Section 2 PE Tables - Results from the 2024 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, 2023 and 2024
Substance	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
LIFETIME
Tobacco Product Use or Nicotine Vaping	173,419	175,628	5,291	5,023	168,128	170,605	19,156	19,464	148,973	151,142	11,065	10,867	162,354	164,761
Tobacco Products	163,207	163,970	2,144	2,077	161,062	161,892	14,229	13,849	146,834	148,043	5,774	5,522	157,433	158,448
Cigarettes	147,213	147,571	1,738	1,612	145,475	145,958	11,790	11,780	133,685	134,178	4,679	4,535	142,534	143,035
Daily Cigarettes	81,469	80,874	149	208	81,320	80,666	3,278	2,969	78,042	77,697	698	567	80,772	80,306
Smokeless Tobacco	37,928	37,799	366	422	37,562	37,378	3,545	3,701	34,017	33,676	1,237	1,260	36,692	36,540
Cigars	85,827	84,273	649	639	85,178	83,634	7,850^a	7,302	77,328	76,332	2,405	2,242	83,423	82,032
Pipe Tobacco	27,494	25,725	170	209	27,324	25,517	1,675	1,472	25,650	24,045	614	503	26,880	25,222
Nicotine Vaping	70,190^b	73,901	4,847	4,711	65,342^b	69,191	17,062	17,458	48,280^b	51,732	10,148	10,112	60,042^a	63,789
Alcohol	224,265^b	228,371	5,593	5,532	218,672^b	222,839	25,439	25,805	193,233^b	197,034	12,615	12,659	211,649	215,712
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping²	79,144	78,336	3,692	3,455	75,452	74,881	13,928	13,746	61,523	61,135	8,106	7,632	71,038	70,703
Tobacco Products²	63,490^a	61,078	1,242	1,236	62,248^a	59,842	8,794	8,363	53,454	51,479	3,699	3,479	59,791	57,599
Cigarettes	48,536	47,125	895	802	47,642	46,323	6,329	6,201	41,313	40,122	2,615	2,557	45,921	44,568
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	9,451	9,261	205	282	9,246	8,980	1,575^b	1,949	7,671	7,031	717	828	8,734	8,433
Cigars	19,897^a	18,342	401	464	19,496^a	17,878	3,949	3,784	15,547^a	14,094	1,575	1,458	18,322^a	16,884
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	37,948	39,580	3,420	3,204	34,528^a	36,376	11,558	11,401	22,971^a	24,975	7,362	6,866	30,586^a	32,714
Alcohol	177,278	178,687	4,388	4,244	172,890	174,444	23,179	23,361	149,711	151,083	10,604	10,413	166,673	168,275
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	64,389	63,672	1,920	1,715	62,469	61,958	10,212	10,095	52,257	51,863	5,006^a	4,501	59,384	59,171
Tobacco Products	49,888	48,028	482	488	49,406	47,540	5,356	5,021	44,050	42,519	1,846	1,671	48,043	46,358
Cigarettes	38,692	37,780	344	320	38,348	37,460	3,616	3,353	34,732	34,107	1,248	1,172	37,444	36,608
Daily Cigarettes	22,774	22,273	20	12	22,754	22,261	920^b	655	21,834	21,606	177	130	22,597	22,143
Smokeless Tobacco	7,003	6,671	72	117	6,931	6,554	949^a	1,170	5,981	5,384	305	356	6,698	6,315
Cigars	10,721^a	9,447	112	135	10,610^a	9,312	1,807	1,697	8,803^a	7,615	578	513	10,144^a	8,935
Pipe Tobacco	2,000	1,804	45	32	1,955	1,773	377	312	1,578	1,461	191	127	1,810	1,678
Nicotine Vaping	26,605	27,675	1,754	1,562	24,850	26,112	8,207	8,291	16,643	17,821	4,458	4,020	22,146	23,655
Alcohol	134,729	134,330	1,800	1,725	132,929	132,605	16,878	16,589	116,051	116,016	5,575	5,139	129,154	129,191
Binge Alcohol Use	61,428^b	57,863	1,016	900	60,412^b	56,963	9,764	9,329	50,649^b	47,634	3,283	2,946	58,144^a	54,918
Heavy Alcohol Use³	16,412^b	14,541	141	98	16,271^b	14,443	2,356	2,098	13,914^b	12,344	663	576	15,749^b	13,965
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Substance	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
LIFETIME
Tobacco Product Use or Nicotine Vaping	61.2	60.9	20.4	19.4	65.3	65.0	56.3	55.7	66.7	66.5	29.1	28.2	66.2	66.0
Tobacco Products	57.6	56.9	8.3	8.0	62.5	61.7	41.8^a	39.6	65.7	65.1	15.2	14.3	64.2	63.4
Cigarettes	51.9	51.2	6.7	6.2	56.5	55.6	34.6	33.7	59.8	59.0	12.3	11.8	58.1	57.3
Daily Cigarettes	28.7	28.1	0.6	0.8	31.6	30.8	9.6^a	8.5	34.9	34.2	1.8	1.5	32.9	32.2
Smokeless Tobacco	13.4	13.1	1.4	1.6	14.6	14.3	10.4	10.6	15.2	14.8	3.2	3.3	15.0	14.6
Cigars	30.3^a	29.2	2.5	2.5	33.1^a	31.9	23.1^b	20.9	34.6	33.6	6.3	5.8	34.0^a	32.8
Pipe Tobacco	9.7^a	8.9	0.7	0.8	10.6^a	9.7	4.9	4.2	11.5^a	10.6	1.6	1.3	11.0^a	10.1
Nicotine Vaping	24.8^a	25.6	18.7	18.2	25.4^a	26.4	50.1	50.0	21.6^a	22.8	26.7	26.3	24.5^a	25.5
Alcohol	79.1	79.2	21.6	21.3	84.9	85.0	74.7	73.8	86.5	86.7	33.1	32.9	86.2	86.4
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping²	27.9	27.2	14.2	13.3	29.3	28.5	40.9	39.3	27.5	26.9	21.3^a	19.8	28.9	28.3
Tobacco Products²	22.4^b	21.2	4.8	4.8	24.2^b	22.8	25.8^a	23.9	23.9^a	22.6	9.7	9.0	24.4^b	23.1
Cigarettes	17.1^a	16.3	3.5	3.1	18.5^a	17.7	18.6	17.7	18.5	17.6	6.9	6.6	18.7^a	17.8
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	3.3	3.2	0.8	1.1	3.6	3.4	4.6^a	5.6	3.4	3.1	1.9	2.1	3.6	3.4
Cigars	7.0^b	6.4	1.5	1.8	7.6^b	6.8	11.6	10.8	7.0^b	6.2	4.1	3.8	7.5^b	6.8
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	13.4	13.7	13.2	12.3	13.4	13.9	34.0	32.6	10.3^a	11.0	19.3^a	17.8	12.5	13.1
Alcohol	62.5	62.0	16.9	16.4	67.1	66.5	68.1	66.8	67.0	66.5	27.9	27.0	67.9	67.4
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	22.7	22.1	7.4	6.6	24.3	23.6	30.0	28.9	23.4	22.8	13.2^b	11.7	24.2	23.7
Tobacco Products	17.6^a	16.7	1.9	1.9	19.2^a	18.1	15.7^a	14.4	19.7^a	18.7	4.8	4.3	19.6^a	18.6
Cigarettes	13.7	13.1	1.3	1.2	14.9	14.3	10.6	9.6	15.5	15.0	3.3	3.0	15.3	14.7
Daily Cigarettes	8.0	7.7	0.1	<0.1	8.8	8.5	2.7^b	1.9	9.8	9.5	0.5	0.3	9.2	8.9
Smokeless Tobacco	2.5	2.3	0.3	0.5	2.7	2.5	2.8^a	3.3	2.7	2.4	0.8	0.9	2.7	2.5
Cigars	3.8^b	3.3	0.4	0.5	4.1^b	3.6	5.3	4.9	3.9^b	3.3	1.5	1.3	4.1^b	3.6
Pipe Tobacco	0.7	0.6	0.2	0.1	0.8	0.7	1.1	0.9	0.7	0.6	0.5	0.3	0.7	0.7
Nicotine Vaping	9.4	9.6	6.8	6.0	9.6	10.0	24.1	23.7	7.4	7.8	11.7^a	10.4	9.0	9.5
Alcohol	47.5	46.6	6.9	6.6	51.6	50.6	49.6^a	47.5	51.9	51.0	14.6^a	13.3	52.6	51.7
Binge Alcohol Use	21.7^b	20.1	3.9	3.5	23.5^b	21.7	28.7^a	26.7	22.7^b	21.0	8.6^a	7.6	23.7^b	22.0
Heavy Alcohol Use³	5.8^b	5.0	0.5	0.4	6.3^b	5.5	6.9^a	6.0	6.2^b	5.4	1.7	1.5	6.4^b	5.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	173,419	175,628	79,144	78,336	64,389	63,672
12-20¹	11,065	10,867	8,106	7,632	5,006^a	4,501
21 or Older¹	162,354	164,761	71,038	70,703	59,384	59,171
12-17	5,291	5,023	3,692	3,455	1,920	1,715
12-13	667	628	449	418	155	173
14-15	1,953^b	1,595	1,424^b	1,083	737^b	478
16-17	2,671	2,799	1,819	1,954	1,028	1,063
18 or Older	168,128	170,605	75,452	74,881	62,469	61,958
18-25	19,156	19,464	13,928	13,746	10,212	10,095
18-20	5,774	5,844	4,414	4,178	3,086	2,786
21-25	13,382	13,620	9,514	9,568	7,126	7,309
26 or Older	148,973	151,142	61,523	61,135	52,257	51,863
26-49	68,969^a	70,422	36,359	36,616	30,286	30,243
26-29	11,329	11,206	6,989	6,946	5,496	5,415
30-34	15,024	15,222	8,346	8,316	6,759	6,800
35-39	15,689	15,694	8,216	8,184	6,958	6,815
40-44	14,275	15,238	6,853	7,100	5,842	6,053
45-49	12,652	13,062	5,955	6,071	5,230	5,159
50 or Older	80,004	80,720	25,165	24,519	21,971	21,620
50-54	12,317	12,826	5,409	5,424	4,680	4,681
55-59	13,248	13,425	5,614	5,182	4,756	4,647
60-64	16,203	15,325	5,774	5,790	5,101	5,011
65 or Older	38,235	39,144	8,368	8,123	7,434	7,281
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	61.2	60.9	27.9	27.2	22.7	22.1
12-20¹	29.1	28.2	21.3^a	19.8	13.2^b	11.7
21 or Older¹	66.2	66.0	28.9	28.3	24.2	23.7
12-17	20.4	19.4	14.2	13.3	7.4	6.6
12-13	8.4	7.8	5.6	5.2	2.0	2.1
14-15	21.4^b	18.0	15.6^b	12.2	8.1^b	5.4
16-17	30.2	31.1	20.6	21.7	11.6	11.8
18 or Older	65.3	65.0	29.3	28.5	24.3	23.6
18-25	56.3	55.7	40.9	39.3	30.0	28.9
18-20	47.5	46.5	36.3^a	33.3	25.4^a	22.2
21-25	61.1	60.8	43.5	42.7	32.6	32.7
26 or Older	66.7	66.5	27.5	26.9	23.4	22.8
26-49	66.6	66.6	35.1	34.6	29.3	28.6
26-29	64.4	64.1	39.7	39.8	31.2	31.0
30-34	66.3	64.7	36.8	35.4	29.8	28.9
35-39	67.6	67.7	35.4	35.3	30.0	29.4
40-44	67.3	68.0	32.3	31.7	27.6	27.0
45-49	67.1	67.9	31.6	31.5	27.7	26.8
50 or Older	66.7	66.4	21.0	20.2	18.3	17.8
50-54	66.0	65.1	29.0	27.5	25.1	23.8
55-59	64.5^a	69.0	27.3	26.6	23.2	23.9
60-64	70.9	68.1	25.3	25.7	22.3	22.3
65 or Older	66.0	65.4	14.4	13.6	12.8	12.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	163,207	163,970	63,490^a	61,078	49,888	48,028
12-20¹	5,774	5,522	3,699	3,479	1,846	1,671
21 or Older¹	157,433	158,448	59,791	57,599	48,043	46,358
12-17	2,144	2,077	1,242	1,236	482	488
12-13	248	214	94	117	33	41
14-15	777^a	620	438	325	160	135
16-17	1,120	1,243	710	793	290	312
18 or Older	161,062	161,892	62,248^a	59,842	49,406	47,540
18-25	14,229	13,849	8,794	8,363	5,356	5,021
18-20	3,630	3,444	2,457	2,243	1,363	1,183
21-25	10,599	10,405	6,337	6,120	3,993	3,838
26 or Older	146,834	148,043	53,454	51,479	44,050	42,519
26-49	67,067	67,562	30,152^a	28,598	23,859^a	22,347
26-29	10,501	9,916	5,227	4,592	3,685^a	3,141
30-34	14,415	14,529	6,702	6,071	5,120	4,615
35-39	15,434	15,269	7,019	6,555	5,675	5,227
40-44	14,154	14,978	6,001	6,007	4,906	4,959
45-49	12,563	12,868	5,202	5,373	4,473	4,404
50 or Older	79,767	80,482	23,302	22,881	20,190	20,173
50-54	12,299	12,751	4,820	4,887	4,240	4,232
55-59	13,184	13,394	5,137	4,808	4,306	4,316
60-64	16,186	15,257	5,515	5,438	4,762	4,714
65 or Older	38,098	39,080	7,830	7,748	6,882	6,911
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	57.6	56.9	22.4^b	21.2	17.6^a	16.7
12-20¹	15.2	14.3	9.7	9.0	4.8	4.3
21 or Older¹	64.2	63.4	24.4^b	23.1	19.6^a	18.6
12-17	8.3	8.0	4.8	4.8	1.9	1.9
12-13	3.1	2.6	1.2	1.4	0.4	0.5
14-15	8.5	7.0	4.8	3.7	1.8	1.5
16-17	12.7	13.8	8.0	8.8	3.3	3.5
18 or Older	62.5	61.7	24.2^b	22.8	19.2^a	18.1
18-25	41.8^a	39.6	25.8^a	23.9	15.7^a	14.4
18-20	29.9	27.4	20.2	17.9	11.2^a	9.4
21-25	48.4	46.5	29.0	27.3	18.2	17.1
26 or Older	65.7	65.1	23.9^a	22.6	19.7^a	18.7
26-49	64.8	63.9	29.1^b	27.0	23.1^b	21.1
26-29	59.7	56.8	29.7^a	26.3	20.9^a	18.0
30-34	63.6	61.8	29.6^b	25.8	22.6^a	19.6
35-39	66.5	65.9	30.3	28.3	24.5	22.6
40-44	66.8	66.8	28.3	26.8	23.1	22.1
45-49	66.6	66.9	27.6	27.9	23.7	22.9
50 or Older	66.5	66.2	19.4	18.8	16.8	16.6
50-54	65.9	64.7	25.8	24.8	22.7	21.5
55-59	64.2^a	68.8	25.0	24.7	21.0	22.2
60-64	70.8	67.8	24.1	24.2	20.8	20.9
65 or Older	65.8	65.3	13.5	12.9	11.9	11.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.4A – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	147,213	147,571	48,536	47,125	38,692	37,780
12-20¹	4,679	4,535	2,615	2,557	1,248	1,172
21 or Older¹	142,534	143,035	45,921	44,568	37,444	36,608
12-17	1,738	1,612	895	802	344	320
12-13	211	184	87	92	30	36
14-15	628^a	494	302	242	114	99
16-17	899	934	505	468	200	185
18 or Older	145,475	145,958	47,642	46,323	38,348	37,460
18-25	11,790	11,780	6,329	6,201	3,616	3,353
18-20	2,940	2,923	1,720	1,755	904	851
21-25	8,849	8,857	4,608	4,446	2,712	2,501
26 or Older	133,685	134,178	41,313	40,122	34,732	34,107
26-49	60,347	60,392	23,295^b	21,688	18,707^a	17,358
26-29	9,003	8,433	3,527	3,222	2,405	2,208
30-34	12,643	12,532	5,032^a	4,421	3,858	3,378
35-39	14,147	13,796	5,747	5,166	4,587	4,185
40-44	12,974	13,808	4,804	4,774	4,109	3,986
45-49	11,580	11,823	4,184	4,106	3,749	3,601
50 or Older	73,338	73,786	18,018	18,434	16,025	16,750
50-54	11,170	11,320	3,824	3,865	3,463	3,518
55-59	11,906	12,031	3,885	3,749	3,350	3,505
60-64	14,618	14,068	4,281	4,628	3,862	4,064
65 or Older	35,645	36,368	6,027	6,192	5,349	5,662
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.4B – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	51.9	51.2	17.1^a	16.3	13.7	13.1
12-20¹	12.3	11.8	6.9	6.6	3.3	3.0
21 or Older¹	58.1	57.3	18.7^a	17.8	15.3	14.7
12-17	6.7	6.2	3.5	3.1	1.3	1.2
12-13	2.6	2.3	1.1	1.1	0.4	0.4
14-15	6.9	5.6	3.3	2.7	1.3	1.1
16-17	10.2	10.4	5.7	5.2	2.3	2.1
18 or Older	56.5	55.6	18.5^a	17.7	14.9	14.3
18-25	34.6	33.7	18.6	17.7	10.6	9.6
18-20	24.2	23.3	14.2	14.0	7.4	6.8
21-25	40.4	39.6	21.1	19.9	12.4	11.2
26 or Older	59.8	59.0	18.5	17.6	15.5	15.0
26-49	58.3	57.1	22.5^b	20.5	18.1^b	16.4
26-29	51.2	48.3	20.1	18.4	13.7	12.6
30-34	55.8	53.3	22.2^b	18.8	17.0^a	14.4
35-39	61.0	59.6	24.8	22.3	19.8	18.1
40-44	61.2	61.6	22.7	21.3	19.4	17.8
45-49	61.4	61.4	22.2	21.3	19.9	18.7
50 or Older	61.1	60.7	15.0	15.2	13.4	13.8
50-54	59.8	57.5	20.5	19.6	18.5	17.9
55-59	58.0	61.8	18.9	19.3	16.3	18.0
60-64	63.9	62.5	18.7	20.6	16.9	18.1
65 or Older	61.5	60.8	10.4	10.3	9.2	9.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.5A – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	37,928	37,799	9,451	9,261	7,003	6,671
12-20¹	1,237	1,260	717	828	305	356
21 or Older¹	36,692	36,540	8,734	8,433	6,698	6,315
12-17	366	422	205	282	72	117
12-13	23	28	8	23	2	12
14-15	116	108	57	52	19	21
16-17	228	285	140	206	51	84
18 or Older	37,562	37,378	9,246	8,980	6,931	6,554
18-25	3,545	3,701	1,575^b	1,949	949^a	1,170
18-20	871	838	512	546	233	239
21-25	2,674	2,863	1,063^b	1,402	717^a	931
26 or Older	34,017	33,676	7,671	7,031	5,981	5,384
26-49	18,292	17,393	4,499	4,629	3,264	3,357
26-29	2,893	2,512	927	929	607	716
30-34	4,006	3,719	1,121	1,178	815	812
35-39	4,195	3,807	1,039	1,040	798	778
40-44	3,687	3,588	786	757	559	540
45-49	3,512	3,767	626	725	486	512
50 or Older	15,726	16,283	3,173^a	2,402	2,717^a	2,027
50-54	3,861	3,370	881	619	732	530
55-59	3,460	4,058	737	745	664	660
60-64	3,302	3,320	741^b	294	578^b	210
65 or Older	5,103	5,534	813	745	744	626
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.5B – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	13.4	13.1	3.3	3.2	2.5	2.3
12-20¹	3.2	3.3	1.9	2.1	0.8	0.9
21 or Older¹	15.0	14.6	3.6	3.4	2.7	2.5
12-17	1.4	1.6	0.8	1.1	0.3	0.5
12-13	0.3	0.3	0.1	0.3	<0.1	0.1
14-15	1.3	1.2	0.6	0.6	0.2	0.2
16-17	2.6	3.2	1.6	2.3	0.6	0.9
18 or Older	14.6	14.3	3.6	3.4	2.7	2.5
18-25	10.4	10.6	4.6^a	5.6	2.8^a	3.3
18-20	7.2	6.7	4.2	4.3	1.9	1.9
21-25	12.2	12.8	4.9^b	6.3	3.3^a	4.2
26 or Older	15.2	14.8	3.4	3.1	2.7	2.4
26-49	17.7^a	16.4	4.3	4.4	3.2	3.2
26-29	16.4	14.4	5.3	5.3	3.5	4.1
30-34	17.7	15.8	4.9	5.0	3.6	3.5
35-39	18.1	16.4	4.5	4.5	3.4	3.4
40-44	17.4	16.0	3.7	3.4	2.6	2.4
45-49	18.6	19.6	3.3	3.8	2.6	2.7
50 or Older	13.1	13.4	2.6^a	2.0	2.3^a	1.7
50-54	20.7	17.1	4.7	3.1	3.9	2.7
55-59	16.8^a	20.8	3.6	3.8	3.2	3.4
60-64	14.4	14.8	3.2^b	1.3	2.5^b	0.9
65 or Older	8.8	9.2	1.4	1.2	1.3	1.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.6A – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	85,827	84,273	19,897^a	18,342	10,721^a	9,447
12-20¹	2,405	2,242	1,575	1,458	578	513
21 or Older¹	83,423	82,032	18,322^a	16,884	10,144^a	8,935
12-17	649	639	401	464	112	135
12-13	24	37	12	27	5	8
14-15	215	163	156	105	46	31
16-17	410	439	234^a	332	61	96
18 or Older	85,178	83,634	19,496^a	17,878	10,610^a	9,312
18-25	7,850^a	7,302	3,949	3,784	1,807	1,697
18-20	1,756	1,603	1,174	994	466	377
21-25	6,095	5,700	2,775	2,790	1,341	1,320
26 or Older	77,328	76,332	15,547^a	14,094	8,803^a	7,615
26-49	38,746	38,789	10,107^a	9,228	5,575^a	4,818
26-29	6,188	5,915	2,327^a	1,834	1,202^b	693
30-34	8,657	8,341	2,380	2,270	1,305	1,133
35-39	9,117	8,890	2,182	1,971	1,134	1,144
40-44	8,161	8,556	1,802	1,623	1,010	917
45-49	6,622	7,087	1,416	1,530	924	930
50 or Older	38,582	37,543	5,440	4,866	3,228	2,797
50-54	5,887	5,954	1,145	1,135	538	673
55-59	6,576	6,528	1,244	1,043	777	490
60-64	8,182	7,596	1,303	1,185	762	752
65 or Older	17,936	17,465	1,749	1,503	1,151	881
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.6B – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	30.3^a	29.2	7.0^b	6.4	3.8^b	3.3
12-20¹	6.3	5.8	4.1	3.8	1.5	1.3
21 or Older¹	34.0^a	32.8	7.5^b	6.8	4.1^b	3.6
12-17	2.5	2.5	1.5	1.8	0.4	0.5
12-13	0.3	0.5	0.1	0.3	0.1	0.1
14-15	2.4	1.8	1.7	1.2	0.5	0.4
16-17	4.6	4.9	2.6	3.7	0.7	1.1
18 or Older	33.1^a	31.9	7.6^b	6.8	4.1^b	3.6
18-25	23.1^b	20.9	11.6	10.8	5.3	4.9
18-20	14.5	12.8	9.7^a	7.9	3.8	3.0
21-25	27.8^a	25.5	12.7	12.5	6.1	5.9
26 or Older	34.6	33.6	7.0^b	6.2	3.9^b	3.3
26-49	37.4	36.7	9.8^a	8.7	5.4^b	4.6
26-29	35.2	33.9	13.2^a	10.5	6.8^b	4.0
30-34	38.2	35.5	10.5	9.7	5.8	4.8
35-39	39.3	38.4	9.4	8.5	4.9	4.9
40-44	38.5	38.2	8.5	7.2	4.8	4.1
45-49	35.1	36.8	7.5	7.9	4.9	4.8
50 or Older	32.1	30.9	4.5	4.0	2.7	2.3
50-54	31.5	30.2	6.1	5.8	2.9	3.4
55-59	32.0	33.5	6.1	5.4	3.8	2.5
60-64	35.8	33.7	5.7	5.3	3.3	3.3
65 or Older	31.0	29.2	3.0	2.5	2.0	1.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.7A – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	70,190^b	73,901	37,948	39,580	26,605	27,675
12-20¹	10,148	10,112	7,362	6,866	4,458	4,020
21 or Older¹	60,042^a	63,789	30,586^a	32,714	22,146	23,655
12-17	4,847	4,711	3,420	3,204	1,754	1,562
12-13	571	589	430	394	139	151
14-15	1,793^a	1,496	1,300^a	1,041	669^b	453
16-17	2,483	2,626	1,690	1,769	946	958
18 or Older	65,342^b	69,191	34,528^a	36,376	24,850	26,112
18-25	17,062	17,458	11,558	11,401	8,207	8,291
18-20	5,300	5,401	3,942	3,663	2,704	2,457
21-25	11,762	12,057	7,615	7,739	5,503	5,834
26 or Older	48,280^b	51,732	22,971^a	24,975	16,643	17,821
26-49	35,162^b	37,934	17,794^b	20,087	12,949^b	14,689
26-29	8,265	8,889	4,541	4,926	3,285	3,678
30-34	9,022	9,607	4,848	5,215	3,483	3,747
35-39	7,800	8,250	3,771^a	4,469	2,737	3,243
40-44	5,567^a	6,387	2,598	3,003	1,940	2,215
45-49	4,508	4,801	2,036^a	2,474	1,505	1,807
50 or Older	13,118	13,799	5,177	4,888	3,694	3,132
50-54	3,451	3,935	1,511	1,582	1,072	1,051
55-59	2,923	3,350	1,387	1,197	1,013	780
60-64	3,015	2,793	1,097	990	726	562
65 or Older	3,729	3,721	1,181	1,119	884	738
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.7B – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	24.8^a	25.6	13.4	13.7	9.4	9.6
12-20¹	26.7	26.3	19.3^a	17.8	11.7^a	10.4
21 or Older¹	24.5^a	25.5	12.5	13.1	9.0	9.5
12-17	18.7	18.2	13.2	12.3	6.8	6.0
12-13	7.2	7.3	5.4	4.9	1.7	1.9
14-15	19.7^a	16.9	14.3^a	11.7	7.3^b	5.1
16-17	28.1	29.2	19.1	19.7	10.7	10.7
18 or Older	25.4^a	26.4	13.4	13.9	9.6	10.0
18-25	50.1	50.0	34.0	32.6	24.1	23.7
18-20	43.6	43.0	32.5^a	29.2	22.3^a	19.6
21-25	53.7	53.9	34.8	34.6	25.1	26.1
26 or Older	21.6^a	22.8	10.3^a	11.0	7.4	7.8
26-49	34.0^b	35.9	17.2^b	19.0	12.5^b	13.9
26-29	47.0^a	50.9	25.8	28.2	18.7	21.1
30-34	39.8	40.9	21.4	22.2	15.4	15.9
35-39	33.6	35.6	16.3^a	19.3	11.8^a	14.0
40-44	26.3	28.5	12.3	13.4	9.2	9.9
45-49	23.9	24.9	10.8	12.9	8.0	9.4
50 or Older	10.9	11.4	4.3	4.0	3.1	2.6
50-54	18.5	20.0	8.1	8.0	5.7	5.3
55-59	14.2	17.2	6.8	6.1	4.9	4.0
60-64	13.2	12.4	4.8	4.4	3.2	2.5
65 or Older	6.4	6.2	2.0	1.9	1.5	1.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.8A – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	224,265^b	228,371	177,278	178,687	134,729	134,330
12-20¹	12,615	12,659	10,604	10,413	5,575	5,139
21 or Older¹	211,649	215,712	166,673	168,275	129,154	129,191
12-17	5,593	5,532	4,388	4,244	1,800	1,725
12-13	645	577	360	368	99	102
14-15	1,815	1,577	1,429^a	1,165	541	420
16-17	3,133	3,378	2,598	2,711	1,160	1,202
18 or Older	218,672^b	222,839	172,890	174,444	132,929	132,605
18-25	25,439	25,805	23,179	23,361	16,878	16,589
18-20	7,023	7,127	6,217	6,169	3,775	3,414
