Section 2 SE Tables - Results from the 2024 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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Table 2.1C – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Standard Errors of 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	1,030	1,101	138	130	988	1,058	236	234	945	1,015	292	276	2,433	2,442
Tobacco Products	1,062	1,133	94	87	1,018	1,081	235	240	962	1,023	202	196	2,385	2,376
Cigarettes	1,087	1,111	86	73	1,054	1,073	212	226	1,003	1,025	179	169	2,215	2,192
Daily Cigarettes	1,038	1,046	24	30	1,026	1,033	125	130	996	1,004	55	47	1,567	1,462
Smokeless Tobacco	757	799	37	38	752	788	132	139	732	763	87	78	883	909
Cigars	1,006	1,058	54	50	990	1,039	194	188	959	1,001	131	117	1,543	1,507
Pipe Tobacco	668	640	26	30	665	634	100	85	653	624	65	51	767	716
Nicotine Vaping	858	942	133	126	845	924	245	231	772	863	279	254	1,113	1,223
Alcohol	881	929	154	149	806	828	220	214	749	775	347	310	3,041	3,085
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping²	965	1,011	123	111	954	997	228	235	909	950	254	228	1,332	1,312
Tobacco Products²	889	916	77	66	886	905	212	206	850	877	166	150	1,195	1,139
Cigarettes	836	810	62	55	838	806	185	185	816	789	130	124	1,049	970
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	381	353	28	35	381	349	95	107	369	325	69	68	386	357
Cigars	494	502	44	44	493	499	139	140	473	459	101	94	545	533
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	670	645	119	109	659	632	224	220	574	566	240	208	721	731
Alcohol	1,167	1,143	142	139	1,117	1,094	237	230	1,064	1,053	321	282	2,482	2,561
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	916	934	86	78	911	922	212	213	871	881	189	159	1,208	1,166
Tobacco Products	843	847	44	43	843	842	162	155	823	814	112	93	1,071	1,017
Cigarettes	783	774	38	36	784	772	133	131	777	751	83	79	945	890
Daily Cigarettes	634	643	10	4	634	639	70	57	627	631	26	22	721	695
Smokeless Tobacco	330	309	16	20	330	307	71	70	324	294	42	38	334	317
Cigars	390	370	19	24	391	368	97	93	377	348	55	49	412	380
Pipe Tobacco	179	171	14	9	178	170	49	42	170	166	41	31	175	170
Nicotine Vaping	553	552	82	75	544	544	201	201	472	484	174	152	580	599
Alcohol	1,203	1,144	96	92	1,175	1,131	262	251	1,127	1,097	219	190	2,055	2,079
Binge Alcohol Use	855	826	75	58	839	817	218	219	809	794	162	136	1,089	1,091
Heavy Alcohol Use³	456	458	27	17	455	456	118	98	438	443	65	56	476	487
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.1D – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Standard Errors of 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	0.36	0.38	0.53	0.50	0.38	0.40	0.69	0.67	0.42	0.45	0.55	0.55	0.40	0.41
Tobacco Products	0.37	0.39	0.36	0.33	0.40	0.41	0.69	0.69	0.43	0.45	0.45	0.46	0.41	0.42
Cigarettes	0.38	0.39	0.33	0.28	0.41	0.41	0.62	0.65	0.45	0.45	0.41	0.40	0.42	0.42
Daily Cigarettes	0.37	0.36	0.09	0.12	0.40	0.39	0.37	0.37	0.45	0.44	0.14	0.12	0.41	0.41
Smokeless Tobacco	0.27	0.28	0.14	0.15	0.29	0.30	0.39	0.40	0.33	0.34	0.22	0.20	0.30	0.31
Cigars	0.35	0.37	0.21	0.19	0.38	0.40	0.57	0.54	0.43	0.44	0.32	0.29	0.40	0.41
Pipe Tobacco	0.24	0.22	0.10	0.11	0.26	0.24	0.29	0.24	0.29	0.27	0.16	0.13	0.27	0.25
Nicotine Vaping	0.30	0.33	0.51	0.49	0.33	0.35	0.72	0.66	0.35	0.38	0.54	0.52	0.34	0.36
Alcohol	0.31	0.32	0.60	0.57	0.31	0.32	0.65	0.61	0.33	0.34	0.63	0.59	0.32	0.32
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping²	0.34	0.35	0.47	0.43	0.37	0.38	0.67	0.67	0.41	0.42	0.53	0.49	0.38	0.39
Tobacco Products²	0.31	0.32	0.30	0.26	0.34	0.34	0.62	0.59	0.38	0.39	0.39	0.36	0.35	0.36
Cigarettes	0.29	0.28	0.24	0.21	0.33	0.31	0.54	0.53	0.37	0.35	0.31	0.31	0.34	0.32
Daily Cigarettes	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Smokeless Tobacco	0.13	0.12	0.11	0.13	0.15	0.13	0.28	0.31	0.17	0.14	0.18	0.17	0.15	0.14
Cigars	0.17	0.17	0.17	0.17	0.19	0.19	0.41	0.40	0.21	0.20	0.25	0.24	0.20	0.19
Pipe Tobacco²	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Nicotine Vaping	0.24	0.22	0.46	0.42	0.26	0.24	0.66	0.63	0.26	0.25	0.50	0.46	0.26	0.24
Alcohol	0.41	0.40	0.55	0.53	0.43	0.42	0.70	0.66	0.48	0.46	0.62	0.57	0.45	0.43
Binge Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	0.32	0.32	0.33	0.30	0.35	0.35	0.62	0.61	0.39	0.39	0.42	0.38	0.36	0.36
Tobacco Products	0.30	0.29	0.17	0.17	0.33	0.32	0.47	0.44	0.37	0.36	0.28	0.23	0.34	0.33
Cigarettes	0.28	0.27	0.15	0.14	0.30	0.29	0.39	0.37	0.35	0.33	0.21	0.20	0.32	0.31
Daily Cigarettes	0.22	0.22	0.04	0.02	0.25	0.24	0.21	0.16	0.28	0.28	0.07	0.06	0.26	0.25
Smokeless Tobacco	0.12	0.11	0.06	0.08	0.13	0.12	0.21	0.20	0.15	0.13	0.11	0.10	0.13	0.12
Cigars	0.14	0.13	0.07	0.09	0.15	0.14	0.28	0.27	0.17	0.15	0.14	0.13	0.16	0.14
Pipe Tobacco	0.06	0.06	0.05	0.03	0.07	0.06	0.14	0.12	0.08	0.07	0.11	0.08	0.07	0.07
Nicotine Vaping	0.19	0.19	0.32	0.29	0.21	0.21	0.59	0.58	0.21	0.21	0.40	0.36	0.21	0.21
Alcohol	0.42	0.40	0.37	0.36	0.46	0.43	0.77	0.72	0.50	0.48	0.49	0.44	0.47	0.45
Binge Alcohol Use	0.30	0.29	0.29	0.22	0.33	0.31	0.64	0.63	0.36	0.35	0.38	0.33	0.34	0.33
Heavy Alcohol Use³	0.16	0.16	0.10	0.06	0.18	0.17	0.35	0.28	0.20	0.20	0.17	0.14	0.18	0.18
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.1P – Tobacco Product Use, Nicotine Vaping, and Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Substance	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
LIFETIME
Tobacco Product Use or Nicotine Vaping	0.6331	0.1421	0.6686	0.5471	0.7801	0.2744	0.7477
Tobacco Products	0.1926	0.5932	0.1466	0.0230	0.3501	0.1965	0.2215
Cigarettes	0.1591	0.2638	0.1346	0.2961	0.2001	0.3694	0.1600
Daily Cigarettes	0.1659	0.1344	0.1254	0.0293	0.2224	0.0587	0.1763
Smokeless Tobacco	0.4783	0.3166	0.4147	0.7387	0.3742	0.9396	0.4513
Cigars	0.0366	0.8861	0.0278	0.0041	0.0901	0.2510	0.0403
Pipe Tobacco	0.0194	0.3195	0.0151	0.0594	0.0286	0.1448	0.0238
Nicotine Vaping	0.0429	0.4292	0.0324	0.8592	0.0191	0.5874	0.0248
Alcohol	0.7969	0.7447	0.9051	0.3145	0.6501	0.7414	0.7684
Binge Alcohol Use	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--
PAST YEAR
Tobacco Product Use or Nicotine Vaping²	0.1064	0.1417	0.1346	0.0899	0.2467	0.0437	0.2164
Tobacco Products²	0.0045	0.9434	0.0036	0.0265	0.0149	0.1994	0.0068
Cigarettes	0.0454	0.2619	0.0494	0.2600	0.0822	0.5944	0.0500
Daily Cigarettes	--	--	--	--	--	--	--
Smokeless Tobacco	0.4875	0.0972	0.3830	0.0182	0.1084	0.2876	0.3542
Cigars	0.0061	0.3244	0.0040	0.1636	0.0076	0.3064	0.0091
Pipe Tobacco²	--	--	--	--	--	--	--
Nicotine Vaping	0.2767	0.1705	0.1765	0.1350	0.0432	0.0292	0.0648
Alcohol	0.3020	0.4406	0.2673	0.1819	0.3959	0.3049	0.3561
Binge Alcohol Use	--	--	--	--	--	--	--
Heavy Alcohol Use	--	--	--	--	--	--	--
PAST MONTH
Tobacco Product Use or Nicotine Vaping	0.1480	0.0716	0.1791	0.1922	0.2715	0.0100	0.2963
Tobacco Products	0.0206	0.9319	0.0172	0.0297	0.0434	0.1497	0.0272
Cigarettes	0.1442	0.6417	0.1362	0.0596	0.2449	0.4149	0.1571
Daily Cigarettes	0.3201	0.4838	0.3042	0.0013	0.4920	0.1601	0.3333
Smokeless Tobacco	0.2996	0.0901	0.2455	0.0482	0.0984	0.4002	0.2457
Cigars	0.0067	0.4478	0.0054	0.2255	0.0089	0.3149	0.0085
Pipe Tobacco	0.3614	0.4009	0.3843	0.2577	0.5524	0.1968	0.5049
Nicotine Vaping	0.4124	0.0779	0.2841	0.6270	0.1788	0.0189	0.1207
Alcohol	0.0892	0.5664	0.0732	0.0397	0.1691	0.0413	0.1425
Binge Alcohol Use	0.0001	0.2223	0.0001	0.0242	0.0007	0.0449	0.0003
Heavy Alcohol Use³	0.0007	0.1739	0.0007	0.0363	0.0033	0.2630	0.0010
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.2C – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	1,030	1,101	965	1,011	916	934
12-20¹	292	276	254	228	189	159
21 or Older¹	2,433	2,442	1,332	1,312	1,208	1,166
12-17	138	130	123	111	86	78
12-13	50	48	40	40	23	27
14-15	99	81	84	67	63	41
16-17	111	116	93	97	66	66
18 or Older	988	1,058	954	997	911	922
18-25	236	234	228	235	212	213
18-20	211	204	187	170	148	130
21-25	372	354	291	290	227	242
26 or Older	945	1,015	909	950	871	881
26-49	503	547	514	538	499	505
26-29	370	369	283	285	241	248
30-34	407	431	299	293	264	265
35-39	489	463	350	326	320	286
40-44	397	436	284	286	256	266
45-49	414	407	266	283	249	261
50 or Older	779	813	717	693	678	646
50-54	548	629	352	392	323	363
55-59	593	570	382	352	332	327
60-64	662	623	408	378	383	350
65 or Older	548	552	415	378	399	353
* = 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. 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 2.2D – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.36	0.38	0.34	0.35	0.32	0.32
12-20¹	0.55	0.55	0.53	0.49	0.42	0.38
21 or Older¹	0.40	0.41	0.38	0.39	0.36	0.36
12-17	0.53	0.50	0.47	0.43	0.33	0.30
12-13	0.62	0.58	0.50	0.49	0.29	0.33
14-15	0.92	0.82	0.83	0.72	0.64	0.46
16-17	1.09	1.02	0.95	0.93	0.70	0.69
18 or Older	0.38	0.40	0.37	0.38	0.35	0.35
18-25	0.69	0.67	0.67	0.67	0.62	0.61
18-20	1.05	1.14	1.04	1.06	0.96	0.90
21-25	0.82	0.76	0.79	0.84	0.73	0.78
26 or Older	0.42	0.45	0.41	0.42	0.39	0.39
26-49	0.49	0.52	0.50	0.51	0.48	0.48
26-29	1.14	1.17	1.19	1.16	1.11	1.10
30-34	0.97	0.94	1.01	0.94	0.97	0.91
35-39	1.03	1.07	1.10	1.09	1.04	1.01
40-44	1.09	1.06	1.07	1.07	1.00	1.03
45-49	1.22	1.15	1.12	1.18	1.09	1.14
50 or Older	0.65	0.67	0.60	0.57	0.57	0.53
50-54	1.78	1.77	1.56	1.58	1.47	1.49
55-59	1.60	1.49	1.54	1.59	1.42	1.50
60-64	1.41	1.49	1.48	1.43	1.41	1.36
65 or Older	0.95	0.92	0.72	0.63	0.69	0.59
* = 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. 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 2.2P – Tobacco Product Use or Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.6331	0.1064	0.1480
