12-20¹	10,799	10,148	7,846	7,362	4,719	4,458
21 or Older¹	56,646^a	60,042	27,255^b	30,586	18,784^b	22,146
12-17	4,872	4,847	3,559	3,420	1,769	1,754
12-13	599	571	439	430	219^a	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	62,574^a	65,342	31,542^b	34,528	21,733^b	24,850
18-25	17,268	17,062	11,608	11,558	8,335	8,207
18-20	5,927^a	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	45,306^b	48,280	19,934^b	22,971	13,399^b	16,643
26-49	33,191^b	35,162	15,846^b	17,794	10,899^b	12,949
26-29	7,499	8,265	4,071	4,541	2,741^a	3,285
30-34	9,404	9,022	4,560	4,848	3,202	3,483
35-39	6,820^a	7,800	3,050^a	3,771	2,204^a	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	4,088^a	5,177	2,500^b	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	2,547^b	3,729	559^b	1,181	379^b	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.

240430

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	12.4^b	13.4	8.3^b	9.4
12-20¹	27.9	26.7	20.3	19.3	12.2	11.7
21 or Older¹	23.3^a	24.5	11.2^b	12.5	7.7^b	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	22.1^a	19.1	11.6	10.7
18 or Older	24.4^a	25.4	12.3^b	13.4	8.5^b	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	20.5^a	21.6	9.0^b	10.3	6.0^b	7.4
26-49	32.4^a	34.0	15.4^b	17.2	10.6^b	12.5
26-29	44.0	47.0	23.9	25.8	16.1^a	18.7
30-34	40.6	39.8	19.7	21.4	13.8	15.4
35-39	30.9	33.6	13.8^a	16.3	10.0	11.8
40-44	26.3	26.3	11.3	12.3	7.6	9.2
45-49	20.5^a	23.9	9.3	10.8	6.0^a	8.0
50 or Older	10.2	10.9	3.4^a	4.3	2.1^b	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	4.5^b	6.4	1.0^b	2.0	0.7^b	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.

240430

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	221,306^a	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	215,561^b	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	189,814^b	193,233	149,067	149,711	118,227	116,051
26-49	89,623	90,358	75,737	75,867	60,581^a	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	100,192^b	102,875	73,330	73,844	57,646	56,940
50-54	16,984	16,302	13,527	12,282	10,784^a	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	46,509^b	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.

240430

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	48.7^a	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	54.1^a	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	39.2^a	35.5	31.0	29.4	14.5	13.1
18 or Older	84.1	84.9	67.4	67.1	52.9^a	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	53.4^a	51.9
26-49	87.4	87.3	73.8	73.3	59.1^b	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	60.9^b	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	84.2^a	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	85.9^a	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	63^a	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	48^a	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	60,581^a	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	10,784^a	9,331	4,830^a	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	5,501^b	6,952	1,350^a	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	48.7^a	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	54.1^a	52.6	23.8	23.7	6.3	6.4
12-17	6.8	6.9	3.2	3.9	0.2^a	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	0.6^a	1.2
18 or Older	52.9^a	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	36.3^a	34.2	9.4	8.4
26 or Older	53.4^a	51.9	22.6	22.7	6.0	6.2
26-49	59.1^b	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	60.9^b	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	9.7^b	12.0	2.4^a	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	52,748^a	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.

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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.

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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	103^a	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.

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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	31.6^a	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	91^b	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	72^a	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	51,433^a	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	27.9^a	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	5,443^a	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.

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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	5,593^a	4,695	1,051	1,001	4,542^a	3,694	da	da	5,227^a	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.

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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	18.9^a	15.9	da	da	18.3^a	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.

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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	73^a	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	56^a	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.