21-25	18,416	18,678	16,962	17,192	13,103	13,175
26 or Older	193,233^b	197,034	149,711	151,083	116,051	116,016
26-49	90,358^b	92,145	75,867	76,473	59,111	58,520
26-29	15,320	15,339	13,510	13,342	10,681	10,302
30-34	20,139	20,390	17,284	17,427	13,420	12,941
35-39	20,306	20,323	17,088	16,809	13,067	12,722
40-44	18,397	19,496	15,095	15,748	12,062	12,099
45-49	16,195	16,597	12,890	13,146	9,881	10,456
50 or Older	102,875^a	104,888	73,844	74,610	56,940	57,496
50-54	16,302	17,051	12,282	12,957	9,331	9,882
55-59	17,571	17,364	13,661	13,151	10,750	10,173
60-64	20,390	19,596	14,916	14,101	11,565	10,804
65 or Older	48,612^b	50,876	32,985	34,401	25,294	26,636
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.8B – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	79.1	79.2	62.5	62.0	47.5	46.6
12-20¹	33.1	32.9	27.9	27.0	14.6^a	13.3
21 or Older¹	86.2	86.4	67.9	67.4	52.6	51.7
12-17	21.6	21.3	16.9	16.4	6.9	6.6
12-13	8.1	7.1	4.5	4.5	1.2	1.3
14-15	19.9	17.8	15.7^a	13.1	5.9	4.7
16-17	35.5	37.6	29.4	30.2	13.1	13.4
18 or Older	84.9	85.0	67.1	66.5	51.6	50.6
18-25	74.7	73.8	68.1	66.8	49.6^a	47.5
18-20	57.8	56.7	51.2	49.1	31.1^b	27.2
21-25	84.1	83.4	77.5	76.8	59.9	58.9
26 or Older	86.5	86.7	67.0	66.5	51.9	51.0
26-49	87.3	87.1	73.3	72.3	57.1^a	55.3
26-29	87.1	87.8	76.8	76.4	60.7	59.0
30-34	88.9^a	86.7	76.3	74.1	59.2^b	55.0
35-39	87.5	87.7	73.7	72.6	56.3	54.9
40-44	86.8	87.0	71.2	70.3	56.9	54.0
45-49	85.9	86.2	68.4	68.3	52.4	54.3
50 or Older	85.7	86.3	61.5	61.4	47.4	47.3
50-54	87.3	86.5	65.8	65.8	50.0	50.2
55-59	85.6^a	89.2	66.5	67.6	52.4	52.3
60-64	89.2	87.1	65.2	62.6	50.6	48.0
65 or Older	83.9	85.0	56.9	57.5	43.7	44.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Alcohol Use (2023)	Alcohol Use (2024)	Binge Alcohol Use (2023)	Binge Alcohol Use (2024)	Heavy Alcohol Use¹ (2023)	Heavy Alcohol Use¹ (2024)
TOTAL	134,729	134,330	61,428^b	57,863	16,412^b	14,541
12-20²	5,575	5,139	3,283	2,946	663	576
21 or Older²	129,154	129,191	58,144^a	54,918	15,749^b	13,965
12-17	1,800	1,725	1,016	900	141	98
12-13	99	102	37	52	9	2
14-15	541	420	268	190	22	18
16-17	1,160	1,202	710	658	110	79
18 or Older	132,929	132,605	60,412^b	56,963	16,271^b	14,443
18-25	16,878	16,589	9,764	9,329	2,356	2,098
18-20	3,775	3,414	2,268	2,046	522	478
21-25	13,103	13,175	7,496	7,284	1,834	1,621
26 or Older	116,051	116,016	50,649^b	47,634	13,914^b	12,344
26-49	59,111	58,520	30,391^b	28,295	7,934^a	7,068
26-29	10,681	10,302	5,843	5,415	1,408	1,158
30-34	13,420	12,941	7,263^a	6,355	1,802^a	1,446
35-39	13,067	12,722	6,692	6,247	1,812	1,745
40-44	12,062	12,099	6,015	5,699	1,557	1,521
45-49	9,881	10,456	4,578	4,579	1,354	1,199
50 or Older	56,940	57,496	20,258	19,339	5,980	5,277
50-54	9,331	9,882	3,912	4,147	1,226	1,326
55-59	10,750	10,173	4,900	4,291	1,336	1,315
60-64	11,565	10,804	4,493	4,106	1,487	1,168
65 or Older	25,294	26,636	6,952	6,795	1,931	1,468
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Age Category	Alcohol Use (2023)	Alcohol Use (2024)	Binge Alcohol Use (2023)	Binge Alcohol Use (2024)	Heavy Alcohol Use¹ (2023)	Heavy Alcohol Use¹ (2024)
TOTAL	47.5	46.6	21.7^b	20.1	5.8^b	5.0
12-20²	14.6^a	13.3	8.6^a	7.6	1.7	1.5
21 or Older²	52.6	51.7	23.7^b	22.0	6.4^b	5.6
12-17	6.9	6.6	3.9	3.5	0.5	0.4
12-13	1.2	1.3	0.5	0.6	0.1	<0.1
14-15	5.9	4.7	2.9	2.1	0.2	0.2
16-17	13.1	13.4	8.0	7.3	1.2	0.9
18 or Older	51.6	50.6	23.5^b	21.7	6.3^b	5.5
18-25	49.6^a	47.5	28.7^a	26.7	6.9^a	6.0
18-20	31.1^b	27.2	18.7^a	16.3	4.3	3.8
21-25	59.9	58.9	34.2	32.5	8.4^a	7.2
26 or Older	51.9	51.0	22.7^b	21.0	6.2^b	5.4
26-49	57.1^a	55.3	29.4^b	26.7	7.7^b	6.7
26-29	60.7	59.0	33.2	31.0	8.0	6.6
30-34	59.2^b	55.0	32.0^b	27.0	8.0^a	6.1
35-39	56.3	54.9	28.8	27.0	7.8	7.5
40-44	56.9	54.0	28.4^a	25.4	7.3	6.8
45-49	52.4	54.3	24.3	23.8	7.2	6.2
50 or Older	47.4	47.3	16.9	15.9	5.0	4.3
50-54	50.0	50.2	20.9	21.1	6.6	6.7
55-59	52.4	52.3	23.9	22.0	6.5	6.8
60-64	50.6	48.0	19.7	18.2	6.5	5.2
65 or Older	43.7	44.5	12.0	11.4	3.3^a	2.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	173,419	175,628	5,291	5,023	168,128	170,605	19,156	19,464	148,973	151,142	11,065	10,867	162,354	164,761
SEX
Male	93,987	94,574	2,406	2,280	91,581	92,294	9,890	10,031	81,690	82,264	5,379	5,309	88,608	89,265
Female	79,432	81,053	2,885	2,742	76,548	78,311	9,265	9,433	67,282	68,878	5,686	5,558	73,747	75,496
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	146,406	146,663	3,905	3,674	142,501	142,989	14,802	14,772	127,700	128,217	8,300	8,000	138,106	138,663
AIAN	867	915	59	54	808	861	87	102	721	759	86	90	781	826
Asian	6,088	6,587	116	106	5,972	6,482	694	767	5,278	5,715	316	339	5,772	6,248
Black or African American	18,603	18,653	738	782	17,865	17,871	2,211	2,203	15,654	15,668	1,381	1,494	17,222	17,159
NHPI	*	614	*	*	*	*	*	*	*	*	*	*	*	*
White	116,121	115,522	2,709	2,459	113,412	113,063	11,061	10,915	102,351	102,148	5,995	5,548	110,127	109,974
Two or More Races	4,114	4,371	261	252	3,853	4,119	682	716	3,170	3,404	493	485	3,621	3,886
Hispanic or Latino	27,013^b	28,965	1,386	1,349	25,627^b	27,616	4,354^a	4,692	21,273^b	22,924	2,765	2,867	24,248	26,098
EDUCATION LEVEL
< High School	da	da	da	da	15,072	14,678	1,901	1,942	13,171	12,736	da	da	14,045	13,591
High School Graduate	da	da	da	da	45,802	46,880	6,420	6,840	39,382	40,040	da	da	43,256	44,295
Some College/Associate’s Degree	da	da	da	da	52,656	52,850	7,549	7,188	45,108	45,661	da	da	50,476	50,690
College Graduate	da	da	da	da	54,598^a	56,198	3,286	3,494	51,311	52,704	da	da	54,578	56,186
EMPLOYMENT STATUS
Full-Time	da	da	da	da	82,095	81,786	8,812	8,915	73,283	72,871	da	da	80,320	79,891
Part-Time	da	da	da	da	19,786	20,176	4,444	4,626	15,342	15,549	da	da	18,021	18,307
Unemployed	da	da	da	da	7,134^b	8,518	1,851	2,047	5,283^b	6,471	da	da	6,459^b	7,820
Other²	da	da	da	da	59,113	60,126	4,048	3,876	55,065	56,250	da	da	57,555	58,743
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	61.2	60.9	20.4	19.4	65.3	65.0	56.3	55.7	66.7	66.5	29.1	28.2	66.2	66.0
SEX
Male	67.8	67.1	18.2	17.2	73.1	72.3	57.9	57.1	75.4	74.7	27.5	26.9	74.4	73.6
Female	54.8	55.0	22.8	21.6	57.9	58.2	54.6	54.3	58.4	58.8	30.8	29.6	58.4	58.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	63.3	62.8	20.4	19.3	67.2	66.6	57.4	56.4	68.5	68.1	29.5	28.3	68.0	67.5
AIAN	64.7	67.1	25.0	25.8	73.2	74.6	61.8	65.9	74.9	76.0	29.5	33.7	74.5	75.2
Asian	34.8	35.3	8.0	7.0	37.3	37.8	31.3	32.0	38.2	38.8	13.3	13.9	38.2	38.6
Black or African American	53.5	52.9	20.5	21.9	57.3	56.4	48.5	47.9	58.9	57.8	26.3	28.3	58.4	57.3
NHPI	*	49.5	*	*	*	*	*	*	*	*	*	*	*	*
White	68.2	67.7	21.1	19.5	72.0	71.6	62.7	61.6	73.2	72.8	31.9	29.7	72.7	72.4
Two or More Races	66.4	67.4	28.1	24.1	73.2	75.7	62.4	62.5	76.0	79.2	36.3	33.6	74.9	77.1
Hispanic or Latino	51.7	53.0	20.4	19.5	56.4	57.9	52.7	53.5	57.2	58.8	28.0	27.9	57.3	58.8
EDUCATION LEVEL
< High School	da	da	da	da	61.6	61.1	53.2	54.9	63.0	62.1	da	da	63.3	62.4
High School Graduate	da	da	da	da	65.9	66.7	55.6	56.2	68.0	68.8	da	da	67.4	68.2
Some College/Associate’s Degree	da	da	da	da	68.4	67.9	57.3^a	54.2	70.6	70.7	da	da	69.6	69.4
College Graduate	da	da	da	da	63.1	62.4	57.1	58.4	63.5	62.7	da	da	63.1	62.4
EMPLOYMENT STATUS
Full-Time	da	da	da	da	67.9	67.5	63.7	63.5	68.4	68.0	da	da	68.1	67.7
Part-Time	da	da	da	da	62.7	62.3	53.2	52.5	66.2	65.9	da	da	65.1	64.7
Unemployed	da	da	da	da	62.3	66.1	55.4	55.8	65.2	70.2	da	da	64.4	68.8
Other²	da	da	da	da	63.2	62.8	47.6	45.9	64.7	64.4	da	da	64.2	63.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	79,144	78,336	3,692	3,455	75,452	74,881	13,928	13,746	61,523	61,135	8,106	7,632	71,038	70,703
SEX
Male	46,163	45,697	1,593	1,578	44,569	44,119	7,630	7,361	36,939	36,758	3,931	3,791	42,232	41,906
Female	32,981	32,638	2,099	1,877	30,882	30,762	6,298	6,385	24,584	24,377	4,175	3,841	28,806	28,797
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	66,707	65,474	2,774	2,638	63,933	62,836	11,024	10,706	52,909	52,130	6,223	5,797	60,485	59,678
AIAN	523	579	34	31	489	549	61	79	428	470	56	58	467	522
Asian	2,368	2,389	79	63	2,289	2,326	504	549	1,786	1,777	227	270	2,141	2,119
Black or African American	10,456	10,102	518	555	9,938	9,547	1,645	1,504	8,293	8,043	1,026	1,019	9,430	9,083
NHPI	*	362	*	*	*	345	*	*	*	297	*	*	*	337
White	50,716	49,768	1,945	1,787	48,772	47,981	8,256	8,012	40,515	39,969	4,524	4,084	46,193	45,684
Two or More Races	2,240	2,274	188	184	2,052	2,089	506	516	1,546	1,573	372	342	1,869	1,932
Hispanic or Latino	12,436	12,861	918	816	11,519	12,045	2,904	3,040	8,615	9,005	1,883	1,836	10,553	11,026
EDUCATION LEVEL
< High School	da	da	da	da	9,122	8,472	1,478	1,507	7,644	6,965	da	da	8,346	7,657
High School Graduate	da	da	da	da	25,852	25,605	5,001	4,901	20,851	20,703	da	da	23,833	23,773
Some College/Associate’s Degree	da	da	da	da	24,625	24,808	5,464	5,188	19,161	19,620	da	da	23,017	23,283
College Graduate	da	da	da	da	15,853	15,996	1,985	2,149	13,867	13,847	da	da	15,842	15,990
EMPLOYMENT STATUS
Full-Time	da	da	da	da	38,847	37,278	6,326	6,293	32,521	30,985	da	da	37,470	35,953
Part-Time	da	da	da	da	8,595	8,497	3,179	3,191	5,416	5,306	da	da	7,308	7,164
Unemployed	da	da	da	da	4,909^a	5,754	1,496	1,501	3,412^b	4,253	da	da	4,359^b	5,267
Other²	da	da	da	da	23,101	23,352	2,927	2,761	20,175	20,591	da	da	21,900	22,319
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	27.9	27.2	14.2	13.3	29.3	28.5	40.9	39.3	27.5	26.9	21.3^a	19.8	28.9	28.3
SEX
Male	33.3	32.4	12.0	11.9	35.6	34.5	44.7^a	41.9	34.1	33.4	20.1	19.2	35.5	34.6
Female	22.8	22.2	16.6	14.8	23.4	22.9	37.1	36.7	21.3	20.8	22.6^a	20.5	22.8	22.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	28.9	28.0	14.5	13.9	30.1	29.3	42.8	40.9	28.4	27.7	22.1	20.5	29.8	29.1
AIAN	39.1	42.5	14.3	14.6	44.3	47.5	43.3	51.0	44.5	47.0	19.2	21.7	44.6	47.5
Asian	13.5	12.8	5.4	4.2	14.3	13.6	22.7	22.9	12.9	12.1	9.6	11.0	14.2	13.1
Black or African American	30.1	28.7	14.4	15.6	31.9	30.1	36.1	32.7	31.2	29.7	19.6	19.3	32.0	30.3
NHPI	*	29.2	*	*	*	29.8	*	*	*	29.5	*	*	*	30.6
White	29.8	29.2	15.2	14.1	31.0	30.4	46.8	45.2	29.0	28.5	24.1^a	21.9	30.5	30.1
Two or More Races	36.2	35.1	20.3	17.7	39.0	38.4	46.3	45.0	37.1	36.6	27.4	23.6	38.6	38.3
Hispanic or Latino	23.8	23.5	13.5	11.8	25.3	25.2	35.2	34.7	23.2	23.1	19.0	17.8	24.9	24.9
EDUCATION LEVEL
< High School	da	da	da	da	37.3	35.2	41.3	42.6	36.6	34.0	da	da	37.6	35.1
High School Graduate	da	da	da	da	37.2	36.4	43.3^a	40.3	36.0	35.6	da	da	37.1	36.6
Some College/Associate’s Degree	da	da	da	da	32.0	31.9	41.5	39.1	30.0	30.4	da	da	31.7	31.9
College Graduate	da	da	da	da	18.3	17.8	34.5	35.9	17.2	16.5	da	da	18.3	17.8
EMPLOYMENT STATUS
Full-Time	da	da	da	da	32.1	30.8	45.8	44.9	30.3	28.9	da	da	31.8	30.5
Part-Time	da	da	da	da	27.2	26.2	38.0	36.2	23.4	22.5	da	da	26.4	25.3
Unemployed	da	da	da	da	42.9	44.6	44.8	40.9	42.1	46.1	da	da	43.5	46.3
Other²	da	da	da	da	24.7	24.4	34.4	32.7	23.7	23.6	da	da	24.4	24.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	64,389	63,672	1,920	1,715	62,469	61,958	10,212	10,095	52,257	51,863	5,006^a	4,501	59,384	59,171
SEX
Male	37,305	37,083	781	710	36,524	36,373	5,581	5,432	30,944	30,940	2,374	2,172	34,931	34,910
Female	27,084	26,590	1,139	1,005	25,945	25,585	4,631	4,663	21,314	20,922	2,632	2,329	24,453	24,261
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	55,035	54,424	1,489	1,374	53,546	53,050	8,332	8,058	45,214	44,992	3,993^a	3,546	51,043	50,879
AIAN	456	513	16	19	440	495	52	59	388	435	36	35	420	478
Asian	1,796	1,734	41	15	1,755	1,719	352	318	1,404	1,401	115	102	1,681	1,632
Black or African American	8,424	8,322	262	238	8,162	8,083	1,266	1,104	6,896	6,979	628	556	7,796	7,766
NHPI	*	246	*	2	*	244	*	*	*	211	*	6	*	240
White	42,112	41,700	1,051	1,000	41,061	40,700	6,232	6,124	34,829	34,576	2,959	2,637	39,153	39,063
Two or More Races	1,894	1,909	110	100	1,783	1,809	401	419	1,383	1,391	242	209	1,652	1,700
Hispanic or Latino	9,354	9,248	431	340	8,923	8,907	1,880	2,037	7,043	6,870	1,013	955	8,341	8,293
EDUCATION LEVEL
< High School	da	da	da	da	8,257^a	7,402	1,151	1,151	7,106	6,251	da	da	7,704	6,857
High School Graduate	da	da	da	da	22,894	22,643	3,921	3,847	18,973	18,796	da	da	21,454	21,379
Some College/Associate’s Degree	da	da	da	da	20,462	20,781	3,891	3,706	16,571	17,076	da	da	19,377	19,804
College Graduate	da	da	da	da	10,856	11,131	1,249	1,391	9,607	9,740	da	da	10,847	11,131
EMPLOYMENT STATUS
Full-Time	da	da	da	da	31,372	29,847	4,814	4,790	26,558	25,057	da	da	30,335	28,846
Part-Time	da	da	da	da	6,733	6,536	2,093	2,126	4,640	4,410	da	da	5,888	5,756
Unemployed	da	da	da	da	4,193^a	4,923	1,136	1,221	3,057^a	3,702	da	da	3,836^a	4,549
Other²	da	da	da	da	20,171	20,652	2,169	1,958	18,002	18,694	da	da	19,324	20,021
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	22.7	22.1	7.4	6.6	24.3	23.6	30.0	28.9	23.4	22.8	13.2^b	11.7	24.2	23.7
SEX
Male	26.9	26.3	5.9	5.3	29.1	28.5	32.7	30.9	28.6	28.1	12.1	11.0	29.3	28.8
Female	18.7	18.1	9.0	7.9	19.6	19.0	27.3	26.8	18.5	17.9	14.2^a	12.4	19.4	18.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	23.8	23.3	7.8	7.2	25.2	24.7	32.3	30.8	24.3	23.9	14.2^a	12.6	25.1	24.8
AIAN	34.0	37.6	6.9	8.9	39.8	42.8	36.6	38.1	40.3	43.6	12.3	13.2	40.1	43.5
Asian	10.3	9.3	2.8	1.0	10.9	10.0	15.9	13.3	10.2	9.5	4.8	4.2	11.1	10.1
Black or African American	24.2	23.6	7.3	6.7	26.2	25.5	27.8	24.0	25.9	25.8	12.0	10.5	26.4	25.9
NHPI	*	19.8	*	2.0	*	21.1	*	*	*	20.9	*	4.6	*	21.7
White	24.7	24.4	8.2	7.9	26.1	25.8	35.3	34.5	24.9	24.7	15.7^a	14.1	25.8	25.7
Two or More Races	30.6	29.4	11.9	9.6	33.9	33.2	36.6	36.5	33.1	32.4	17.8	14.5	34.1	33.7
Hispanic or Latino	17.9	16.9	6.3	4.9	19.6	18.7	22.8	23.2	18.9	17.6	10.2	9.3	19.7	18.7
EDUCATION LEVEL
< High School	da	da	da	da	33.7	30.8	32.2	32.6	34.0	30.5	da	da	34.7	31.5
High School Graduate	da	da	da	da	33.0	32.2	34.0	31.6	32.7	32.3	da	da	33.4	32.9
Some College/Associate’s Degree	da	da	da	da	26.6	26.7	29.6	28.0	25.9	26.4	da	da	26.7	27.1
College Graduate	da	da	da	da	12.5	12.4	21.7	23.2	11.9	11.6	da	da	12.5	12.4
EMPLOYMENT STATUS
Full-Time	da	da	da	da	25.9^a	24.6	34.8	34.1	24.8^a	23.4	da	da	25.7	24.4
Part-Time	da	da	da	da	21.3	20.2	25.0	24.1	20.0	18.7	da	da	21.3	20.3
Unemployed	da	da	da	da	36.6	38.2	34.0	33.3	37.7	40.1	da	da	38.3	40.0
Other²	da	da	da	da	21.6	21.6	25.5	23.2	21.2	21.4	da	da	21.6	21.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.13A – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	163,207	163,970	2,144	2,077	161,062	161,892	14,229	13,849	146,834	148,043	5,774	5,522	157,433	158,448
SEX
Male	89,924	89,882	1,074	1,001	88,850	88,881	7,981	7,795	80,870	81,086	3,214	3,036	86,710	86,846
Female	73,283	74,087	1,071	1,076	72,212	73,011	6,248	6,054	65,964	66,957	2,560	2,486	70,723	71,601
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	138,999	138,379	1,663	1,616	137,336	136,763	11,248	10,775	126,089	125,988	4,540	4,289	134,459	134,090
AIAN	808	843	24	20	784	823	68	74	716	749	41	42	767	801
Asian	5,728	6,044	46	32	5,681	6,012	492	459	5,190	5,553	173	160	5,554	5,884
Black or African American	16,679	16,479	228	209	16,451	16,269	1,442	1,262	15,009	15,007	563	485	16,116	15,993
NHPI	*	531	*	*	*	522	*	*	*	*	*	*	*	*
White	111,432	110,588	1,233	1,244	110,198	109,344	8,693	8,408	101,505	100,936	3,481	3,337	107,951	107,251
Two or More Races	3,781	3,894	121	102	3,659	3,793	509	542	3,151	3,250	269	248	3,512	3,646
Hispanic or Latino	24,208^a	25,591	481	461	23,726^a	25,129	2,981	3,074	20,745^a	22,055	1,234	1,233	22,973	24,358
EDUCATION LEVEL
< High School	da	da	da	da	14,462	13,896	1,388	1,410	13,074	12,485	da	da	13,820	13,228
High School Graduate	da	da	da	da	43,523	44,164	4,737	4,820	38,786	39,343	da	da	41,890	42,586
Some College/Associate’s Degree	da	da	da	da	49,833	49,574	5,511	5,003	44,322	44,571	da	da	48,485	48,379
College Graduate	da	da	da	da	53,244	54,259	2,593	2,615	50,652	51,643	da	da	53,237	54,254
EMPLOYMENT STATUS
Full-Time	da	da	da	da	78,838	77,472	6,828	6,513	72,011	70,959	da	da	77,688	76,306
Part-Time	da	da	da	da	18,117	18,158	3,010	2,990	15,107	15,168	da	da	17,134	17,151
Unemployed	da	da	da	da	6,440^b	7,868	1,353	1,580	5,087^b	6,288	da	da	6,006^b	7,414
Other²	da	da	da	da	57,667	58,393	3,038	2,766	54,629	55,628	da	da	56,605	57,577
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.13B – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	57.6	56.9	8.3	8.0	62.5	61.7	41.8^a	39.6	65.7	65.1	15.2	14.3	64.2	63.4
SEX
Male	64.9	63.7	8.1	7.5	70.9	69.6	46.8	44.4	74.7	73.6	16.4	15.4	72.8	71.6
Female	50.6	50.3	8.5	8.5	54.6	54.3	36.8	34.8	57.3	57.1	13.9	13.2	56.0	55.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	60.1	59.2	8.7	8.5	64.8	63.7	43.6^a	41.2	67.7	66.9	16.1	15.2	66.2	65.3
AIAN	60.3	61.8	10.2	9.5	71.0	71.3	47.9	47.7	74.4	74.9	14.1	15.9	73.1	73.0
Asian	32.7	32.4	3.2	2.1	35.4	35.1	22.2	19.1	37.6	37.7	7.3	6.5	36.7	36.3
Black or African American	48.0	46.7	6.3	5.9	52.8	51.4	31.6	27.5	56.4	55.4	10.7	9.2	54.6	53.4
NHPI	*	42.8	*	*	*	45.1	*	*	*	*	*	*	*	*
White	65.4	64.8	9.6	9.9	70.0	69.2	49.3	47.4	72.6	72.0	18.5	17.9	71.2	70.6
Two or More Races	61.0	60.0	13.1	9.7	69.5	69.7	46.5	47.3	75.5	75.6	19.8	17.2	72.6	72.3
Hispanic or Latino	46.3	46.8	7.1	6.7	52.2	52.6	36.1	35.1	55.8	56.6	12.5	12.0	54.2	54.9
EDUCATION LEVEL
< High School	da	da	da	da	59.1	57.8	38.8	39.9	62.5	60.9	da	da	62.3	60.7
High School Graduate	da	da	da	da	62.6	62.8	41.0	39.6	66.9	67.6	da	da	65.3	65.6
Some College/Associate’s Degree	da	da	da	da	64.7	63.7	41.9^a	37.7	69.4	69.0	da	da	66.9	66.2
College Graduate	da	da	da	da	61.5	60.3	45.1	43.7	62.7	61.4	da	da	61.5	60.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	65.2	63.9	49.4^a	46.4	67.2	66.2	da	da	65.8	64.7
Part-Time	da	da	da	da	57.4	56.0	36.0	34.0	65.1	64.3	da	da	61.9	60.6
Unemployed	da	da	da	da	56.3^a	61.0	40.5	43.0	62.8	68.2	da	da	59.9^a	65.2
Other²	da	da	da	da	61.6	61.0	35.7	32.8	64.2	63.7	da	da	63.1	62.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.14A – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	63,490^a	61,078	1,242	1,236	62,248^a	59,842	8,794	8,363	53,454	51,479	3,699	3,479	59,791	57,599
SEX
Male	39,429	38,218	656	659	38,773	37,559	5,462	5,207	33,311	32,353	2,242	2,065	37,187	36,153
Female	24,061	22,860	586	577	23,475	22,283	3,332	3,156	20,143	19,126	1,457	1,414	22,604	21,446
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	54,067	51,948	931	969	53,135	50,980	7,112	6,657	46,023	44,323	2,949	2,751	51,118	49,197
AIAN	408	478	10	9	397	469	43	46	354	423	24	27	384	451
Asian	1,826	1,682	29	21	1,797	1,661	302	277	1,495	1,384	101	87	1,725	1,594
Black or African American	8,533	8,051	119	105	8,414	7,946	939	831	7,475	7,116	395	295	8,138	7,755
NHPI	*	209	*	*	*	201	*	12	*	189	*	*	*	198
White	41,215	39,876	694	768	40,521	39,108	5,477	5,186	35,044	33,921	2,239	2,203	38,976	37,672