12-20¹	0.2744	0.0437	0.0100
21 or Older¹	0.7477	0.2164	0.2963
12-17	0.1421	0.1417	0.0716
12-13	0.4681	0.4913	0.6576
14-15	0.0049	0.0025	0.0008
16-17	0.5486	0.3910	0.8447
18 or Older	0.6686	0.1346	0.1791
18-25	0.5471	0.0899	0.1922
18-20	0.5182	0.0429	0.0144
21-25	0.8013	0.5256	0.9316
26 or Older	0.7801	0.2467	0.2715
26-49	0.9065	0.4544	0.3013
26-29	0.8731	0.9838	0.8732
30-34	0.2381	0.2868	0.4895
35-39	0.9396	0.9535	0.6929
40-44	0.6560	0.6632	0.6978
45-49	0.6504	0.9766	0.5493
50 or Older	0.7914	0.3158	0.4891
50-54	0.7432	0.5070	0.5326
55-59	0.0437	0.7464	0.7320
60-64	0.1651	0.8244	0.9792
65 or Older	0.6628	0.3698	0.4659
* = 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. 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 2.3C – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	1,062	1,133	889	916	843	847
12-20¹	202	196	166	150	112	93
21 or Older¹	2,385	2,376	1,195	1,139	1,071	1,017
12-17	94	87	77	66	44	43
12-13	30	28	19	22	12	13
14-15	63	46	52	35	29	21
16-17	71	72	57	58	32	36
18 or Older	1,018	1,081	886	905	843	842
18-25	235	240	212	206	162	155
18-20	165	155	137	123	97	78
21-25	312	296	226	216	159	157
26 or Older	962	1,023	850	877	823	814
26-49	521	560	483	486	459	454
26-29	363	341	239	217	190	178
30-34	404	424	268	244	234	214
35-39	487	454	309	271	284	240
40-44	394	430	256	269	224	250
45-49	413	409	250	274	232	250
50 or Older	782	812	695	666	671	619
50-54	547	628	320	373	303	347
55-59	592	569	370	339	317	313
60-64	661	623	403	367	377	342
65 or Older	550	551	405	371	389	346
* = 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. 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 2.3D – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.37	0.39	0.31	0.32	0.30	0.29
12-20¹	0.45	0.46	0.39	0.36	0.28	0.23
21 or Older¹	0.41	0.42	0.35	0.36	0.34	0.33
12-17	0.36	0.33	0.30	0.26	0.17	0.17
12-13	0.37	0.35	0.23	0.27	0.15	0.16
14-15	0.65	0.50	0.54	0.39	0.31	0.24
16-17	0.76	0.73	0.62	0.61	0.36	0.39
18 or Older	0.40	0.41	0.34	0.34	0.33	0.32
18-25	0.69	0.69	0.62	0.59	0.47	0.44
18-20	1.01	1.02	0.90	0.86	0.71	0.58
21-25	0.84	0.82	0.74	0.75	0.59	0.61
26 or Older	0.43	0.45	0.38	0.39	0.37	0.36
26-49	0.50	0.53	0.47	0.46	0.44	0.43
26-29	1.22	1.17	1.07	1.02	0.95	0.90
30-34	0.98	0.99	0.97	0.85	0.92	0.79
35-39	1.05	1.09	1.01	0.96	0.98	0.90
40-44	1.10	1.06	1.01	1.03	0.91	0.97
45-49	1.23	1.18	1.09	1.17	1.05	1.12
50 or Older	0.65	0.67	0.58	0.55	0.56	0.51
50-54	1.78	1.76	1.46	1.53	1.41	1.45
55-59	1.61	1.49	1.53	1.56	1.39	1.46
60-64	1.41	1.48	1.46	1.40	1.39	1.34
65 or Older	0.95	0.92	0.70	0.62	0.67	0.58
* = 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: 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. 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 2.3P – Tobacco Product Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.1926	0.0045	0.0206
12-20¹	0.1965	0.1994	0.1497
21 or Older¹	0.2215	0.0068	0.0272
12-17	0.5932	0.9434	0.9319
12-13	0.3541	0.4320	0.6556
14-15	0.0571	0.0963	0.5600
16-17	0.2750	0.3626	0.7134
18 or Older	0.1466	0.0036	0.0172
18-25	0.0230	0.0265	0.0297
18-20	0.0830	0.0553	0.0456
21-25	0.1018	0.1335	0.1846
26 or Older	0.3501	0.0149	0.0434
26-49	0.1797	0.0014	0.0016
26-29	0.0772	0.0238	0.0237
30-34	0.1838	0.0034	0.0109
35-39	0.6796	0.1629	0.1523
40-44	0.9634	0.2915	0.4421
45-49	0.8978	0.8479	0.5731
50 or Older	0.7924	0.4422	0.7589
50-54	0.6639	0.6287	0.5432
55-59	0.0362	0.8861	0.5583
60-64	0.1332	0.9852	0.9544
65 or Older	0.7332	0.5500	0.7096
* = 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. 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 2.4C – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	1,087	1,111	836	810	783	774
12-20¹	179	169	130	124	83	79
21 or Older¹	2,215	2,192	1,049	970	945	890
12-17	86	73	62	55	38	36
12-13	28	25	19	18	12	12
14-15	55	39	41	29	25	19
16-17	63	59	48	43	27	28
18 or Older	1,054	1,073	838	806	784	772
18-25	212	226	185	185	133	131
18-20	147	141	108	104	71	65
21-25	266	264	183	180	127	127
26 or Older	1,003	1,025	816	789	777	751
26-49	532	560	454	438	427	401
26-29	325	316	186	180	148	143
30-34	383	393	234	209	202	180
35-39	464	432	287	242	255	219
40-44	371	413	229	238	208	222
45-49	388	383	229	226	217	215
50 or Older	817	816	638	615	607	590
50-54	511	575	284	335	270	324
55-59	559	536	314	298	281	287
60-64	629	584	357	351	335	326
65 or Older	562	557	371	331	354	321
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.4D – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.38	0.39	0.29	0.28	0.28	0.27
12-20¹	0.41	0.40	0.31	0.31	0.21	0.20
21 or Older¹	0.42	0.42	0.34	0.32	0.32	0.31
12-17	0.33	0.28	0.24	0.21	0.15	0.14
12-13	0.35	0.31	0.23	0.22	0.15	0.15
14-15	0.57	0.42	0.43	0.33	0.27	0.22
16-17	0.68	0.60	0.52	0.45	0.31	0.30
18 or Older	0.41	0.41	0.33	0.31	0.30	0.29
18-25	0.62	0.65	0.54	0.53	0.39	0.37
18-20	0.97	0.95	0.77	0.75	0.54	0.50
21-25	0.75	0.79	0.65	0.68	0.51	0.52
26 or Older	0.45	0.45	0.37	0.35	0.35	0.33
26-49	0.51	0.53	0.44	0.41	0.41	0.38
26-29	1.20	1.15	0.90	0.89	0.77	0.73
30-34	1.07	1.02	0.90	0.77	0.82	0.70
35-39	1.07	1.12	0.97	0.90	0.92	0.86
40-44	1.10	1.08	0.94	0.94	0.89	0.89
45-49	1.24	1.18	1.04	1.02	1.01	0.99
50 or Older	0.68	0.67	0.53	0.51	0.51	0.49
50-54	1.81	1.78	1.36	1.48	1.31	1.44
55-59	1.66	1.59	1.37	1.41	1.26	1.36
60-64	1.53	1.47	1.36	1.35	1.28	1.29
65 or Older	0.97	0.93	0.64	0.55	0.61	0.54
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.4P – Cigarette Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.1591	0.0454	0.1442
12-20¹	0.3694	0.5944	0.4149
21 or Older¹	0.1600	0.0500	0.1571
12-17	0.2638	0.2619	0.6417
12-13	0.4156	0.8929	0.7504
14-15	0.0604	0.2929	0.7035
16-17	0.8125	0.4562	0.6374
18 or Older	0.1346	0.0494	0.1362
18-25	0.2961	0.2600	0.0596
18-20	0.4807	0.8533	0.3704
21-25	0.4372	0.2086	0.0895
26 or Older	0.2001	0.0822	0.2449
26-49	0.0838	0.0007	0.0025
26-29	0.0768	0.2074	0.3470
30-34	0.0845	0.0040	0.0110
35-39	0.3500	0.0587	0.1631
40-44	0.7787	0.2950	0.1934
45-49	1.0000	0.5416	0.3876
50 or Older	0.6724	0.8310	0.5348
50-54	0.3681	0.6734	0.7236
55-59	0.0933	0.8637	0.3651
60-64	0.4869	0.3470	0.5310
65 or Older	0.5821	0.9448	0.7826
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.5C – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	757	799	381	353	330	309
12-20¹	87	78	69	68	42	38
21 or Older¹	883	909	386	357	334	317
12-17	37	38	28	35	16	20
12-13	7	9	4	8	1	7
14-15	21	20	13	11	7	7
16-17	29	36	24	32	15	17
18 or Older	752	788	381	349	330	307
18-25	132	139	95	107	71	70
18-20	78	68	63	58	38	32
21-25	121	135	74	92	60	70
26 or Older	732	763	369	325	324	294
26-49	431	424	215	207	175	176
26-29	172	150	91	89	71	82
30-34	206	185	103	98	83	78
35-39	239	201	120	107	101	94
40-44	188	195	90	81	74	68
45-49	222	219	76	90	61	70
50 or Older	561	580	287	239	266	218
50-54	313	307	152	132	133	123
55-59	274	317	136	137	132	133
60-64	279	283	151	63	130	46
65 or Older	315	306	137	122	133	112
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.5D – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.27	0.28	0.13	0.12	0.12	0.11
12-20¹	0.22	0.20	0.18	0.17	0.11	0.10
21 or Older¹	0.30	0.31	0.15	0.14	0.13	0.12
12-17	0.14	0.15	0.11	0.13	0.06	0.08
12-13	0.09	0.11	0.06	0.10	0.02	0.08
14-15	0.23	0.23	0.15	0.13	0.08	0.07
16-17	0.32	0.40	0.26	0.35	0.17	0.19
18 or Older	0.29	0.30	0.15	0.13	0.13	0.12
18-25	0.39	0.40	0.28	0.31	0.21	0.20
18-20	0.58	0.51	0.48	0.44	0.31	0.25
21-25	0.48	0.53	0.32	0.38	0.27	0.30
26 or Older	0.33	0.34	0.17	0.14	0.15	0.13
26-49	0.42	0.40	0.21	0.20	0.17	0.17
26-29	0.86	0.79	0.49	0.49	0.40	0.46
30-34	0.84	0.70	0.44	0.39	0.36	0.32
35-39	0.89	0.80	0.50	0.46	0.42	0.40
40-44	0.80	0.79	0.42	0.36	0.34	0.30
45-49	1.05	1.00	0.40	0.46	0.32	0.36
50 or Older	0.47	0.48	0.24	0.20	0.22	0.18
50-54	1.45	1.35	0.78	0.65	0.69	0.60
55-59	1.22	1.43	0.66	0.70	0.64	0.68
60-64	1.10	1.12	0.65	0.28	0.56	0.20
65 or Older	0.54	0.51	0.24	0.20	0.23	0.19
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.5P – Smokeless Tobacco Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.4783	0.4875	0.2996
12-20¹	0.9396	0.2876	0.4002
21 or Older¹	0.4513	0.3542	0.2457
12-17	0.3166	0.0972	0.0901
12-13	0.6503	0.1137	0.1371
14-15	0.8867	0.8197	0.7993
16-17	0.2700	0.1217	0.1809
18 or Older	0.4147	0.3830	0.2455
18-25	0.7387	0.0182	0.0482
18-20	0.5149	0.8360	0.9681
21-25	0.4074	0.0039	0.0240
26 or Older	0.3742	0.1084	0.0984
26-49	0.0269	0.9147	0.9313
26-29	0.0705	0.9431	0.2796
30-34	0.0945	0.9079	0.7633
35-39	0.1677	0.9893	0.8898
40-44	0.2202	0.5448	0.6144
45-49	0.5179	0.4552	0.8635
50 or Older	0.6564	0.0302	0.0344
50-54	0.0747	0.1161	0.1762
55-59	0.0328	0.8121	0.8673
60-64	0.8421	0.0067	0.0076
65 or Older	0.5442	0.6106	0.4196
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.6C – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	1,006	1,058	494	502	390	370
12-20¹	131	117	101	94	55	49
21 or Older¹	1,543	1,507	545	533	412	380
12-17	54	50	44	44	19	24
12-13	8	14	6	13	4	5
14-15	34	26	29	20	15	13
16-17	41	41	32	38	12	20
18 or Older	990	1,039	493	499	391	368
18-25	194	188	139	140	97	93
18-20	112	103	87	81	51	45
21-25	216	205	130	135	87	86
26 or Older	959	1,001	473	459	377	348
26-49	549	534	305	309	242	237
26-29	281	261	163	126	109	76
30-34	301	291	150	153	115	106
35-39	348	319	162	147	111	109
40-44	300	311	141	130	105	101
45-49	294	307	126	149	105	121
50 or Older	782	805	374	332	300	250
50-54	376	399	157	164	103	119
55-59	410	392	189	149	136	84
60-64	477	439	183	166	146	137
65 or Older	508	511	185	167	160	121