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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	22.4^a	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	21^a	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	20.0^a	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	2.5^a	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	41,062^a	38,692	319	344	40,743^a	38,348	3,729	3,616	37,014^a	34,732	1,211	1,248	39,852	37,444
SEX
Male	22,840^a	21,140	135	123	22,706^a	21,018	2,186	2,114	20,520^a	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	35,451^a	33,008	240	262	35,211^a	32,747	3,015	2,986	32,195^a	29,760	951	1,009	34,499^a	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	27,152^a	24,905	197	166	26,955^a	24,739	2,389	2,329	24,566^a	22,410	784	755	26,368^a	24,150
Two or More Races	1,231	1,171	5^a	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	12,898^a	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	4,556^a	3,700	763	686	3,793^a	3,014	da	da	4,293^a	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.

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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	14.6^a	13.7	1.2	1.3	15.9^a	14.9	10.7	10.6	16.7^a	15.5	3.1	3.3	16.4^a	15.3
SEX
Male	16.5^a	15.3	1.0	0.9	18.2^a	16.8	12.5	12.4	19.1^a	17.5	3.1	3.4	18.8^a	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	15.3^a	14.3	1.3	1.4	16.6^a	15.4	11.4	11.6	17.4^a	16.0	3.3	3.6	17.1^a	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	15.9^a	14.6	1.5	1.3	17.0^a	15.7	13.1	13.2	17.6^a	16.0	4.1	4.0	17.4^a	15.9
Two or More Races	20.9	18.9	0.6^a	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	13.9^a	11.7	8.7	8.2	15.8^a	13.0	da	da	15.0^a	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.

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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	4,168^b	3,258	670	595	3,498^a	2,663	da	da	3,949^b	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.

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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	19.5^a	18.2	14.3	13.8	20.3^a	18.8	da	da	19.8^a	18.5
Part-Time	da	da	da	da	12.7^a	10.3	7.6	7.1	14.6^a	11.5	da	da	13.8^a	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.

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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	8,290^a	9,451	188	205	8,102^a	9,246	1,475	1,575	6,627^a	7,671	651	717	7,639^a	8,734
SEX
Male	7,346^a	8,455	118	146	7,229^a	8,309	1,227	1,287	6,002^a	7,021	487	565	6,860^a	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	12^a	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	1,037^a	660	316	249	721^a	411	da	da	915^a	564
Unemployed	da	da	da	da	416^a	698	129	135	287^a	563	da	da	366^a	645
Other²	da	da	da	da	1,880^a	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	2.9^a	3.3	0.7	0.8	3.2^a	3.6	4.2	4.6	3.0^a	3.4	1.7	1.9	3.1^a	3.6
SEX
Male	5.3^a	6.1	0.9	1.1	5.8^a	6.6	7.0	7.5	5.6^a	6.5	2.4	2.9	5.8^a	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	3.2^a	2.1	3.6	3.0	3.0^a	1.8	da	da	3.2^a	2.0
Unemployed	da	da	da	da	3.8^a	6.1	4.0	4.0	3.7^a	7.0	da	da	3.8^a	6.4
Other²	da	da	da	da	2.0^a	2.7	3.0	4.3	1.9	2.5	da	da	2.0^a	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.