Two or More Races	1,785	1,653	75	59	1,710	1,595	325	305	1,385	1,290	182	128	1,603	1,526
Hispanic or Latino	9,423	9,130	310	267	9,113	8,862	1,682	1,706	7,431	7,156	750	727	8,673	8,402
EDUCATION LEVEL
< High School	da	da	da	da	8,047^a	7,193	922	902	7,125	6,291	da	da	7,638	6,772
High School Graduate	da	da	da	da	21,486	20,602	3,137	2,828	18,349	17,774	da	da	20,355	19,686
Some College/Associate’s Degree	da	da	da	da	19,490	19,493	3,370	3,235	16,120	16,257	da	da	18,575	18,587
College Graduate	da	da	da	da	13,226	12,554	1,365	1,398	11,861	11,156	da	da	13,223	12,554
EMPLOYMENT STATUS
Full-Time	da	da	da	da	31,575^a	28,975	4,008	3,974	27,567^a	25,001	da	da	30,844^a	28,222
Part-Time	da	da	da	da	6,513	6,228	1,926	1,869	4,588	4,359	da	da	5,846	5,540
Unemployed	da	da	da	da	4,014	4,626	954	912	3,060^a	3,714	da	da	3,708^a	4,356
Other²	da	da	da	da	20,146	20,012	1,907^a	1,608	18,239	18,405	da	da	19,393	19,481
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.14B – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	22.4^b	21.2	4.8	4.8	24.2^b	22.8	25.8^a	23.9	23.9^a	22.6	9.7	9.0	24.4^b	23.1
SEX
Male	28.4^a	27.1	4.9	5.0	30.9^a	29.4	32.0	29.7	30.8	29.4	11.4	10.5	31.2^a	29.8
Female	16.6^a	15.5	4.6	4.6	17.8^a	16.6	19.6	18.2	17.5	16.3	7.9	7.5	17.9^a	16.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	23.4^a	22.2	4.9	5.1	25.1^a	23.8	27.6^a	25.4	24.7^a	23.5	10.5	9.7	25.2^a	24.0
AIAN	30.4	35.0	4.3	4.2	36.0	40.6	30.7	29.6	36.8	42.3	8.1	10.0	36.6	41.1
Asian	10.4	9.0	2.0	1.4	11.2	9.7	13.6	11.5	10.8	9.4	4.3	3.6	11.4	9.8
Black or African American	24.6	22.8	3.3	2.9	27.0	25.1	20.6	18.1	28.1	26.3	7.5	5.6	27.6	25.9
NHPI	*	16.9	*	*	*	17.4	*	8.2	*	18.8	*	*	*	17.9
White	24.2	23.4	5.4	6.1	25.7	24.8	31.0	29.2	25.1	24.2	11.9	11.8	25.7	24.8
Two or More Races	28.8	25.5	8.1	5.6	32.5	29.3	29.7	26.6	33.2	30.0	13.4	8.8	33.1	30.3
Hispanic or Latino	18.0	16.7	4.6	3.9	20.1	18.6	20.4	19.5	20.0	18.4	7.6	7.1	20.5	18.9
EDUCATION LEVEL
< High School	da	da	da	da	32.9	29.9	25.8	25.5	34.1	30.7	da	da	34.4	31.1
High School Graduate	da	da	da	da	30.9	29.3	27.2^b	23.2	31.7	30.6	da	da	31.7	30.3
Some College/Associate’s Degree	da	da	da	da	25.3	25.0	25.6	24.4	25.2	25.2	da	da	25.6	25.4
College Graduate	da	da	da	da	15.3^a	13.9	23.7	23.4	14.7^a	13.3	da	da	15.3^a	13.9
EMPLOYMENT STATUS
Full-Time	da	da	da	da	26.1^b	23.9	29.0	28.3	25.7^b	23.3	da	da	26.1^b	23.9
Part-Time	da	da	da	da	20.6	19.2	23.0	21.2	19.8	18.5	da	da	21.1	19.6
Unemployed	da	da	da	da	35.1	35.9	28.5	24.8	37.8	40.3	da	da	37.0	38.3
Other²	da	da	da	da	21.5	20.9	22.4^a	19.0	21.4	21.1	da	da	21.6	21.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	49,888	48,028	482	488	49,406	47,540	5,356	5,021	44,050	42,519	1,846	1,671	48,043	46,358
SEX
Male	30,619	29,759	213	285	30,406	29,474	3,353	3,276	27,053	26,198	1,083	1,070	29,536	28,690
Female	19,269	18,269	269	203	19,000	18,066	2,003^a	1,745	16,997	16,321	762^a	601	18,507	17,668
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	43,003	41,482	366	412	42,637	41,070	4,449^a	4,021	38,187	37,049	1,496	1,338	41,507	40,145
AIAN	353	425	5	3	348	422	31	38	317	384	17	16	336	409
Asian	1,405	1,122	16	2	1,389	1,120	187	113	1,202	1,007	36	21	1,369	1,101
Black or African American	6,947	6,731	71	38	6,875	6,693	718	593	6,157	6,101	273^a	164	6,674	6,567
NHPI	*	160	*	1	*	159	16	*	*	152	*	3	*	157
White	32,533	31,719	224^a	338	32,310	31,380	3,275	3,101	29,035	28,279	1,046	1,072	31,487	30,647
Two or More Races	1,493	1,325	45	30	1,447	1,295	222	169	1,225	1,126	116	62	1,377	1,264
Hispanic or Latino	6,886	6,546	116	76	6,769	6,470	907	1,000	5,863	5,470	350	333	6,536	6,213
EDUCATION LEVEL
< High School	da	da	da	da	7,165^a	6,315	652	641	6,513	5,674	da	da	6,903	6,052
High School Graduate	da	da	da	da	18,493	17,616	2,134^a	1,832	16,360	15,785	da	da	17,837	17,131
Some College/Associate’s Degree	da	da	da	da	15,367	15,519	1,901	1,825	13,466	13,695	da	da	14,924	15,084
College Graduate	da	da	da	da	8,380	8,090	669	724	7,711	7,366	da	da	8,379	8,090
EMPLOYMENT STATUS
Full-Time	da	da	da	da	24,067^b	21,584	2,513	2,392	21,553^b	19,192	da	da	23,668^b	21,137
Part-Time	da	da	da	da	4,695	4,400	1,001	952	3,694	3,448	da	da	4,333	4,123
Unemployed	da	da	da	da	3,357	3,828	660	636	2,697	3,192	da	da	3,175	3,670
Other²	da	da	da	da	17,287	17,728	1,181	1,042	16,106	16,687	da	da	16,866	17,427
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	17.6^a	16.7	1.9	1.9	19.2^a	18.1	15.7^a	14.4	19.7^a	18.7	4.8	4.3	19.6^a	18.6
SEX
Male	22.1	21.1	1.6	2.1	24.3	23.1	19.6	18.7	25.0	23.8	5.5	5.4	24.8	23.7
Female	13.3	12.4	2.1	1.6	14.4	13.4	11.8^a	10.0	14.8	13.9	4.1^a	3.2	14.6	13.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18.6	17.8	1.9	2.2	20.1	19.1	17.3^b	15.4	20.5	19.7	5.3	4.7	20.4	19.5
AIAN	26.3	31.2	1.9	1.4	31.5	36.6	22.1	24.3	32.9	38.5	5.8	6.1	32.0	37.3
Asian	8.0	6.0	1.1	0.1	8.7	6.5	8.5^a	4.7	8.7	6.8	1.5	0.8	9.1	6.8
Black or African American	20.0	19.1	2.0	1.1	22.1	21.1	15.7	12.9	23.1	22.5	5.2^a	3.1	22.6	21.9
NHPI	*	12.9	*	1.2	*	13.8	13.2	*	*	15.1	*	2.1	*	14.3
White	19.1	18.6	1.7^a	2.7	20.5	19.9	18.6	17.5	20.8	20.2	5.6	5.7	20.8	20.2
Two or More Races	24.1	20.4	4.9	2.9	27.5	23.8	20.3	14.8	29.4	26.2	8.5	4.3	28.5	25.1
Hispanic or Latino	13.2	12.0	1.7	1.1	14.9	13.6	11.0	11.4	15.8	14.0	3.5	3.2	15.4	14.0
EDUCATION LEVEL
< High School	da	da	da	da	29.3	26.3	18.2	18.1	31.2	27.7	da	da	31.1	27.8
High School Graduate	da	da	da	da	26.6	25.0	18.5^b	15.0	28.2	27.1	da	da	27.8	26.4
Some College/Associate’s Degree	da	da	da	da	19.9	19.9	14.4	13.8	21.1	21.2	da	da	20.6	20.7
College Graduate	da	da	da	da	9.7	9.0	11.6	12.1	9.5	8.8	da	da	9.7	9.0
EMPLOYMENT STATUS
Full-Time	da	da	da	da	19.9^b	17.8	18.2	17.0	20.1^b	17.9	da	da	20.1^b	17.9
Part-Time	da	da	da	da	14.9	13.6	12.0	10.8	15.9	14.6	da	da	15.6	14.6
Unemployed	da	da	da	da	29.3	29.7	19.8	17.3	33.3	34.6	da	da	31.7	32.3
Other²	da	da	da	da	18.5	18.5	13.9	12.3	18.9	19.1	da	da	18.8	18.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	147,213	147,571	1,738	1,612	145,475	145,958	11,790	11,780	133,685	134,178	4,679	4,535	142,534	143,035
SEX
Male	78,159	77,654	787	712	77,373	76,942	6,308	6,410	71,065	70,531	2,435	2,377	75,724	75,277
Female	69,054	69,917	952	900	68,102	69,017	5,482	5,370	62,620	63,647	2,244	2,159	66,810	67,758
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	125,077	124,111	1,353	1,229	123,724	122,882	9,231	9,061	114,493	113,821	3,670	3,461	121,407	120,650
AIAN	742	796	20	17	722	778	62	67	660	711	35	38	708	757
Asian	5,069	5,388	41	32	5,028	5,356	455	417	4,573	4,940	163	146	4,906	5,242
Black or African American	14,265	13,833	172	121	14,092	13,712	890	837	13,202	12,875	358	299	13,906	13,534
NHPI	*	498	*	3	*	495	*	*	*	*	*	9	*	*
White	101,016	100,090	1,005	965	100,012	99,124	7,340	7,250	92,672	91,874	2,868	2,755	98,148	97,334
Two or More Races	3,448	3,507	106	91	3,342	3,416	440	462	2,902	2,954	235	213	3,214	3,294
Hispanic or Latino	22,136^a	23,460	385	383	21,751^a	23,076	2,559	2,719	19,192	20,357	1,009	1,074	21,127	22,385
EDUCATION LEVEL
< High School	da	da	da	da	13,678	13,079	1,229	1,257	12,450	11,823	da	da	13,121	12,512
High School Graduate	da	da	da	da	40,540	40,904	4,003	4,199	36,537	36,705	da	da	39,231	39,556
Some College/Associate’s Degree	da	da	da	da	45,664	45,077	4,518	4,191	41,146	40,886	da	da	44,597	44,072
College Graduate	da	da	da	da	45,593	46,898	2,040	2,134	43,553	44,764	da	da	45,585	46,895
EMPLOYMENT STATUS
Full-Time	da	da	da	da	69,504	68,111	5,560	5,421	63,944	62,690	da	da	68,578	67,142
Part-Time	da	da	da	da	16,294	16,380	2,470	2,552	13,823	13,828	da	da	15,468	15,508
Unemployed	da	da	da	da	5,884^b	7,040	1,133^a	1,397	4,750^a	5,643	da	da	5,540^b	6,660
Other²	da	da	da	da	53,794	54,427	2,626	2,410	51,168	52,017	da	da	52,948	53,725
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.16B – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	51.9	51.2	6.7	6.2	56.5	55.6	34.6	33.7	59.8	59.0	12.3	11.8	58.1	57.3
SEX
Male	56.4	55.1	5.9	5.4	61.7	60.2	37.0	36.5	65.6	64.0	12.4	12.0	63.6	62.1
Female	47.7	47.5	7.5	7.1	51.5	51.3	32.3	30.9	54.3	54.3	12.1	11.5	52.9	52.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	54.1	53.1	7.1	6.5	58.3	57.3	35.8	34.6	61.4	60.4	13.0	12.3	59.8	58.7
AIAN	55.4	58.3	8.7	8.3	65.4	67.4	43.7	43.0	68.6	71.2	11.9	14.4	67.5	69.0
Asian	29.0	28.9	2.8	2.1	31.4	31.3	20.6	17.4	33.1	33.5	6.8	6.0	32.5	32.4
Black or African American	41.0	39.2	4.8	3.4	45.2	43.3	19.5	18.2	49.6	47.5	6.8	5.7	47.1	45.2
NHPI	*	40.2	*	3.4	*	42.8	*	*	*	*	*	6.8	*	*
White	59.3	58.7	7.8	7.6	63.5	62.7	41.6	40.9	66.3	65.5	15.3	14.8	64.8	64.0
Two or More Races	55.7	54.1	11.4	8.7	63.5	62.8	40.3	40.3	69.6	68.8	17.3	14.7	66.4	65.4
Hispanic or Latino	42.4	42.9	5.7	5.6	47.9	48.3	31.0	31.0	51.6	52.2	10.2	10.4	49.9	50.5
EDUCATION LEVEL
< High School	da	da	da	da	55.9	54.4	34.4	35.5	59.5	57.7	da	da	59.2	57.4
High School Graduate	da	da	da	da	58.4	58.2	34.7	34.5	63.1	63.1	da	da	61.1	60.9
Some College/Associate’s Degree	da	da	da	da	59.3	57.9	34.3	31.6	64.4	63.3	da	da	61.5	60.3
College Graduate	da	da	da	da	52.7	52.1	35.5	35.7	53.9	53.3	da	da	52.7	52.1
EMPLOYMENT STATUS
Full-Time	da	da	da	da	57.4	56.2	40.2	38.6	59.7	58.5	da	da	58.1	56.9
Part-Time	da	da	da	da	51.6	50.6	29.6	29.0	59.6	58.6	da	da	55.8	54.8
Unemployed	da	da	da	da	51.4	54.6	33.9	38.0	58.6	61.2	da	da	55.3	58.6
Other²	da	da	da	da	57.5	56.8	30.9	28.6	60.2	59.6	da	da	59.0	58.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	48,536	47,125	895	802	47,642	46,323	6,329	6,201	41,313	40,122	2,615	2,557	45,921	44,568
SEX
Male	26,939	26,741	406	371	26,533	26,370	3,666	3,666	22,866	22,704	1,429	1,435	25,510	25,305
Female	21,598	20,384	488	431	21,109	19,953	2,662	2,535	18,447	17,418	1,186	1,121	20,411	19,263
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	40,772	39,940	658	610	40,114	39,330	5,050	4,820	35,063	34,509	2,037	1,973	38,734	37,967
AIAN	359	423	9	7	349	416	36	37	313	379	20	21	338	402
Asian	1,450	1,368	25	20	1,425	1,348	240	231	1,185	1,116	79	69	1,371	1,299
Black or African American	6,316	5,993	69	32	6,248	5,962	432	390	5,816	5,572	189	125	6,127	5,868
NHPI	*	141	*	2	*	139	*	8	*	131	*	4	*	137
White	30,957	30,649	486	500	30,471	30,148	4,085	3,934	26,386	26,215	1,604	1,653	29,353	28,996
Two or More Races	1,399	1,366	65	49	1,334	1,317	233	220	1,102	1,097	139	101	1,261	1,265
Hispanic or Latino	7,765	7,185	237	192	7,528	6,993	1,278	1,380	6,250	5,613	578	584	7,187	6,602
EDUCATION LEVEL
< High School	da	da	da	da	7,147	6,512	729	724	6,418	5,788	da	da	6,845	6,171
High School Graduate	da	da	da	da	17,828	17,087	2,254	2,188	15,574	14,900	da	da	17,088	16,368
Some College/Associate’s Degree	da	da	da	da	14,922	15,018	2,367	2,323	12,555	12,694	da	da	14,246	14,324
College Graduate	da	da	da	da	7,745	7,706	978	965	6,767	6,741	da	da	7,743	7,705
EMPLOYMENT STATUS
Full-Time	da	da	da	da	22,337^a	20,404	2,827	2,775	19,510^a	17,629	da	da	21,819^a	19,842
Part-Time	da	da	da	da	5,095	4,911	1,375	1,418	3,720	3,493	da	da	4,639	4,347
Unemployed	da	da	da	da	3,316	3,846	690	716	2,626	3,130	da	da	3,112	3,653
Other²	da	da	da	da	16,894	17,162	1,436	1,291	15,458	15,871	da	da	16,352	16,727
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	17.1^a	16.3	3.5	3.1	18.5^a	17.7	18.6	17.7	18.5	17.6	6.9	6.6	18.7^a	17.8
SEX
Male	19.4	19.0	3.1	2.8	21.2	20.6	21.5	20.9	21.1	20.6	7.3	7.3	21.4	20.9
Female	14.9^a	13.8	3.9	3.4	16.0^a	14.8	15.7	14.6	16.0	14.9	6.4	6.0	16.2^a	15.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	17.6	17.1	3.4	3.2	18.9	18.3	19.6	18.4	18.8	18.3	7.2	7.0	19.1	18.5
AIAN	26.8	31.0	3.9	3.3	31.7	36.1	25.5	23.9	32.6	38.0	7.0	8.0	32.2	36.6
Asian	8.3	7.3	1.7	1.3	8.9	7.9	10.8	9.6	8.6	7.6	3.3	2.8	9.1	8.0
Black or African American	18.2	17.0	1.9	0.9	20.1	18.8	9.5	8.5	21.9	20.6	3.6	2.4	20.8	19.6
NHPI	*	11.4	*	2.3	*	12.0	*	5.5	*	13.0	*	2.7	*	12.4
White	18.2	18.0	3.8	4.0	19.3	19.1	23.1	22.2	18.9	18.7	8.5	8.9	19.4	19.1
Two or More Races	22.6	21.1	7.0	4.7	25.3	24.2	21.3	19.2	26.4	25.5	10.2	7.0	26.1	25.1
Hispanic or Latino	14.9^a	13.2	3.5	2.8	16.6^a	14.7	15.5	15.7	16.8^a	14.4	5.8	5.7	17.0^a	14.9
EDUCATION LEVEL
< High School	da	da	da	da	29.2	27.1	20.4	20.5	30.7	28.2	da	da	30.9	28.3
High School Graduate	da	da	da	da	25.7	24.3	19.5	18.0	26.9	25.6	da	da	26.6	25.2
Some College/Associate’s Degree	da	da	da	da	19.4	19.3	18.0	17.5	19.7	19.6	da	da	19.6	19.6
College Graduate	da	da	da	da	8.9	8.6	17.0	16.1	8.4	8.0	da	da	8.9	8.6
EMPLOYMENT STATUS
Full-Time	da	da	da	da	18.5^b	16.8	20.4	19.8	18.2^b	16.4	da	da	18.5^b	16.8
Part-Time	da	da	da	da	16.1	15.2	16.5	16.1	16.0	14.8	da	da	16.7	15.4
Unemployed	da	da	da	da	29.0	29.8	20.7	19.5	32.4	33.9	da	da	31.0	32.1
Other²	da	da	da	da	18.1	17.9	16.9	15.3	18.2	18.2	da	da	18.2	18.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	38,692	37,780	344	320	38,348	37,460	3,616	3,353	34,732	34,107	1,248	1,172	37,444	36,608
SEX
Male	21,140	21,212	123	164	21,018	21,048	2,114	2,050	18,903	18,998	663	698	20,477	20,514
Female	17,552	16,568	221	156	17,330	16,412	1,502	1,303	15,829	15,109	585	474	16,967	16,094
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	33,008	32,436	262	276	32,747	32,159	2,986^a	2,592	29,760	29,567	1,009	925	31,999	31,511
AIAN	313	388	4	2	310	386	26	29	284	357	14	14	300	374
Asian	1,166	965	12	1	1,154	964	150	103	1,004	862	22	18	1,144	947
Black or African American	5,197	5,151	36	17	5,161	5,133	324	254	4,837	4,879	123	68	5,074	5,082
NHPI	*	121	*	1	*	121	10	*	*	116	*	1	*	121
White	24,905	24,708	166	232	24,739	24,476	2,329	2,074	22,410	22,402	755	777	24,150	23,931
Two or More Races	1,171	1,103	39	23	1,133	1,080	147	127	986	953	88	47	1,083	1,056
Hispanic or Latino	5,684	5,345	82	44	5,601	5,300	630	760	4,972	4,540	239	247	5,445	5,098
EDUCATION LEVEL
< High School	da	da	da	da	6,330	5,689	521	472	5,809	5,217	da	da	6,147	5,489
High School Graduate	da	da	da	da	15,260	14,679	1,496	1,299	13,765	13,380	da	da	14,844	14,300
Some College/Associate’s Degree	da	da	da	da	11,693	12,121	1,198	1,122	10,494	10,999	da	da	11,389	11,849
College Graduate	da	da	da	da	5,065	4,972	401	460	4,664	4,512	da	da	5,064	4,972
EMPLOYMENT STATUS
Full-Time	da	da	da	da	17,215^a	15,528	1,620	1,476	15,595^a	14,052	da	da	16,948^a	15,217
Part-Time	da	da	da	da	3,700	3,477	686	641	3,014	2,836	da	da	3,465	3,279
Unemployed	da	da	da	da	2,842	3,229	464	467	2,378	2,762	da	da	2,729	3,118
Other²	da	da	da	da	14,591	15,227	847	769	13,744	14,457	da	da	14,302	14,994
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	13.7	13.1	1.3	1.2	14.9	14.3	10.6	9.6	15.5	15.0	3.3	3.0	15.3	14.7
SEX
Male	15.3	15.0	0.9	1.2	16.8	16.5	12.4	11.7	17.5	17.2	3.4	3.5	17.2	16.9
Female	12.1	11.3	1.7	1.2	13.1	12.2	8.9^a	7.5	13.7	12.9	3.2	2.5	13.4	12.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.3	13.9	1.4	1.4	15.4	15.0	11.6^b	9.9	16.0	15.7	3.6	3.3	15.8	15.3
AIAN	23.4	28.4	1.6	1.0	28.1	33.4	18.5	18.5	29.5	35.7	4.7	5.1	28.6	34.1
Asian	6.7	5.2	0.8	0.1	7.2	5.6	6.8	4.3	7.3	5.9	0.9	0.7	7.6	5.8
Black or African American	15.0	14.6	1.0	0.5	16.6	16.2	7.1	5.5	18.2	18.0	2.3	1.3	17.2	17.0
NHPI	*	9.8	*	0.7	*	10.4	8.4	*	*	11.5	*	0.4	*	10.9
White	14.6	14.5	1.3	1.8	15.7	15.5	13.2	11.7	16.0	16.0	4.0	4.2	15.9	15.7
Two or More Races	18.9	17.0	4.2	2.2	21.5	19.8	13.4	11.1	23.6	22.2	6.5	3.2	22.4	21.0
Hispanic or Latino	10.9	9.8	1.2	0.6	12.3	11.1	7.6	8.7	13.4	11.7	2.4	2.4	12.9	11.5
EDUCATION LEVEL
< High School	da	da	da	da	25.9	23.7	14.6	13.3	27.8	25.4	da	da	27.7	25.2
High School Graduate	da	da	da	da	22.0	20.9	13.0^a	10.7	23.8	23.0	da	da	23.1	22.0
Some College/Associate’s Degree	da	da	da	da	15.2	15.6	9.1	8.5	16.4	17.0	da	da	15.7	16.2
College Graduate	da	da	da	da	5.9	5.5	7.0	7.7	5.8	5.4	da	da	5.9	5.5
EMPLOYMENT STATUS
Full-Time	da	da	da	da	14.2^b	12.8	11.7	10.5	14.6^a	13.1	da	da	14.4^b	12.9
Part-Time	da	da	da	da	11.7	10.7	8.2	7.3	13.0	12.0	da	da	12.5	11.6
Unemployed	da	da	da	da	24.8	25.0	13.9	12.7	29.4	29.9	da	da	27.2	27.4
Other²	da	da	da	da	15.6	15.9	10.0	9.1	16.2	16.6	da	da	16.0	16.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	37,928	37,799	366	422	37,562	37,378	3,545	3,701	34,017	33,676	1,237	1,260	36,692	36,540
SEX
Male	32,339	31,872	247	264	32,093	31,608	2,729	2,854	29,364	28,754	895	910	31,444	30,961
Female	5,589	5,928	119	158	5,470	5,770	816	847	4,654	4,922	341	350	5,248	5,578
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	33,785	33,901	288	363	33,496	33,538	3,024	3,044	30,472	30,494	1,016	1,022	32,768	32,879
AIAN	256	209	6	2	251	207	14	24	237	183	8	6	248	202
Asian	566	767	5	2	561	766	90	98	471	668	45	26	522	741
Black or African American	2,037	2,053	47	43	1,990	2,010	190	151	1,800	1,859	86	77	1,950	1,976
NHPI	131	102	1	*	*	96	*	3	*	93	2	*	*	93
White	29,751	29,693	216	298	29,535	29,395	2,597	2,623	26,938	26,772	838	866	28,913	28,827
Two or More Races	1,043	1,078	14	13	1,029	1,065	123	145	906	920	37	37	1,006	1,041
Hispanic or Latino	4,144	3,898	78	59	4,066	3,839	521	657	3,545	3,182	220	238	3,923	3,660
EDUCATION LEVEL
< High School	da	da	da	da	3,142	2,767	359	375	2,783	2,392	da	da	2,998	2,607
High School Graduate	da	da	da	da	10,789	10,198	1,265	1,228	9,524	8,970	da	da	10,400	9,885
Some College/Associate’s Degree	da	da	da	da	12,291	12,459	1,286	1,380	11,005	11,078	da	da	11,955	12,093
College Graduate	da	da	da	da	11,340	11,954	635	717	10,706	11,236	da	da	11,339	11,954
EMPLOYMENT STATUS
Full-Time	da	da	da	da	22,063	21,089	1,903	2,027	20,160	19,062	da	da	21,778	20,779
Part-Time	da	da	da	da	3,258	3,596	595	677	2,663	2,918	da	da	3,054	3,368
Unemployed	da	da	da	da	1,753	1,855	321	331	1,432	1,523	da	da	1,650	1,768
Other²	da	da	da	da	10,488	10,838	726	665	9,762	10,172	da	da	10,210	10,625
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	13.4	13.1	1.4	1.6	14.6	14.3	10.4	10.6	15.2	14.8	3.2	3.3	15.0	14.6
SEX
Male	23.3	22.6	1.9	2.0	25.6	24.7	16.0	16.3	27.1	26.1	4.6	4.6	26.4	25.5
Female	3.9	4.0	0.9	1.2	4.1	4.3	4.8	4.9	4.0	4.2	1.8	1.9	4.2	4.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.6	14.5	1.5	1.9	15.8	15.6	11.7	11.6	16.4	16.2	3.6	3.6	16.1	16.0
AIAN	19.1	15.3	2.4	0.9	22.7	17.9	9.6	15.4	24.6	18.3	2.8	2.4	23.7	18.4
Asian	3.2	4.1	0.4	0.1	3.5	4.5	4.1	4.1	3.4	4.5	1.9	1.1	3.5	4.6
Black or African American	5.9	5.8	1.3	1.2	6.4	6.3	4.2	3.3	6.8	6.9	1.6	1.5	6.6	6.6
NHPI	11.8	8.2	0.9	*	*	8.3	*	2.0	*	9.2	1.5	*	*	8.4
White	17.5	17.4	1.7	2.4	18.8	18.6	14.7	14.8	19.3	19.1	4.5	4.6	19.1	19.0
Two or More Races	16.8	16.6	1.5	1.3	19.5	19.6	11.3	12.6	21.7	21.4	2.8	2.6	20.8	20.6
Hispanic or Latino	7.9	7.1	1.1	0.9	8.9	8.0	6.3	7.5	9.5	8.2	2.2	2.3	9.3	8.3
EDUCATION LEVEL
< High School	da	da	da	da	12.8	11.5	10.1	10.6	13.3	11.7	da	da	13.5	12.0
High School Graduate	da	da	da	da	15.5	14.5	11.0	10.1	16.4	15.4	da	da	16.2	15.2