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.6D – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.35	0.37	0.17	0.17	0.14	0.13
12-20¹	0.32	0.29	0.25	0.24	0.14	0.13
21 or Older¹	0.40	0.41	0.20	0.19	0.16	0.14
12-17	0.21	0.19	0.17	0.17	0.07	0.09
12-13	0.11	0.17	0.07	0.16	0.05	0.06
14-15	0.36	0.29	0.31	0.23	0.16	0.14
16-17	0.46	0.46	0.36	0.42	0.13	0.22
18 or Older	0.38	0.40	0.19	0.19	0.15	0.14
18-25	0.57	0.54	0.41	0.40	0.28	0.27
18-20	0.80	0.74	0.65	0.61	0.41	0.35
21-25	0.72	0.70	0.50	0.52	0.38	0.36
26 or Older	0.43	0.44	0.21	0.20	0.17	0.15
26-49	0.53	0.51	0.29	0.29	0.23	0.22
26-29	1.20	1.15	0.84	0.67	0.60	0.42
30-34	1.04	0.93	0.62	0.61	0.49	0.44
35-39	1.04	1.00	0.65	0.60	0.46	0.46
40-44	1.07	1.07	0.62	0.56	0.47	0.44
45-49	1.19	1.16	0.63	0.73	0.54	0.61
50 or Older	0.65	0.66	0.31	0.27	0.25	0.21
50-54	1.62	1.63	0.81	0.79	0.54	0.59
55-59	1.56	1.66	0.88	0.75	0.65	0.43
60-64	1.60	1.50	0.76	0.73	0.62	0.60
65 or Older	0.88	0.85	0.32	0.28	0.28	0.20
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.6P – Cigar Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.0366	0.0061	0.0067
12-20¹	0.2510	0.3064	0.3149
21 or Older¹	0.0403	0.0091	0.0085
12-17	0.8861	0.3244	0.4478
12-13	0.4319	0.2759	0.5872
14-15	0.2619	0.1681	0.4899
16-17	0.7184	0.0564	0.1470
18 or Older	0.0278	0.0040	0.0054
18-25	0.0041	0.1636	0.2255
18-20	0.1165	0.0479	0.1050
21-25	0.0164	0.7644	0.6447
26 or Older	0.0901	0.0076	0.0089
26-49	0.2872	0.0120	0.0088
26-29	0.4355	0.0130	0.0001
30-34	0.0526	0.3237	0.1503
35-39	0.5225	0.3059	0.9380
40-44	0.8295	0.1264	0.2867
45-49	0.3172	0.6532	0.9340
50 or Older	0.1717	0.1881	0.2306
50-54	0.5719	0.7441	0.5033
55-59	0.4999	0.5364	0.1005
60-64	0.3393	0.6756	0.9905
65 or Older	0.1519	0.2312	0.1324
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.7C – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	858	942	670	645	553	552
12-20¹	279	254	240	208	174	152
21 or Older¹	1,113	1,223	721	731	580	599
12-17	133	126	119	109	82	75
12-13	46	47	40	40	21	25
14-15	94	79	79	66	60	40
16-17	106	112	88	92	62	63
18 or Older	845	924	659	632	544	544
18-25	245	231	224	220	201	201
18-20	201	190	176	156	137	124
21-25	343	325	250	253	197	212
26 or Older	772	863	574	566	472	484
26-49	506	533	411	419	349	380
26-29	306	326	221	233	183	201
30-34	300	329	227	223	191	196
35-39	342	340	228	241	188	207
40-44	256	269	173	174	143	148
45-49	240	226	150	160	128	135
50 or Older	533	561	343	309	292	254
50-54	285	336	191	176	158	140
55-59	273	293	191	146	171	122
60-64	264	234	148	148	122	95
65 or Older	289	261	159	157	137	129
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.7D – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.30	0.33	0.24	0.22	0.19	0.19
12-20¹	0.54	0.52	0.50	0.46	0.40	0.36
21 or Older¹	0.34	0.36	0.26	0.24	0.21	0.21
12-17	0.51	0.49	0.46	0.42	0.32	0.29
12-13	0.56	0.57	0.49	0.48	0.27	0.30
14-15	0.90	0.80	0.80	0.70	0.62	0.45
16-17	1.04	1.00	0.91	0.89	0.66	0.65
18 or Older	0.33	0.35	0.26	0.24	0.21	0.21
18-25	0.72	0.66	0.66	0.63	0.59	0.58
18-20	1.04	1.10	1.02	1.00	0.92	0.87
21-25	0.87	0.80	0.77	0.79	0.70	0.72
26 or Older	0.35	0.38	0.26	0.25	0.21	0.21
26-49	0.49	0.50	0.40	0.40	0.34	0.36
26-29	1.14	1.19	1.04	1.05	0.91	0.97
30-34	1.03	0.98	0.87	0.81	0.77	0.75
35-39	1.09	1.11	0.84	0.90	0.72	0.82
40-44	0.99	1.03	0.75	0.74	0.63	0.64
45-49	1.10	1.02	0.75	0.77	0.65	0.67
50 or Older	0.44	0.46	0.29	0.25	0.24	0.21
50-54	1.39	1.48	0.98	0.86	0.82	0.69
55-59	1.22	1.34	0.90	0.72	0.81	0.60
60-64	1.05	0.96	0.63	0.64	0.53	0.41
65 or Older	0.50	0.44	0.27	0.26	0.24	0.21
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.7P – Nicotine Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.0429	0.2767	0.4124
12-20¹	0.5874	0.0292	0.0189
21 or Older¹	0.0248	0.0648	0.1207
12-17	0.4292	0.1705	0.0779
12-13	0.8919	0.4439	0.7651
14-15	0.0201	0.0193	0.0038
16-17	0.4571	0.6755	0.9529
18 or Older	0.0324	0.1765	0.2841
18-25	0.8592	0.1350	0.6270
18-20	0.6762	0.0247	0.0342
21-25	0.9171	0.8391	0.3589
26 or Older	0.0191	0.0432	0.1788
26-49	0.0069	0.0013	0.0042
26-29	0.0147	0.1042	0.0674
30-34	0.4433	0.5140	0.6068
35-39	0.1977	0.0160	0.0498
40-44	0.1175	0.2652	0.4109
45-49	0.5020	0.0601	0.1309
50 or Older	0.4869	0.4404	0.1120
50-54	0.4448	0.9602	0.6968
55-59	0.1074	0.5960	0.3616
60-64	0.5946	0.6586	0.3126
65 or Older	0.7356	0.6531	0.3580
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for tobacco. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.8C – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	881	929	1,167	1,143	1,203	1,144
12-20¹	347	310	321	282	219	190
21 or Older¹	3,041	3,085	2,482	2,561	2,055	2,079
12-17	154	149	142	139	96	92
12-13	52	49	38	39	20	21
14-15	97	85	89	74	56	43
16-17	131	138	120	128	79	79
18 or Older	806	828	1,117	1,094	1,175	1,131
18-25	220	214	237	230	262	251
18-20	253	235	238	217	181	157
21-25	452	454	433	434	361	366
26 or Older	749	775	1,064	1,053	1,127	1,097
26-49	398	380	504	524	564	583
26-29	436	447	417	422	365	372
30-34	492	521	440	475	370	395
35-39	563	537	497	482	401	414
40-44	460	503	421	451	386	382
45-49	458	467	405	410	351	361
50 or Older	605	642	871	872	885	895
50-54	652	703	552	594	471	509
55-59	700	711	612	597	531	503
60-64	751	713	614	584	516	505
65 or Older	456	438	594	592	576	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. 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 2.8D – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of Percentages, 2023 and 2024
Age Category	Lifetime (2023)	Lifetime (2024)	Past Year (2023)	Past Year (2024)	Past Month (2023)	Past Month (2024)
TOTAL	0.31	0.32	0.41	0.40	0.42	0.40
12-20¹	0.63	0.59	0.62	0.57	0.49	0.44
21 or Older¹	0.32	0.32	0.45	0.43	0.47	0.45
12-17	0.60	0.57	0.55	0.53	0.37	0.36
12-13	0.63	0.58	0.46	0.46	0.25	0.26
14-15	0.92	0.87	0.87	0.79	0.58	0.47
16-17	1.20	1.16	1.13	1.14	0.82	0.80
18 or Older	0.31	0.32	0.43	0.42	0.46	0.43
18-25	0.65	0.61	0.70	0.66	0.77	0.72
18-20	1.15	1.16	1.16	1.14	1.10	1.02
21-25	0.63	0.60	0.74	0.71	0.88	0.84
26 or Older	0.33	0.34	0.48	0.46	0.50	0.48
26-49	0.38	0.36	0.49	0.50	0.54	0.55
26-29	0.86	0.74	1.04	1.05	1.19	1.23
30-34	0.65	0.71	0.85	0.89	0.97	0.99
35-39	0.77	0.76	0.98	1.01	1.08	1.12
40-44	0.82	0.80	1.01	1.03	1.14	1.15
45-49	0.98	0.87	1.23	1.12	1.29	1.19
50 or Older	0.50	0.53	0.73	0.72	0.74	0.74
50-54	1.29	1.23	1.68	1.74	1.77	1.79
55-59	1.23	1.00	1.66	1.75	1.70	1.72
60-64	1.00	1.17	1.53	1.59	1.56	1.67
65 or Older	0.79	0.73	1.02	0.99	0.99	0.97
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for 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 2.8P – Alcohol Use in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Lifetime (2023)	Past Year (2023)	Past Month (2023)
TOTAL	0.7969	0.3020	0.0892
12-20¹	0.7414	0.3049	0.0413
21 or Older¹	0.7684	0.3561	0.1425
12-17	0.7447	0.4406	0.5664
12-13	0.2617	0.9794	0.9511
14-15	0.0971	0.0338	0.1086
16-17	0.1965	0.6327	0.8406
18 or Older	0.9051	0.2673	0.0732
18-25	0.3145	0.1819	0.0397
18-20	0.5007	0.1875	0.0070
21-25	0.4196	0.4868	0.4001
26 or Older	0.6501	0.3959	0.1691
26-49	0.6683	0.1260	0.0179
26-29	0.5112	0.7686	0.2988
30-34	0.0223	0.0832	0.0034
35-39	0.8625	0.4361	0.3469
40-44	0.8513	0.4902	0.0618
45-49	0.8090	0.9619	0.2642
50 or Older	0.4339	0.8825	0.8878
50-54	0.6618	1.0000	0.9372
55-59	0.0262	0.6664	0.9708
60-64	0.1552	0.2242	0.2439
65 or Older	0.3166	0.6906	0.5233
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The 12-20 and 21 or older rows are included because they are the underage and legal age groups for 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 2.9C – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	1,203	1,144	855	826	456	458
12-20²	219	190	162	136	65	56
21 or Older²	2,055	2,079	1,089	1,091	476	487
12-17	96	92	75	58	27	17
12-13	20	21	15	15	6	2
14-15	56	43	38	23	11	6
16-17	79	79	62	52	25	15
18 or Older	1,175	1,131	839	817	455	456
18-25	262	251	218	219	118	98
18-20	181	157	135	120	59	52
21-25	361	366	248	252	109	92
26 or Older	1,127	1,097	809	794	438	443
26-49	564	583	462	481	266	262
26-29	365	372	253	255	118	103
30-34	370	395	268	256	131	112
35-39	401	414	271	272	142	150
40-44	386	382	273	270	126	129
45-49	351	361	222	223	113	109
50 or Older	885	895	634	643	347	359
50-54	471	509	299	338	171	190
55-59	531	503	373	330	158	185
60-64	516	505	303	307	185	162
65 or Older	576	583	352	379	198	170
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. 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 2.9D – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Standard Errors of 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	0.42	0.40	0.30	0.29	0.16	0.16
12-20²	0.49	0.44	0.38	0.33	0.17	0.14
21 or Older²	0.47	0.45	0.34	0.33	0.18	0.18
12-17	0.37	0.36	0.29	0.22	0.10	0.06
12-13	0.25	0.26	0.19	0.19	0.07	0.02
14-15	0.58	0.47	0.41	0.26	0.11	0.07
16-17	0.82	0.80	0.68	0.57	0.29	0.17
18 or Older	0.46	0.43	0.33	0.31	0.18	0.17
18-25	0.77	0.72	0.64	0.63	0.35	0.28
18-20	1.10	1.02	0.91	0.84	0.47	0.40
21-25	0.88	0.84	0.78	0.81	0.45	0.38
26 or Older	0.50	0.48	0.36	0.35	0.20	0.20
26-49	0.54	0.55	0.45	0.45	0.26	0.25
26-29	1.19	1.23	1.11	1.09	0.62	0.54
30-34	0.97	0.99	0.94	0.89	0.56	0.46
35-39	1.08	1.12	0.93	0.97	0.59	0.62
40-44	1.14	1.15	1.02	1.01	0.57	0.55
45-49	1.29	1.19	1.04	0.96	0.58	0.53
50 or Older	0.74	0.74	0.53	0.53	0.29	0.30
50-54	1.77	1.79	1.43	1.48	0.89	0.94
55-59	1.70	1.72	1.51	1.45	0.76	0.90
60-64	1.56	1.67	1.20	1.23	0.80	0.70
65 or Older	0.99	0.97	0.61	0.63	0.34	0.28