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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	6,084^a	7,003	59	72	6,026^a	6,931	818	949	5,207	5,981	304	305	5,780^a	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	241^b	493	73	83	168^b	410	da	da	219^a	464
Other²	da	da	da	da	1,515	1,956	109^b	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	2.2^a	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	2.2^b	4.3	2.3	2.5	2.1^b	5.1	da	da	2.3^a	4.6
Other²	da	da	da	da	1.6	2.1	1.3^b	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	67,445^a	70,190	4,872	4,847	62,574^a	65,342	17,268	17,062	45,306^b	48,280	10,799	10,148	56,646^a	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	30,976^b	33,177	2,719	2,729	28,258^b	30,448	8,496	8,507	19,762^b	21,941	5,543	5,386	25,433^b	27,791
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	55,235^a	57,655	3,587	3,565	51,648^a	54,091	13,419	13,155	38,229^b	40,936	8,061	7,572	47,174^a	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	5,703^a	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	19,081^a	20,557	5,767	5,783	13,314^a	14,774	da	da	16,427^a	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	3,389^a	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	24.4^a	25.4	49.6	50.1	20.5^a	21.6	27.9	26.7	23.3^a	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	21.5^a	22.9	21.6	21.6	21.5^b	23.0	49.1	50.1	17.4^b	19.0	29.8	29.2	20.3^b	22.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	23.9^a	24.9	18.8	18.6	24.4^a	25.5	50.6	51.0	20.6^b	22.0	28.0	26.9	23.3^b	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	20.2^a	22.6	18.7	18.8	20.4^a	23.1	37.9	41.4	17.3^a	19.9	24.0	24.3	19.6^a	22.3
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	25.0	26.1	19.8	19.2	25.5^a	26.6	55.9	56.0	21.5^a	22.9	30.4	29.0	24.3^a	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	27.6^a	29.6	49.6	50.1	23.1^a	25.5	da	da	25.9^a	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	34.9^a	39.9
Other²	da	da	da	da	16.0	17.3	40.0	41.3	13.5^a	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	35,101^b	37,948	3,559	3,420	31,542^b	34,528	11,608	11,558	19,934^b	22,971	7,846	7,362	27,255^b	30,586
SEX
Male	18,488	19,606	1,462	1,416	17,027	18,190	6,006	6,031	11,021^a	12,159	3,681	3,404	14,807^a	16,202
Female	16,613^b	18,342	2,097	2,004	14,515^b	16,338	5,603	5,526	8,913^b	10,811	4,165	3,958	12,447^b	14,385
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	28,376^b	31,478	2,604	2,571	25,773^b	28,907	9,087	9,145	16,685^b	19,761	5,861	5,622	22,515^b	25,856
AIAN	292	267	40	31	252	236	*	50	146	186	94^a	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	21,608^b	24,326	1,800	1,791	19,808^b	22,535	6,918	6,859	12,890^b	15,676	4,258	4,070	17,350^b	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	10,411^b	11,940	4,173	4,234	6,238^b	7,706	da	da	8,472^b	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	5,637^a	6,336	1,398	1,514	4,239	4,822	da	da	5,630	6,327
EMPLOYMENT STATUS
Full-Time	da	da	da	da	16,951^a	18,555	5,423	5,292	11,528^b	13,263	da	da	15,366^b	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	2,428^b	3,029	1,148	1,298	1,279^a	1,732	da	da	1,897^b	2,529
Other²	da	da	da	da	7,116^a	8,290	2,282	2,393	4,833^a	5,897	da	da	6,225^a	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	12.4^b	13.4	13.8	13.2	12.3^b	13.4	33.4	34.0	9.0^b	10.3	20.3	19.3	11.2^b	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	12.5^a	13.6
Female	11.6^b	12.7	16.7	15.8	11.1^b	12.4	32.4	32.6	7.8^b	9.4	22.4	21.4	9.9^b	11.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12.3^b	13.6	13.6	13.5	12.2^b	13.6	34.3	35.5	9.0^b	10.6	20.4	20.0	11.1^b	12.7
AIAN	19.9	19.9	18.2	13.2	20.2	21.4	*	35.2	14.2	19.4	28.9^a	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	24.7^a	29.0	8.1	9.2	18.0	17.8	9.8	11.3