Some College/Associate’s Degree	da	da	da	da	16.0	16.0	9.8	10.4	17.2	17.1	da	da	16.5	16.6
College Graduate	da	da	da	da	13.1	13.3	11.0	12.0	13.3	13.4	da	da	13.1	13.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	18.2	17.4	13.8	14.4	18.8	17.8	da	da	18.5	17.6
Part-Time	da	da	da	da	10.3	11.1	7.1	7.7	11.5	12.4	da	da	11.0	11.9
Unemployed	da	da	da	da	15.3	14.4	9.6	9.0	17.7	16.5	da	da	16.5	15.6
Other²	da	da	da	da	11.2	11.3	8.5	7.9	11.5	11.6	da	da	11.4	11.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	9,451	9,261	205	282	9,246	8,980	1,575^b	1,949	7,671	7,031	717	828	8,734	8,433
SEX
Male	8,455	8,088	146	202	8,309	7,886	1,287^a	1,595	7,021	6,290	565	653	7,890	7,435
Female	996	1,173	59	79	938	1,094	288	353	650	741	152	175	844	998
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8,450	8,294	157	237	8,293	8,057	1,386	1,566	6,907	6,491	599	653	7,851	7,641
AIAN	83	76	1	1	82	76	5	10	77	66	2	2	81	74
Asian	171	296	1	2	170	295	50	76	120	218	28	26	143	270
Black or African American	738	567	31	24	707	542	111^a	53	596	489	49	42	689	525
NHPI	16	58	*	*	15	53	*	*	8	51	1	*	14	51
White	7,243	7,015	117^a	197	7,127	6,818	1,173	1,361	5,953	5,457	503	556	6,741	6,459
Two or More Races	198	281	7	8	191	273	39	63	152	210	16	20	182	261
Hispanic or Latino	1,002	967	48	45	954	923	190^b	382	764	541	118	175	884	792
EDUCATION LEVEL
< High School	da	da	da	da	1,070	757	136	195	933^a	562	da	da	1,008^a	664
High School Graduate	da	da	da	da	3,492	3,118	618	648	2,874	2,470	da	da	3,258	2,939
Some College/Associate’s Degree	da	da	da	da	2,850	3,049	589^a	802	2,261	2,248	da	da	2,634	2,775
College Graduate	da	da	da	da	1,835	2,055	232	303	1,603	1,752	da	da	1,834	2,055
EMPLOYMENT STATUS
Full-Time	da	da	da	da	5,359	5,174	822^b	1,091	4,537	4,082	da	da	5,179	4,949
Part-Time	da	da	da	da	660^a	1,017	249^a	394	411	623	da	da	564^a	857
Unemployed	da	da	da	da	698	690	135	148	563	543	da	da	645	648
Other²	da	da	da	da	2,529	2,099	370	316	2,160	1,783	da	da	2,346	1,980
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	3.3	3.2	0.8	1.1	3.6	3.4	4.6^a	5.6	3.4	3.1	1.9	2.1	3.6	3.4
SEX
Male	6.1	5.7	1.1	1.5	6.6	6.2	7.5^a	9.1	6.5	5.7	2.9	3.3	6.6	6.1
Female	0.7	0.8	0.5	0.6	0.7	0.8	1.7	2.0	0.6	0.6	0.8	0.9	0.7	0.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.7	3.6	0.8	1.2	3.9	3.8	5.4	6.0	3.7	3.4	2.1	2.3	3.9	3.7
AIAN	6.2	5.6	0.2	0.3	7.5	6.6	3.8	6.6	8.0	6.6	0.6	0.8	7.7	6.8
Asian	1.0	1.6	0.1	0.1	1.1	1.7	2.3	3.2	0.9	1.5	1.2	1.1	0.9	1.7
Black or African American	2.1	1.6	0.9	0.7	2.3	1.7	2.4^a	1.2	2.2	1.8	0.9	0.8	2.3	1.8
NHPI	1.4	4.7	*	*	1.5	4.6	*	*	0.9	5.0	1.3	*	1.4	4.6
White	4.3	4.1	0.9^a	1.6	4.5	4.3	6.6	7.7	4.3	3.9	2.7	3.0	4.4	4.3
Two or More Races	3.2	4.3	0.8	0.8	3.6	5.0	3.6	5.5	3.6	4.9	1.2	1.4	3.8	5.2
Hispanic or Latino	1.9	1.8	0.7	0.6	2.1	1.9	2.3^b	4.4	2.1	1.4	1.2	1.7	2.1	1.8
EDUCATION LEVEL
< High School	da	da	da	da	4.4	3.1	3.8	5.5	4.5^a	2.7	da	da	4.5^a	3.0
High School Graduate	da	da	da	da	5.0	4.4	5.4	5.3	5.0	4.2	da	da	5.1	4.5
Some College/Associate’s Degree	da	da	da	da	3.7	3.9	4.5^a	6.0	3.5	3.5	da	da	3.6	3.8
College Graduate	da	da	da	da	2.1	2.3	4.0	5.1	2.0	2.1	da	da	2.1	2.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	4.4	4.3	5.9^b	7.8	4.2	3.8	da	da	4.4	4.2
Part-Time	da	da	da	da	2.1^a	3.1	3.0^a	4.5	1.8	2.6	da	da	2.0^a	3.0
Unemployed	da	da	da	da	6.1	5.4	4.0	4.0	7.0	5.9	da	da	6.4	5.7
Other²	da	da	da	da	2.7	2.2	4.3	3.7	2.5	2.0	da	da	2.6	2.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	7,003	6,671	72	117	6,931	6,554	949^a	1,170	5,981	5,384	305	356	6,698	6,315
SEX
Male	6,352	6,004	46	89	6,306	5,915	803^a	1,010	5,503	4,905	228	309	6,124	5,695
Female	651	667	26	28	625	639	146	160	478	479	77	47	574	620
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6,295	6,075	47^a	98	6,248	5,977	826	958	5,421	5,020	245	294	6,051	5,781
AIAN	70	45	<1	<1	70	44	5	6	65	38	1	1	69	43
Asian	78	201	1	1	77	200	21	24	56	175	1	3	77	198
Black or African American	550	396	22	8	527	388	78^a	35	449	353	35	17	514	379
NHPI	16	51	*	*	15	51	*	<1	8	51	1	<1	14	51
White	5,422	5,202	21^b	84	5,401	5,118	697	854	4,703	4,264	201	266	5,221	4,937
Two or More Races	159	180	2	5	157	175	18	37	139	138	5	7	154	173
Hispanic or Latino	708	595	25	19	683	577	123^a	212	560	365	60	61	648	534
EDUCATION LEVEL
< High School	da	da	da	da	839	585	74	131	765^a	454	da	da	810	534
High School Graduate	da	da	da	da	2,564	2,450	390	415	2,175	2,035	da	da	2,435	2,352
Some College/Associate’s Degree	da	da	da	da	2,175	2,116	342	452	1,834	1,665	da	da	2,101	2,027
College Graduate	da	da	da	da	1,352	1,402	144	172	1,208	1,231	da	da	1,352	1,402
EMPLOYMENT STATUS
Full-Time	da	da	da	da	4,016	3,794	515^a	688	3,501	3,106	da	da	3,923	3,685
Part-Time	da	da	da	da	465	685	135^a	225	330	460	da	da	434	618
Unemployed	da	da	da	da	493	487	83	80	410	407	da	da	464	467
Other²	da	da	da	da	1,956	1,588	216	177	1,740	1,411	da	da	1,877	1,545
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.21B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	2.5	2.3	0.3	0.5	2.7	2.5	2.8^a	3.3	2.7	2.4	0.8	0.9	2.7	2.5
SEX
Male	4.6	4.3	0.3	0.7	5.0	4.6	4.7	5.7	5.1	4.5	1.2	1.6	5.1	4.7
Female	0.4	0.5	0.2	0.2	0.5	0.5	0.9	0.9	0.4	0.4	0.4	0.2	0.5	0.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2.7	2.6	0.2^a	0.5	2.9	2.8	3.2	3.7	2.9	2.7	0.9	1.0	3.0	2.8
AIAN	5.3	3.3	0.1	0.1	6.4	3.8	3.3	4.2	6.8	3.8	0.4	0.4	6.6	4.0
Asian	0.4	1.1	0.1	0.1	0.5	1.2	1.0	1.0	0.4	1.2	<0.1	0.1	0.5	1.2
Black or African American	1.6	1.1	0.6	0.2	1.7	1.2	1.7^a	0.8	1.7	1.3	0.7	0.3	1.7	1.3
NHPI	1.4	4.1	*	*	1.5	4.4	*	0.3	0.9	5.0	1.3	0.1	1.4	4.6
White	3.2	3.0	0.2^b	0.7	3.4	3.2	4.0	4.8	3.4	3.0	1.1	1.4	3.4	3.2
Two or More Races	2.6	2.8	0.2	0.5	3.0	3.2	1.6	3.3	3.3	3.2	0.3	0.5	3.2	3.4
Hispanic or Latino	1.4	1.1	0.4	0.3	1.5	1.2	1.5	2.4	1.5	0.9	0.6	0.6	1.5	1.2
EDUCATION LEVEL
< High School	da	da	da	da	3.4	2.4	2.1^a	3.7	3.7^a	2.2	da	da	3.7	2.5
High School Graduate	da	da	da	da	3.7	3.5	3.4	3.4	3.8	3.5	da	da	3.8	3.6
Some College/Associate’s Degree	da	da	da	da	2.8	2.7	2.6	3.4	2.9	2.6	da	da	2.9	2.8
College Graduate	da	da	da	da	1.6	1.6	2.5	2.9	1.5	1.5	da	da	1.6	1.6
EMPLOYMENT STATUS
Full-Time	da	da	da	da	3.3	3.1	3.7^a	4.9	3.3	2.9	da	da	3.3	3.1
Part-Time	da	da	da	da	1.5	2.1	1.6	2.6	1.4	1.9	da	da	1.6	2.2
Unemployed	da	da	da	da	4.3	3.8	2.5	2.2	5.1	4.4	da	da	4.6	4.1
Other²	da	da	da	da	2.1	1.7	2.5	2.1	2.0	1.6	da	da	2.1	1.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.22A – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	70,190^b	73,901	4,847	4,711	65,342^b	69,191	17,062	17,458	48,280^b	51,732	10,148	10,112	60,042^a	63,789
SEX
Male	37,013^b	39,529	2,119	2,085	34,894^b	37,444	8,555	8,751	26,339^b	28,693	4,762	4,809	32,252^a	34,720
Female	33,177	34,372	2,729	2,625	30,448	31,747	8,507	8,707	21,941	23,039	5,386	5,302	27,791	29,069
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	57,655^a	59,915	3,565	3,436	54,091^a	56,479	13,155	13,271	40,936^a	43,208	7,572	7,393	50,083	52,522
AIAN	429	487	50	51	379	436	*	90	302	346	75	84	355	403
Asian	2,328	2,589	108	100	2,219	2,490	631	689	1,588	1,801	291	316	2,037	2,274
Black or African American	7,865	8,205	676	758	7,189	7,448	1,890	1,899	5,300	5,548	1,273	1,421	6,592	6,785
NHPI	*	332	*	*	*	318	*	*	*	250	*	*	*	296
White	44,436	45,696	2,462	2,271	41,973	43,424	9,881	9,867	32,093	33,557	5,441	5,075	38,995	40,621
Two or More Races	2,168^a	2,604	248	241	1,920^a	2,363	618	658	1,302^a	1,705	466	461	1,702^a	2,144
Hispanic or Latino	12,534^b	13,987	1,283	1,275	11,252^b	12,712	3,907	4,188	7,344^b	8,524	2,576	2,719	9,959^a	11,267
EDUCATION LEVEL
< High School	da	da	da	da	5,896	6,129	1,663	1,746	4,232	4,383	da	da	4,942	5,135
High School Graduate	da	da	da	da	20,557	21,148	5,783	6,126	14,774	15,022	da	da	18,180	18,762
Some College/Associate’s Degree	da	da	da	da	23,754	24,666	6,810	6,530	16,944	18,136	da	da	21,800	22,657
College Graduate	da	da	da	da	15,135^b	17,248	2,805	3,056	12,330^b	14,192	da	da	15,120^b	17,236
EMPLOYMENT STATUS
Full-Time	da	da	da	da	35,845	37,579	7,809	8,054	28,036	29,524	da	da	34,188	35,824
Part-Time	da	da	da	da	8,643	9,300	4,021	4,213	4,622	5,088	da	da	7,005	7,562
Unemployed	da	da	da	da	4,630	5,183	1,717	1,804	2,913	3,379	da	da	3,995	4,546
Other²	da	da	da	da	16,224	17,129	3,514	3,388	12,710	13,741	da	da	14,854	15,858
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.22B – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	24.8^a	25.6	18.7	18.2	25.4^a	26.4	50.1	50.0	21.6^a	22.8	26.7	26.3	24.5^a	25.5
SEX
Male	26.7^a	28.0	16.0	15.7	27.8^a	29.3	50.1	49.8	24.3^a	26.0	24.3	24.3	27.1^a	28.6
Female	22.9	23.3	21.6	20.7	23.0	23.6	50.1	50.1	19.0	19.7	29.2	28.3	22.0	22.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	24.9	25.6	18.6	18.0	25.5	26.3	51.0	50.7	22.0	22.9	26.9	26.2	24.7	25.6
AIAN	32.1	35.7	21.5	24.4	34.3	37.8	*	57.7	31.4	34.7	25.8	31.5	33.8	36.7
Asian	13.3	13.9	7.4	6.6	13.8	14.5	28.5	28.7	11.5	12.2	12.2	12.9	13.5	14.0
Black or African American	22.6	23.3	18.8	21.2	23.1	23.5	41.4	41.3	19.9	20.5	24.3	26.9	22.3	22.6
NHPI	*	26.8	*	*	*	27.5	*	*	*	24.8	*	*	*	26.8
White	26.1	26.8	19.2	18.0	26.6	27.5	56.0	55.6	22.9	23.9	29.0	27.2	25.7	26.7
Two or More Races	35.0	40.2	26.7	23.1	36.5^a	43.4	56.5	57.4	31.2^a	39.7	34.3	31.9	35.2^a	42.5
Hispanic or Latino	24.0	25.6	18.9	18.5	24.8	26.6	47.3	47.8	19.8	21.9	26.0	26.4	23.5	25.4
EDUCATION LEVEL
< High School	da	da	da	da	24.1	25.5	46.5	49.4	20.2	21.4	da	da	22.3	23.6
High School Graduate	da	da	da	da	29.6	30.1	50.1	50.3	25.5	25.8	da	da	28.3	28.9
Some College/Associate’s Degree	da	da	da	da	30.8	31.7	51.7	49.3	26.5	28.1	da	da	30.1	31.0
College Graduate	da	da	da	da	17.5^a	19.2	48.8	51.1	15.3^a	16.9	da	da	17.5^a	19.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	29.6^a	31.0	56.5	57.4	26.2	27.5	da	da	29.0^a	30.4
Part-Time	da	da	da	da	27.4	28.7	48.1	47.8	19.9	21.6	da	da	25.3	26.7
Unemployed	da	da	da	da	40.5	40.2	51.4	49.1	36.0	36.6	da	da	39.9	40.0
Other²	da	da	da	da	17.3	17.9	41.3	40.1	14.9	15.7	da	da	16.6	17.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.23A – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	37,948	39,580	3,420	3,204	34,528^a	36,376	11,558	11,401	22,971^a	24,975	7,362	6,866	30,586^a	32,714
SEX
Male	19,606	20,757	1,416	1,400	18,190	19,357	6,031	5,837	12,159^a	13,520	3,404	3,268	16,202	17,490
Female	18,342	18,823	2,004	1,804	16,338	17,019	5,526	5,564	10,811	11,455	3,958	3,599	14,385	15,224
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	31,478	32,027	2,571	2,435	28,907	29,591	9,145	8,815	19,761	20,776	5,622	5,147	25,856	26,879
AIAN	267	263	31	28	236	235	50	69	186	165	50	52	217	211
Asian	1,175	1,416	72	58	1,102	1,358	434	462	669	896	201	232	973	1,184
Black or African American	4,262	4,373	484	525	3,778	3,848	1,323	1,145	2,455	2,703	935	918	3,326	3,454
NHPI	*	211	*	*	*	199	*	*	*	152	*	*	*	192
White	24,326	24,355	1,791	1,635	22,535	22,721	6,859	6,641	15,676	16,079	4,070	3,612	20,257	20,743
Two or More Races	1,193	1,409	182	179	1,011	1,231	436	450	575	781	347	314	846^a	1,095
Hispanic or Latino	6,470^b	7,554	848	769	5,622^b	6,785	2,412	2,586	3,209^b	4,199	1,740	1,719	4,730^b	5,835
EDUCATION LEVEL
< High School	da	da	da	da	3,552	3,796	1,242	1,286	2,310	2,510	da	da	2,844	3,095
High School Graduate	da	da	da	da	11,940	12,281	4,234	4,182	7,706	8,099	da	da	10,133	10,637
Some College/Associate’s Degree	da	da	da	da	12,700	12,951	4,567	4,291	8,133	8,660	da	da	11,282	11,640
College Graduate	da	da	da	da	6,336^b	7,348	1,514	1,643	4,822^a	5,705	da	da	6,327^a	7,342
EMPLOYMENT STATUS
Full-Time	da	da	da	da	18,555	19,487	5,292	5,278	13,263	14,208	da	da	17,282	18,288
Part-Time	da	da	da	da	4,653	4,973	2,574	2,650	2,079	2,323	da	da	3,520	3,814
Unemployed	da	da	da	da	3,029	3,281	1,298	1,246	1,732	2,035	da	da	2,529	2,859
Other²	da	da	da	da	8,290	8,636	2,393	2,227	5,897	6,409	da	da	7,254	7,753
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.23B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	13.4	13.7	13.2	12.3	13.4	13.9	34.0	32.6	10.3^a	11.0	19.3^a	17.8	12.5	13.1
SEX
Male	14.1	14.7	10.7	10.5	14.5	15.2	35.3	33.2	11.2^a	12.3	17.4	16.5	13.6	14.4
Female	12.7	12.8	15.8	14.2	12.4	12.6	32.6	32.0	9.4	9.8	21.4^a	19.2	11.4	11.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.6	13.7	13.5	12.8	13.6	13.8	35.5	33.7	10.6	11.0	20.0^a	18.2	12.7	13.1
AIAN	19.9	19.3	13.2	13.5	21.4	20.3	35.2	44.7	19.4	16.6	17.3	19.6	20.7	19.2
Asian	6.7	7.6	5.0	3.8	6.9	7.9	19.6	19.3	4.8	6.1	8.5	9.5	6.4	7.3
Black or African American	12.3	12.4	13.4	14.7	12.1	12.1	29.0	24.9	9.2	10.0	17.8	17.4	11.3	11.5
NHPI	*	17.0	*	*	*	17.2	*	*	*	15.1	*	*	*	17.4
White	14.3	14.3	14.0	12.9	14.3	14.4	38.9	37.5	11.2	11.5	21.7^a	19.4	13.4	13.6
Two or More Races	19.3	21.7	19.6	17.1	19.2	22.6	39.8	39.3	13.8	18.2	25.6	21.7	17.5	21.7
Hispanic or Latino	12.4	13.8	12.5	11.1	12.4^a	14.2	29.2	29.5	8.6^a	10.8	17.6	16.7	11.2^a	13.2
EDUCATION LEVEL
< High School	da	da	da	da	14.5	15.8	34.8	36.4	11.0	12.2	da	da	12.8	14.2
High School Graduate	da	da	da	da	17.2	17.5	36.7	34.4	13.3	13.9	da	da	15.8	16.4
Some College/Associate’s Degree	da	da	da	da	16.5	16.6	34.7	32.4	12.7	13.4	da	da	15.6	15.9
College Graduate	da	da	da	da	7.3	8.2	26.3	27.4	6.0	6.8	da	da	7.3	8.2
EMPLOYMENT STATUS
Full-Time	da	da	da	da	15.3	16.1	38.3	37.6	12.4	13.3	da	da	14.6	15.5
Part-Time	da	da	da	da	14.8	15.3	30.8	30.1	9.0	9.8	da	da	12.7	13.5
Unemployed	da	da	da	da	26.5	25.4	38.8	33.9	21.4	22.1	da	da	25.2	25.1
Other²	da	da	da	da	8.9	9.0	28.1	26.4	6.9	7.3	da	da	8.1	8.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.24A – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	26,605	27,675	1,754	1,562	24,850	26,112	8,207	8,291	16,643	17,821	4,458	4,020	22,146	23,655
SEX
Male	13,694	14,493	713	608	12,981	13,885	4,255	4,247	8,726	9,638	2,052	1,849	11,643	12,643
Female	12,911	13,182	1,041	955	11,869	12,227	3,953	4,044	7,917	8,183	2,407	2,170	10,504	11,011
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	22,340	23,101	1,363	1,241	20,977	21,859	6,697	6,597	14,280	15,262	3,550	3,155	18,790	19,946
AIAN	192	176	15	17	177	158	43	52	134	106	29	32	162	144
Asian	746	958	33	15	713	943	281	280	433	663	104	86	642	873
Black or African American	2,537	2,909	218	225	2,319	2,684	900	809	1,419^a	1,874	521	503	2,015	2,406
NHPI	*	122	*	1	*	120	*	*	*	87	*	6	*	116
White	17,816	17,906	990	900	16,825	17,006	5,118	5,060	11,707	11,946	2,675	2,343	15,141	15,563
Two or More Races	865	1,030	98	82	767	948	332	362	435	586	207	186	658	844
Hispanic or Latino	4,265	4,574	392	321	3,873	4,253	1,510	1,694	2,363	2,559	908	865	3,356	3,709
EDUCATION LEVEL
< High School	da	da	da	da	2,630	2,722	908	955	1,722	1,767	da	da	2,135	2,233
High School Graduate	da	da	da	da	8,820	9,196	3,164	3,219	5,657	5,977	da	da	7,574	8,067
Some College/Associate’s Degree	da	da	da	da	9,250	9,409	3,175	3,067	6,074	6,342	da	da	8,295	8,571
College Graduate	da	da	da	da	4,150^a	4,785	960	1,050	3,191	3,735	da	da	4,143^a	4,784
EMPLOYMENT STATUS
Full-Time	da	da	da	da	13,532	14,149	3,878	3,987	9,653	10,162	da	da	12,595	13,255
Part-Time	da	da	da	da	3,256	3,437	1,696	1,773	1,560	1,664	da	da	2,520	2,735
Unemployed	da	da	da	da	2,149	2,383	901	974	1,248	1,409	da	da	1,852	2,064
Other²	da	da	da	da	5,914	6,144	1,731	1,557	4,183	4,587	da	da	5,179	5,600
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.24B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	9.4	9.6	6.8	6.0	9.6	10.0	24.1	23.7	7.4	7.8	11.7^a	10.4	9.0	9.5
SEX
Male	9.9	10.3	5.4	4.6	10.4	10.9	24.9	24.2	8.1	8.7	10.5	9.4	9.8	10.4
Female	8.9	9.0	8.2	7.5	9.0	9.1	23.3	23.3	6.9	7.0	13.0^a	11.6	8.3	8.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	9.7	9.9	7.1	6.5	9.9	10.2	26.0	25.2	7.7	8.1	12.6^a	11.2	9.3	9.7
AIAN	14.3	12.9	6.3	8.3	16.0	13.7	30.4	33.6	13.9	10.6	10.1	11.9	15.5	13.1
Asian	4.3	5.1	2.3	1.0	4.4	5.5	12.7	11.7	3.1	4.5	4.4	3.5	4.2	5.4
Black or African American	7.3	8.3	6.1	6.3	7.4	8.5	19.7	17.6	5.3^a	6.9	9.9	9.5	6.8	8.0
NHPI	*	9.8	*	1.5	*	10.4	*	*	*	8.6	*	4.3	*	10.5
White	10.5	10.5	7.7	7.1	10.7	10.8	29.0	28.5	8.4	8.5	14.2^a	12.6	10.0	10.2
Two or More Races	14.0	15.9	10.6	7.8	14.6	17.4	30.4	31.6	10.4	13.6	15.3	12.9	13.6	16.7
Hispanic or Latino	8.2	8.4	5.8	4.7	8.5	8.9	18.3	19.3	6.4	6.6	9.2	8.4	7.9	8.4
EDUCATION LEVEL
< High School	da	da	da	da	10.7	11.3	25.4	27.0	8.2	8.6	da	da	9.6	10.2
High School Graduate	da	da	da	da	12.7	13.1	27.4	26.5	9.8	10.3	da	da	11.8	12.4
Some College/Associate’s Degree	da	da	da	da	12.0	12.1	24.1	23.1	9.5	9.8	da	da	11.4	11.7
College Graduate	da	da	da	da	4.8	5.3	16.7	17.5	3.9	4.4	da	da	4.8	5.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	11.2	11.7	28.1	28.4	9.0	9.5	da	da	10.7	11.2
Part-Time	da	da	da	da	10.3	10.6	20.3	20.1	6.7	7.1	da	da	9.1	9.7
Unemployed	da	da	da	da	18.8	18.5	27.0	26.5	15.4	15.3	da	da	18.5	18.2
Other²	da	da	da	da	6.3	6.4	20.3	18.4	4.9	5.3	da	da	5.8	6.1
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.25A – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	224,265^b	228,371	5,593	5,532	218,672^b	222,839	25,439	25,805	193,233^b	197,034	12,615	12,659	211,649	215,712
SEX
Male	111,096^b	113,708	2,536	2,584	108,560^b	111,124	12,480	12,790	96,080^b	98,334	6,100	6,199	104,996	107,509
Female	113,169	114,663	3,057	2,948	110,112^a	111,715	12,959	13,015	97,153^a	98,700	6,516	6,460	106,653	108,203
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	186,319^a	188,778	4,067	3,912	182,252^b	184,867	19,468	19,595	162,784^b	165,271	9,450	9,257	176,868	179,521
AIAN	890	934	44	46	847	888	94	103	753	785	68	80	822	854
Asian	10,878	11,119	175	140	10,703	10,979	1,313	1,318	9,390	9,661	563	427	10,315	10,692
Black or African American	24,516	25,055	541	590	23,975	24,465	3,045	2,971	20,930	21,494	1,362	1,441	23,154	23,615
NHPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	144,346	145,709	3,077	2,886	141,269	142,823	14,073	14,207	127,197	128,616	6,947	6,778	137,399	138,931
Two or More Races	4,941	5,140	220	238	4,720	4,902	876	885	3,845	4,017	495	491	4,446	4,649
Hispanic or Latino	37,946^b	39,593	1,526	1,621	36,420^b	37,972	5,970	6,210	30,450^a	31,762	3,165	3,402	34,781	36,191
EDUCATION LEVEL
< High School	da	da	da	da	16,758	16,326	2,089	2,010	14,669	14,317	da	da	15,640	15,254
High School Graduate	da	da	da	da	55,726	56,586	7,780	8,236	47,946	48,351	da	da	52,895	53,688
Some College/Associate’s Degree	da	da	da	da	68,008^a	69,024	10,463	10,272	57,545	58,751	da	da	64,955	65,893
College Graduate	da	da	da	da	78,181^b	80,902	5,107	5,288	73,073	75,615	da	da	78,160	80,877
EMPLOYMENT STATUS
Full-Time	da	da	da	da	108,482	108,752	11,613	11,723	96,869	97,028	da	da	106,491	106,578
Part-Time	da	da	da	da	26,768	27,289	6,238	6,411	20,530	20,879	da	da	24,355	24,840