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. 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 2.9P – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Detailed Age Category, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Age Category	Alcohol Use (2023)	Binge Alcohol Use (2023)	Heavy Alcohol Use¹ (2023)
TOTAL	0.0892	0.0001	0.0007
12-20²	0.0413	0.0449	0.2630
21 or Older²	0.1425	0.0003	0.0010
12-17	0.5664	0.2223	0.1739
12-13	0.9511	0.5195	0.1843
14-15	0.1086	0.0931	0.7633
16-17	0.8406	0.4311	0.2682
18 or Older	0.0732	0.0001	0.0007
18-25	0.0397	0.0242	0.0363
18-20	0.0070	0.0407	0.4166
21-25	0.4001	0.1334	0.0475
26 or Older	0.1691	0.0007	0.0033
26-49	0.0179	0.0000	0.0051
26-29	0.2988	0.1495	0.0876
30-34	0.0034	0.0002	0.0140
35-39	0.3469	0.1506	0.7441
40-44	0.0618	0.0373	0.4959
45-49	0.2642	0.7199	0.2346
50 or Older	0.8878	0.1941	0.1110
50-54	0.9372	0.9591	0.8976
55-59	0.9708	0.3933	0.8321
60-64	0.2439	0.4230	0.2142
65 or Older	0.5233	0.4550	0.0489
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. 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 2.10C – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	1,030	1,101	138	130	988	1,058	236	234	945	1,015	292	276	2,433	2,442
SEX
Male	720	709	94	93	685	671	160	160	655	638	194	185	1,629	1,606
Female	714	736	95	94	698	721	155	159	677	704	178	175	1,268	1,261
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	904	942	119	115	871	913	204	208	833	862	253	235	2,147	2,220
AIAN	79	87	12	8	78	87	13	16	77	81	14	12	78	85
Asian	386	429	22	26	384	424	70	79	379	400	44	54	383	420
Black or African American	667	698	57	62	650	682	125	118	607	643	88	86	632	669
NHPI	*	91	*	*	*	*	*	*	*	*	*	*	*	*
White	718	743	119	113	1,973	1,999	338	323	1,852	1,868	222	203	1,924	1,953
Two or More Races	219	253	28	26	213	253	55	56	204	245	44	42	210	249
Hispanic or Latino	484	467	78	70	461	448	116	118	435	440	130	130	821	839
EDUCATION LEVEL
< High School	da	da	da	da	319	322	97	92	553	512	da	da	562	523
High School Graduate	da	da	da	da	527	517	210	220	1,027	992	da	da	1,056	1,027
Some College/Associate’s Degree	da	da	da	da	522	530	294	265	1,067	1,035	da	da	1,115	1,078
College Graduate	da	da	da	da	529	575	164	166	1,149	1,225	da	da	1,168	1,278
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,461	1,469	256	259	1,378	1,397	da	da	1,446	1,451
Part-Time	da	da	da	da	565	586	184	202	525	533	da	da	546	564
Unemployed	da	da	da	da	310	357	101	109	281	328	da	da	297	347
Other²	da	da	da	da	1,263	1,239	180	156	1,252	1,211	da	da	1,257	1,228
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.10D – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.36	0.38	0.53	0.50	0.38	0.40	0.69	0.67	0.42	0.45	0.55	0.55	0.40	0.41
SEX
Male	0.52	0.50	0.71	0.70	0.55	0.53	0.94	0.91	0.60	0.58	0.76	0.75	0.57	0.54
Female	0.49	0.50	0.75	0.74	0.53	0.54	0.91	0.91	0.59	0.60	0.75	0.73	0.54	0.55
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.39	0.40	0.62	0.60	0.41	0.43	0.79	0.79	0.45	0.46	0.65	0.65	0.42	0.43
AIAN	3.21	2.76	4.35	3.74	3.45	2.90	6.39	5.32	3.68	3.27	4.45	3.82	3.44	3.06
Asian	1.62	1.54	1.40	1.60	1.73	1.64	2.62	2.73	1.98	1.82	1.82	2.03	1.84	1.71
Black or African American	0.98	1.04	1.33	1.51	1.06	1.11	1.74	1.55	1.18	1.24	1.26	1.32	1.09	1.16
NHPI	*	6.00	*	*	*	*	*	*	*	*	*	*	*	*
White	0.42	0.44	0.79	0.74	0.44	0.45	0.88	0.91	0.48	0.49	0.82	0.80	0.45	0.46
Two or More Races	1.98	1.63	2.55	2.13	2.27	1.71	2.88	2.86	2.80	2.01	2.53	2.22	2.42	1.78
Hispanic or Latino	0.93	0.85	1.14	1.02	1.01	0.94	1.40	1.35	1.17	1.13	1.07	1.01	1.07	1.00
EDUCATION LEVEL
< High School	da	da	da	da	1.30	1.34	1.86	1.80	1.47	1.53	da	da	1.40	1.46
High School Graduate	da	da	da	da	0.76	0.74	1.07	1.04	0.88	0.87	da	da	0.80	0.79
Some College/Associate’s Degree	da	da	da	da	0.68	0.68	1.10	1.18	0.78	0.76	da	da	0.71	0.70
College Graduate	da	da	da	da	0.61	0.64	1.62	1.54	0.64	0.67	da	da	0.61	0.64
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.52	0.54	0.99	0.90	0.57	0.59	da	da	0.53	0.55
Part-Time	da	da	da	da	0.94	1.02	1.35	1.41	1.19	1.28	da	da	1.02	1.13
Unemployed	da	da	da	da	1.57	1.46	2.07	1.88	2.05	1.83	da	da	1.74	1.57
Other²	da	da	da	da	0.69	0.67	1.30	1.37	0.74	0.72	da	da	0.72	0.69
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.10P – Tobacco Product Use or Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.6331	0.1421	0.6686	0.5471	0.7801	0.2744	0.7477
SEX
Male	0.3101	0.3286	0.2931	0.5305	0.3588	0.5844	0.2936
Female	0.7649	0.2686	0.7026	0.7779	0.6425	0.2630	0.6023
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.3395	0.1793	0.3593	0.3731	0.4579	0.2170	0.4074
AIAN	0.5649	0.8861	0.7570	0.6236	0.8283	0.4691	0.8695
Asian	0.8076	0.6186	0.8019	0.8709	0.8195	0.8364	0.8721
Black or African American	0.6785	0.4832	0.5567	0.8188	0.5646	0.2913	0.4978
NHPI	*	*	*	*	*	*	*
White	0.4312	0.1172	0.4776	0.3677	0.5982	0.0617	0.6249
Two or More Races	0.7058	0.2308	0.3900	0.9844	0.3581	0.3958	0.4622
Hispanic or Latino	0.3016	0.5850	0.2916	0.6887	0.3228	0.9586	0.2835
EDUCATION LEVEL
< High School	da	da	0.7795	0.5074	0.6718	da	0.6241
High School Graduate	da	da	0.5065	0.7059	0.4972	da	0.4634
Some College/Associate’s Degree	da	da	0.6183	0.0478	0.9682	da	0.8383
College Graduate	da	da	0.4287	0.5874	0.3612	da	0.4459
EMPLOYMENT STATUS
Full-Time	da	da	0.6106	0.8876	0.6261	da	0.6371
Part-Time	da	da	0.7481	0.7456	0.8824	da	0.8062
Unemployed	da	da	0.0907	0.8985	0.0769	da	0.0696
Other²	da	da	0.6872	0.3998	0.7548	da	0.7173
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.11C – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	965	1,011	123	111	954	997	228	235	909	950	254	228	1,332	1,312
SEX
Male	684	689	78	76	675	682	166	166	654	656	168	151	971	931
Female	605	627	90	82	595	615	145	153	570	581	154	146	698	696
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	892	880	101	95	890	870	197	211	854	819	221	197	1,197	1,162
AIAN	58	68	5	5	58	68	8	14	58	64	7	10	58	67
Asian	218	215	19	20	216	213	59	67	209	197	35	50	219	209
Black or African American	448	448	48	53	436	437	101	95	405	407	76	74	423	430
NHPI	*	69	*	*	*	69	*	*	*	67	*	*	*	69
White	777	734	98	92	1,087	1,020	281	267	995	924	191	168	1,051	986
Two or More Races	144	178	23	23	142	176	47	46	134	168	39	34	139	174
Hispanic or Latino	403	402	70	60	385	396	114	116	360	372	107	104	480	470
EDUCATION LEVEL
< High School	da	da	da	da	309	311	81	77	382	358	da	da	389	369
High School Graduate	da	da	da	da	516	524	182	171	682	657	da	da	707	680
Some College/Associate’s Degree	da	da	da	da	512	526	247	225	607	616	da	da	647	652
College Graduate	da	da	da	da	409	424	120	130	475	491	da	da	493	521
EMPLOYMENT STATUS
Full-Time	da	da	da	da	848	828	206	217	802	779	da	da	840	814
Part-Time	da	da	da	da	343	343	154	168	293	288	da	da	320	317
Unemployed	da	da	da	da	236	269	92	90	209	248	da	da	225	263
Other²	da	da	da	da	724	683	149	128	702	657	da	da	712	674
* = 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. 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 2.11D – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.34	0.35	0.47	0.43	0.37	0.38	0.67	0.67	0.41	0.42	0.53	0.49	0.38	0.39
SEX
Male	0.49	0.49	0.59	0.57	0.54	0.53	0.97	0.95	0.60	0.60	0.70	0.65	0.56	0.56
Female	0.42	0.43	0.71	0.65	0.45	0.46	0.85	0.88	0.50	0.50	0.70	0.67	0.46	0.47
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.39	0.38	0.53	0.50	0.42	0.41	0.76	0.80	0.46	0.43	0.60	0.57	0.43	0.42
AIAN	3.27	3.24	2.23	2.57	3.99	3.71	5.54	5.70	4.68	4.22	2.39	3.41	4.27	3.87
Asian	1.16	1.03	1.22	1.28	1.26	1.12	2.22	2.44	1.42	1.24	1.45	1.94	1.35	1.17
Black or African American	0.93	0.95	1.18	1.34	1.01	1.03	1.61	1.53	1.16	1.15	1.15	1.24	1.06	1.08
NHPI	*	5.21	*	*	*	5.52	*	*	*	6.16	*	*	*	5.80
White	0.46	0.43	0.67	0.63	0.49	0.46	0.91	0.94	0.53	0.49	0.75	0.70	0.50	0.47
Two or More Races	1.90	2.08	2.22	1.91	2.23	2.43	2.98	3.22	2.73	2.92	2.39	2.00	2.39	2.58
Hispanic or Latino	0.77	0.74	1.02	0.87	0.85	0.83	1.38	1.32	0.97	0.95	1.00	0.92	0.89	0.88
EDUCATION LEVEL
< High School	da	da	da	da	1.26	1.29	1.72	1.66	1.44	1.47	da	da	1.38	1.41
High School Graduate	da	da	da	da	0.74	0.74	1.08	0.98	0.87	0.89	da	da	0.79	0.80
Some College/Associate’s Degree	da	da	da	da	0.66	0.68	1.16	1.17	0.76	0.77	da	da	0.69	0.70
College Graduate	da	da	da	da	0.47	0.47	1.47	1.53	0.49	0.49	da	da	0.47	0.47
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.49	0.51	0.99	1.00	0.54	0.56	da	da	0.50	0.52
Part-Time	da	da	da	da	0.89	0.89	1.26	1.34	1.07	1.06	da	da	0.96	0.96
Unemployed	da	da	da	da	1.50	1.51	2.04	1.80	1.96	1.97	da	da	1.68	1.67
Other²	da	da	da	da	0.66	0.61	1.22	1.24	0.70	0.66	da	da	0.68	0.63
* = 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. 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 2.11P – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1064	0.1417	0.1346	0.0899	0.2467	0.0437	0.2164
SEX
Male	0.1727	0.8720	0.1596	0.0340	0.3545	0.3556	0.2171
Female	0.2949	0.0634	0.4172	0.7383	0.4355	0.0283	0.5507
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.1062	0.3641	0.1214	0.0877	0.2290	0.0643	0.1968
AIAN	0.4782	0.9414	0.5766	0.3330	0.7039	0.5340	0.6209
Asian	0.6386	0.4672	0.6739	0.9723	0.6477	0.5389	0.5365
Black or African American	0.2841	0.5137	0.2243	0.1244	0.3656	0.8725	0.2785
NHPI	*	*	*	*	*	*	*
White	0.2967	0.2526	0.3464	0.1957	0.4901	0.0371	0.5130
Two or More Races	0.6840	0.3859	0.8547	0.7641	0.9099	0.2204	0.9308
Hispanic or Latino	0.8018	0.2179	0.9225	0.7973	0.9653	0.3875	0.9629
EDUCATION LEVEL
< High School	da	da	0.2569	0.5998	0.1986	da	0.1942
High School Graduate	da	da	0.4444	0.0348	0.7498	da	0.6567