NHOPI	12.9	*	*	*	12.9	*	*	*	*	*	*	*	*	*
White	12.6^b	14.3	14.0	14.0	12.5^b	14.3	37.9	38.9	9.2^b	11.2	22.0	21.7	11.4^b	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	15.1^b	17.2	35.9	36.7	10.8^b	13.3	da	da	13.4^b	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	14.3^a	15.3	38.5	38.3	11.1^b	12.4	da	da	13.4^b	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	22.0^a	26.5	35.8	38.8	16.4^a	21.4	da	da	19.6^b	25.2
Other²	da	da	da	da	7.6^b	8.9	26.2	28.1	5.7^a	6.9	da	da	6.9^a	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	23,503^b	26,605	1,769	1,754	21,733^b	24,850	8,335	8,207	13,399^b	16,643	4,719	4,458	18,784^b	22,146
SEX
Male	12,834	13,694	701	713	12,133	12,981	4,447	4,255	7,687^a	8,726	2,249	2,052	10,585	11,643
Female	10,669^b	12,911	1,069	1,041	9,600^b	11,869	3,888	3,953	5,712^b	7,917	2,470	2,407	8,199^b	10,504
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	19,282^b	22,340	1,356	1,363	17,926^b	20,977	6,683	6,697	11,243^b	14,280	3,704	3,550	15,578^b	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	2,093^a	2,537	211	218	1,882^a	2,319	758	900	1,124	1,419	465	521	1,628^a	2,015
NHOPI	133	*	*	*	*	*	*	*	*	*	*	*	*	*
White	15,137^b	17,816	1,011	990	14,126^b	16,825	5,250	5,118	8,876^b	11,707	2,853	2,675	12,284^b	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	1,994^b	2,630	905	908	1,089^b	1,722	da	da	1,456^b	2,135
High School Graduate	da	da	da	da	7,410^b	8,820	3,065	3,164	4,345^b	5,657	da	da	6,092^b	7,574
Some College/Associate’s Degree	da	da	da	da	8,644	9,250	3,414	3,175	5,231^a	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	12,105^a	13,532	4,039	3,878	8,066^b	9,653	da	da	10,953^b	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	1,681^a	2,149	858	901	823^b	1,248	da	da	1,304^b	1,852
Other²	da	da	da	da	4,481^b	5,914	1,575	1,731	2,906^b	4,183	da	da	3,842^b	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	8.3^b	9.4	6.9	6.8	8.5^b	9.6	24.0	24.1	6.0^b	7.4	12.2	11.7	7.7^b	9.0
SEX
Male	9.3	9.9	5.3	5.4	9.7	10.4	25.4	24.9	7.1^a	8.1	11.2	10.5	9.0	9.8
Female	7.4^b	8.9	8.5	8.2	7.3^b	9.0	22.5	23.3	5.0^b	6.9	13.3	13.0	6.6^b	8.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.3^b	9.7	7.1	7.1	8.5^b	9.9	25.2	26.0	6.1^b	7.7	12.9	12.6	7.7^b	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	6.1^a	7.3	6.0	6.1	6.1^a	7.4	16.2	19.7	4.3	5.3	8.8	9.9	5.6^a	6.8
NHOPI	10.4	*	*	*	*	*	*	*	*	*	*	*	*	*
White	8.9^b	10.5	7.9	7.7	8.9^b	10.7	28.8	29.0	6.3^b	8.4	14.8	14.2	8.1^b	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	8.2^b	10.7	25.2	25.4	5.2^b	8.2	da	da	6.6^b	9.6
High School Graduate	da	da	da	da	10.7^b	12.7	26.4	27.4	7.6^b	9.8	da	da	9.6^b	11.8
Some College/Associate’s Degree	da	da	da	da	11.1	12.0	24.6	24.1	8.2^a	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	10.2^a	11.2	28.7	28.1	7.7^b	9.0	da	da	9.5^b	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	15.3^a	18.8	26.7	27.0	10.5^b	15.4	da	da	13.4^b	18.5
Other²	da	da	da	da	4.8^b	6.3	18.1	20.3	3.4^b	4.9	da	da	4.3^b	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	221,306^a	224,265	5,745	5,593	215,561^b	218,672	25,747	25,439	189,814^b	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	111,146^a	113,169	3,083	3,057	108,063^a	110,112	13,235	12,959	94,828^b	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	180,307^a	182,252	19,806	19,468	160,501^a	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	35,254^a	36,420	5,941	5,970	29,313^a	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	54,483^a	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	76,388^b	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	85.0^a	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	84.6^a	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.