Unemployed	da	da	da	da	8,888^a	10,196	2,232	2,461	6,656^a	7,735	da	da	8,161^b	9,469
Other²	da	da	da	da	74,534	76,601	5,355	5,210	69,179	71,391	da	da	72,643	74,825
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.25B – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	79.1	79.2	21.6	21.3	84.9	85.0	74.7	73.8	86.5	86.7	33.1	32.9	86.2	86.4
SEX
Male	80.1	80.6	19.1	19.5	86.6	87.0	73.1	72.8	88.7	89.3	31.1	31.4	88.2	88.7
Female	78.1	77.9	24.1	23.3	83.3	83.0	76.4	74.9	84.3	84.2	35.3	34.4	84.4	84.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	80.6	80.8	21.3	20.5	85.9	86.2	75.5	74.9	87.4	87.7	33.5	32.8	87.1	87.4
AIAN	66.5	68.5	18.5	22.1	76.7	76.9	66.6	66.4	78.2	78.5	23.6	29.9	78.4	77.8
Asian	62.2	59.7	12.0	9.2	66.8	64.1	59.3	54.9	68.0	65.6	23.7	17.5	68.2	66.0
Black or African American	70.5	71.1	15.1	16.5	76.9	77.2	66.8	64.6	78.7	79.4	26.0	27.3	78.5	78.8
NHPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	84.7	85.4	24.0	22.8	89.7	90.4	79.7	80.1	90.9	91.7	37.0	36.3	90.7	91.4
Two or More Races	79.8	79.2	23.7	22.8	89.6	90.1	80.1	77.2	92.2	93.5	36.5	34.0	91.9	92.2
Hispanic or Latino	72.6	72.5	22.4	23.5	80.1	79.6	72.3	70.8	81.9	81.5	32.0	33.1	82.1	81.6
EDUCATION LEVEL
< High School	da	da	da	da	68.5	67.9	58.4	56.8	70.2	69.8	da	da	70.5	70.0
High School Graduate	da	da	da	da	80.2	80.5	67.4	67.7	82.8	83.1	da	da	82.4	82.7
Some College/Associate’s Degree	da	da	da	da	88.3	88.6	79.5	77.5	90.1	90.9	da	da	89.6	90.2
College Graduate	da	da	da	da	90.3	89.8	88.8	88.3	90.4	90.0	da	da	90.3	89.9
EMPLOYMENT STATUS
Full-Time	da	da	da	da	89.7	89.7	84.0	83.6	90.4	90.5	da	da	90.2	90.3
Part-Time	da	da	da	da	84.8	84.2	74.7	72.8	88.5	88.5	da	da	87.9	87.8
Unemployed	da	da	da	da	77.7	79.1	66.8	67.0	82.2	83.9	da	da	81.4	83.3
Other²	da	da	da	da	79.7	80.0	62.9	61.7	81.3	81.7	da	da	81.0	81.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	177,278	178,687	4,388	4,244	172,890	174,444	23,179	23,361	149,711	151,083	10,604	10,413	166,673	168,275
SEX
Male	88,581	88,339	1,953	1,940	86,628	86,399	11,339	11,646	75,289	74,752	5,096	5,081	83,485	83,258
Female	88,697	90,348	2,435	2,303	86,262	88,045	11,840	11,715	74,422^a	76,330	5,509	5,332	83,188	85,016
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	147,581	146,782	3,175	2,972	144,406	143,809	17,888	17,784	126,518	126,026	8,001	7,576	139,580	139,206
AIAN	606	628	34	29	572	599	79	87	493	512	51	58	555	570
Asian	8,452	8,675	138	95	8,314	8,580	1,205	1,176	7,109	7,404	474	360	7,978	8,315
Black or African American	19,842	19,719	366	394	19,475	19,325	2,707	2,638	16,768	16,687	1,097	1,129	18,745	18,591
NHPI	*	496	*	*	*	*	*	*	*	*	*	*	*	*
White	114,334	113,379	2,443	2,289	111,891	111,090	13,066	13,042	98,826	98,048	5,954	5,636	108,380	107,743
Two or More Races	3,812	3,884	187	156	3,625	3,729	768	771	2,857	2,958	414	364	3,398	3,520
Hispanic or Latino	29,697^b	31,905	1,212	1,271	28,485^b	30,634	5,292	5,577	23,193^b	25,057	2,604	2,836	27,093	29,069
EDUCATION LEVEL
< High School	da	da	da	da	10,989	10,342	1,760	1,639	9,230	8,703	da	da	10,073	9,489
High School Graduate	da	da	da	da	40,841	40,722	6,891	7,252	33,950	33,469	da	da	38,369	38,236
Some College/Associate’s Degree	da	da	da	da	53,574	54,121	9,670	9,452	43,904	44,669	da	da	50,766	51,304
College Graduate	da	da	da	da	67,486^b	69,259	4,859	5,018	62,627	64,241	da	da	67,466	69,244
EMPLOYMENT STATUS
Full-Time	da	da	da	da	92,301	91,123	10,781	10,854	81,520	80,269	da	da	90,588	89,222
Part-Time	da	da	da	da	21,814	22,429	5,714	5,811	16,101	16,618	da	da	19,649	20,267
Unemployed	da	da	da	da	7,188^a	8,140	2,004	2,186	5,184	5,954	da	da	6,554^a	7,510
Other²	da	da	da	da	51,587	52,751	4,680	4,510	46,907	48,241	da	da	49,882	51,276
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.26B – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	62.5	62.0	16.9	16.4	67.1	66.5	68.1	66.8	67.0	66.5	27.9	27.0	67.9	67.4
SEX
Male	63.9	62.7	14.7	14.6	69.1	67.6	66.4	66.3	69.5	67.9	26.0	25.7	70.1	68.7
Female	61.2	61.4	19.2	18.2	65.3	65.4	69.8^a	67.4	64.6	65.1	29.8	28.4	65.8	66.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	63.8	62.8	16.6	15.6	68.1	67.0	69.4	67.9	67.9	66.9	28.4	26.8	68.7	67.8
AIAN	45.3	46.1	14.6	13.8	51.8	51.9	55.9	56.1	51.2	51.3	17.7	21.9	52.9	51.9
Asian	48.3	46.5	9.5	6.3	51.9	50.1	54.4	49.0	51.5	50.3	20.0	14.7	52.8	51.3
Black or African American	57.1	55.9	10.2	11.0	62.5	61.0	59.4	57.4	63.0	61.6	20.9	21.4	63.5	62.0
NHPI	*	40.0	*	*	*	*	*	*	*	*	*	*	*	*
White	67.1	66.4	19.1	18.1	71.0	70.3	74.0	73.6	70.7	69.9	31.7	30.2	71.5	70.9
Two or More Races	61.5	59.9	20.1	14.9	68.8	68.5	70.3	67.2	68.5	68.8	30.5	25.2	70.2	69.8
Hispanic or Latino	56.8	58.4	17.8	18.4	62.7	64.2	64.1	63.6	62.4	64.3	26.3	27.6	64.0	65.5
EDUCATION LEVEL
< High School	da	da	da	da	44.9	43.0	49.2	46.3	44.1	42.4	da	da	45.4	43.5
High School Graduate	da	da	da	da	58.8	57.9	59.7	59.6	58.6	57.5	da	da	59.8	58.9
Some College/Associate’s Degree	da	da	da	da	69.5	69.5	73.4	71.3	68.7	69.1	da	da	70.0	70.2
College Graduate	da	da	da	da	78.0	76.9	84.5	83.8	77.5	76.4	da	da	78.0	76.9
EMPLOYMENT STATUS
Full-Time	da	da	da	da	76.3	75.2	78.0	77.4	76.1	74.9	da	da	76.8	75.6
Part-Time	da	da	da	da	69.1	69.2	68.4	66.0	69.4	70.4	da	da	70.9	71.6
Unemployed	da	da	da	da	62.8	63.1	60.0	59.5	64.0	64.6	da	da	65.4	66.1
Other²	da	da	da	da	55.1	55.1	55.0	53.4	55.1	55.2	da	da	55.6	55.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	134,729	134,330	1,800	1,725	132,929	132,605	16,878	16,589	116,051	116,016	5,575	5,139	129,154	129,191
SEX
Male	69,489	69,160	799	783	68,689	68,377	8,258	8,192	60,432	60,184	2,691	2,448	66,798	66,712
Female	65,240	65,170	1,001	942	64,240	64,228	8,620	8,397	55,619	55,831	2,884	2,691	62,356	62,479
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	113,227	111,284	1,307	1,234	111,920	110,050	13,260	12,879	98,659	97,171	4,339	3,890	108,887	107,394
AIAN	401	404	9	12	392	392	53	55	339	337	17	22	385	383
Asian	5,685	6,113	19	30	5,666	6,083	781	770	4,885	5,314	180	172	5,505	5,941
Black or African American	14,787	14,444	155	150	14,632	14,294	1,946	1,688	12,686	12,606	558	459	14,229	13,985
NHPI	*	318	*	*	*	317	*	*	*	280	*	7	*	312
White	89,086	87,137	1,046	974	88,041	86,163	9,874	9,785	78,167	76,378	3,356	3,043	85,731	84,094
Two or More Races	2,881	2,867	73	67	2,808	2,800	565	543	2,243	2,256	223	188	2,658	2,679
Hispanic or Latino	21,502^a	23,046	493	491	21,009^a	22,555	3,617	3,710	17,392^a	18,845	1,236	1,249	20,266	21,797
EDUCATION LEVEL
< High School	da	da	da	da	7,063	7,292	1,000	942	6,064	6,349	da	da	6,619	6,882
High School Graduate	da	da	da	da	29,313	28,261	4,646	4,638	24,667	23,623	da	da	27,824	26,916
Some College/Associate’s Degree	da	da	da	da	40,560	40,741	7,134	6,771	33,426	33,971	da	da	38,736	39,090
College Graduate	da	da	da	da	55,992	56,311	4,098	4,238	51,894	52,073	da	da	55,975	56,303
EMPLOYMENT STATUS
Full-Time	da	da	da	da	73,422	71,834	8,290	8,207	65,132	63,627	da	da	72,328	70,755
Part-Time	da	da	da	da	16,404	16,627	4,166	4,028	12,238	12,599	da	da	15,093	15,422
Unemployed	da	da	da	da	5,286	5,720	1,373	1,452	3,913	4,268	da	da	4,911	5,369
Other²	da	da	da	da	37,817	38,425	3,048	2,903	34,769	35,522	da	da	36,822	37,645
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.27B – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	47.5	46.6	6.9	6.6	51.6	50.6	49.6^a	47.5	51.9	51.0	14.6^a	13.3	52.6	51.7
SEX
Male	50.1	49.0	6.0	5.9	54.8	53.5	48.4	46.7	55.8	54.6	13.7	12.4	56.1	55.0
Female	45.0	44.3	7.9	7.4	48.6	47.7	50.8	48.3	48.3	47.6	15.6	14.3	49.3	48.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	49.0^a	47.6	6.8	6.5	52.8^a	51.3	51.4	49.2	52.9^a	51.6	15.4^a	13.8	53.6^a	52.3
AIAN	30.0	29.7	4.0	5.7	35.5	34.0	37.5	35.6	35.2	33.7	5.8	8.1	36.7	34.9
Asian	32.5	32.8	1.3	2.0	35.3	35.5	35.3	32.1	35.4	36.1	7.6	7.0	36.4	36.7
Black or African American	42.5	41.0	4.3	4.2	47.0	45.1	42.7^a	36.7	47.7	46.5	10.6	8.7	48.2	46.7
NHPI	*	25.7	*	*	*	27.4	*	*	*	27.7	*	4.9	*	28.2
White	52.3	51.1	8.2	7.7	55.9	54.5	56.0	55.2	55.9	54.5	17.9	16.3	56.6	55.3
Two or More Races	46.5	44.2	7.9	6.4	53.3	51.4	51.7	47.4	53.8	52.5	16.4	13.0	55.0	53.2
Hispanic or Latino	41.2	42.2	7.3	7.1	46.2	47.3	43.8	42.3	46.8	48.4	12.5	12.1	47.9	49.1
EDUCATION LEVEL
< High School	da	da	da	da	28.9	30.3	28.0	26.6	29.0	31.0	da	da	29.8	31.6
High School Graduate	da	da	da	da	42.2	40.2	40.3	38.1	42.6	40.6	da	da	43.4	41.5
Some College/Associate’s Degree	da	da	da	da	52.6	52.3	54.2	51.1	52.3	52.6	da	da	53.4	53.5
College Graduate	da	da	da	da	64.7^a	62.5	71.2	70.8	64.2^a	61.9	da	da	64.7^a	62.6
EMPLOYMENT STATUS
Full-Time	da	da	da	da	60.7	59.3	60.0	58.5	60.8	59.4	da	da	61.3	60.0
Part-Time	da	da	da	da	52.0	51.3	49.9^a	45.8	52.8	53.4	da	da	54.5	54.5
Unemployed	da	da	da	da	46.2	44.4	41.1	39.5	48.3	46.3	da	da	49.0	47.2
Other²	da	da	da	da	40.4	40.1	35.8	34.4	40.9	40.7	da	da	41.1	40.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.28A – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	61,428^b	57,863	1,016	900	60,412^b	56,963	9,764	9,329	50,649^b	47,634	3,283	2,946	58,144^a	54,918
SEX
Male	33,641	32,179	441	385	33,199	31,795	4,783	4,652	28,417	27,143	1,584	1,393	32,056	30,786
Female	27,787^b	25,684	574	515	27,213^b	25,169	4,981	4,678	22,232^a	20,491	1,699	1,552	26,088^a	24,132
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	49,479^b	45,796	732	680	48,747^b	45,116	7,539	7,117	41,208^b	37,999	2,525	2,281	46,955^b	43,516
AIAN	256	260	6	5	250	255	37	45	213	210	13	11	244	249
Asian	1,869	2,002	10	*	1,858	1,989	309	338	1,549	1,651	55	88	1,814	1,914
Black or African American	7,515	7,164	85	98	7,430	7,065	1,075	932	6,355	6,134	312	289	7,203	6,875
NHPI	*	170	*	*	*	169	*	*	*	144	*	4	*	166
White	38,184^b	35,009	590	528	37,594^b	34,480	5,775	5,479	31,819^a	29,001	2,011	1,789	36,173^a	33,220
Two or More Races	1,376	1,192	36	35	1,340	1,157	317	299	1,023	858	127	100	1,249	1,092
Hispanic or Latino	11,949	12,067	283	220	11,665	11,847	2,224	2,212	9,441	9,635	759	665	11,190	11,402
EDUCATION LEVEL
< High School	da	da	da	da	4,507	4,538	649	640	3,858	3,899	da	da	4,233	4,251
High School Graduate	da	da	da	da	16,657^b	14,708	2,924	2,677	13,733^a	12,031	da	da	15,760^a	13,953
Some College/Associate’s Degree	da	da	da	da	19,151	18,539	4,012	3,762	15,139	14,776	da	da	18,064	17,539
College Graduate	da	da	da	da	20,098	19,179	2,179	2,251	17,919	16,928	da	da	20,088	19,174
EMPLOYMENT STATUS
Full-Time	da	da	da	da	35,444^b	32,596	4,778	4,729	30,666^b	27,867	da	da	34,752^b	31,890
Part-Time	da	da	da	da	6,806	6,470	2,289	2,072	4,517	4,398	da	da	6,037	5,859
Unemployed	da	da	da	da	3,387	3,405	878	928	2,509	2,477	da	da	3,172	3,164
Other²	da	da	da	da	14,774	14,492	1,818	1,600	12,957	12,892	da	da	14,184	14,004
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.28B – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	21.7^b	20.1	3.9	3.5	23.5^b	21.7	28.7^a	26.7	22.7^b	21.0	8.6^a	7.6	23.7^b	22.0
SEX
Male	24.3^a	22.8	3.3	2.9	26.5^a	24.9	28.0	26.5	26.2^a	24.6	8.1	7.1	26.9^a	25.4
Female	19.2^b	17.4	4.5	4.1	20.6^b	18.7	29.4^a	26.9	19.3^b	17.5	9.2	8.3	20.6^b	18.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	21.4^b	19.6	3.8	3.6	23.0^b	21.0	29.3^a	27.2	22.1^b	20.2	9.0	8.1	23.1^b	21.2
AIAN	19.1	19.1	2.6	2.4	22.6	22.1	25.9	28.7	22.2	21.0	4.3	4.2	23.2	22.7
Asian	10.7	10.7	0.7	*	11.6	11.6	14.0	14.1	11.2	11.2	2.3	3.6	12.0	11.8
Black or African American	21.6	20.3	2.4	2.7	23.8	22.3	23.6	20.3	23.9	22.6	5.9	5.5	24.4	22.9
NHPI	*	13.7	*	*	*	14.6	*	*	*	14.3	*	2.9	*	15.1
White	22.4^b	20.5	4.6	4.2	23.9^b	21.8	32.7	30.9	22.7^b	20.7	10.7	9.6	23.9^b	21.9
Two or More Races	22.2	18.4	3.9	3.4	25.4	21.3	28.9	26.1	24.5	20.0	9.4	6.9	25.8	21.7
Hispanic or Latino	22.9	22.1	4.2	3.2	25.7	24.8	26.9	25.2	25.4	24.7	7.7	6.5	26.4	25.7
EDUCATION LEVEL
< High School	da	da	da	da	18.4	18.9	18.2	18.1	18.5	19.0	da	da	19.1	19.5
High School Graduate	da	da	da	da	24.0^b	20.9	25.3^b	22.0	23.7^b	20.7	da	da	24.6^b	21.5
Some College/Associate’s Degree	da	da	da	da	24.9	23.8	30.5	28.4	23.7	22.9	da	da	24.9	24.0
College Graduate	da	da	da	da	23.2^a	21.3	37.9	37.6	22.2^b	20.1	da	da	23.2^a	21.3
EMPLOYMENT STATUS
Full-Time	da	da	da	da	29.3^b	26.9	34.6	33.7	28.6^b	26.0	da	da	29.5^b	27.0
Part-Time	da	da	da	da	21.6	20.0	27.4^a	23.5	19.5	18.6	da	da	21.8	20.7
Unemployed	da	da	da	da	29.6	26.4	26.3	25.3	31.0	26.9	da	da	31.6	27.8
Other²	da	da	da	da	15.8	15.1	21.4	19.0	15.2	14.8	da	da	15.8	15.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.29A – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	16,412^b	14,541	141	98	16,271^b	14,443	2,356	2,098	13,914^b	12,344	663	576	15,749^b	13,965
SEX
Male	9,848	9,045	71	44	9,777	9,001	1,139	1,158	8,638	7,842	321	320	9,527	8,724
Female	6,564^b	5,496	70	54	6,494^b	5,442	1,218^b	940	5,276^a	4,502	342	256	6,222^a	5,241
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14,068^b	12,101	86	67	13,982^b	12,034	1,908^a	1,602	12,075^b	10,432	521	453	13,547^b	11,648
AIAN	75	78	4	*	71	77	4	7	66	70	5	3	70	76
Asian	348	374	*	1	348	373	36	25	312	348	5	2	343	372
Black or African American	1,649^a	1,232	11	7	1,638^a	1,224	209	183	1,429^a	1,041	32	44	1,616^a	1,187
NHPI	*	38	*	*	*	38	5	*	*	27	*	*	*	36
White	11,438^b	9,942	60	54	11,377^b	9,888	1,571^a	1,283	9,807^a	8,604	414	383	11,024^b	9,559
Two or More Races	468	437	11	3	458	434	83	92	375	342	63	18	405	419
Hispanic or Latino	2,344	2,440	55	31	2,288	2,409	449	496	1,840	1,912	142	123	2,202	2,317
EDUCATION LEVEL
< High School	da	da	da	da	1,251	1,297	159	168	1,092	1,129	da	da	1,177	1,228
High School Graduate	da	da	da	da	4,909^b	3,936	712	669	4,197^a	3,267	da	da	4,684^a	3,754
Some College/Associate’s Degree	da	da	da	da	5,143	4,628	1,004	796	4,139	3,832	da	da	4,921	4,400
College Graduate	da	da	da	da	4,968	4,583	482	466	4,486	4,118	da	da	4,967	4,583
EMPLOYMENT STATUS
Full-Time	da	da	da	da	9,529^b	8,060	1,146	1,040	8,383^b	7,020	da	da	9,369^b	7,894
Part-Time	da	da	da	da	1,590	1,603	551	462	1,039	1,141	da	da	1,408	1,462
Unemployed	da	da	da	da	1,013	938	266	203	747	736	da	da	964	892
Other²	da	da	da	da	4,139	3,841	394	394	3,745	3,448	da	da	4,008	3,717
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.29B – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	5.8^b	5.0	0.5	0.4	6.3^b	5.5	6.9^a	6.0	6.2^b	5.4	1.7	1.5	6.4^b	5.6
SEX
Male	7.1	6.4	0.5	0.3	7.8	7.0	6.7	6.6	8.0	7.1	1.6	1.6	8.0	7.2
Female	4.5^b	3.7	0.6	0.4	4.9^b	4.0	7.2^b	5.4	4.6^a	3.8	1.9	1.4	4.9^b	4.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6.1^b	5.2	0.5	0.4	6.6^b	5.6	7.4^a	6.1	6.5^b	5.5	1.9	1.6	6.7^b	5.7
AIAN	5.6	5.7	1.9	*	6.4	6.7	3.1	4.6	6.9	7.0	1.8	1.0	6.7	6.9
Asian	2.0	2.0	*	0.1	2.2	2.2	1.6	1.0	2.3	2.4	0.2	0.1	2.3	2.3
Black or African American	4.7^b	3.5	0.3	0.2	5.3^a	3.9	4.6	4.0	5.4^a	3.8	0.6	0.8	5.5^b	4.0
NHPI	*	3.1	*	*	*	3.3	4.1	*	*	2.7	*	*	*	3.3
White	6.7^b	5.8	0.5	0.4	7.2^b	6.3	8.9^a	7.2	7.0^a	6.1	2.2	2.1	7.3^b	6.3
Two or More Races	7.6	6.7	1.2	0.3	8.7	8.0	7.6	8.0	9.0	8.0	4.7	1.3	8.4	8.3
Hispanic or Latino	4.5	4.5	0.8	0.5	5.0	5.0	5.4	5.7	4.9	4.9	1.4	1.2	5.2	5.2
EDUCATION LEVEL
< High School	da	da	da	da	5.1	5.4	4.4	4.7	5.2	5.5	da	da	5.3	5.6
High School Graduate	da	da	da	da	7.1^b	5.6	6.2	5.5	7.2^b	5.6	da	da	7.3^b	5.8
Some College/Associate’s Degree	da	da	da	da	6.7	5.9	7.6^a	6.0	6.5	5.9	da	da	6.8	6.0
College Graduate	da	da	da	da	5.7	5.1	8.4	7.8	5.6	4.9	da	da	5.7	5.1
EMPLOYMENT STATUS
Full-Time	da	da	da	da	7.9^b	6.6	8.3	7.4	7.8^b	6.5	da	da	7.9^b	6.7
Part-Time	da	da	da	da	5.0	4.9	6.6	5.2	4.5	4.8	da	da	5.1	5.2
Unemployed	da	da	da	da	8.9	7.3	8.0	5.5	9.2	8.0	da	da	9.6	7.8
Other²	da	da	da	da	4.4	4.0	4.6	4.7	4.4	3.9	da	da	4.5	4.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.30A – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	79,144	78,336	3,692	3,455	75,452	74,881	13,928	13,746	61,523	61,135	8,106	7,632	71,038	70,703
GEOGRAPHIC REGION
Northeast	12,542	12,811	592	537	11,949	12,274	2,374	2,353	9,575	9,921	1,344	1,192	11,198	11,619
Midwest	17,660	18,479	834	755	16,826	17,724	3,149	3,176	13,677	14,548	1,863	1,772	15,797	16,707
South	33,625^b	31,485	1,534	1,496	32,091^b	29,989	5,581	5,422	26,510^a	24,568	3,211	3,126	30,414	28,359
West	15,317	15,561	732	667	14,586	14,893	2,824	2,795	11,762	12,099	1,688	1,543	13,629	14,018
COUNTY TYPE
Large Metro	39,953	39,661	1,830	1,674	38,123	37,987	6,815	6,879	31,308	31,108	3,855	3,573	36,097	36,088
Small Metro	26,386	26,705	1,270	1,273	25,116	25,431	4,932	4,830	20,183	20,602	2,915	2,775	23,471	23,929
Nonmetro	12,805	11,970	592	507	12,213	11,463	2,181	2,037	10,032	9,426	1,336	1,284	11,469	10,686
Urbanized	5,472	4,953	195	170	5,277	4,783	940	1,058	4,337	3,725	548	557	4,924	4,395
Less Urbanized	6,377	6,205	338	297	6,040	5,908	1,088	881	4,951	5,027	700	643	5,677	5,562
Completely Rural	956	812	59	41	897	772	153	*	744	674	88	84	868	728
POVERTY LEVEL²
Less Than 100%	16,909	16,795	854	767	16,056	16,028	3,556	3,288	12,500	12,740	2,048	2,060	14,862	14,735
100-199%	17,358	17,437	850	744	16,509	16,693	3,341	3,445	13,168	13,247	1,859	1,739	15,499	15,698
200% or More	44,864	44,069	1,989	1,943	42,876	42,126	7,020	6,979	35,856	35,148	4,189	3,812	40,676	40,257
HEALTH INSURANCE³
Private	41,716	41,693	1,865	1,849	39,851	39,844	7,755	7,614	32,095	32,230	4,154	3,942	37,562	37,751
Medicaid/CHIP	21,933	21,049	1,795	1,587	20,138	19,463	3,835	3,521	16,303	15,941	3,290	2,979	18,643	18,071
Other⁴	16,172	15,938	165	132	16,006	15,806	1,165	1,058	14,842	14,748	535	433	15,636	15,506
No Coverage	9,890	9,248	145	182	9,745	9,066	1,908	2,156	7,837^a	6,910	637	790	9,253	8,458
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.30B – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	27.9	27.2	14.2	13.3	29.3	28.5	40.9	39.3	27.5	26.9	21.3^a	19.8	28.9	28.3
GEOGRAPHIC REGION
Northeast	25.6	25.8	14.6	13.2	26.6	26.9	41.3	39.8	24.4	25.0	22.3	19.6	26.1	26.6
Midwest	30.3	31.4	15.4	14.0	31.9	33.1	44.1	43.6	29.9	31.5	23.0	21.7	31.5	32.9
South	30.8^b	28.2	14.9	14.5	32.4^b	29.6	42.5	40.1	30.9^b	28.0	21.7	20.6	32.2^b	29.4
West	22.9	22.9	11.9	10.9	24.0	24.0	35.2	33.9	22.3	22.5	18.4	17.0	23.6	23.8
COUNTY TYPE
Large Metro	25.5	24.6	12.8	11.4	26.7	25.9	37.2	36.9	25.2	24.3	18.6	16.9	26.5	25.7
Small Metro	29.7	29.0	15.4	15.2	31.1	30.3	43.2	40.4	29.1	28.7	23.4	21.9	30.7	30.1
Nonmetro	34.0	34.7	17.5	17.5	35.7	36.2	51.2	46.8	33.5	34.6	27.0	27.3	35.1	35.8
Urbanized	36.1	34.7	16.0	14.9	37.8	36.4	49.9	48.6	35.9	34.0	28.5	27.1	37.2	36.0
Less Urbanized	33.0	35.5	18.1	19.5	34.5	37.1	52.2	46.4	32.2	35.8	26.4	28.2	34.0	36.6
Completely Rural	30.8	29.0	19.3	17.2	32.0	30.1	52.3	*	29.6	29.5	22.9	22.9	31.9	29.9
POVERTY LEVEL²
Less Than 100%	37.4	36.2	14.9	13.9	40.7	39.2	42.3	39.3	40.3	39.1	22.7	23.1	41.1	39.3
100-199%	31.9	31.3	15.9	14.0	33.7	33.2	42.4	40.6	32.0	31.7	23.1	20.9	33.5	33.2