Some College/Associate’s Degree	da	da	0.9070	0.1309	0.7257	da	0.8854
College Graduate	da	da	0.4038	0.5201	0.3135	da	0.4126
EMPLOYMENT STATUS
Full-Time	da	da	0.0510	0.5122	0.0623	da	0.0712
Part-Time	da	da	0.4069	0.3124	0.5568	da	0.4179
Unemployed	da	da	0.4229	0.1477	0.1494	da	0.2332
Other²	da	da	0.7205	0.3392	0.8765	da	0.8410
* = 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. 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 2.12C – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	916	934	86	78	911	922	212	213	871	881	189	159	1,208	1,166
SEX
Male	670	639	60	51	664	634	158	153	635	612	133	105	879	831
Female	551	582	65	61	546	572	129	138	533	547	117	107	635	628
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	845	831	72	70	845	822	181	189	812	780	167	139	1,088	1,050
AIAN	57	65	4	4	57	65	8	12	56	62	6	8	57	64
Asian	171	184	12	12	170	183	50	48	161	178	25	29	169	185
Black or African American	380	400	35	33	371	393	84	82	352	369	62	54	365	387
NHPI	*	51	*	1	*	51	*	*	*	50	*	2	*	51
White	743	703	66	63	998	928	228	216	931	855	142	119	973	903
Two or More Races	135	170	19	18	134	170	44	42	126	163	35	27	130	169
Hispanic or Latino	370	349	46	37	357	345	103	103	340	320	73	71	428	406
EDUCATION LEVEL
< High School	da	da	da	da	302	298	69	72	358	333	da	da	363	343
High School Graduate	da	da	da	da	501	503	151	151	649	605	da	da	664	626
Some College/Associate’s Degree	da	da	da	da	485	482	197	178	561	562	da	da	594	589
College Graduate	da	da	da	da	342	354	89	94	383	389	da	da	396	408
EMPLOYMENT STATUS
Full-Time	da	da	da	da	753	708	174	180	716	665	da	da	748	696
Part-Time	da	da	da	da	295	302	114	122	262	272	da	da	279	290
Unemployed	da	da	da	da	208	246	77	81	188	227	da	da	202	240
Other²	da	da	da	da	677	657	121	108	660	634	da	da	667	650
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.12D – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.32	0.32	0.33	0.30	0.35	0.35	0.62	0.61	0.39	0.39	0.42	0.38	0.36	0.36
SEX
Male	0.48	0.45	0.45	0.38	0.53	0.50	0.92	0.87	0.59	0.56	0.60	0.49	0.54	0.52
Female	0.38	0.40	0.52	0.48	0.41	0.43	0.76	0.79	0.46	0.47	0.57	0.52	0.43	0.44
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.37	0.36	0.38	0.37	0.40	0.38	0.70	0.72	0.44	0.41	0.49	0.44	0.41	0.39
AIAN	3.28	3.27	1.59	2.11	3.97	3.78	5.35	5.61	4.53	4.25	1.97	2.71	4.16	3.97
Asian	0.94	0.90	0.82	0.77	1.01	0.98	1.98	1.92	1.11	1.13	1.07	1.18	1.07	1.05
Black or African American	0.83	0.91	0.91	0.89	0.91	0.99	1.48	1.48	1.05	1.10	1.05	0.96	0.96	1.03
NHPI	*	3.90	*	1.15	*	4.18	*	*	*	4.61	*	1.91	*	4.39
White	0.44	0.41	0.48	0.47	0.47	0.44	0.85	0.84	0.51	0.48	0.61	0.54	0.48	0.45
Two or More Races	1.82	2.07	1.97	1.61	2.16	2.42	3.02	3.11	2.65	2.93	2.29	1.67	2.32	2.58
Hispanic or Latino	0.71	0.64	0.68	0.53	0.79	0.72	1.25	1.17	0.91	0.82	0.72	0.68	0.83	0.76
EDUCATION LEVEL
< High School	da	da	da	da	1.23	1.24	1.56	1.72	1.42	1.40	da	da	1.35	1.34
High School Graduate	da	da	da	da	0.72	0.72	1.01	0.94	0.85	0.84	da	da	0.77	0.77
Some College/Associate’s Degree	da	da	da	da	0.63	0.62	1.04	1.05	0.71	0.72	da	da	0.66	0.65
College Graduate	da	da	da	da	0.40	0.39	1.31	1.29	0.41	0.41	da	da	0.40	0.39
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.47	0.46	0.96	0.90	0.52	0.50	da	da	0.48	0.47
Part-Time	da	da	da	da	0.80	0.82	1.11	1.13	1.00	1.04	da	da	0.88	0.91
Unemployed	da	da	da	da	1.45	1.45	1.89	1.72	1.90	1.90	da	da	1.61	1.61
Other²	da	da	da	da	0.62	0.59	1.12	1.12	0.66	0.64	da	da	0.63	0.61
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.12P – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1480	0.0716	0.1791	0.1922	0.2715	0.0100	0.2963
SEX
Male	0.3296	0.3599	0.3414	0.1476	0.5252	0.1392	0.4356
Female	0.2277	0.1263	0.2822	0.6606	0.3143	0.0171	0.4315
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.2987	0.2709	0.3223	0.1178	0.5036	0.0151	0.4970
AIAN	0.4661	0.4497	0.6087	0.8506	0.6196	0.7768	0.5664
Asian	0.4579	0.1168	0.5172	0.3317	0.6865	0.6826	0.4848
Black or African American	0.6178	0.6224	0.6196	0.0730	0.9183	0.3135	0.7240
NHPI	*	*	*	*	*	*	*
White	0.6136	0.6557	0.6123	0.5025	0.7021	0.0447	0.8303
Two or More Races	0.6939	0.3727	0.8545	0.9768	0.8541	0.2379	0.9094
Hispanic or Latino	0.2977	0.1070	0.3550	0.7861	0.2725	0.3330	0.3648
EDUCATION LEVEL
< High School	da	da	0.0887	0.8798	0.0747	da	0.0792
High School Graduate	da	da	0.4537	0.0846	0.7161	da	0.6525
Some College/Associate’s Degree	da	da	0.8852	0.2691	0.6247	da	0.6649
College Graduate	da	da	0.7395	0.4117	0.5968	da	0.7576
EMPLOYMENT STATUS
Full-Time	da	da	0.0430	0.5972	0.0484	da	0.0565
Part-Time	da	da	0.3015	0.5690	0.3578	da	0.4606
Unemployed	da	da	0.4616	0.7625	0.3705	da	0.4508
Other²	da	da	0.9970	0.1466	0.7894	da	0.8176
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.13C – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	1,062	1,133	94	87	1,018	1,081	235	240	962	1,023	202	196	2,385	2,376
SEX
Male	737	729	66	63	701	689	171	170	663	645	150	142	1,606	1,581
Female	732	746	62	62	715	724	142	150	687	702	112	110	1,252	1,224
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	925	967	78	77	893	932	204	209	845	871	182	170	2,117	2,180
AIAN	78	85	5	4	78	85	11	13	77	81	8	8	78	84
Asian	384	405	12	15	383	405	57	56	376	392	32	35	382	402
Black or African American	621	659	32	32	616	652	96	89	593	630	56	47	608	647
NHPI	*	84	*	*	*	84	*	*	*	*	*	*	*	*
White	726	760	74	70	1,930	1,960	291	275	1,841	1,855	159	150	1,897	1,925
Two or More Races	215	246	19	18	211	245	49	52	204	239	34	31	208	243
Hispanic or Latino	504	486	50	43	475	467	117	117	438	446	88	81	802	803
EDUCATION LEVEL
< High School	da	da	da	da	317	321	81	79	553	507	da	da	563	516
High School Graduate	da	da	da	da	538	523	168	178	1,019	976	da	da	1,039	1,000
Some College/Associate’s Degree	da	da	da	da	548	555	246	216	1,064	1,032	da	da	1,099	1,064
College Graduate	da	da	da	da	528	580	142	135	1,144	1,214	da	da	1,157	1,254
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,430	1,436	218	216	1,369	1,385	da	da	1,419	1,422
Part-Time	da	da	da	da	548	558	144	152	522	526	da	da	538	547
Unemployed	da	da	da	da	299	347	87	98	277	323	da	da	291	340
Other²	da	da	da	da	1,255	1,224	154	126	1,248	1,207	da	da	1,252	1,220
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.13D – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.37	0.39	0.36	0.33	0.40	0.41	0.69	0.69	0.43	0.45	0.45	0.46	0.41	0.42
SEX
Male	0.53	0.52	0.50	0.47	0.56	0.54	1.00	0.97	0.61	0.59	0.66	0.64	0.58	0.55
Female	0.51	0.51	0.49	0.49	0.54	0.54	0.84	0.86	0.60	0.60	0.55	0.54	0.56	0.56
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.40	0.41	0.41	0.41	0.42	0.43	0.79	0.80	0.45	0.46	0.54	0.54	0.43	0.44
AIAN	3.29	2.94	2.20	2.07	3.50	2.99	5.86	5.99	3.70	3.31	2.65	2.89	3.48	3.07
Asian	1.62	1.49	0.84	1.00	1.74	1.60	2.25	2.09	1.95	1.80	1.31	1.39	1.83	1.66
Black or African American	1.00	1.06	0.85	0.86	1.07	1.13	1.58	1.50	1.20	1.27	0.97	0.84	1.11	1.18
NHPI	*	5.75	*	*	*	6.11	*	*	*	*	*	*	*	*
White	0.43	0.45	0.54	0.51	0.44	0.46	0.91	0.93	0.48	0.49	0.69	0.68	0.45	0.47
Two or More Races	2.00	1.84	1.97	1.57	2.26	1.90	3.03	3.02	2.80	2.17	2.24	1.87	2.40	1.95
Hispanic or Latino	0.96	0.89	0.74	0.62	1.05	0.98	1.41	1.33	1.18	1.14	0.83	0.75	1.09	1.03
EDUCATION LEVEL
< High School	da	da	da	da	1.29	1.33	1.72	1.81	1.47	1.53	da	da	1.40	1.45
High School Graduate	da	da	da	da	0.77	0.74	1.03	1.07	0.89	0.87	da	da	0.82	0.80
Some College/Associate’s Degree	da	da	da	da	0.71	0.71	1.15	1.15	0.79	0.78	da	da	0.73	0.72
College Graduate	da	da	da	da	0.61	0.64	1.57	1.47	0.64	0.67	da	da	0.61	0.64
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.53	0.56	1.05	0.96	0.57	0.61	da	da	0.54	0.57
Part-Time	da	da	da	da	0.98	1.04	1.26	1.30	1.21	1.30	da	da	1.07	1.15
Unemployed	da	da	da	da	1.65	1.49	2.06	1.87	2.17	1.85	da	da	1.83	1.60
Other²	da	da	da	da	0.70	0.67	1.27	1.26	0.74	0.72	da	da	0.72	0.69
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.13P – Tobacco Product Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1926	0.5932	0.1466	0.0230	0.3501	0.1965	0.2215
SEX
Male	0.1257	0.4255	0.0948	0.0814	0.2030	0.2511	0.1246
Female	0.6908	0.9607	0.6182	0.0898	0.8944	0.4336	0.7606
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.1230	0.7141	0.0899	0.0244	0.2170	0.2334	0.1256
AIAN	0.7384	0.8114	0.9528	0.9822	0.9125	0.6437	0.9713
Asian	0.8814	0.4275	0.8856	0.3082	0.9550	0.6905	0.8672
Black or African American	0.4107	0.6933	0.3702	0.0526	0.5705	0.2232	0.4579
NHPI	*	*	*	*	*	*	*
White	0.3119	0.7691	0.2215	0.1478	0.3569	0.5297	0.2898
Two or More Races	0.7151	0.1869	0.9526	0.8491	0.9738	0.3631	0.9346
Hispanic or Latino	0.6989	0.6848	0.7602	0.5792	0.6229	0.6610	0.6533
EDUCATION LEVEL
< High School	da	da	0.4837	0.6739	0.4305	da	0.4104
High School Graduate	da	da	0.8948	0.3190	0.5863	da	0.7663
Some College/Associate’s Degree	da	da	0.3086	0.0103	0.7121	da	0.5471
College Graduate	da	da	0.1367	0.5244	0.1558	da	0.1429
EMPLOYMENT STATUS
Full-Time	da	da	0.0980	0.0338	0.2270	da	0.1290
Part-Time	da	da	0.3390	0.2573	0.6286	da	0.4278
Unemployed	da	da	0.0354	0.3512	0.0605	da	0.0315
Other²	da	da	0.5075	0.1080	0.6202	da	0.5759
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.14C – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	889	916	77	66	886	905	212	206	850	877	166	150	1,195	1,139
SEX
Male	646	648	55	50	638	640	157	160	621	615	132	114	894	846
Female	540	543	49	48	536	539	122	117	526	525	84	82	621	590
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	837	806	59	58	836	798	178	184	805	766	148	133	1,083	1,030