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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	65.8^a	62.7	64.5	64.1	66.0^a	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	7,941^a	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	42,168^a	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.

240430

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	48.7^a	47.5	6.8	6.9	52.9^a	51.6	50.2	49.6	53.4^a	51.9	15.1	14.6	54.1^a	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	40.3^a	35.3	35.5	35.3	41.2^a	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	49.2^a	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	32.6^a	28.9	28.7	28.0	33.3^a	29.0	da	da	33.8^a	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	63.0^b	60.7	61.2	60.0	63.3^b	60.8	da	da	63.8^b	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	15,307^a	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	2,821^a	3,387	872	878	1,948^a	2,509	da	da	2,605^a	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	43.0^a	37.9	22.8	22.2	da	da	24.2	23.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	30.9^a	29.3	37.0	34.6	30.1	28.6	da	da	31.1^a	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	25.0^a	31.0	da	da	26.9^a	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	63^a	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	1,501^b	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	276^a	468	2	11	274^a	458	71	83	203^a	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	4,045^a	4,909	655	712	3,389^a	4,197	da	da	3,802^a	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	2,999^a	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	0.2^a	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	8.6^b	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	4.7^a	7.6	0.2	1.2	5.4^a	8.7	7.1	7.6	5.0^a	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	5.8^a	7.1	5.6	6.2	5.9^a	7.2	da	da	6.0^a	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	3.7^a	4.4	5.1	4.6	3.5^a	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	30,355^a	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	178^b	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%	15,238^a	16,909	867	854	14,371^a	16,056	3,165	3,556	11,206^a	12,500	2,024	2,048	13,215^a	14,862
100-199%	18,586	17,358	975	850	17,611	16,509	3,714	3,341	13,897	13,168	2,252^a	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	37.1^a	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	12.6^a	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	81^b	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%	12,783^a	14,452	385	423	12,398^a	14,029	2,373	2,707	10,024^a	11,322	1,234	1,316	11,548^a	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	5.7^a	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.

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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.

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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	30.1^a	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.

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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	32^a	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.

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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	13.0^a	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	26.2^a	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.

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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	1,615^a	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%	12,930^a	11,339	191	192	12,738^a	11,147	1,660	1,504	11,078^a	9,644	648	555	12,281^a	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	19.8^a	18.1	3.9	3.4	21.4^a	19.6	20.0	19.4	21.6^a	19.7	8.4	7.6	21.6^a	19.8
Nonmetro	24.9^a	21.9	4.3	4.2	26.7^a	23.6	24.9	24.4	26.9^a	23.5	10.1	9.0	27.0^a	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	25.6^a	20.7	3.8	4.0	27.4^a	22.5	24.4	25.4	27.8^a	22.1	10.2	8.5	27.7^a	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%	23.2^a	20.9	3.3	3.6	25.6^a	22.8	19.6	19.1	26.8^b	23.5	7.3	6.9	26.3^a	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.