200% or More	24.4	23.7	13.4	12.9	25.4	24.7	39.6	38.9	23.7	23.0	20.0^a	18.0	25.0	24.4
HEALTH INSURANCE³
Private	24.4	23.7	13.3	12.6	25.4	24.7	40.7	38.6	23.3	22.8	20.4	18.6	24.9	24.4
Medicaid/CHIP	36.1	35.7	16.4	15.2	40.4	40.1	40.3	39.2	40.5	40.3	21.8	20.6	40.8	40.6
Other⁴	20.6	20.1	11.9	9.6	20.7	20.3	41.3	37.9	20.0	19.7	22.1	18.1	20.5	20.2
No Coverage	41.6^b	36.7	11.6	15.1	43.3^b	37.8	42.6	42.8	43.4^b	36.4	24.1	27.3	43.8^b	37.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.31A – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	64,389	63,672	1,920	1,715	62,469	61,958	10,212	10,095	52,257	51,863	5,006^a	4,501	59,384	59,171
GEOGRAPHIC REGION
Northeast	9,945	10,092	283	261	9,662	9,831	1,738	1,678	7,924	8,153	791	679	9,154	9,413
Midwest	14,454	15,349	439	418	14,015	14,931	2,372	2,326	11,643^a	12,605	1,179	1,105	13,275	14,244
South	27,874^a	26,211	772	721	27,102^a	25,490	4,210	4,058	22,892	21,433	1,989	1,826	25,885	24,386
West	12,117	12,020	426	315	11,690	11,706	1,892	2,034	9,798	9,672	1,047	892	11,070	11,129
COUNTY TYPE
Large Metro	31,282	31,161	936^a	739	30,346	30,422	4,805	4,942	25,541	25,480	2,269^a	1,939	29,013	29,222
Small Metro	21,815	22,095	658	669	21,157	21,426	3,730	3,529	17,427	17,897	1,896	1,694	19,918	20,400
Nonmetro	11,293	10,416	327	307	10,966	10,109	1,677	1,623	9,289	8,486	840	867	10,452	9,549
Urbanized	4,827	4,262	99	96	4,727	4,167	722	852	4,005	3,315	344	375	4,483	3,887
Less Urbanized	5,627	5,419	188	192	5,439	5,227	843	695	4,597	4,531	437	440	5,191	4,979
Completely Rural	839	734	39	19	800	716	*	*	687	640	60	52	779	683
POVERTY LEVEL²
Less Than 100%	14,452	14,290	423	392	14,029	13,898	2,707	2,323	11,322	11,575	1,316	1,235	13,135	13,055
100-199%	14,865	14,728	468	398	14,397	14,330	2,460	2,571	11,937	11,759	1,182	1,082	13,683	13,646
200% or More	35,063	34,632	1,029	925	34,034	33,707	5,036	5,178	28,998	28,529	2,500^a	2,172	32,563	32,460
HEALTH INSURANCE³
Private	32,351	32,599	956	901	31,395	31,699	5,461	5,451	25,934	26,248	2,520	2,254	29,831	30,346
Medicaid/CHIP	18,689	17,772	930	834	17,759	16,938	2,955	2,606	14,805	14,332	1,988	1,796	16,702	15,976
Other⁴	14,195	13,896	72	73	14,123	13,823	908	800	13,215	13,022	352	290	13,843	13,606
No Coverage	8,457	7,770	91	89	8,367	7,681	1,437^a	1,698	6,930^a	5,983	427	499	8,030	7,271
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	22.7	22.1	7.4	6.6	24.3	23.6	30.0	28.9	23.4	22.8	13.2^b	11.7	24.2	23.7
GEOGRAPHIC REGION
Northeast	20.3	20.3	6.9	6.4	21.5	21.5	30.2	28.4	20.2	20.5	13.1	11.2	21.3	21.6
Midwest	24.8	26.1	8.1	7.7	26.5	27.9	33.2	31.9	25.5	27.3	14.6	13.6	26.5	28.1
South	25.5^b	23.5	7.5	7.0	27.4^b	25.2	32.1	30.0	26.7^a	24.4	13.5	12.0	27.4^a	25.3
West	18.1	17.7	6.9	5.1	19.2	18.9	23.6	24.7	18.6	18.0	11.4	9.8	19.1	18.9
COUNTY TYPE
Large Metro	19.9	19.3	6.6^b	5.0	21.3	20.7	26.2	26.5	20.6	19.9	11.0^a	9.2	21.3	20.8
Small Metro	24.5	24.0	8.0	8.0	26.2	25.6	32.6^a	29.5	25.2	24.9	15.3^a	13.4	26.0	25.7
Nonmetro	30.0	30.2	9.6	10.6	32.0	32.0	39.4	37.3	31.0	31.1	17.0	18.4	32.0	32.0
Urbanized	31.8	29.9	8.1	8.4	33.9	31.7	38.3	39.1	33.2	30.3	17.9	18.2	33.8	31.8
Less Urbanized	29.1	31.0	10.1	12.6	31.1	32.8	40.4	36.6	29.8	32.3	16.5	19.3	31.1	32.8
Completely Rural	27.0	26.2	12.7	7.8	28.5	27.9	*	*	27.4	28.0	15.7	14.1	28.6	28.1
POVERTY LEVEL²
Less Than 100%	32.0	30.8	7.4	7.1	35.6	34.0	32.2^a	27.8	36.5	35.5	14.6	13.9	36.3	34.8
100-199%	27.4	26.5	8.7	7.5	29.4	28.5	31.2	30.3	29.0	28.1	14.7	13.0	29.6	28.8
200% or More	19.1	18.6	6.9	6.1	20.1	19.7	28.4	28.9	19.2	18.7	11.9^b	10.3	20.0	19.7
HEALTH INSURANCE³
Private	18.9	18.6	6.8	6.2	20.0	19.7	28.6	27.7	18.8	18.6	12.4^a	10.7	19.8	19.6
Medicaid/CHIP	30.8	30.1	8.5	8.0	35.7	34.9	31.0	29.0	36.7	36.2	13.2	12.4	36.6	35.9
Other⁴	18.1	17.6	5.2	5.3	18.3	17.8	32.2	28.6	17.8	17.4	14.5	12.1	18.2	17.7
No Coverage	35.6^b	30.8	7.2	7.4	37.1^b	32.0	32.1	33.7	38.4^b	31.6	16.2	17.2	38.0^b	32.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	63,490^a	61,078	1,242	1,236	62,248^a	59,842	8,794	8,363	53,454	51,479	3,699	3,479	59,791	57,599
GEOGRAPHIC REGION
Northeast	10,011	10,168	194	140	9,817	10,028	1,498	1,388	8,320	8,640	607^a	423	9,404	9,746
Midwest	14,110	14,893	294	278	13,816	14,615	1,924	1,978	11,892	12,637	829	860	13,281	14,033
South	27,087^b	24,381	471	577	26,617^b	23,804	3,636	3,316	22,981^b	20,488	1,473	1,453	25,614^b	22,928
West	12,281	11,636	283	241	11,998	11,395	1,737	1,682	10,261	9,713	789	743	11,492	10,892
COUNTY TYPE
Large Metro	32,087	30,495	633	541	31,455	29,953	4,385	4,218	27,070	25,735	1,763	1,486	30,325	29,008
Small Metro	20,841	20,778	392	481	20,449	20,297	3,066	2,812	17,383	17,485	1,318	1,253	19,523	19,526
Nonmetro	10,561	9,804	217	213	10,344	9,591	1,344	1,332	9,001	8,259	618	740	9,943	9,065
Urbanized	4,411	4,009	48	75	4,362	3,935	554	710	3,808	3,225	227	372	4,184	3,638
Less Urbanized	5,328	5,113	119	123	5,209	4,990	698	568	4,511	4,422	333	330	4,995	4,783
Completely Rural	822	682	*	16	773	666	91	55	681	611	58	38	764	645
POVERTY LEVEL²
Less Than 100%	13,945	13,503	272	230	13,673	13,273	2,349	2,097	11,324	11,176	996	940	12,950	12,563
100-199%	13,615	13,605	265	279	13,350	13,326	2,139	2,019	11,211	11,307	822	745	12,793	12,860
200% or More	35,924	33,951	705	727	35,219	33,224	4,300	4,229	30,919	28,996	1,875	1,784	34,049	32,168
HEALTH INSURANCE³
Private	32,818	32,052	651	707	32,166	31,346	4,963	4,868	27,203	26,478	1,964	1,975	30,854	30,078
Medicaid/CHIP	17,197	16,121	572	530	16,625	15,591	2,282^a	1,891	14,343	13,699	1,313^a	1,090	15,884	15,030
Other⁴	14,382	14,254	56	38	14,327	14,216	727	609	13,599	13,607	247	212	14,135	14,042
No Coverage	8,289^a	7,150	46	64	8,243^a	7,087	1,288	1,347	6,955^b	5,740	361	412	7,929^a	6,739
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	22.4^b	21.2	4.8	4.8	24.2^b	22.8	25.8^a	23.9	23.9^a	22.6	9.7	9.0	24.4^b	23.1
GEOGRAPHIC REGION
Northeast	20.4	20.4	4.8	3.4	21.9	22.0	26.1	23.5	21.2	21.7	10.1^b	7.0	21.9	22.3
Midwest	24.2	25.3	5.4	5.1	26.2	27.3	27.0	27.1	26.0	27.3	10.2	10.6	26.5	27.6
South	24.8^b	21.9	4.6	5.6	26.9^b	23.5	27.7^a	24.5	26.8^b	23.4	10.0	9.6	27.1^b	23.8
West	18.3	17.1	4.6	3.9	19.7	18.4	21.6	20.4	19.4	18.1	8.6	8.2	19.9	18.5
COUNTY TYPE
Large Metro	20.5^b	18.9	4.4	3.7	22.1^b	20.4	23.9	22.6	21.8^a	20.1	8.5^a	7.0	22.3^a	20.7
Small Metro	23.4	22.5	4.7	5.8	25.3	24.2	26.8^a	23.5	25.1	24.3	10.6	9.9	25.5	24.6
Nonmetro	28.1	28.4	6.4	7.4	30.2	30.3	31.5	30.6	30.0	30.3	12.5	15.7	30.4	30.4
Urbanized	29.1	28.1	4.0	6.6	31.3	30.0	29.4	32.6	31.6	29.5	11.8^a	18.1	31.6	29.8
Less Urbanized	27.5	29.3	6.4	8.1	29.8	31.3	33.5	29.9	29.3	31.5	12.6	14.5	29.9	31.5
Completely Rural	26.4	24.4	*	6.8	27.6	26.0	31.1	19.7	27.2	26.8	15.0	10.2	28.0	26.5
POVERTY LEVEL²
Less Than 100%	30.9	29.1	4.8	4.2	34.7	32.4	27.9	25.1	36.5	34.3	11.0	10.5	35.8	33.5
100-199%	25.1	24.4	4.9	5.2	27.2	26.5	27.2	23.8	27.3	27.0	10.2	9.0	27.6	27.2
200% or More	19.5^a	18.3	4.7	4.8	20.8^b	19.4	24.3	23.6	20.4^a	19.0	8.9	8.4	20.9^a	19.5
HEALTH INSURANCE³
Private	19.2	18.2	4.7	4.8	20.5	19.5	26.0	24.7	19.7	18.7	9.7	9.3	20.5	19.5
Medicaid/CHIP	28.3	27.3	5.2	5.1	33.4	32.1	24.0	21.1	35.6	34.6	8.7	7.6	34.8	33.7
Other⁴	18.3	18.0	4.0	2.8	18.6	18.3	25.8	21.8	18.3	18.1	10.2	8.9	18.6	18.3
No Coverage	34.9^b	28.4	3.7	5.3	36.6^b	29.5	28.7	26.7	38.5^b	30.3	13.7	14.2	37.5^b	30.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	49,888	48,028	482	488	49,406	47,540	5,356	5,021	44,050	42,519	1,846	1,671	48,043	46,358
GEOGRAPHIC REGION
Northeast	7,721	7,770	62	50	7,659	7,721	917	775	6,743	6,945	286^a	166	7,435	7,604
Midwest	11,147	11,863	95	123	11,052	11,740	1,186	1,120	9,866	10,620	383	442	10,764	11,421
South	21,628^a	19,864	195	240	21,433^a	19,624	2,284	2,186	19,149^a	17,439	738	765	20,890	19,099
West	9,392	8,531	130	76	9,262	8,455	970	940	8,292	7,515	438^a	298	8,954	8,233
COUNTY TYPE
Large Metro	23,979	23,380	239	208	23,740	23,173	2,555	2,526	21,186	20,647	813	683	23,166	22,697
Small Metro	16,749	16,532	154	195	16,594	16,338	1,882	1,633	14,712	14,705	705	602	16,044	15,930
Nonmetro	9,161	8,116	90	86	9,071	8,030	919	862	8,152	7,168	327	385	8,834	7,730
Urbanized	3,790	3,203	27	25	3,764	3,177	346	447	3,418	2,731	129	186	3,661	3,016
Less Urbanized	4,676	4,292	44	53	4,632	4,239	502	375	4,130	3,864	173	179	4,503	4,113
Completely Rural	694	621	*	8	675	613	71	41	604	573	25	20	669	601
POVERTY LEVEL²
Less Than 100%	11,853	11,523	137	115	11,715	11,408	1,523	1,291	10,193	10,117	548	513	11,304	11,010
100-199%	11,389	11,272	85	129	11,304	11,143	1,305	1,302	9,999	9,841	434	417	10,955	10,855
200% or More	26,641	25,227	260	244	26,381	24,983	2,523	2,421	23,858	22,562	858	736	25,783	24,491
HEALTH INSURANCE³
Private	24,090	23,564	252	239	23,838	23,326	2,821	2,737	21,017	20,589	930	859	23,161	22,705
Medicaid/CHIP	14,675	13,738	221	245	14,454	13,493	1,615^b	1,233	12,838	12,260	687	571	13,987	13,167
Other⁴	12,334	12,199	17	13	12,318	12,185	402	348	11,915	11,837	124	97	12,211	12,101
No Coverage	6,823^a	5,808	18	31	6,805^a	5,776	844	935	5,961^b	4,842	184	251	6,639^a	5,556
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	17.6^a	16.7	1.9	1.9	19.2^a	18.1	15.7^a	14.4	19.7^a	18.7	4.8	4.3	19.6^a	18.6
GEOGRAPHIC REGION
Northeast	15.8	15.6	1.5	1.2	17.1	16.9	16.0^a	13.1	17.2	17.5	4.8^b	2.7	17.3	17.4
Midwest	19.1	20.1	1.8	2.3	20.9	21.9	16.6	15.4	21.6	23.0	4.7	5.4	21.5	22.5
South	19.8^b	17.8	1.9	2.3	21.7^b	19.4	17.4	16.2	22.3^b	19.9	5.0	5.0	22.1^b	19.8
West	14.0^a	12.5	2.1	1.2	15.2	13.6	12.1	11.4	15.7	14.0	4.8^a	3.3	15.5	14.0
COUNTY TYPE
Large Metro	15.3	14.5	1.7	1.4	16.6	15.8	13.9	13.6	17.0	16.1	3.9	3.2	17.0	16.2
Small Metro	18.8	17.9	1.9	2.3	20.6	19.5	16.5^b	13.7	21.2	20.5	5.7	4.8	21.0	20.0
Nonmetro	24.3	23.5	2.6	3.0	26.5	25.4	21.6	19.8	27.2	26.3	6.6	8.2	27.0	25.9
Urbanized	25.0	22.5	2.2	2.2	27.0	24.2	18.4	20.5	28.3	24.9	6.7	9.0	27.6	24.7
Less Urbanized	24.2	24.6	2.3	3.5	26.5	26.6	24.1	19.7	26.8	27.5	6.5	7.8	27.0	27.1
Completely Rural	22.3	22.2	*	3.3	24.1	23.9	24.4	14.6	24.1	25.1	6.6	5.6	24.5	24.7
POVERTY LEVEL²
Less Than 100%	26.2	24.8	2.4	2.1	29.7	27.9	18.1^a	15.4	32.8	31.1	6.1	5.8	31.3	29.3
100-199%	21.0	20.3	1.6	2.4	23.1	22.1	16.6	15.3	24.3	23.5	5.4	5.0	23.7	22.9
200% or More	14.5^a	13.6	1.8	1.6	15.6^a	14.6	14.2	13.5	15.8	14.8	4.1	3.5	15.8	14.9
HEALTH INSURANCE³
Private	14.1	13.4	1.8	1.6	15.2	14.5	14.8	13.9	15.2	14.6	4.6	4.1	15.4	14.7
Medicaid/CHIP	24.2	23.3	2.0	2.3	29.0	27.8	17.0^b	13.7	31.9	31.0	4.6	4.0	30.6	29.5
Other⁴	15.7	15.4	1.2	1.0	16.0	15.7	14.3	12.4	16.0	15.8	5.1	4.1	16.0	15.8
No Coverage	28.7^b	23.0	1.4	2.6	30.2^b	24.1	18.8	18.6	33.0^b	25.5	7.0	8.7	31.4^b	24.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	48,536	47,125	895	802	47,642	46,323	6,329	6,201	41,313	40,122	2,615	2,557	45,921	44,568
GEOGRAPHIC REGION
Northeast	7,421	7,720	131	79	7,290	7,641	1,082	1,035	6,208	6,607	402	304	7,019	7,417
Midwest	10,762	11,658	207	186	10,555^a	11,473	1,393	1,494	9,162	9,978	597	637	10,165	11,021
South	20,634^b	18,605	324	341	20,310^b	18,264	2,469	2,378	17,840^b	15,886	971	995	19,663^a	17,610
West	9,719	9,142	233	197	9,487	8,945	1,384	1,294	8,103	7,651	645	621	9,075	8,521
COUNTY TYPE
Large Metro	24,176	23,407	468	355	23,707	23,052	3,074	3,155	20,634	19,897	1,223	1,112	22,953	22,295
Small Metro	16,139	15,967	283	307	15,856	15,660	2,215	1,971	13,641	13,689	949	870	15,191	15,098
Nonmetro	8,222	7,750	143	140	8,078	7,611	1,039	1,075	7,039	6,536	443	575	7,778	7,175
Urbanized	3,546	3,220	35	42	3,511	3,178	431	593	3,080	2,585	177	297	3,369	2,923
Less Urbanized	4,004	4,053	74	82	3,930	3,971	530	451	3,400	3,520	224	255	3,780	3,799
Completely Rural	672	478	35	16	637	461	79^a	31	559	431	42	24	630	454
POVERTY LEVEL²
Less Than 100%	12,319	12,080	205	164	12,115	11,916	1,811	1,691	10,304	10,225	735	733	11,584	11,347
100-199%	11,339	11,402	192	192	11,147	11,209	1,504	1,519	9,644	9,690	555	552	10,784	10,849
200% or More	24,872	23,633	498	446	24,374	23,187	3,008	2,980	21,366	20,207	1,319	1,266	23,554	22,367
HEALTH INSURANCE³
Private	22,454	22,402	478	414	21,976	21,988	3,508	3,498	18,468	18,490	1,420	1,392	21,034	21,011
Medicaid/CHIP	14,970	14,386	410	387	14,560	13,998	1,677	1,481	12,883	12,518	900	824	14,070	13,562
Other⁴	11,102	11,235	42	33	11,060	11,202	532	443	10,527	10,759	184	165	10,917	11,070
No Coverage	7,212^b	5,912	30	51	7,182^b	5,861	949	1,039	6,233^b	4,822	253	329	6,960^b	5,583
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.34B – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	17.1^a	16.3	3.5	3.1	18.5^a	17.7	18.6	17.7	18.5	17.6	6.9	6.6	18.7^a	17.8
GEOGRAPHIC REGION
Northeast	15.2	15.5	3.2	1.9	16.2	16.7	18.8	17.5	15.9	16.6	6.7	5.0	16.3	17.0
Midwest	18.5	19.8	3.8	3.4	20.0	21.4	19.5	20.5	20.1	21.6	7.4	7.8	20.3	21.7
South	18.9^b	16.7	3.2	3.3	20.5^b	18.1	18.8	17.6	20.8^b	18.1	6.6	6.6	20.8^b	18.3
West	14.5	13.4	3.8	3.2	15.6	14.4	17.2	15.7	15.3	14.2	7.0	6.8	15.7	14.4
COUNTY TYPE
Large Metro	15.4	14.5	3.3	2.4	16.6	15.7	16.8	16.9	16.6	15.5	5.9	5.3	16.9	15.9
Small Metro	18.1	17.3	3.4	3.7	19.6	18.7	19.4^a	16.5	19.7	19.0	7.6	6.9	19.8	19.0
Nonmetro	21.9	22.5	4.2	4.8	23.6	24.1	24.4	24.7	23.5	24.0	9.0^a	12.2	23.8	24.1
Urbanized	23.4	22.6	2.8	3.7	25.2	24.2	22.9	27.2	25.5	23.6	9.2^a	14.4	25.4	23.9
Less Urbanized	20.7	23.2	4.0	5.4	22.5	24.9	25.4	23.8	22.1	25.1	8.5	11.2	22.6	25.0
Completely Rural	21.6	17.1	11.4	6.8	22.7	18.0	26.8^a	11.0	22.3	18.9	11.1	6.5	23.1	18.6
POVERTY LEVEL²
Less Than 100%	27.3	26.0	3.6	3.0	30.7	29.1	21.5	20.2	33.2	31.4	8.1	8.2	32.1	30.2
100-199%	20.9	20.5	3.6	3.6	22.8	22.3	19.1	17.9	23.5	23.2	6.9	6.6	23.3	22.9
200% or More	13.5	12.7	3.4	2.9	14.4	13.6	17.0	16.6	14.1	13.2	6.3	6.0	14.5	13.6
HEALTH INSURANCE³
Private	13.1	12.8	3.4	2.8	14.0	13.7	18.4	17.8	13.4	13.1	7.0	6.6	14.0	13.6
Medicaid/CHIP	24.6	24.4	3.7	3.7	29.2	28.8	17.6	16.5	32.0	31.6	6.0	5.7	30.8	30.4
Other⁴	14.1	14.2	3.0	2.4	14.3	14.4	18.9	15.8	14.2	14.3	7.6	6.9	14.3	14.4
No Coverage	30.3^b	23.5	2.4	4.3	31.9^b	24.4	21.2	20.6	34.5^b	25.4	9.6	11.4	32.9^b	25.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	38,692	37,780	344	320	38,348	37,460	3,616	3,353	34,732	34,107	1,248	1,172	37,444	36,608
GEOGRAPHIC REGION
Northeast	5,936	5,998	44	33	5,892	5,965	646	512	5,246	5,453	209	128	5,726	5,871
Midwest	8,691	9,480	74	73	8,617	9,407	802	744	7,815^a	8,663	275	311	8,416	9,169
South	16,562	15,322	121	155	16,441	15,167	1,457	1,400	14,984	13,767	431	506	16,131	14,816
West	7,504	6,980	106	59	7,398	6,921	712	696	6,686	6,225	332	227	7,171	6,753
COUNTY TYPE
Large Metro	18,383	18,273	156	138	18,227	18,135	1,622	1,737	16,605	16,398	527	475	17,857	17,799
Small Metro	13,229	12,999	114	116	13,115	12,883	1,325^b	976	11,790	11,907	483	380	12,746	12,619
Nonmetro	7,080	6,508	74	66	7,006	6,442	669	640	6,337	5,802	238	317	6,842	6,191
Urbanized	3,081	2,613	25	19	3,057	2,594	243	324	2,814	2,270	97	154	2,985	2,459
Less Urbanized	3,456	3,462	32	40	3,423	3,421	372	294	3,052	3,127	118	153	3,337	3,309
Completely Rural	543	433	*	7	526	426	55	22	472	405	23	10	520	423
POVERTY LEVEL²
Less Than 100%	10,613	10,339	87	80	10,526	10,259	1,137	959	9,389	9,300	369	363	10,244	9,976
100-199%	9,557	9,485	66	91	9,491	9,394	869	906	8,622	8,488	288	302	9,269	9,184
200% or More	18,517	17,954	192	149	18,326	17,805	1,605	1,486	16,721	16,319	586	505	17,932	17,449
HEALTH INSURANCE³
Private	16,647	16,792	185	129	16,462	16,663	1,822	1,735	14,640	14,928	634	546	16,013	16,245
Medicaid/CHIP	12,792	12,220	154	180	12,639	12,039	1,146^b	881	11,493	11,158	465	417	12,327	11,803
Other⁴	9,602	9,728	11	11	9,591	9,717	285	218	9,306	9,499	92	74	9,510	9,653
No Coverage	5,968^b	4,863	14	29	5,955^b	4,833	578	679	5,376^b	4,154	110^a	200	5,859^b	4,663
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.35B – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	13.7	13.1	1.3	1.2	14.9	14.3	10.6	9.6	15.5	15.0	3.3	3.0	15.3	14.7
GEOGRAPHIC REGION
Northeast	12.1	12.1	1.1	0.8	13.1	13.1	11.2^a	8.7	13.4	13.7	3.5	2.1	13.3	13.4
Midwest	14.9	16.1	1.4	1.4	16.3	17.6	11.2	10.2	17.1	18.7	3.4	3.8	16.8	18.1
South	15.2^a	13.7	1.2	1.5	16.6^a	15.0	11.1	10.4	17.5^a	15.7	2.9	3.3	17.1^a	15.4
West	11.2	10.3	1.7	1.0	12.2	11.2	8.9	8.4	12.7	11.6	3.6	2.5	12.4	11.4
COUNTY TYPE
Large Metro	11.7	11.3	1.1	0.9	12.8	12.3	8.8	9.3	13.4	12.8	2.5	2.2	13.1	12.7
Small Metro	14.9	14.1	1.4	1.4	16.3	15.4	11.6^b	8.2	17.0	16.6	3.9^a	3.0	16.7	15.9
Nonmetro	18.8	18.9	2.2	2.3	20.5	20.4	15.7	14.7	21.1	21.3	4.8	6.7	20.9	20.8
Urbanized	20.3	18.3	2.0	1.7	21.9	19.8	12.9	14.9	23.3	20.7	5.0	7.5	22.5	20.1
Less Urbanized	17.9	19.8	1.7	2.7	19.6	21.5	17.8	15.5	19.8	22.3	4.5	6.7	20.0	21.8
Completely Rural	17.5	15.5	*	2.9	18.8	16.6	18.6^a	7.8	18.8	17.7	6.0	2.7	19.1	17.4
POVERTY LEVEL²
Less Than 100%	23.5	22.3	1.5	1.4	26.7	25.1	13.5	11.5	30.2	28.6	4.1	4.1	28.3	26.6
100-199%	17.6	17.0	1.2	1.7	19.4	18.7	11.0	10.7	21.0	20.3	3.6	3.6	20.0	19.4
200% or More	10.1	9.7	1.3	1.0	10.8	10.4	9.1	8.3	11.0	10.7	2.8	2.4	11.0	10.6
HEALTH INSURANCE³
Private	9.7	9.6	1.3	0.9	10.5	10.3	9.6	8.8	10.6	10.6	3.1	2.6	10.6	10.5
Medicaid/CHIP	21.1	20.7	1.4	1.7	25.4	24.8	12.0^a	9.8	28.5	28.2	3.1	2.9	27.0	26.5
Other⁴	12.2	12.3	0.8	0.8	12.4	12.5	10.1	7.8	12.5	12.7	3.8	3.1	12.5	12.6
No Coverage	25.1^b	19.3	1.1	2.4	26.4^b	20.1	12.9	13.5	29.8^b	21.9	4.2^a	6.9	27.7^b	20.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.36A – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	9,451	9,261	205	282	9,246	8,980	1,575^b	1,949	7,671	7,031	717	828	8,734	8,433
GEOGRAPHIC REGION
Northeast	1,333	1,392	26	19	1,307	1,374	364	331	943	1,043	150	86	1,183	1,306
Midwest	2,263	2,257	59	89	2,204	2,168	314^a	455	1,889	1,713	149^a	243	2,114	2,014
South	4,119	3,998	81	135	4,038	3,862	615	783	3,423	3,079	294	353	3,826	3,645
West	1,736	1,615	38	39	1,697	1,576	281	379	1,416	1,196	124	146	1,612	1,469
COUNTY TYPE
Large Metro	3,737	3,861	88	101	3,649	3,761	661	848	2,988	2,912	267	308	3,470	3,553
Small Metro	3,367	3,328	52^b	108	3,315	3,219	560	683	2,755	2,537	277	282	3,091	3,046
Nonmetro	2,347	2,073	64	73	2,283	2,000	355	417	1,928	1,582	173	238	2,174	1,834
Urbanized	923	839	14	32	909	807	130	239	779	568	42^a	126	882	713
Less Urbanized	1,211	1,053	45	35	1,166	1,018	201	158	965	860	126	99	1,085	954
Completely Rural	212	181	*	6	207	175	23	*	184	154	5	14	207	167
POVERTY LEVEL²
Less Than 100%	1,574	1,456	52	48	1,521	1,408	363	440	1,159	968	180	241	1,394	1,215
100-199%	1,829	1,641	36	43	1,793	1,597	362	404	1,431	1,193	147	148	1,682	1,493
200% or More	6,049	6,163	117^a	190	5,932	5,972	850^a	1,103	5,082	4,870	391	438	5,659	5,725
HEALTH INSURANCE³
Private	5,605	5,777	121	192	5,484	5,585	996^b	1,307	4,488	4,278	443	512	5,162	5,264
Medicaid/CHIP	2,075	1,632	85	96	1,990^a	1,537	340	264	1,650	1,272	209	207	1,866^a	1,426