AIAN	50	65	2	2	50	65	7	10	50	62	5	7	50	64
Asian	192	182	10	10	191	182	49	44	182	172	24	24	189	179
Black or African American	398	405	22	24	393	402	69	69	380	384	47	38	389	397
NHPI	*	47	*	*	*	47	*	4	*	46	*	*	*	47
White	732	673	54	55	974	893	213	204	914	838	127	121	952	872
Two or More Races	138	162	17	15	137	162	40	35	130	157	32	20	134	161
Hispanic or Latino	386	348	44	33	375	346	101	96	353	331	67	62	448	393
EDUCATION LEVEL
< High School	da	da	da	da	298	304	61	64	371	345	da	da	377	352
High School Graduate	da	da	da	da	500	502	135	124	641	603	da	da	655	616
Some College/Associate’s Degree	da	da	da	da	470	494	183	170	554	564	da	da	579	587
College Graduate	da	da	da	da	367	375	96	96	423	427	da	da	435	445
EMPLOYMENT STATUS
Full-Time	da	da	da	da	753	721	154	165	727	690	da	da	747	713
Part-Time	da	da	da	da	303	290	121	124	271	265	da	da	288	281
Unemployed	da	da	da	da	211	246	71	67	193	232	da	da	206	241
Other²	da	da	da	da	692	636	123	89	675	628	da	da	684	634
* = 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. 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 2.14D – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.31	0.32	0.30	0.26	0.34	0.34	0.62	0.59	0.38	0.39	0.39	0.36	0.35	0.36
SEX
Male	0.47	0.46	0.42	0.38	0.51	0.50	0.92	0.91	0.57	0.56	0.60	0.53	0.52	0.52
Female	0.37	0.37	0.39	0.38	0.41	0.40	0.72	0.67	0.46	0.45	0.44	0.42	0.42	0.42
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.36	0.35	0.31	0.30	0.39	0.37	0.69	0.70	0.43	0.41	0.46	0.44	0.40	0.38
AIAN	3.06	3.35	1.04	1.18	3.77	3.84	4.75	5.50	4.32	4.26	1.51	2.52	3.99	4.00
Asian	1.03	0.89	0.67	0.66	1.11	0.97	1.96	1.67	1.24	1.09	1.00	0.96	1.17	1.01
Black or African American	0.87	0.90	0.60	0.64	0.96	0.99	1.25	1.26	1.11	1.12	0.83	0.69	1.01	1.04
NHPI	*	3.74	*	*	*	3.98	*	3.23	*	4.53	*	*	*	4.18
White	0.43	0.39	0.40	0.41	0.46	0.42	0.84	0.84	0.50	0.46	0.58	0.57	0.47	0.43
Two or More Races	1.86	2.04	1.80	1.38	2.18	2.36	2.89	2.73	2.67	2.87	2.16	1.33	2.32	2.51
Hispanic or Latino	0.74	0.64	0.65	0.48	0.82	0.73	1.22	1.09	0.95	0.85	0.65	0.60	0.87	0.77
EDUCATION LEVEL
< High School	da	da	da	da	1.22	1.26	1.42	1.60	1.41	1.45	da	da	1.34	1.38
High School Graduate	da	da	da	da	0.72	0.71	0.93	0.88	0.84	0.85	da	da	0.76	0.77
Some College/Associate’s Degree	da	da	da	da	0.61	0.63	1.00	1.03	0.70	0.72	da	da	0.64	0.66
College Graduate	da	da	da	da	0.42	0.42	1.36	1.26	0.44	0.44	da	da	0.42	0.42
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.46	0.47	0.91	0.88	0.51	0.52	da	da	0.47	0.48
Part-Time	da	da	da	da	0.80	0.79	1.16	1.17	1.00	0.99	da	da	0.88	0.88
Unemployed	da	da	da	da	1.44	1.46	1.79	1.51	1.92	1.95	da	da	1.61	1.64
Other²	da	da	da	da	0.64	0.58	1.14	0.99	0.69	0.63	da	da	0.66	0.60
* = 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. 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 2.14P – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0045	0.9434	0.0036	0.0265	0.0149	0.1994	0.0068
SEX
Male	0.0334	0.9806	0.0268	0.0711	0.0722	0.2104	0.0461
Female	0.0291	0.8939	0.0271	0.1326	0.0582	0.5510	0.0338
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0174	0.6282	0.0135	0.0248	0.0438	0.2633	0.0228
AIAN	0.3166	0.9336	0.3965	0.8827	0.3624	0.5055	0.4273
Asian	0.2877	0.5253	0.2965	0.3974	0.3908	0.6252	0.3034
Black or African American	0.1829	0.6757	0.1721	0.1460	0.2565	0.0728	0.2508
NHPI	*	*	*	*	*	*	*
White	0.1350	0.2536	0.1035	0.1266	0.1872	0.9001	0.1298
Two or More Races	0.2011	0.2869	0.2997	0.4259	0.4005	0.0714	0.3829
Hispanic or Latino	0.1651	0.3926	0.1675	0.5840	0.1905	0.5566	0.1777
EDUCATION LEVEL
< High School	da	da	0.0910	0.8906	0.0919	da	0.0761
High School Graduate	da	da	0.1089	0.0017	0.3601	da	0.2080
Some College/Associate’s Degree	da	da	0.7561	0.4032	0.9374	da	0.8529
College Graduate	da	da	0.0214	0.8445	0.0214	da	0.0221
EMPLOYMENT STATUS
Full-Time	da	da	0.0009	0.5948	0.0013	da	0.0011
Part-Time	da	da	0.1938	0.2755	0.3414	da	0.2034
Unemployed	da	da	0.7048	0.1129	0.3656	da	0.5733
Other²	da	da	0.4478	0.0229	0.6837	da	0.5929
* = 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. 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 2.15C – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	843	847	44	43	843	842	162	155	823	814	112	93	1,071	1,017
SEX
Male	634	597	27	32	628	591	128	125	613	570	91	74	808	751
Female	495	517	34	29	494	515	95	89	487	502	61	51	557	552
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	791	761	37	40	792	755	144	138	772	729	101	82	976	920
AIAN	49	62	2	1	49	62	6	10	49	59	4	6	49	61
Asian	158	150	8	1	157	150	38	26	149	148	12	10	156	150
Black or African American	339	360	18	12	335	359	60	56	327	344	40	26	334	357
NHPI	*	40	*	1	*	39	6	*	*	39	*	2	*	39
White	697	641	28	39	886	793	148	139	850	759	83	74	870	782
Two or More Races	129	155	16	11	128	156	36	23	123	153	30	13	125	155
Hispanic or Latino	342	299	24	13	335	300	69	77	323	290	43	46	381	347
EDUCATION LEVEL
< High School	da	da	da	da	290	285	52	55	348	325	da	da	350	331
High School Graduate	da	da	da	da	478	474	108	98	603	553	da	da	610	565
Some College/Associate’s Degree	da	da	da	da	445	448	115	112	512	510	da	da	528	525
College Graduate	da	da	da	da	295	307	62	68	324	330	da	da	331	339
EMPLOYMENT STATUS
Full-Time	da	da	da	da	654	599	119	119	635	576	da	da	651	594
Part-Time	da	da	da	da	246	255	78	76	233	245	da	da	236	252
Unemployed	da	da	da	da	201	219	59	54	186	208	da	da	199	216
Other²	da	da	da	da	649	611	86	77	639	603	da	da	643	609
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.15D – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.30	0.29	0.17	0.17	0.33	0.32	0.47	0.44	0.37	0.36	0.28	0.23	0.34	0.33
SEX
Male	0.46	0.42	0.21	0.24	0.50	0.46	0.75	0.71	0.57	0.52	0.43	0.36	0.52	0.48
Female	0.34	0.35	0.27	0.23	0.37	0.38	0.56	0.51	0.42	0.43	0.32	0.26	0.39	0.40
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.34	0.33	0.19	0.21	0.37	0.35	0.56	0.53	0.41	0.39	0.34	0.27	0.38	0.36
AIAN	3.04	3.31	0.74	0.61	3.66	3.79	4.15	5.33	4.18	4.23	1.36	2.27	3.84	3.97
Asian	0.86	0.77	0.56	0.09	0.93	0.83	1.61	1.08	1.04	0.97	0.51	0.42	0.98	0.88
Black or African American	0.79	0.84	0.48	0.33	0.87	0.93	1.17	1.07	1.00	1.06	0.73	0.49	0.91	0.98
NHPI	*	3.00	*	0.77	*	3.21	4.59	*	*	3.63	*	1.37	*	3.37
White	0.41	0.38	0.21	0.30	0.44	0.40	0.67	0.65	0.49	0.44	0.41	0.37	0.45	0.42
Two or More Races	1.78	2.02	1.69	1.00	2.10	2.34	2.81	1.95	2.58	2.87	2.09	0.89	2.24	2.50
Hispanic or Latino	0.65	0.55	0.35	0.20	0.74	0.63	0.84	0.88	0.87	0.74	0.43	0.43	0.78	0.67
EDUCATION LEVEL
< High School	da	da	da	da	1.19	1.19	1.26	1.40	1.39	1.37	da	da	1.30	1.30
High School Graduate	da	da	da	da	0.69	0.67	0.81	0.73	0.82	0.80	da	da	0.73	0.73
Some College/Associate’s Degree	da	da	da	da	0.58	0.58	0.72	0.76	0.68	0.67	da	da	0.61	0.60
College Graduate	da	da	da	da	0.34	0.34	0.96	1.04	0.36	0.36	da	da	0.34	0.34
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.43	0.41	0.76	0.71	0.48	0.45	da	da	0.44	0.42
Part-Time	da	da	da	da	0.69	0.71	0.83	0.80	0.90	0.94	da	da	0.76	0.81
Unemployed	da	da	da	da	1.42	1.35	1.58	1.28	1.89	1.80	da	da	1.60	1.51
Other²	da	da	da	da	0.61	0.56	0.88	0.86	0.66	0.61	da	da	0.63	0.58
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. 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 2.15P – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0206	0.9319	0.0172	0.0297	0.0434	0.1497	0.0272
SEX
Male	0.1096	0.0925	0.0793	0.3349	0.1122	0.8364	0.0975
Female	0.0573	0.1400	0.0659	0.0194	0.1564	0.0272	0.0967
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0675	0.3888	0.0547	0.0092	0.1363	0.1908	0.0821
AIAN	0.2862	0.6053	0.3433	0.7452	0.3495	0.8928	0.3413
Asian	0.0769	0.0800	0.0858	0.0488	0.1950	0.3028	0.0848
Black or African American	0.4518	0.0929	0.4699	0.0598	0.6715	0.0177	0.6055
NHPI	*	*	*	*	*	*	*
White	0.3397	0.0120	0.2605	0.2257	0.3486	0.7390	0.3031
Two or More Races	0.1945	0.3171	0.2672	0.1040	0.4415	0.0578	0.3437
Hispanic or Latino	0.1538	0.1238	0.1606	0.7310	0.1212	0.6196	0.1581
EDUCATION LEVEL
< High School	da	da	0.0728	0.9495	0.0744	da	0.0658
High School Graduate	da	da	0.1111	0.0014	0.3498	da	0.1895
Some College/Associate’s Degree	da	da	0.9823	0.5012	0.9057	da	0.9311
College Graduate	da	da	0.1424	0.7559	0.1170	da	0.1444
EMPLOYMENT STATUS
Full-Time	da	da	0.0006	0.2496	0.0011	da	0.0006
Part-Time	da	da	0.1853	0.3117	0.3082	da	0.3256
Unemployed	da	da	0.8653	0.2201	0.6213	da	0.7894
Other²	da	da	0.9672	0.2097	0.8475	da	0.8848
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.16C – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	1,087	1,111	86	73	1,054	1,073	212	226	1,003	1,025	179	169	2,215	2,192
SEX
Male	784	748	55	49	753	722	157	160	716	687	129	123	1,491	1,430
Female	733	736	61	55	719	717	137	144	691	694	106	98	1,204	1,186
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	972	978	71	66	943	959	186	199	897	910	157	146	1,975	2,001
AIAN	77	84	5	4	76	84	10	13	76	80	8	8	76	83
Asian	361	378	12	15	361	378	56	52	356	369	32	34	360	375
Black or African American	573	593	28	21	570	589	66	72	554	574	45	35	566	587
NHPI	*	82	*	1	*	82	*	*	*	*	*	3	*	*
White	792	800	66	59	1,811	1,809	255	249	1,732	1,728	139	128	1,782	1,782
Two or More Races	200	232	19	17	195	232	46	48	189	226	34	30	192	229
Hispanic or Latino	493	471	45	38	471	451	107	112	436	436	76	77	752	776
EDUCATION LEVEL
< High School	da	da	da	da	322	317	74	74	546	484	da	da	556	493
High School Graduate	da	da	da	da	541	529	152	161	973	933	da	da	991	948
Some College/Associate’s Degree	da	da	da	da	553	553	216	200	998	961	da	da	1,029	983