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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	41,062^a	38,692	319	344	40,743^a	38,348	3,729	3,616	37,014^a	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	9,996^b	8,691	91	74	9,905^b	8,617	935	802	8,970^a	7,815	338	275	9,658^a	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	14,647^a	13,229	115	114	14,532^a	13,115	1,466	1,325	13,065	11,790	508	483	14,138^a	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%	10,970^a	9,557	87	66	10,882^a	9,491	983	869	9,899^a	8,622	288	288	10,682^a	9,269
200% or More	20,326^a	18,517	155	192	20,171^a	18,326	1,618	1,605	18,552^a	16,721	546	586	19,780^a	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	14.6^a	13.7	1.2	1.3	15.9^a	14.9	10.7	10.6	16.7^a	15.5	3.1	3.3	16.4^a	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	17.2^b	14.9	1.7	1.4	18.8^b	16.3	12.8	11.2	19.7^a	17.1	4.2	3.4	19.3^a	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	16.4^a	14.9	1.4	1.4	17.9^a	16.3	12.5	11.6	18.8^a	17.0	4.1	3.9	18.4^a	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	22.1^a	17.9	1.6	1.7	23.9^a	19.6	15.7	17.8	24.9^a	19.8	4.8	4.5	24.5^a	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%	19.7^a	17.6	1.5	1.2	21.8^a	19.4	11.6	11.0	23.9^a	21.0	3.2	3.6	22.9^a	20.0
200% or More	11.0^a	10.1	1.1	1.3	11.8^a	10.8	8.9	9.1	12.2^a	11.0	2.6	2.8	12.1^a	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	8,290^a	9,451	188	205	8,102^a	9,246	1,475	1,575	6,627^a	7,671	651	717	7,639^a	8,734
GEOGRAPHIC REGION
Northeast	1,204	1,333	26	26	1,178	1,307	215^b	364	963	943	104	150	1,100	1,183
Midwest	1,903	2,263	38	59	1,865	2,204	426	314	1,438^a	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	3,013^a	3,737	83	88	2,930^a	3,649	626	661	2,303^a	2,988	265	267	2,747^a	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	1,612^a	2,075	100	85	1,511^a	1,990	291	340	1,220^a	1,650	215	209	1,396^a	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	2.9^a	3.3	0.7	0.8	3.2^a	3.6	4.2	4.6	3.0^a	3.4	1.7	1.9	3.1^a	3.6
GEOGRAPHIC REGION
Northeast	2.5	2.7	0.6	0.6	2.6	2.9	3.6^b	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	3.2^a	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	1.9^a	2.4	0.6	0.6	2.1^a	2.6	3.3	3.6	1.9^a	2.4	1.2	1.3	2.0^a	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	6,084^a	7,003	59	72	6,026^a	6,931	818	949	5,207	5,981	304	305	5,780^a	6,698
GEOGRAPHIC REGION
Northeast	943	857	7	12	936	845	117^a	197	819	648	48	47	896	810
Midwest	1,304^a	1,668	14	12	1,290^a	1,656	215	226	1,075^a	1,430	77	64	1,227^a	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	2.2^a	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	2.0^a	3.4	2.1	1.7	0.8	0.8	2.1	1.9
Midwest	2.2^a	2.9	0.3	0.2	2.4^a	3.1	2.9	3.2	2.4^a	3.1	1.0	0.8	2.4^a	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	35,101^b	37,948	3,559	3,420	31,542^b	34,528	11,608	11,558	19,934^b	22,971	7,846	7,362	27,255^b	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	7,664^a	8,541	774	769	6,890^a	7,772	2,774	2,663	4,117^b	5,109	1,779	1,686	5,885^a	6,855
South	14,033^b	15,910	1,493	1,405	12,540^b	14,505	4,404	4,541	8,136^b	9,963	3,134	2,882	10,899^b	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	9,957^a	11,497	3,929	3,466	13,802^a	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	4,966^b	6,103	457	532	4,509^a	5,571	1,561	1,847	2,948^a	3,724	1,109	1,203	3,858^b	4,900
Urbanized	2,180	2,706	214	184	1,967^a	2,522	704	825	1,263^a	1,697	502	516	1,679^a	2,190
Less Urbanized	2,382	2,950	168^b	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%	7,260^b	8,498	837	790	6,423^b	7,708	2,596	2,919	3,828^b	4,789	1,872	1,873	5,388^b	6,625
100-199%	8,450	8,786	919	798	7,530	7,988	3,061	2,757	4,470^a	5,231	2,089^a	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	11,636^a	12,950	3,882	3,777	15,506^a	16,878
HEALTH INSURANCE³
Private	18,414	19,829	1,718	1,715	16,697^a	18,114	6,538	6,414	10,159^b	11,700	3,907	3,743	14,507^a	16,085
Medicaid/CHIP	10,791	11,791	1,675	1,685	9,116^a	10,107	3,217	3,288	5,900^a	6,819	3,159	3,058	7,632^a	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	12.4^b	13.4	13.8	13.2	12.3^b	13.4	33.4	34.0	9.0^b	10.3	20.3	19.3	11.2^b	12.5