Other⁴	1,980	1,780	5	12	1,975	1,768	104	167	1,871	1,602	35	54	1,945	1,726
No Coverage	1,040	1,040	9	7	1,031	1,033	213	281	818	752	51	94	989	946
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.36B – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	3.3	3.2	0.8	1.1	3.6	3.4	4.6^a	5.6	3.4	3.1	1.9	2.1	3.6	3.4
GEOGRAPHIC REGION
Northeast	2.7	2.8	0.6	0.5	2.9	3.0	6.3	5.6	2.4	2.6	2.5	1.4	2.8	3.0
Midwest	3.9	3.8	1.1	1.6	4.2	4.1	4.4^a	6.2	4.1	3.7	1.8^a	3.0	4.2	4.0
South	3.8	3.6	0.8	1.3	4.1	3.8	4.7	5.8	4.0	3.5	2.0	2.3	4.0	3.8
West	2.6	2.4	0.6	0.6	2.8	2.5	3.5	4.6	2.7	2.2	1.3	1.6	2.8	2.5
COUNTY TYPE
Large Metro	2.4	2.4	0.6	0.7	2.6	2.6	3.6	4.6	2.4	2.3	1.3	1.5	2.5	2.5
Small Metro	3.8	3.6	0.6^b	1.3	4.1	3.8	4.9	5.7	4.0	3.5	2.2	2.2	4.0	3.8
Nonmetro	6.2	6.0	1.9	2.5	6.7	6.3	8.3	9.6	6.4	5.8	3.5	5.1	6.7	6.2
Urbanized	6.1	5.9	1.1	2.8	6.5	6.1	6.9	11.0	6.5	5.2	2.2^b	6.1	6.7	5.8
Less Urbanized	6.3	6.0	2.4	2.3	6.7	6.4	9.6	8.3	6.3	6.1	4.8	4.3	6.5	6.3
Completely Rural	6.8	6.5	*	2.4	7.4	6.8	8.0	*	7.3	6.7	1.4	3.8	7.6	6.9
POVERTY LEVEL²
Less Than 100%	3.5	3.1	0.9	0.9	3.9	3.4	4.3	5.3	3.7	3.0	2.0	2.7	3.9	3.2
100-199%	3.4	2.9	0.7	0.8	3.7	3.2	4.6	4.8	3.5	2.9	1.8	1.8	3.6	3.2
200% or More	3.3	3.3	0.8	1.3	3.5	3.5	4.8^a	6.1	3.4	3.2	1.9	2.1	3.5	3.5
HEALTH INSURANCE³
Private	3.3	3.3	0.9	1.3	3.5	3.5	5.2^a	6.6	3.3	3.0	2.2	2.4	3.4	3.4
Medicaid/CHIP	3.4	2.8	0.8	0.9	4.0	3.2	3.6	2.9	4.1	3.2	1.4	1.4	4.1	3.2
Other⁴	2.5	2.2	0.4	0.9	2.6	2.3	3.7	6.0	2.5	2.1	1.4	2.3	2.6	2.2
No Coverage	4.4	4.1	0.7	0.6	4.6	4.3	4.7	5.6	4.5	4.0	1.9	3.2	4.7	4.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.37A – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	7,003	6,671	72	117	6,931	6,554	949^a	1,170	5,981	5,384	305	356	6,698	6,315
GEOGRAPHIC REGION
Northeast	857	1,047	12	5	845	1,042	197	187	648	854	47	42	810	1,005
Midwest	1,668	1,559	12^a	43	1,656	1,516	226	258	1,430	1,257	64	104	1,604	1,455
South	3,178	3,024	40	55	3,138	2,969	353	478	2,785	2,491	126	143	3,052	2,881
West	1,300	1,041	8	13	1,291	1,028	174	246	1,118^a	781	68	67	1,232	974
COUNTY TYPE
Large Metro	2,575	2,772	48	37	2,527	2,735	390	497	2,137	2,239	118	129	2,457	2,643
Small Metro	2,539	2,379	16^a	50	2,522	2,329	317^a	434	2,206	1,896	131	133	2,408	2,246
Nonmetro	1,889	1,519	8^a	30	1,882	1,489	243	239	1,639	1,250	56	93	1,833	1,426
Urbanized	701	595	4	7	697	588	98	128	599	460	20	38	680	558
Less Urbanized	1,005	756	3	19	1,002	737	123	93	880	644	35	45	970	711
Completely Rural	184	168	1	4	183	164	23	*	160	146	1	10	183	158
POVERTY LEVEL²
Less Than 100%	1,057	1,003	28	22	1,030	981	206	239	823	742	71	96	986	907
100-199%	1,321	1,158	11	26	1,311	1,132	225	245	1,085	887	61	75	1,260	1,083
200% or More	4,625	4,510	34	70	4,591	4,440	518^a	685	4,073	3,755	173	185	4,452	4,325
HEALTH INSURANCE³
Private	4,296	4,103	42	77	4,254	4,026	605^a	800	3,649	3,225	221	213	4,075	3,890
Medicaid/CHIP	1,465	1,154	24	49	1,441	1,105	185	159	1,257	946	52^a	105	1,413	1,049
Other⁴	1,735	1,425	4	3	1,732	1,422	62	102	1,670	1,320	9	13	1,726	1,412
No Coverage	597	794	4	3	593	791	150	160	442	631	26	41	571	753
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.37B – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	2.5	2.3	0.3	0.5	2.7	2.5	2.8^a	3.3	2.7	2.4	0.8	0.9	2.7	2.5
GEOGRAPHIC REGION
Northeast	1.7	2.1	0.3	0.1	1.9	2.3	3.4	3.2	1.7	2.1	0.8	0.7	1.9	2.3
Midwest	2.9	2.6	0.2^a	0.8	3.1	2.8	3.2	3.5	3.1	2.7	0.8	1.3	3.2	2.9
South	2.9	2.7	0.4	0.5	3.2	2.9	2.7	3.5	3.2	2.8	0.9	0.9	3.2	3.0
West	1.9	1.5	0.1	0.2	2.1	1.7	2.2	3.0	2.1^a	1.5	0.7	0.7	2.1	1.7
COUNTY TYPE
Large Metro	1.6	1.7	0.3	0.3	1.8	1.9	2.1	2.7	1.7	1.7	0.6	0.6	1.8	1.9
Small Metro	2.9	2.6	0.2^a	0.6	3.1	2.8	2.8^a	3.6	3.2	2.6	1.1	1.1	3.1	2.8
Nonmetro	5.0	4.4	0.2^a	1.0	5.5	4.7	5.7	5.5	5.5	4.6	1.1	2.0	5.6	4.8
Urbanized	4.6	4.2	0.3	0.6	5.0	4.5	5.2	5.9	5.0	4.2	1.1	1.8	5.1	4.6
Less Urbanized	5.2	4.3	0.2	1.3	5.7	4.6	5.9	4.9	5.7	4.6	1.3	2.0	5.8	4.7
Completely Rural	5.9	6.0	0.3	1.6	6.5	6.4	7.7	*	6.4	6.4	0.3	2.7	6.7	6.5
POVERTY LEVEL²
Less Than 100%	2.3	2.2	0.5	0.4	2.6	2.4	2.5	2.9	2.7	2.3	0.8	1.1	2.7	2.4
100-199%	2.4	2.1	0.2	0.5	2.7	2.2	2.9	2.9	2.6	2.1	0.8	0.9	2.7	2.3
200% or More	2.5	2.4	0.2	0.5	2.7	2.6	2.9^a	3.8	2.7	2.5	0.8	0.9	2.7	2.6
HEALTH INSURANCE³
Private	2.5	2.3	0.3	0.5	2.7	2.5	3.2^a	4.1	2.6	2.3	1.1	1.0	2.7	2.5
Medicaid/CHIP	2.4	2.0	0.2	0.5	2.9	2.3	1.9	1.8	3.1	2.4	0.3^a	0.7	3.1	2.4
Other⁴	2.2	1.8	0.3	0.2	2.2	1.8	2.2	3.6	2.2	1.8	0.4	0.6	2.3	1.8
No Coverage	2.5	3.2	0.3	0.3	2.6	3.3	3.3	3.2	2.5	3.3	1.0	1.4	2.7	3.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	37,948	39,580	3,420	3,204	34,528^a	36,376	11,558	11,401	22,971^a	24,975	7,362	6,866	30,586^a	32,714
GEOGRAPHIC REGION
Northeast	5,770	5,935	549	498	5,221	5,437	1,992	1,922	3,229	3,515	1,232	1,081	4,539	4,854
Midwest	8,541	9,004	769	701	7,772	8,303	2,663	2,632	5,109	5,670	1,686	1,573	6,855	7,431
South	15,910	16,145	1,405	1,378	14,505	14,767	4,541	4,532	9,963	10,235	2,882	2,830	13,028	13,315
West	7,726	8,496	696	627	7,030	7,870	2,361	2,315	4,669^a	5,555	1,561	1,383	6,165^a	7,113
COUNTY TYPE
Large Metro	18,760	20,131	1,705	1,543	17,055^a	18,588	5,558	5,608	11,497^a	12,980	3,466	3,185	15,294^a	16,946
Small Metro	13,085	13,662	1,183	1,200	11,902	12,463	4,152	4,041	7,750	8,422	2,692	2,536	10,393	11,126
Nonmetro	6,103	5,787	532	462	5,571	5,325	1,847	1,752	3,724	3,573	1,203	1,145	4,900	4,641
Urbanized	2,706	2,358	184	147	2,522	2,211	825	914	1,697	1,297	516	477	2,190	1,881
Less Urbanized	2,950	3,135	318	274	2,632	2,861	883	756	1,749	2,106	629	591	2,321	2,545
Completely Rural	447	294	31	41	417	253	139	*	278	170	59	78	389	216
POVERTY LEVEL²
Less Than 100%	8,498	8,826	790	732	7,708	8,094	2,919	2,728	4,789	5,366	1,873	1,885	6,625	6,942
100-199%	8,786	9,122	798	686	7,988	8,435	2,757	2,867	5,231	5,569	1,705	1,568	7,081	7,553
200% or More	20,655	21,603	1,832	1,785	18,823	19,817	5,873	5,777	12,950	14,040	3,777	3,397	16,878	18,206
HEALTH INSURANCE³
Private	19,829	21,180	1,715	1,682	18,114	19,498	6,414	6,181	11,700^b	13,317	3,743	3,443	16,085^a	17,737
Medicaid/CHIP	11,791	11,573	1,685	1,510	10,107	10,063	3,288	2,993	6,819	7,070	3,058	2,783	8,733	8,791
Other⁴	4,500	4,618	152	129	4,348	4,489	949	884	3,399	3,606	497	397	4,003	4,221
No Coverage	5,128	5,312	135	172	4,993	5,140	1,498^b	1,840	3,495	3,299	542^a	729	4,586	4,583
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.38B – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	13.4	13.7	13.2	12.3	13.4	13.9	34.0	32.6	10.3^a	11.0	19.3^a	17.8	12.5	13.1
GEOGRAPHIC REGION
Northeast	11.8	11.9	13.5	12.2	11.6	11.9	34.7	32.5	8.2	8.8	20.5	17.8	10.6	11.1
Midwest	14.7	15.3	14.2	13.0	14.7	15.5	37.3	36.1	11.2	12.3	20.8	19.3	13.7	14.6
South	14.6	14.5	13.7	13.3	14.7	14.6	34.6	33.6	11.6	11.7	19.5	18.6	13.8	13.8
West	11.5	12.5	11.3	10.2	11.6	12.7	29.4	28.1	8.8^a	10.3	17.0	15.2	10.7	12.1
COUNTY TYPE
Large Metro	12.0	12.5	12.0	10.5	12.0	12.7	30.3	30.1	9.3	10.1	16.8	15.1	11.2	12.1
Small Metro	14.7	14.8	14.3	14.3	14.7	14.9	36.3	33.8	11.2	11.7	21.7	20.0	13.6	14.0
Nonmetro	16.2	16.8	15.7	15.9	16.3	16.8	43.4	40.2	12.4	13.1	24.3	24.4	15.0	15.6
Urbanized	17.8	16.5	15.0	12.9	18.1	16.8	43.8	42.0	14.1	11.8	26.9	23.2	16.5	15.4
Less Urbanized	15.2^a	18.0	17.1	18.0	15.1^a	18.0	42.4	39.8	11.4^b	15.0	23.7	25.9	13.9^a	16.8
Completely Rural	14.4	10.5	10.0	17.2	14.9	9.9	47.4	*	11.1	7.5	15.3	21.1	14.3	8.9
POVERTY LEVEL²
Less Than 100%	18.8	19.0	13.8	13.3	19.5	19.8	34.7	32.6	15.4	16.5	20.7	21.1	18.3	18.5
100-199%	16.2	16.4	14.9	12.9	16.3	16.8	35.0	33.8	12.7	13.3	21.2	18.9	15.3	16.0
200% or More	11.2	11.6	12.3	11.8	11.1	11.6	33.1	32.2	8.6	9.2	18.0^a	16.0	10.4	11.0
HEALTH INSURANCE³
Private	11.6	12.1	12.3	11.5	11.5	12.1	33.6	31.4	8.5^a	9.4	18.4^a	16.3	10.7^a	11.5
Medicaid/CHIP	19.4	19.6	15.4	14.5	20.3	20.7	34.5	33.4	16.9	17.9	20.3	19.3	19.1	19.7
Other⁴	5.7	5.8	10.9	9.3	5.6	5.8	33.6	31.6	4.6	4.8	20.6	16.6	5.3	5.5
No Coverage	21.6	21.1	10.8	14.3	22.2	21.4	33.4	36.5	19.4	17.4	20.6	25.1	21.7	20.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	26,605	27,675	1,754	1,562	24,850	26,112	8,207	8,291	16,643	17,821	4,458	4,020	22,146	23,655
GEOGRAPHIC REGION
Northeast	3,938	4,045	251	255	3,687	3,790	1,403	1,399	2,284	2,391	715	651	3,223	3,394
Midwest	6,033	6,409	418	372	5,616	6,037	1,902	1,914	3,713	4,123	1,065	956	4,968	5,453
South	11,254	11,380	700	647	10,554	10,733	3,327	3,299	7,226	7,433	1,757	1,613	9,497	9,767
West	5,380	5,840	385	288	4,994	5,552	1,575	1,679	3,419	3,873	922	800	4,458	5,041
COUNTY TYPE
Large Metro	12,847	13,776	849^a	675	11,998	13,102	3,826	3,971	8,172	9,131	1,996	1,709	10,852^a	12,067
Small Metro	9,237	9,559	618	611	8,620	8,948	3,053	2,975	5,567	5,972	1,714	1,541	7,523	8,018
Nonmetro	4,521	4,339	288	276	4,233	4,063	1,328	1,345	2,904	2,718	749	769	3,772	3,570
Urbanized	2,072	1,813	84	79	1,988	1,734	619	720	1,369	1,013	317	330	1,755	1,482
Less Urbanized	2,148	2,324	180	180	1,968	2,144	618	569	1,351	1,575	386	392	1,762	1,932
Completely Rural	300	202	24	17	276	185	91	56	185	129	45	47	255	155
POVERTY LEVEL²
Less Than 100%	5,865	6,061	353	363	5,512	5,698	2,146	1,844	3,367	3,855	1,151	1,112	4,714	4,949
100-199%	6,326	6,348	448	348	5,877	6,000	2,008	2,121	3,870	3,879	1,065	963	5,261	5,385
200% or More	14,408	15,246	954	852	13,455	14,394	4,048	4,306	9,407	10,088	2,238^a	1,934	12,170^a	13,312
HEALTH INSURANCE³
Private	13,816	14,776	888	817	12,928	13,960	4,375	4,402	8,553^a	9,558	2,225	1,952	11,592^a	12,824
Medicaid/CHIP	8,013	8,069	839	761	7,174	7,308	2,404	2,164	4,770	5,144	1,801	1,638	6,212	6,431
Other⁴	3,317	3,211	69	71	3,248	3,140	733	678	2,515	2,462	329	263	2,988	2,948
No Coverage	3,732	3,863	81	84	3,652	3,779	1,082^b	1,410	2,570	2,369	361	464	3,371	3,398
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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Table 2.39B – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	9.4	9.6	6.8	6.0	9.6	10.0	24.1	23.7	7.4	7.8	11.7^a	10.4	9.0	9.5
GEOGRAPHIC REGION
Northeast	8.0	8.1	6.2	6.2	8.2	8.3	24.4	23.7	5.8	6.0	11.9	10.7	7.5	7.8
Midwest	10.4	10.9	7.7	6.9	10.6	11.3	26.7	26.3	8.1	8.9	13.2	11.7	9.9	10.7
South	10.3	10.2	6.8	6.3	10.7	10.6	25.4	24.4	8.4	8.5	11.9	10.6	10.1	10.1
West	8.0	8.6	6.3	4.7	8.2	9.0	19.6	20.4	6.5	7.2	10.0	8.8	7.7	8.5
COUNTY TYPE
Large Metro	8.2	8.5	6.0^a	4.6	8.4	8.9	20.9	21.3	6.6	7.1	9.7^a	8.1	8.0	8.6
Small Metro	10.4	10.4	7.5	7.3	10.7	10.7	26.7	24.9	8.0	8.3	13.8	12.2	9.8	10.1
Nonmetro	12.0	12.6	8.5	9.5	12.4	12.8	31.2	30.9	9.7	10.0	15.1	16.4	11.5	12.0
Urbanized	13.7	12.7	6.8	6.9	14.3	13.2	32.9	33.1	11.3	9.3	16.5	16.0	13.2	12.1
Less Urbanized	11.1^a	13.3	9.7	11.9	11.3	13.5	29.6	30.0	8.8^a	11.2	14.6	17.2	10.6	12.7
Completely Rural	9.7	7.2	8.0	7.2	9.8	7.2	31.2	20.1	7.4	5.7	11.9	12.8	9.4	6.4
POVERTY LEVEL²
Less Than 100%	13.0	13.0	6.2	6.6	14.0	13.9	25.5^a	22.0	10.8	11.8	12.7	12.5	13.0	13.2
100-199%	11.6	11.4	8.4	6.5	12.0	11.9	25.5	25.0	9.4	9.3	13.2	11.6	11.4	11.4
200% or More	7.8	8.2	6.4	5.6	8.0	8.4	22.8	24.0	6.2	6.6	10.7^a	9.1	7.5	8.1
HEALTH INSURANCE³
Private	8.1	8.4	6.3	5.6	8.2	8.7	22.9	22.3	6.2	6.8	10.9^a	9.2	7.7	8.3
Medicaid/CHIP	13.2	13.7	7.7	7.3	14.4	15.1	25.2	24.1	11.8	13.0	11.9	11.3	13.6	14.4
Other⁴	4.2	4.1	4.9	5.1	4.2	4.0	26.0	24.3	3.4	3.3	13.6	11.0	3.9	3.8
No Coverage	15.7	15.3	6.4	6.9	16.2	15.7	24.1	28.0	14.2	12.5	13.7	16.0	15.9	15.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 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, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	177,278	178,687	4,388	4,244	172,890	174,444	23,179	23,361	149,711	151,083	10,604	10,413	166,673	168,275
GEOGRAPHIC REGION
Northeast	32,072	31,712	738	717	31,335	30,995	4,129	4,115	27,206	26,880	1,801	1,722	30,271	29,989
Midwest	37,681	37,777	897	895	36,784	36,882	5,041	5,023	31,743	31,859	2,329	2,285	35,352	35,492
South	66,628	66,588	1,694	1,551	64,934	65,037	8,846	8,861	56,087	56,176	3,942	3,975	62,686	62,613
West	40,897^a	42,611	1,059	1,081	39,837^a	41,530	5,163	5,362	34,675^a	36,168	2,533	2,431	38,364	40,181
COUNTY TYPE
Large Metro	101,173	102,546	2,449	2,327	98,724	100,218	12,420	12,337	86,304	87,882	5,560	5,357	95,613	97,188
Small Metro	54,614	56,930	1,440	1,415	53,173	55,515	7,944	8,184	45,230	47,331	3,743	3,602	50,871	53,327
Nonmetro	21,491	19,212	498	502	20,993^a	18,710	2,815	2,840	18,178^a	15,870	1,302	1,453	20,189^a	17,759
Urbanized	8,903	8,078	191	152	8,713	7,926	1,309	1,547	7,403	6,379	585	694	8,318	7,384
Less Urbanized	10,846	9,586	265	311	10,581	9,275	1,308	1,121	9,273	8,154	648	662	10,198	8,923
Completely Rural	1,742	1,547	42	38	1,699	1,509	198	171	1,502	1,338	69	96	1,672	1,451
POVERTY LEVEL²
Less Than 100%	20,893	20,659	650	660	20,243	19,998	5,046	4,827	15,197	15,171	2,193	2,245	18,700	18,414
100-199%	28,666	29,232	842	802	27,824	28,430	5,177	5,409	22,647	23,021	2,106	2,122	26,560	27,110
200% or More	127,702	128,709	2,895	2,781	124,806	125,927	12,940	13,037	111,867	112,890	6,291	5,986	121,411	122,723
HEALTH INSURANCE³
Private	117,612	119,057	2,673	2,556	114,939	116,501	14,307	14,361	100,632	102,141	6,365	6,095	111,247	112,963
Medicaid/CHIP	28,544	27,099	1,563	1,576	26,981	25,523	5,365	4,878	21,617	20,645	3,279	3,241	25,265	23,858
Other⁴	44,740	45,162	226	184	44,514	44,978	1,884	1,816	42,630	43,161	766	686	43,974	44,476
No Coverage	14,278	15,021	172	188	14,106	14,833	2,694^b	3,182	11,412	11,651	762^a	987	13,516	14,035
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	62.5	62.0	16.9	16.4	67.1	66.5	68.1	66.8	67.0	66.5	27.9	27.0	67.9	67.4
GEOGRAPHIC REGION
Northeast	65.5	63.8	18.1	17.6	69.8	67.9	71.9	69.6	69.5	67.6	29.9	28.3	70.5	68.7
Midwest	64.7	64.1	16.5	16.5	69.6	68.9	70.6	68.9	69.5	68.9	28.8	28.0	70.5	69.9
South	61.0	59.7	16.5	15.0	65.6	64.3	67.4	65.6	65.3	64.1	26.7	26.2	66.4	65.0
West	61.1	62.6	17.2	17.6	65.5	67.0	64.3	65.1	65.7	67.3	27.6	26.7	66.4	68.1
COUNTY TYPE
Large Metro	64.5	63.5	17.2	15.8	69.2	68.2	67.7	66.2	69.5	68.5	26.9	25.3	70.2	69.2
Small Metro	61.4	61.8	17.4	16.9	65.9	66.2	69.5	68.5	65.3	65.9	30.1	28.4	66.5	67.1
Nonmetro	57.1	55.7	14.7	17.3	61.3	59.2	66.1	65.2	60.6	58.2	26.3	30.9	61.8	59.6
Urbanized	58.7	56.6	15.6	13.4	62.5	60.4	69.5	71.0	61.4	58.3	30.5	33.7	62.8	60.5
Less Urbanized	56.1	54.9	14.2^b	20.4	60.5	58.2	62.8	59.1	60.2	58.1	24.5	29.1	61.1	58.8
Completely Rural	56.0	55.3	13.8	16.2	60.6	58.9	67.4	61.3	59.8	58.6	18.1	26.2	61.4	59.7
POVERTY LEVEL²
Less Than 100%	46.3	44.5	11.4	12.0	51.3	48.9	60.0	57.7	49.0	46.6	24.3	25.2	51.7	49.0
100-199%	52.7	52.5	15.7	15.1	56.8	56.5	65.7	63.7	55.1	55.0	26.2	25.5	57.4	57.3
200% or More	69.4	69.2	19.5	18.4	73.8	73.7	73.0	72.7	73.9	73.8	30.0	28.3	74.5	74.5
HEALTH INSURANCE³
Private	68.7	67.8	19.1	17.5	73.2	72.3	75.0	72.9	72.9	72.3	31.3^a	28.8	73.8	73.1
Medicaid/CHIP	47.0	45.9	14.3	15.1	54.2	52.6	56.3	54.4	53.7	52.2	21.7	22.4	55.3	53.5
Other⁴	57.0	57.0	16.2	13.3	57.7	57.8	66.8	65.0	57.4	57.6	31.7	28.7	57.8	57.9
No Coverage	60.0	59.6	13.8	15.6	62.6	61.8	60.1	63.2	63.2	61.5	28.9	34.0	63.9	62.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	134,729	134,330	1,800	1,725	132,929	132,605	16,878	16,589	116,051	116,016	5,575	5,139	129,154	129,191
GEOGRAPHIC REGION
Northeast	24,728	24,481	271	297	24,456	24,184	3,063	2,966	21,394	21,218	940	824	23,787	23,657
Midwest	29,363	28,866	379	361	28,983	28,505	3,758	3,661	25,225	24,844	1,293	1,182	28,069	27,684
South	49,423	48,267	707	620	48,716	47,647	6,431	6,223	42,285	41,423	2,077	1,910	47,346	46,357
West	31,216	32,716	442	446	30,773^a	32,270	3,625	3,740	27,148	28,530	1,265	1,223	29,951	31,493
COUNTY TYPE
Large Metro	77,712	77,622	1,004	943	76,708	76,680	9,128	8,667	67,581	68,013	2,829	2,471	74,883	75,151
Small Metro	41,238	42,987	602	594	40,635	42,393	5,780	5,995	34,856	36,397	2,033	1,916	39,205	41,071
Nonmetro	15,779^a	13,721	194	188	15,585^a	13,533	1,971	1,927	13,615^a	11,605	713	752	15,066^a	12,969
Urbanized	6,590	5,723	80	69	6,510	5,653	947	1,078	5,563^a	4,575	351	382	6,239	5,341
Less Urbanized	7,997	6,820	91	104	7,906	6,716	908	739	6,997	5,977	323	327	7,674	6,493
Completely Rural	1,193	1,179	24	15	1,169	1,164	115	110	1,054	1,053	39	43	1,153	1,135
POVERTY LEVEL²
Less Than 100%	14,309	13,521	265	263	14,044	13,258	3,587	3,104	10,456	10,154	1,274	1,166	13,035	12,355
100-199%	19,907	19,713	320	317	19,588	19,396	3,653	3,815	15,935	15,581	1,041	1,045	18,867	18,668
200% or More	100,501	101,039	1,215	1,145	99,286	99,894	9,626	9,614	89,660	90,281	3,251	2,892	97,251	98,148
HEALTH INSURANCE³
Private	92,303	92,439	1,132	1,068	91,171	91,371	10,943	10,700	80,228	80,671	3,480	3,129	88,824	89,310
Medicaid/CHIP	18,870	17,484	606	602	18,265	16,882	3,436^a	3,045	14,829	13,837	1,474	1,432	17,396	16,052
Other⁴	33,783	34,191	81	71	33,703	34,120	1,359	1,239	32,344	32,881	430	346	33,354	33,845
No Coverage	10,479	10,601	73	96	10,405	10,504	1,882^a	2,184	8,524	8,320	457	531	10,022	10,070
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	47.5	46.6	6.9	6.6	51.6	50.6	49.6^a	47.5	51.9	51.0	14.6^a	13.3	52.6	51.7
GEOGRAPHIC REGION
Northeast	50.5	49.2	6.7	7.3	54.5	53.0	53.3	50.2	54.6	53.4	15.6	13.6	55.4	54.2
Midwest	50.4	49.0	7.0	6.7	54.9	53.3	52.7	50.2	55.2	53.8	16.0	14.5	56.0	54.5
South	45.2^a	43.3	6.9	6.0	49.2^a	47.1	49.0	46.1	49.2	47.2	14.1	12.6	50.1^a	48.1
West	46.6	48.1	7.2	7.3	50.6	52.1	45.1	45.4	51.4	53.1	13.8	13.4	51.8	53.4
COUNTY TYPE
Large Metro	49.5	48.1	7.0	6.4	53.8	52.2	49.8^a	46.5	54.4	53.0	13.7^a	11.7	55.0	53.5
Small Metro	46.3	46.6	7.3	7.1	50.4	50.6	50.6	50.2	50.3	50.6	16.4	15.1	51.2	51.6
Nonmetro	41.9	39.7	5.7	6.5	45.5^a	42.8	46.3	44.3	45.4	42.6	14.4	16.0	46.1	43.5
Urbanized	43.4	40.1	6.5	6.1	46.7	43.1	50.3	49.5	46.1	41.8	18.3	18.5	47.1	43.8
Less Urbanized	41.3	39.1	4.9	6.8	45.2	42.1	43.6	38.9	45.4	42.6	12.2	14.3	46.0	42.8
Completely Rural	38.4	42.1	7.8	6.3	41.7	45.4	39.1	39.5	42.0	46.1	10.3	11.8	42.3	46.7
POVERTY LEVEL²
Less Than 100%	31.7^a	29.1	4.6	4.8	35.6^a	32.4	42.7^b	37.1	33.7	31.2	14.1	13.1	36.1^a	32.9
100-199%	36.6	35.4	6.0	6.0	40.0	38.5	46.4	44.9	38.8	37.2	12.9	12.6	40.8	39.4
200% or More	54.6	54.3	8.2	7.6	58.7	58.5	54.3	53.6	59.2	59.0	15.5^a	13.7	59.7	59.6
HEALTH INSURANCE³
Private	53.9^a	52.6	8.1	7.3	58.0	56.7	57.4^a	54.3	58.1	57.1	17.1^a	14.8	58.9	57.8
Medicaid/CHIP	31.1	29.6	5.5	5.8	36.7	34.8	36.1	33.9	36.8	35.0	9.8	9.9	38.1	36.0
Other⁴	43.0	43.2	5.8	5.2	43.7	43.9	48.2	44.3	43.5	43.8	17.8	14.5	43.8	44.1
No Coverage	44.1	42.1	5.9	8.0	46.2	43.8	42.0	43.4	47.2	43.9	17.3	18.3	47.4	45.1
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	61,428^b	57,863	1,016	900	60,412^b	56,963	9,764	9,329	50,649^b	47,634	3,283	2,946	58,144^a	54,918
GEOGRAPHIC REGION
Northeast	10,755^a	9,594	156	141	10,599^a	9,454	1,831^a	1,550	8,768	7,904	576	467	10,179	9,127