College Graduate	da	da	da	da	552	578	123	117	1,041	1,114	da	da	1,049	1,144
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,318	1,316	192	187	1,265	1,277	da	da	1,308	1,304
Part-Time	da	da	da	da	505	515	122	136	488	491	da	da	497	506
Unemployed	da	da	da	da	283	325	80	92	264	304	da	da	276	319
Other²	da	da	da	da	1,211	1,157	140	118	1,204	1,141	da	da	1,208	1,152
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.16D – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.38	0.39	0.33	0.28	0.41	0.41	0.62	0.65	0.45	0.45	0.41	0.40	0.42	0.42
SEX
Male	0.57	0.53	0.41	0.37	0.60	0.57	0.92	0.91	0.66	0.62	0.59	0.57	0.62	0.58
Female	0.51	0.50	0.48	0.44	0.54	0.53	0.81	0.83	0.60	0.59	0.53	0.49	0.56	0.55
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.42	0.42	0.37	0.35	0.44	0.45	0.72	0.76	0.48	0.48	0.48	0.47	0.46	0.46
AIAN	3.41	3.05	2.06	2.00	3.75	3.14	5.63	5.94	3.99	3.47	2.53	2.84	3.75	3.24
Asian	1.62	1.47	0.81	1.00	1.74	1.59	2.21	2.03	1.97	1.80	1.30	1.36	1.84	1.65
Black or African American	1.03	1.03	0.75	0.58	1.11	1.11	1.20	1.34	1.24	1.23	0.81	0.66	1.15	1.15
NHPI	*	5.88	*	1.61	*	6.30	*	*	*	*	*	2.41	*	*
White	0.47	0.47	0.48	0.44	0.49	0.49	0.87	0.90	0.53	0.53	0.62	0.60	0.49	0.50
Two or More Races	2.03	2.01	1.93	1.53	2.29	2.19	2.98	2.91	2.83	2.59	2.23	1.80	2.44	2.29
Hispanic or Latino	0.94	0.86	0.66	0.55	1.04	0.95	1.30	1.28	1.17	1.12	0.73	0.72	1.09	1.00
EDUCATION LEVEL
< High School	da	da	da	da	1.31	1.32	1.63	1.73	1.50	1.51	da	da	1.42	1.43
High School Graduate	da	da	da	da	0.78	0.75	1.01	1.01	0.90	0.88	da	da	0.82	0.80
Some College/Associate’s Degree	da	da	da	da	0.72	0.71	1.08	1.12	0.81	0.79	da	da	0.75	0.72
College Graduate	da	da	da	da	0.64	0.64	1.49	1.39	0.67	0.67	da	da	0.64	0.64
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.56	0.57	0.98	0.90	0.61	0.62	da	da	0.57	0.58
Part-Time	da	da	da	da	1.00	1.04	1.14	1.19	1.26	1.33	da	da	1.09	1.16
Unemployed	da	da	da	da	1.63	1.49	1.97	1.85	2.16	1.89	da	da	1.81	1.63
Other²	da	da	da	da	0.72	0.68	1.23	1.21	0.77	0.73	da	da	0.74	0.69
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.16P – Cigarette Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1591	0.2638	0.1346	0.2961	0.2001	0.3694	0.1600
SEX
Male	0.0873	0.3053	0.0697	0.7280	0.0745	0.6185	0.0672
Female	0.7809	0.5278	0.7521	0.2114	0.9683	0.3829	0.8634
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0942	0.2268	0.0813	0.2556	0.1196	0.2599	0.0918
AIAN	0.5193	0.8983	0.6760	0.9372	0.6151	0.4989	0.7540
Asian	0.9730	0.5862	0.9703	0.2909	0.8653	0.6431	0.9717
Black or African American	0.2286	0.1433	0.2277	0.4581	0.2493	0.2655	0.2429
NHPI	*	*	*	*	*	*	*
White	0.3082	0.7630	0.2536	0.5737	0.2896	0.5769	0.2839
Two or More Races	0.5788	0.2724	0.8248	0.9969	0.8366	0.3629	0.7546
Hispanic or Latino	0.6464	0.9009	0.7244	0.9888	0.6903	0.8070	0.6822
EDUCATION LEVEL
< High School	da	da	0.4186	0.6155	0.3655	da	0.3767
High School Graduate	da	da	0.8600	0.8962	0.9749	da	0.8797
Some College/Associate’s Degree	da	da	0.1806	0.0754	0.3236	da	0.2756
College Graduate	da	da	0.4932	0.9274	0.4720	da	0.5066
EMPLOYMENT STATUS
Full-Time	da	da	0.1145	0.2436	0.1754	da	0.1350
Part-Time	da	da	0.4424	0.7196	0.5764	da	0.5034
Unemployed	da	da	0.1579	0.1232	0.3781	da	0.1798
Other²	da	da	0.5079	0.1887	0.5783	da	0.5080
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.17C – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	836	810	62	55	838	806	185	185	816	789	130	124	1,049	970
SEX
Male	607	570	41	35	602	567	134	142	592	554	98	95	747	689
Female	531	519	47	42	527	516	113	110	517	504	79	69	603	560
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	771	737	49	46	772	733	161	158	750	713	114	109	930	871
AIAN	50	62	2	2	50	62	7	10	49	59	4	7	50	62
Asian	154	159	9	10	154	158	45	39	146	149	21	23	152	155
Black or African American	341	341	18	9	339	340	45	45	333	333	34	21	338	339
NHPI	*	33	*	1	*	33	*	4	*	33	*	2	*	33
White	674	624	44	43	827	758	179	170	787	724	98	99	813	745
Two or More Races	123	158	17	14	122	157	35	29	116	154	31	19	119	157
Hispanic or Latino	366	292	38	28	357	293	84	93	341	278	56	56	418	344
EDUCATION LEVEL
< High School	da	da	da	da	278	293	51	58	348	332	da	da	351	338
High School Graduate	da	da	da	da	475	454	113	110	586	535	da	da	595	543
Some College/Associate’s Degree	da	da	da	da	428	427	145	139	492	475	da	da	506	487
College Graduate	da	da	da	da	308	297	81	76	316	321	da	da	331	332
EMPLOYMENT STATUS
Full-Time	da	da	da	da	620	577	126	133	601	552	da	da	617	571
Part-Time	da	da	da	da	252	261	90	104	233	243	da	da	244	255
Unemployed	da	da	da	da	196	212	57	57	182	201	da	da	193	210
Other²	da	da	da	da	628	594	100	81	616	587	da	da	624	591
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.17D – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.29	0.28	0.24	0.21	0.33	0.31	0.54	0.53	0.37	0.35	0.31	0.31	0.34	0.32
SEX
Male	0.44	0.40	0.31	0.26	0.48	0.44	0.79	0.81	0.55	0.50	0.46	0.45	0.50	0.46
Female	0.37	0.35	0.37	0.33	0.40	0.38	0.67	0.63	0.45	0.43	0.41	0.36	0.42	0.40
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.33	0.32	0.26	0.24	0.36	0.34	0.63	0.60	0.40	0.38	0.36	0.36	0.38	0.35
AIAN	3.08	3.34	1.01	1.11	3.77	3.84	4.44	5.26	4.32	4.23	1.43	2.41	3.98	3.99
Asian	0.85	0.81	0.64	0.66	0.93	0.88	1.83	1.54	1.02	0.98	0.88	0.91	0.97	0.91
Black or African American	0.82	0.79	0.48	0.24	0.90	0.87	0.89	0.91	1.04	1.01	0.63	0.40	0.94	0.92
NHPI	*	2.97	*	1.31	*	3.19	*	2.71	*	3.66	*	1.54	*	3.37
White	0.40	0.37	0.33	0.32	0.43	0.39	0.80	0.76	0.47	0.43	0.45	0.48	0.44	0.41
Two or More Races	1.72	2.05	1.78	1.32	2.02	2.37	2.70	2.29	2.48	2.91	2.09	1.25	2.16	2.53
Hispanic or Latino	0.70	0.53	0.56	0.40	0.79	0.61	1.02	1.06	0.92	0.71	0.56	0.54	0.83	0.65
EDUCATION LEVEL
< High School	da	da	da	da	1.14	1.22	1.27	1.48	1.33	1.41	da	da	1.25	1.33
High School Graduate	da	da	da	da	0.68	0.65	0.85	0.82	0.81	0.78	da	da	0.73	0.70
Some College/Associate’s Degree	da	da	da	da	0.56	0.55	0.87	0.89	0.65	0.64	da	da	0.58	0.57
College Graduate	da	da	da	da	0.36	0.33	1.23	1.10	0.36	0.34	da	da	0.36	0.33
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.42	0.40	0.80	0.79	0.47	0.44	da	da	0.43	0.41
Part-Time	da	da	da	da	0.69	0.74	0.91	1.02	0.89	0.94	da	da	0.77	0.83
Unemployed	da	da	da	da	1.41	1.31	1.55	1.36	1.89	1.77	da	da	1.59	1.50
Other²	da	da	da	da	0.59	0.56	0.99	0.92	0.64	0.61	da	da	0.61	0.58
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. 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 2.17P – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0454	0.2619	0.0494	0.2600	0.0822	0.5944	0.0500
SEX
Male	0.4047	0.5079	0.4023	0.5946	0.4719	0.9640	0.3830
Female	0.0298	0.3539	0.0328	0.2274	0.0571	0.4013	0.0367
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.2260	0.5009	0.2283	0.1716	0.3526	0.6390	0.2349
AIAN	0.3564	0.6696	0.4199	0.8231	0.3768	0.7315	0.4398
Asian	0.4008	0.6842	0.4078	0.6115	0.4779	0.6948	0.4153
Black or African American	0.3246	0.0611	0.3466	0.4283	0.3959	0.1040	0.3897
NHPI	*	*	*	*	*	*	*
White	0.6738	0.7206	0.6305	0.3772	0.7712	0.6335	0.6057
Two or More Races	0.5801	0.3135	0.7224	0.5489	0.8261	0.1792	0.7834
Hispanic or Latino	0.0467	0.3157	0.0489	0.8566	0.0320	0.8323	0.0421
EDUCATION LEVEL
< High School	da	da	0.2030	0.9668	0.1997	da	0.1591
High School Graduate	da	da	0.1536	0.1883	0.2682	da	0.1734
Some College/Associate’s Degree	da	da	0.9134	0.7111	0.9906	da	0.9675
College Graduate	da	da	0.4141	0.6064	0.4645	da	0.4186
EMPLOYMENT STATUS
Full-Time	da	da	0.0048	0.5456	0.0064	da	0.0049
Part-Time	da	da	0.3190	0.8010	0.3329	da	0.2087
Unemployed	da	da	0.6741	0.5799	0.5706	da	0.6308
Other²	da	da	0.8603	0.2309	1.0000	da	0.9350
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.18C – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	783	774	38	36	784	772	133	131	777	751	83	79	945	890
SEX
Male	577	539	20	24	572	534	104	103	566	522	64	62	682	630
Female	488	489	32	26	487	487	81	78	481	476	54	44	543	522
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	721	700	31	34	723	698	120	112	713	680	74	69	845	802
AIAN	49	60	2	1	49	60	6	9	48	58	4	6	49	60
Asian	144	136	8	1	144	136	35	25	139	136	9	11	144	136
Black or African American	294	315	12	7	293	315	38	36	287	310	29	15	291	314
NHPI	*	32	*	<1	*	32	3	*	*	32	*	<1	*	32
White	628	598	23	33	750	692	118	108	731	669	60	64	742	684
Two or More Races	118	153	16	10	117	153	31	20	112	151	29	12	114	152
Hispanic or Latino	324	266	22	10	317	267	55	67	310	260	37	40	356	312
EDUCATION LEVEL
< High School	da	da	da	da	269	280	44	49	321	315	da	da	322	320
High School Graduate	da	da	da	da	451	424	92	81	544	489	da	da	550	493
Some College/Associate’s Degree	da	da	da	da	408	402	82	85	455	440	da	da	463	450
College Graduate	da	da	da	da	252	248	48	54	260	256	da	da	266	262
EMPLOYMENT STATUS
Full-Time	da	da	da	da	551	499	91	90	539	483	da	da	549	496
Part-Time	da	da	da	da	208	233	59	60	201	227	da	da	202	232
Unemployed	da	da	da	da	187	196	48	44	176	189	da	da	186	195
Other²	da	da	da	da	589	569	70	64	583	562	da	da	585	566
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.18D – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.28	0.27	0.15	0.14	0.30	0.29	0.39	0.37	0.35	0.33	0.21	0.20	0.32	0.31
SEX
Male	0.42	0.38	0.15	0.18	0.46	0.42	0.61	0.59	0.52	0.47	0.31	0.30	0.48	0.43
Female	0.34	0.33	0.25	0.21	0.37	0.36	0.48	0.45	0.42	0.41	0.29	0.23	0.38	0.38
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.31	0.30	0.16	0.18	0.34	0.33	0.47	0.43	0.38	0.36	0.25	0.23	0.35	0.34
AIAN	3.06	3.30	0.71	0.56	3.68	3.77	3.89	4.89	4.20	4.23	1.28	2.24	3.87	3.95