GEOGRAPHIC REGION
Northeast	11.0	11.8	14.7	13.5	10.7	11.6	30.5^a	34.7	7.7	8.2	20.7	20.5	9.6	10.6
Midwest	13.2^a	14.7	14.3	14.2	13.1^a	14.7	38.0	37.3	9.1^b	11.2	22.0	20.8	11.8^b	13.7
South	13.0^b	14.6	14.8	13.7	12.8^b	14.7	33.0	34.6	9.6^b	11.6	20.6	19.5	11.7^b	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	8.2^a	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	13.5^b	16.2	15.6	15.7	13.3^b	16.3	39.2	43.4	9.9^b	12.4	24.8	24.3	12.0^b	15.0
Urbanized	14.1^b	17.8	17.3	15.0	13.8^b	18.1	40.0	43.8	10.1^b	14.1	26.3	26.9	12.4^b	16.5
Less Urbanized	12.9	15.2	11.9^a	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	10.8^a	12.7	23.5	21.2	13.6^a	15.3
200% or More	10.5^a	11.2	12.3	12.3	10.3^a	11.1	32.6	33.1	7.7^a	8.6	18.3	18.0	9.5^a	10.4
HEALTH INSURANCE³
Private	10.8^a	11.6	12.2	12.3	10.7^a	11.5	32.9	33.6	7.5^a	8.5	18.8	18.4	9.7^a	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	19.2^a	22.2	32.5	33.4	15.8^a	19.4	25.4	20.6	18.3^a	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	23,503^b	26,605	1,769	1,754	21,733^b	24,850	8,335	8,207	13,399^b	16,643	4,719	4,458	18,784^b	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	5,369^a	6,033	414	418	4,955^a	5,616	2,114	1,902	2,841^b	3,713	1,194	1,065	4,176^b	4,968
South	9,257^b	11,254	703	700	8,554^b	10,554	3,137	3,327	5,417^b	7,226	1,769	1,757	7,488^b	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	6,726^b	8,172	2,304	1,996	9,594^a	10,852
Small Metro	8,342	9,237	602	618	7,740	8,620	2,956	3,053	4,784^a	5,567	1,723	1,714	6,619^a	7,523
Nonmetro	3,263^b	4,521	240	288	3,023^b	4,233	1,134	1,328	1,889^b	2,904	692	749	2,570^b	3,772
Urbanized	1,481^b	2,072	124	84	1,357^b	1,988	516	619	841^b	1,369	318	317	1,164^b	1,755
Less Urbanized	1,510^b	2,148	68^b	180	1,442^a	1,968	550	618	892^a	1,351	289	386	1,221^b	1,762
Completely Rural	271	300	*	24	224	276	*	*	156	185	*	45	186	255
POVERTY LEVEL²
Less Than 100%	4,582^b	5,865	372	353	4,211^b	5,512	1,834	2,146	2,376^b	3,367	1,120	1,151	3,462^b	4,714
100-199%	5,678	6,326	438	448	5,240	5,877	2,169	2,008	3,071^a	3,870	1,199	1,065	4,480^a	5,261
200% or More	13,240	14,408	960	954	12,280^a	13,455	4,329	4,048	7,951^b	9,407	2,398	2,238	10,842^a	12,170
HEALTH INSURANCE³
Private	12,682	13,816	914	888	11,768^a	12,928	4,768	4,375	7,000^b	8,553	2,456	2,225	10,226^a	11,592
Medicaid/CHIP	6,943^b	8,013	800	839	6,143^b	7,174	2,276	2,404	3,867^b	4,770	1,817	1,801	5,126^b	6,212
Other⁴	2,675^a	3,317	107	69	2,568^a	3,248	634	733	1,934^a	2,515	339	329	2,335^a	2,988
No Coverage	3,159^a	3,732	62	81	3,097	3,652	1,088	1,082	2,010^a	2,570	394	361	2,764^a	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	8.3^b	9.4	6.9	6.8	8.5^b	9.6	24.0	24.1	6.0^b	7.4	12.2	11.7	7.7^b	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	9.2^a	10.4	7.7	7.7	9.4^a	10.6	29.0	26.7	6.2^b	8.1	14.8	13.2	8.3^b	9.9
South	8.6^b	10.3	6.9	6.8	8.7^b	10.7	23.5	25.4	6.4^b	8.4	11.6	11.9	8.1^b	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	5.5^b	6.6	10.6	9.7	7.2^a	8.0
Small Metro	9.3^a	10.4	7.6	7.5	9.5^a	10.7	25.3	26.7	6.9^a	8.0	13.9	13.8	8.6^a	9.8
Nonmetro	8.9^b	12.0	8.2	8.5	8.9^b	12.4	28.5	31.2	6.3^b	9.7	15.5	15.1	8.0^b	11.5
Urbanized	9.6^b	13.7	10.0	6.8	9.5^b	14.3	29.3	32.9	6.7^b	11.3	16.7	16.5	8.6^b	13.2
Less Urbanized	8.2^b	11.1	4.8^b	9.7	8.5^b	11.3	27.9	29.6	5.9^b	8.8	13.2	14.6	7.5^b	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%	11.0^a	13.0	7.0	6.2	11.6^b	14.0	22.8	25.5	8.4^b	10.8	13.1	12.7	10.5^b	13.0
100-199%	10.2^a	11.6	7.6	8.4	10.5^a	12.0	25.6	25.5	7.4^b	9.4	13.5	13.2	9.6^a	11.4
200% or More	7.2^a	7.8	6.5	6.4	7.2^a	8.0	23.7	22.8	5.2^b	6.2	11.3	10.7	6.6^b	7.5
HEALTH INSURANCE³
Private	7.5	8.1	6.5	6.3	7.5^a	8.2	24.0	22.9	5.1^b	6.2	11.8	10.9	6.9^a	7.7
Medicaid/CHIP	11.8^a	13.2	7.5	7.7	12.8^a	14.4	24.6	25.2	10.0^a	11.8	12.2	11.9	11.7^a	13.6
Other⁴	3.4^a	4.2	7.1	4.9	3.3^a	4.2	22.6	26.0	2.6^a	3.4	12.9	13.6	3.1^a	3.9
No Coverage	13.0^a	15.7	6.1	6.4	13.3^a	16.2	23.5	24.1	10.8^b	14.2	15.5	13.7	12.7^b	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.