Midwest	13,860	13,272	195	176	13,665	13,096	2,237	2,191	11,428	10,905	753	685	13,107	12,587
South	23,127^a	21,330	399	391	22,728^a	20,939	3,697	3,542	19,031^a	17,397	1,236	1,153	21,891	20,177
West	13,686	13,667	266	192	13,420	13,475	1,998	2,047	11,422	11,429	719	640	12,967	13,027
COUNTY TYPE
Large Metro	34,982	33,210	570	450	34,413	32,760	5,212	4,761	29,201	27,999	1,652^a	1,341	33,330	31,868
Small Metro	18,917	18,471	332	339	18,585	18,132	3,367	3,347	15,217	14,785	1,176	1,079	17,741	17,392
Nonmetro	7,528^b	6,183	114	111	7,415^b	6,072	1,184	1,221	6,230^b	4,850	455	525	7,073^b	5,657
Urbanized	3,158	2,601	47	44	3,110	2,557	533	689	2,578^b	1,867	210	276	2,948^a	2,325
Less Urbanized	3,862	3,145	61	62	3,801	3,083	597	466	3,204	2,617	230	225	3,632	2,920
Completely Rural	509	437	*	5	503	432	55	66	448	366	16	24	493	412
POVERTY LEVEL²
Less Than 100%	8,661	8,233	163	163	8,498	8,070	2,238	1,915	6,261	6,155	751	710	7,910	7,523
100-199%	10,498	9,921	179	158	10,319	9,763	2,233	2,150	8,086	7,613	675	594	9,823	9,327
200% or More	42,260^a	39,677	674	578	41,586^a	39,099	5,284	5,232	36,302^a	33,866	1,850	1,617	40,410	38,060
HEALTH INSURANCE³
Private	40,009^a	37,267	613	528	39,396^a	36,739	6,174	5,879	33,223^a	30,860	1,993	1,758	38,016^a	35,509
Medicaid/CHIP	10,770	10,081	369	329	10,401	9,752	1,985	1,740	8,417	8,012	898	798	9,873	9,283
Other⁴	11,186	10,579	32	43	11,154	10,536	708	693	10,446	9,843	230	229	10,957	10,350
No Coverage	6,172	6,197	48	54	6,125	6,143	1,284	1,331	4,841	4,812	285	326	5,888	5,872
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	21.7^b	20.1	3.9	3.5	23.5^b	21.7	28.7^a	26.7	22.7^b	21.0	8.6^a	7.6	23.7^b	22.0
GEOGRAPHIC REGION
Northeast	22.0^a	19.3	3.8	3.4	23.6^a	20.7	31.9^b	26.2	22.4	19.9	9.6	7.7	23.7^a	20.9
Midwest	23.8	22.5	3.6	3.3	25.9	24.5	31.3	30.1	25.0	23.6	9.3	8.4	26.1	24.8
South	21.2^b	19.1	3.9	3.8	23.0^b	20.7	28.2	26.2	22.2^b	19.8	8.4	7.6	23.2^b	20.9
West	20.4	20.1	4.3	3.1	22.1	21.8	24.9	24.8	21.6	21.3	7.8	7.0	22.4	22.1
COUNTY TYPE
Large Metro	22.3^b	20.6	4.0	3.1	24.1^b	22.3	28.4^a	25.5	23.5^a	21.8	8.0^b	6.3	24.5^b	22.7
Small Metro	21.3	20.0	4.0	4.1	23.0^a	21.6	29.5	28.0	22.0	20.6	9.5	8.5	23.2	21.9
Nonmetro	20.0^a	17.9	3.4	3.8	21.7^a	19.2	27.8	28.0	20.8^b	17.8	9.2	11.2	21.6^a	19.0
Urbanized	20.8	18.2	3.9	3.9	22.3	19.5	28.3	31.6	21.4^a	17.1	10.9	13.4	22.3^a	19.0
Less Urbanized	20.0	18.0	3.3	4.1	21.7	19.3	28.6	24.6	20.8	18.6	8.7	9.9	21.8	19.2
Completely Rural	16.4	15.6	*	2.0	17.9	16.9	18.7	23.7	17.9	16.0	4.1	6.6	18.1	17.0
POVERTY LEVEL²
Less Than 100%	19.2	17.7	2.8	3.0	21.5	19.7	26.6^a	22.9	20.2	18.9	8.3	8.0	21.9	20.0
100-199%	19.3	17.8	3.3	3.0	21.1	19.4	28.4	25.3	19.7	18.2	8.4	7.2	21.2	19.7
200% or More	23.0^b	21.3	4.5	3.8	24.6^b	22.9	29.8	29.2	24.0^b	22.1	8.8	7.6	24.8^b	23.1
HEALTH INSURANCE³
Private	23.4^b	21.2	4.4	3.6	25.1^b	22.8	32.4^a	29.8	24.1^b	21.8	9.8^a	8.3	25.2^b	23.0
Medicaid/CHIP	17.7	17.1	3.4	3.2	20.9	20.1	20.8	19.4	20.9	20.2	5.9	5.5	21.6	20.8
Other⁴	14.2	13.4	2.3	3.1	14.5	13.5	25.1	24.8	14.1	13.1	9.5	9.6	14.4	13.5
No Coverage	26.0	24.6	3.8	4.5	27.2	25.6	28.6	26.4	26.8	25.4	10.8	11.2	27.8	26.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ^a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	16,412^b	14,541	141	98	16,271^b	14,443	2,356	2,098	13,914^b	12,344	663	576	15,749^b	13,965
GEOGRAPHIC REGION
Northeast	2,790	2,395	10	17	2,780	2,378	500^b	306	2,280	2,072	145	86	2,645	2,309
Midwest	3,936	3,906	23	17	3,913	3,889	589	556	3,324	3,333	168	147	3,768	3,760
South	6,254^b	4,787	52	45	6,202^b	4,743	776	827	5,426^b	3,915	185	261	6,069^b	4,526
West	3,432	3,453	57	20	3,376	3,433	491	409	2,885	3,024	165^a	82	3,267	3,371
COUNTY TYPE
Large Metro	8,711	7,822	65	45	8,647	7,777	1,189	1,030	7,457	6,748	310	209	8,402	7,614
Small Metro	5,347	4,873	45	39	5,303	4,834	856	724	4,447	4,110	256	215	5,092	4,657
Nonmetro	2,353^a	1,846	32	14	2,321^a	1,832	311	345	2,010^a	1,487	98	152	2,255^b	1,694
Urbanized	1,017^a	738	15	5	1,002^a	733	135	214	867^b	519	49	95	968^a	643
Less Urbanized	1,123	974	16	7	1,107	967	155	117	952	850	45	52	1,077	922
Completely Rural	213	134	1	*	212	132	21	*	191	117	3	5	210	129
POVERTY LEVEL²
Less Than 100%	2,413	2,144	28	21	2,385	2,122	605	520	1,780	1,602	179	172	2,234	1,971
100-199%	2,640	2,457	21	23	2,619	2,434	467	413	2,152	2,021	97	114	2,543	2,344
200% or More	11,359^b	9,936	92	54	11,267^a	9,882	1,285	1,160	9,982^a	8,722	387	287	10,971^a	9,649
HEALTH INSURANCE³
Private	10,395^b	8,958	65	46	10,330^b	8,912	1,525	1,371	8,806^a	7,541	425	332	9,970^b	8,626
Medicaid/CHIP	2,817	2,626	71	45	2,746	2,581	475^a	333	2,271	2,249	190	133	2,628	2,493
Other⁴	3,050	2,568	3	3	3,047	2,565	129	132	2,918	2,433	35	60	3,014	2,508
No Coverage	1,944	1,773	7	10	1,937	1,763	308	333	1,629	1,430	43	74	1,901	1,699
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12+ (2024)	Aged 12-17 (2023)	Aged 12-17 (2024)	Aged 18+ (2023)	Aged 18+ (2024)	Aged 18-25 (2023)	Aged 18-25 (2024)	Aged 26+ (2023)	Aged 26+ (2024)	Aged 12-20¹ (2023)	Aged 12-20¹ (2024)	Aged 21+¹ (2023)	Aged 21+¹ (2024)
TOTAL	5.8^b	5.0	0.5	0.4	6.3^b	5.5	6.9^a	6.0	6.2^b	5.4	1.7	1.5	6.4^b	5.6
GEOGRAPHIC REGION
Northeast	5.7	4.8	0.3	0.4	6.2	5.2	8.7^b	5.2	5.8	5.2	2.4	1.4	6.2	5.3
Midwest	6.8	6.6	0.4	0.3	7.4	7.3	8.3	7.6	7.3	7.2	2.1	1.8	7.5	7.4
South	5.7^b	4.3	0.5	0.4	6.3^b	4.7	5.9	6.1	6.3^b	4.5	1.3	1.7	6.4^b	4.7
West	5.1	5.1	0.9	0.3	5.5	5.5	6.1	5.0	5.5	5.6	1.8^a	0.9	5.7	5.7
COUNTY TYPE
Large Metro	5.6^a	4.8	0.5	0.3	6.1^a	5.3	6.5	5.5	6.0	5.3	1.5	1.0	6.2^a	5.4
Small Metro	6.0^a	5.3	0.5	0.5	6.6^a	5.8	7.5	6.1	6.4	5.7	2.1	1.7	6.7	5.9
Nonmetro	6.3	5.3	0.9	0.5	6.8	5.8	7.3	7.9	6.7^a	5.5	2.0	3.2	6.9^a	5.7
Urbanized	6.7^a	5.2	1.2	0.5	7.2	5.6	7.2	9.8	7.2^a	4.7	2.6	4.6	7.3^a	5.3
Less Urbanized	5.8	5.6	0.9	0.5	6.3	6.1	7.4	6.1	6.2	6.1	1.7	2.3	6.5	6.1
Completely Rural	6.9	4.8	0.3	*	7.6	5.1	7.3	*	7.6	5.1	0.9	1.4	7.7	5.3
POVERTY LEVEL²
Less Than 100%	5.3	4.6	0.5	0.4	6.0	5.2	7.2	6.2	5.7	4.9	2.0	1.9	6.2	5.3
100-199%	4.9	4.4	0.4	0.4	5.3	4.8	5.9	4.9	5.2	4.8	1.2	1.4	5.5	5.0
200% or More	6.2^b	5.3	0.6	0.4	6.7^b	5.8	7.2	6.5	6.6^b	5.7	1.8	1.4	6.7^b	5.9
HEALTH INSURANCE³
Private	6.1^b	5.1	0.5	0.3	6.6^b	5.5	8.0	7.0	6.4^b	5.3	2.1	1.6	6.6^b	5.6
Medicaid/CHIP	4.6	4.5	0.6	0.4	5.5	5.3	5.0	3.7	5.6	5.7	1.3	0.9	5.8	5.6
Other⁴	3.9	3.2	0.2	0.2	3.9	3.3	4.6	4.7	3.9	3.2	1.5	2.5	4.0	3.3
No Coverage	8.2	7.0	0.6	0.8	8.6	7.3	6.9	6.6	9.0	7.5	1.6	2.5	9.0	7.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for alcohol. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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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, 2023 and 2024
Demographic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	12,615	12,659	10,604	10,413	5,575	5,139	3,283	2,946	663	576
SEX
Male	6,100	6,199	5,096	5,081	2,691	2,448	1,584	1,393	321	320
Female	6,516	6,460	5,509	5,332	2,884	2,691	1,699	1,552	342	256
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	9,450	9,257	8,001	7,576	4,339	3,890	2,525	2,281	521	453
AIAN	68	80	51	58	17	22	13	11	5	3
Asian	563	427	474	360	180	172	55	88	5	2
Black or African American	1,362	1,441	1,097	1,129	558	459	312	289	32	44
NHPI	*	*	*	*	*	7	*	4	*	*
White	6,947	6,778	5,954	5,636	3,356	3,043	2,011	1,789	414	383
Two or More Races	495	491	414	364	223	188	127	100	63	18
Hispanic or Latino	3,165	3,402	2,604	2,836	1,236	1,249	759	665	142	123
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	619	689	487	531	208	196	127	126	13	31
Female, Black, Not Hispanic	743	752	610	598	350	263	185	163	20	13
Male, White, Not Hispanic	3,364	3,269	2,895	2,727	1,644	1,445	975	833	226	213
Female, White, Not Hispanic	3,582	3,509	3,059	2,909	1,712	1,597	1,037	956	188	170
Male, Hispanic	1,594	1,743	1,285	1,451	645	615	397	340	49	65
Female, Hispanic	1,571	1,659	1,319	1,386	591	634	362	324	93	58
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.44B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	33.1	32.9	27.9	27.0	14.6^a	13.3	8.6^a	7.6	1.7	1.5
SEX
Male	31.1	31.4	26.0	25.7	13.7	12.4	8.1	7.1	1.6	1.6
Female	35.3	34.4	29.8	28.4	15.6	14.3	9.2	8.3	1.9	1.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	33.5	32.8	28.4	26.8	15.4^a	13.8	9.0	8.1	1.9	1.6
AIAN	23.6	29.9	17.7	21.9	5.8	8.1	4.3	4.2	1.8	1.0
Asian	23.7	17.5	20.0	14.7	7.6	7.0	2.3	3.6	0.2	0.1
Black or African American	26.0	27.3	20.9	21.4	10.6	8.7	5.9	5.5	0.6	0.8
NHPI	*	*	*	*	*	4.9	*	2.9	*	*
White	37.0	36.3	31.7	30.2	17.9	16.3	10.7	9.6	2.2	2.1
Two or More Races	36.5	34.0	30.5	25.2	16.4	13.0	9.4	6.9	4.7	1.3
Hispanic or Latino	32.0	33.1	26.3	27.6	12.5	12.1	7.7	6.5	1.4	1.2
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	23.6	25.4	18.6	19.6	7.9	7.2	4.8	4.6	0.5	1.2
Female, Black, Not Hispanic	28.3	29.3	23.3	23.3	13.3	10.2	7.1	6.4	0.7	0.5
Male, White, Not Hispanic	34.5	34.2	29.7	28.5	16.9	15.1	10.0	8.7	2.3	2.2
Female, White, Not Hispanic	39.6	38.6	33.9	32.0	18.9	17.6	11.5	10.5	2.1	1.9
Male, Hispanic	31.2	33.0	25.2	27.5	12.6	11.7	7.8	6.4	1.0	1.2
Female, Hispanic	32.8	33.2	27.6	27.7	12.4	12.7	7.6	6.5	2.0	1.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.45A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	211,649	215,712	166,673	168,275	129,154	129,191	58,144^a	54,918	15,749^b	13,965
SEX
Male	104,996	107,509	83,485	83,258	66,798	66,712	32,056	30,786	9,527	8,724
Female	106,653	108,203	83,188	85,016	62,356	62,479	26,088^a	24,132	6,222^a	5,241
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	176,868	179,521	139,580	139,206	108,887	107,394	46,955^b	43,516	13,547^b	11,648
AIAN	822	854	555	570	385	383	244	249	70	76
Asian	10,315	10,692	7,978	8,315	5,505	5,941	1,814	1,914	343	372
Black or African American	23,154	23,615	18,745	18,591	14,229	13,985	7,203	6,875	1,616^a	1,187
NHPI	*	*	*	*	*	312	*	166	*	36
White	137,399	138,931	108,380	107,743	85,731	84,094	36,173^a	33,220	11,024^b	9,559
Two or More Races	4,446	4,649	3,398	3,520	2,658	2,679	1,249	1,092	405	419
Hispanic or Latino	34,781	36,191	27,093	29,069	20,266	21,797	11,190	11,402	2,202	2,317
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	10,912	11,097	8,903	8,585	6,835	6,492	3,679	3,281	837^a	582
Female, Black, Not Hispanic	12,243	12,517	9,841	10,006	7,394	7,493	3,525	3,593	780	605
Male, White, Not Hispanic	67,647	68,720	53,861	52,871	44,247	43,237	20,097	18,918	6,737	5,979
Female, White, Not Hispanic	69,752	70,211	54,519	54,872	41,484	40,857	16,076^b	14,302	4,287^a	3,579
Male, Hispanic	18,232	18,959	14,488	15,189	11,014	12,094	6,541	6,726	1,523	1,540
Female, Hispanic	16,549	17,232	12,605	13,880	9,252	9,703	4,649	4,676	678	777
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.45B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	86.2	86.4	67.9	67.4	52.6	51.7	23.7^b	22.0	6.4^b	5.6
SEX
Male	88.2	88.7	70.1	68.7	56.1	55.0	26.9^a	25.4	8.0	7.2
Female	84.4	84.2	65.8	66.2	49.3	48.6	20.6^b	18.8	4.9^b	4.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	87.1	87.4	68.7	67.8	53.6^a	52.3	23.1^b	21.2	6.7^b	5.7
AIAN	78.4	77.8	52.9	51.9	36.7	34.9	23.2	22.7	6.7	6.9
Asian	68.2	66.0	52.8	51.3	36.4	36.7	12.0	11.8	2.3	2.3
Black or African American	78.5	78.8	63.5	62.0	48.2	46.7	24.4	22.9	5.5^b	4.0
NHPI	*	*	*	*	*	28.2	*	15.1	*	3.3
White	90.7	91.4	71.5	70.9	56.6	55.3	23.9^b	21.9	7.3^b	6.3
Two or More Races	91.9	92.2	70.2	69.8	55.0	53.2	25.8	21.7	8.4	8.3
Hispanic or Latino	82.1	81.6	64.0	65.5	47.9	49.1	26.4	25.7	5.2	5.2
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	80.6	81.0	65.8	62.7	50.5	47.4	27.2	24.0	6.2^a	4.3
Female, Black, Not Hispanic	76.6	76.9	61.6	61.5	46.3	46.0	22.1	22.1	4.9	3.7
Male, White, Not Hispanic	91.3	92.4	72.7	71.1	59.7	58.1	27.1	25.4	9.1	8.0
Female, White, Not Hispanic	90.0	90.5	70.4	70.7	53.5	52.7	20.8^b	18.4	5.5^a	4.6
Male, Hispanic	86.6	85.7	68.8	68.7	52.3	54.7	31.1	30.4	7.2	7.0
Female, Hispanic	77.7	77.5	59.2	62.4	43.4	43.6	21.8	21.0	3.2	3.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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, 2023 and 2024.

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Table 2.46A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	12,615	12,659	10,604	10,413	5,575	5,139	3,283	2,946	663	576
GEOGRAPHIC REGION
Northeast	2,079	2,038	1,801	1,722	940	824	576	467	145	86
Midwest	2,807	2,777	2,329	2,285	1,293	1,182	753	685	168	147
South	4,669	4,878	3,942	3,975	2,077	1,910	1,236	1,153	185	261
West	3,060	2,967	2,533	2,431	1,265	1,223	719	640	165^a	82
COUNTY TYPE
Large Metro	6,542	6,486	5,560	5,357	2,829	2,471	1,652^a	1,341	310	209
Small Metro	4,406	4,416	3,743	3,602	2,033	1,916	1,176	1,079	256	215
Nonmetro	1,668	1,757	1,302	1,453	713	752	455	525	98	152
Urbanized	712	831	585	694	351	382	210	276	49	95
Less Urbanized	859	806	648	662	323	327	230	225	45	52
Completely Rural	97	120	69	96	39	43	16	24	3	5
POVERTY LEVEL²
Less Than 100%	2,700	2,744	2,193	2,245	1,274	1,166	751	710	179	172
100-199%	2,628	2,688	2,106	2,122	1,041	1,045	675	594	97	114
200% or More	7,271	7,164	6,291	5,986	3,251	2,892	1,850	1,617	387	287
HEALTH INSURANCE³
Private	7,261	7,204	6,365	6,095	3,480	3,129	1,993	1,758	425	332
Medicaid/CHIP	4,271	4,191	3,279	3,241	1,474	1,432	898	798	190	133
Other⁴	889	841	766	686	430	346	230	229	35	60
No Coverage	949^a	1,173	762^a	987	457	531	285	326	43	74
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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 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, 2023 and 2024.

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Table 2.46B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 12 to 20; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	33.1	32.9	27.9	27.0	14.6^a	13.3	8.6^a	7.6	1.7	1.5
GEOGRAPHIC REGION
Northeast	34.6	33.5	29.9	28.3	15.6	13.6	9.6	7.7	2.4	1.4
Midwest	34.7	34.1	28.8	28.0	16.0	14.5	9.3	8.4	2.1	1.8
South	31.6	32.1	26.7	26.2	14.1	12.6	8.4	7.6	1.3	1.7
West	33.4	32.6	27.6	26.7	13.8	13.4	7.8	7.0	1.8^a	0.9
COUNTY TYPE
Large Metro	31.6	30.7	26.9	25.3	13.7^a	11.7	8.0^b	6.3	1.5	1.0
Small Metro	35.4	34.9	30.1	28.4	16.4	15.1	9.5	8.5	2.1	1.7
Nonmetro	33.7	37.3	26.3	30.9	14.4	16.0	9.2	11.2	2.0	3.2
Urbanized	37.1	40.4	30.5	33.7	18.3	18.5	10.9	13.4	2.6	4.6
Less Urbanized	32.4	35.4	24.5	29.1	12.2	14.3	8.7	9.9	1.7	2.3
Completely Rural	25.3	32.7	18.1	26.2	10.3	11.8	4.1	6.6	0.9	1.4
POVERTY LEVEL²
Less Than 100%	29.9	30.8	24.3	25.2	14.1	13.1	8.3	8.0	2.0	1.9
100-199%	32.6	32.3	26.2	25.5	12.9	12.6	8.4	7.2	1.2	1.4
200% or More	34.7	33.8	30.0	28.3	15.5^a	13.7	8.8	7.6	1.8	1.4
HEALTH INSURANCE³
Private	35.7	34.1	31.3^a	28.8	17.1^a	14.8	9.8^a	8.3	2.1	1.6
Medicaid/CHIP	28.3	29.0	21.7	22.4	9.8	9.9	5.9	5.5	1.3	0.9
Other⁴	36.8	35.2	31.7	28.7	17.8	14.5	9.5	9.6	1.5	2.5
No Coverage	36.0	40.4	28.9	34.0	17.3	18.3	10.8	11.2	1.6	2.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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 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, 2023 and 2024.

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Table 2.47A – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	211,649	215,712	166,673	168,275	129,154	129,191	58,144^a	54,918	15,749^b	13,965
GEOGRAPHIC REGION
Northeast	37,333	37,674	30,271	29,989	23,787	23,657	10,179	9,127	2,645	2,309
Midwest	44,834	45,731	35,352	35,492	28,069	27,684	13,107	12,587	3,768	3,760
South	80,208	81,258	62,686	62,613	47,346	46,357	21,891	20,177	6,069^b	4,526
West	49,274	51,048	38,364	40,181	29,951	31,493	12,967	13,027	3,267	3,371
COUNTY TYPE
Large Metro	117,343	120,391	95,613	97,188	74,883	75,151	33,330	31,868	8,402	7,614
Small Metro	65,889	69,508	50,871	53,327	39,205	41,071	17,741	17,392	5,092	4,657
Nonmetro	28,418	25,814	20,189^a	17,759	15,066^a	12,969	7,073^b	5,657	2,255^b	1,694
Urbanized	11,660	10,706	8,318	7,384	6,239	5,341	2,948^a	2,325	968^a	643
Less Urbanized	14,434	13,043	10,198	8,923	7,674	6,493	3,632	2,920	1,077	922
Completely Rural	2,324	2,064	1,672	1,451	1,153	1,135	493	412	210	129
POVERTY LEVEL²
Less Than 100%	27,364	27,596	18,700	18,414	13,035	12,355	7,910	7,523	2,234	1,971
100-199%	37,638	38,610	26,560	27,110	18,867	18,668	9,823	9,327	2,543	2,344
200% or More	146,645	149,474	121,411	122,723	97,251	98,148	40,410	38,060	10,971^a	9,649
HEALTH INSURANCE³
Private	134,830	138,327	111,247	112,963	88,824	89,310	38,016^a	35,509	9,970^b	8,626
Medicaid/CHIP	36,256	34,998	25,265	23,858	17,396	16,052	9,873	9,283	2,628	2,493
Other⁴	64,126	65,001	43,974	44,476	33,354	33,845	10,957	10,350	3,014	2,508
No Coverage	16,944	17,961	13,516	14,035	10,022	10,070	5,888	5,872	1,901	1,699
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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 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, 2023 and 2024.

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Table 2.47B – Alcohol Use in Lifetime, Past Year, and Past Month and Binge Alcohol and Heavy Alcohol Use in Past Month: Among People Aged 21 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Lifetime Alcohol Use (2024)	Past Year Alcohol Use (2023)	Past Year Alcohol Use (2024)	Past Month Alcohol Use (2023)	Past Month Alcohol Use (2024)	Past Month Binge Alcohol Use (2023)	Past Month Binge Alcohol Use (2024)	Past Month Heavy Alcohol Use¹ (2023)	Past Month Heavy Alcohol Use¹ (2024)
TOTAL	86.2	86.4	67.9	67.4	52.6	51.7	23.7^b	22.0	6.4^b	5.6
GEOGRAPHIC REGION
Northeast	86.9	86.3	70.5	68.7	55.4	54.2	23.7^a	20.9	6.2	5.3
Midwest	89.4	90.1	70.5	69.9	56.0	54.5	26.1	24.8	7.5	7.4
South	84.9	84.4	66.4	65.0	50.1^a	48.1	23.2^b	20.9	6.4^b	4.7
West	85.2	86.5	66.4	68.1	51.8	53.4	22.4	22.1	5.7	5.7
COUNTY TYPE
Large Metro	86.2	85.8	70.2	69.2	55.0	53.5	24.5^b	22.7	6.2^a	5.4
Small Metro	86.1	87.4	66.5	67.1	51.2	51.6	23.2	21.9	6.7	5.9
Nonmetro	87.0	86.6	61.8	59.6	46.1	43.5	21.6^a	19.0	6.9^a	5.7
Urbanized	88.0	87.7	62.8	60.5	47.1	43.8	22.3^a	19.0	7.3^a	5.3
Less Urbanized	86.4	85.9	61.1	58.8	46.0	42.8	21.8	19.2	6.5	6.1
Completely Rural	85.3	84.9	61.4	59.7	42.3	46.7	18.1	17.0	7.7	5.3
POVERTY LEVEL²
Less Than 100%	75.7	73.5	51.7	49.0	36.1^a	32.9	21.9	20.0	6.2	5.3
100-199%	81.3	81.5	57.4	57.3	40.8	39.4	21.2	19.7	5.5	5.0
200% or More	90.0	90.7	74.5	74.5	59.7	59.6	24.8^b	23.1	6.7^b	5.9
HEALTH INSURANCE³
Private	89.4	89.5	73.8	73.1	58.9	57.8	25.2^b	23.0	6.6^b	5.6
Medicaid/CHIP	79.4	78.5	55.3	53.5	38.1	36.0	21.6	20.8	5.8	5.6
Other⁴	84.2	84.7	57.8	57.9	43.8	44.1	14.4	13.5	4.0	3.3
No Coverage	80.1	80.5	63.9	62.9	47.4	45.1	27.8	26.3	9.0	7.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire 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 2024 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 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, 2023 and 2024.