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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	64,149^a	66,628	1,581	1,694	62,569^a	64,934	8,789	8,846	53,780^a	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%	19,169^a	20,893	631	650	18,538^a	20,243	4,818	5,046	13,720^a	15,197	2,096	2,193	17,073^a	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.

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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.

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Table 2.41A – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 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	3,981^a	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	3,270^a	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.

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Table 2.41B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 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	48.7^a	47.5	6.8	6.9	52.9^a	51.6	50.2	49.6	53.4^a	51.9	15.1	14.6	54.1^a	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	48.3^a	46.3	6.9	7.3	52.3	50.4	50.4	50.6	52.6^a	50.3	15.6	16.4	53.5^a	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	55.7^a	53.9	7.8	8.1	60.0^b	58.0	58.5	57.4	60.2^b	58.1	17.4	17.1	61.0^b	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.

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Table 2.42A – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 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	2,386^b	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	29.0^a	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	3.5^a	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	63^a	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	4^a	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	4,728^a	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%	1,920^a	2,413	14	28	1,906^a	2,385	548	605	1,358	1,780	174	179	1,745^a	2,234
100-199%	2,953	2,640	3^a	21	2,949	2,619	737^b	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	15^b	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	229^a	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.

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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	0.2^a	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	0.1^a	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	0.1^a	0.4	5.9	5.3	8.7^b	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	0.1^b	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	8.2^a	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.

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Table 2.44A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Numbers in Thousands, 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	28^a	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	0.6^a	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.

240430

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.

240430 <

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	54.1^a	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