Asian	0.81	0.71	0.52	0.06	0.87	0.77	1.50	1.04	0.98	0.90	0.38	0.44	0.92	0.81
Black or African American	0.73	0.75	0.33	0.20	0.80	0.84	0.78	0.74	0.92	0.97	0.54	0.29	0.84	0.88
NHPI	*	2.63	*	0.56	*	2.83	3.09	*	*	3.23	*	0.34	*	2.98
White	0.37	0.35	0.18	0.25	0.40	0.38	0.58	0.54	0.44	0.41	0.29	0.32	0.41	0.39
Two or More Races	1.67	2.04	1.67	0.96	1.95	2.37	2.52	1.69	2.41	2.92	2.03	0.84	2.09	2.54
Hispanic or Latino	0.62	0.49	0.33	0.14	0.70	0.56	0.67	0.76	0.83	0.67	0.37	0.38	0.74	0.60
EDUCATION LEVEL
< High School	da	da	da	da	1.10	1.16	1.11	1.28	1.30	1.34	da	da	1.21	1.27
High School Graduate	da	da	da	da	0.65	0.60	0.71	0.62	0.77	0.72	da	da	0.70	0.65
Some College/Associate’s Degree	da	da	da	da	0.53	0.52	0.56	0.61	0.63	0.60	da	da	0.56	0.54
College Graduate	da	da	da	da	0.29	0.28	0.81	0.86	0.30	0.29	da	da	0.29	0.28
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.39	0.36	0.61	0.58	0.44	0.40	da	da	0.40	0.37
Part-Time	da	da	da	da	0.60	0.67	0.66	0.65	0.80	0.90	da	da	0.67	0.77
Unemployed	da	da	da	da	1.38	1.24	1.33	1.13	1.86	1.67	da	da	1.56	1.41
Other²	da	da	da	da	0.56	0.54	0.75	0.73	0.61	0.58	da	da	0.58	0.55
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.18P – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1442	0.6417	0.1362	0.0596	0.2449	0.4149	0.1571
SEX
Male	0.7118	0.1813	0.6398	0.4119	0.7616	0.7337	0.6546
Female	0.0580	0.1131	0.0665	0.0354	0.1355	0.0809	0.0834
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.3537	0.7348	0.3266	0.0077	0.5908	0.3785	0.3801
AIAN	0.2710	0.5135	0.3149	1.0000	0.2939	0.8876	0.3185
Asian	0.1728	0.1353	0.1875	0.1792	0.3023	0.7414	0.1714
Black or African American	0.7555	0.1772	0.7665	0.1440	0.9029	0.0859	0.8521
NHPI	*	*	*	*	*	*	*
White	0.7691	0.0785	0.6804	0.0597	0.9295	0.7421	0.7228
Two or More Races	0.4863	0.3092	0.6030	0.4401	0.7148	0.1303	0.6785
Hispanic or Latino	0.1540	0.1106	0.1618	0.3153	0.0962	0.9788	0.1413
EDUCATION LEVEL
< High School	da	da	0.1701	0.4663	0.2076	da	0.1465
High School Graduate	da	da	0.2306	0.0157	0.4872	da	0.2647
Some College/Associate’s Degree	da	da	0.5965	0.4246	0.4912	da	0.5014
College Graduate	da	da	0.4078	0.5615	0.3320	da	0.4115
EMPLOYMENT STATUS
Full-Time	da	da	0.0077	0.1461	0.0150	da	0.0073
Part-Time	da	da	0.2691	0.3113	0.4142	da	0.3599
Unemployed	da	da	0.9160	0.5067	0.8206	da	0.9246
Other²	da	da	0.6905	0.4282	0.6343	da	0.6672
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.19C – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	757	799	37	38	752	788	132	139	732	763	87	78	883	909
SEX
Male	677	698	30	34	671	689	122	123	652	662	79	70	825	836
Female	228	246	22	24	225	243	58	62	220	237	39	33	229	244
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	689	723	30	36	687	717	115	122	665	694	77	70	815	869
AIAN	41	32	2	1	41	32	4	7	41	31	3	2	41	32
Asian	97	123	4	1	97	123	25	27	94	120	18	16	95	122
Black or African American	189	178	15	17	188	176	28	26	186	173	21	20	187	176
NHPI	51	35	1	*	*	35	*	2	*	35	1	*	*	35
White	634	635	26	35	776	810	126	127	744	780	69	67	765	801
Two or More Races	102	108	5	4	102	108	23	23	98	105	12	8	101	107
Hispanic or Latino	280	260	20	12	277	258	61	64	269	247	38	38	292	264
EDUCATION LEVEL
< High School	da	da	da	da	219	199	39	39	230	202	da	da	235	205
High School Graduate	da	da	da	da	394	382	75	81	449	408	da	da	452	417
Some College/Associate’s Degree	da	da	da	da	411	430	97	104	444	478	da	da	456	489
College Graduate	da	da	da	da	367	389	60	67	415	448	da	da	416	460
EMPLOYMENT STATUS
Full-Time	da	da	da	da	609	625	102	108	592	606	da	da	602	624
Part-Time	da	da	da	da	201	220	57	67	190	211	da	da	198	215
Unemployed	da	da	da	da	147	150	41	43	145	146	da	da	146	149
Other²	da	da	da	da	462	497	70	58	453	492	da	da	456	496
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.19D – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.27	0.28	0.14	0.15	0.29	0.30	0.39	0.40	0.33	0.34	0.22	0.20	0.30	0.31
SEX
Male	0.49	0.50	0.23	0.26	0.54	0.54	0.71	0.70	0.60	0.60	0.39	0.35	0.56	0.56
Female	0.16	0.17	0.17	0.19	0.17	0.18	0.34	0.36	0.19	0.20	0.21	0.17	0.18	0.19
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.30	0.31	0.16	0.19	0.32	0.33	0.44	0.47	0.36	0.37	0.26	0.24	0.33	0.34
AIAN	2.61	2.16	0.93	0.34	3.14	2.57	2.77	3.92	3.62	2.93	0.87	0.80	3.30	2.70
Asian	0.55	0.63	0.30	0.07	0.60	0.69	1.10	1.08	0.67	0.78	0.77	0.64	0.62	0.72
Black or African American	0.52	0.48	0.40	0.48	0.57	0.53	0.59	0.55	0.67	0.61	0.39	0.37	0.60	0.56
NHPI	4.36	2.55	0.66	*	*	2.69	*	1.27	*	3.03	0.98	*	*	2.81
White	0.37	0.37	0.20	0.27	0.40	0.40	0.59	0.58	0.44	0.44	0.34	0.35	0.41	0.41
Two or More Races	1.50	1.50	0.51	0.39	1.74	1.76	1.96	1.93	2.12	2.18	0.85	0.58	1.88	1.90
Hispanic or Latino	0.54	0.48	0.29	0.18	0.61	0.54	0.74	0.74	0.72	0.63	0.38	0.37	0.65	0.57
EDUCATION LEVEL
< High School	da	da	da	da	0.89	0.83	0.99	1.03	1.03	0.95	da	da	0.98	0.90
High School Graduate	da	da	da	da	0.57	0.54	0.60	0.61	0.67	0.64	da	da	0.61	0.59
Some College/Associate’s Degree	da	da	da	da	0.53	0.55	0.65	0.68	0.61	0.64	da	da	0.56	0.58
College Graduate	da	da	da	da	0.42	0.43	0.90	1.00	0.46	0.46	da	da	0.42	0.43
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.43	0.45	0.65	0.67	0.48	0.49	da	da	0.44	0.46
Part-Time	da	da	da	da	0.59	0.63	0.64	0.70	0.77	0.83	da	da	0.66	0.71
Unemployed	da	da	da	da	1.16	1.06	1.14	1.07	1.61	1.45	da	da	1.31	1.19
Other²	da	da	da	da	0.45	0.45	0.76	0.65	0.48	0.49	da	da	0.46	0.47
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.19P – Smokeless Tobacco Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.4783	0.3166	0.4147	0.7387	0.3742	0.9396	0.4513
SEX
Male	0.2835	0.7196	0.2483	0.7782	0.2231	0.9409	0.2514
Female	0.4845	0.2435	0.5644	0.8977	0.5780	0.9539	0.4859
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.8121	0.1210	0.7225	0.8674	0.7398	0.9724	0.7831
AIAN	0.2472	0.1324	0.2281	0.2299	0.1704	0.7627	0.2110
Asian	0.3079	0.4183	0.3003	0.9916	0.2886	0.4188	0.2517
Black or African American	0.9581	0.8566	0.9582	0.2840	0.9141	0.7225	0.9843
NHPI	0.4747	*	*	*	*	*	*
White	0.9004	0.0550	0.7933	0.9236	0.7772	0.7050	0.8450
Two or More Races	0.9187	0.7343	0.9964	0.6204	0.9197	0.8551	0.9594
Hispanic or Latino	0.2513	0.3927	0.2514	0.2446	0.1450	0.8721	0.2327
EDUCATION LEVEL
< High School	da	da	0.2788	0.6977	0.2359	da	0.2433
High School Graduate	da	da	0.1826	0.2900	0.2680	da	0.2391
Some College/Associate’s Degree	da	da	0.9533	0.4923	0.9241	da	0.9294
College Graduate	da	da	0.7722	0.4754	0.8545	da	0.7656
EMPLOYMENT STATUS
Full-Time	da	da	0.1693	0.4521	0.1263	da	0.1763
Part-Time	da	da	0.3651	0.5403	0.4251	da	0.3585
Unemployed	da	da	0.5528	0.6934	0.5905	da	0.6091
Other²	da	da	0.8670	0.5050	0.8025	da	0.8124
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.20C – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	381	353	28	35	381	349	95	107	369	325	69	68	386	357
SEX
Male	362	332	25	30	361	329	90	97	353	305	64	62	376	340
Female	90	102	13	16	89	100	36	41	81	92	25	23	86	99
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	361	332	23	33	360	329	89	90	347	310	63	58	365	345
AIAN	15	16	<1	<1	15	16	1	4	15	16	1	1	15	16
Asian	63	78	1	1	63	78	19	24	60	75	16	16	60	77
Black or African American	126	85	12	14	125	84	23	12	123	84	15	16	125	84
NHPI	7	28	*	*	7	27	*	*	4	27	1	*	7	27
White	317	301	20	29	335	316	89	88	316	296	59	52	325	310
Two or More Races	35	45	4	4	35	45	13	15	33	43	6	6	35	45
Hispanic or Latino	131	107	14	11	130	106	34	54	125	86	25	36	131	96
EDUCATION LEVEL
< High School	da	da	da	da	140	91	23	31	143	85	da	da	144	88
High School Graduate	da	da	da	da	234	203	54	56	236	198	da	da	240	208
Some College/Associate’s Degree	da	da	da	da	196	190	66	76	185	175	da	da	191	186
College Graduate	da	da	da	da	143	150	37	42	145	148	da	da	147	154
EMPLOYMENT STATUS
Full-Time	da	da	da	da	280	243	66	78	273	225	da	da	277	238
Part-Time	da	da	da	da	71	125	37	52	60	115	da	da	67	120
Unemployed	da	da	da	da	95	92	26	28	95	88	da	da	94	91
Other²	da	da	da	da	236	193	53	40	227	186	da	da	229	191
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.20D – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.13	0.12	0.11	0.13	0.15	0.13	0.28	0.31	0.17	0.14	0.18	0.17	0.15	0.14
SEX
Male	0.26	0.24	0.19	0.23	0.29	0.26	0.52	0.55	0.33	0.28	0.32	0.31	0.30	0.26
Female	0.06	0.07	0.10	0.13	0.07	0.07	0.21	0.23	0.07	0.08	0.13	0.12	0.07	0.08
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.16	0.14	0.12	0.17	0.17	0.15	0.34	0.34	0.19	0.16	0.22	0.20	0.17	0.16
AIAN	1.08	1.15	0.12	0.20	1.33	1.37	1.13	2.54	1.53	1.55	0.26	0.31	1.40	1.44
Asian	0.36	0.41	0.07	0.07	0.39	0.44	0.85	0.97	0.43	0.49	0.67	0.64	0.40	0.46
Black or African American	0.35	0.24	0.32	0.39	0.39	0.26	0.50	0.26	0.45	0.31	0.27	0.30	0.41	0.28
NHPI	0.62	2.17	*	*	0.67	2.28	*	*	0.49	2.59	0.95	*	0.68	2.38
White	0.19	0.18	0.15	0.23	0.20	0.19	0.47	0.45	0.22	0.20	0.30	0.28	0.20	0.19
Two or More Races	0.57	0.70	0.46	0.35	0.67	0.83	1.18	1.27	0.79	1.00	0.43	0.41	0.72	0.89
Hispanic or Latino	0.25	0.20	0.20	0.17	0.29	0.22	0.42	0.62	0.34	0.22	0.25	0.35	0.30	0.22
EDUCATION LEVEL
< High School	da	da	da	da	0.57	0.38	0.62	0.84	0.66	0.41	da	da	0.63	0.40
High School Graduate	da	da	da	da	0.34	0.29	0.45	0.43	0.39	0.33	da	da	0.36	0.31
Some College/Associate’s Degree	da	da	da	da	0.25	0.24	0.48	0.52	0.29	0.27	da	da	0.26	0.25
College Graduate	da	da	da	da	0.16	0.17	0.63	0.68	0.18	0.17	da	da	0.16	0.17
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.22	0.20	0.46	0.51	0.25	0.21	da	da	0.23	0.20
Part-Time	da	da	da	da	0.22	0.38	0.43	0.57	0.26	0.48	da	da	0.24	0.42
Unemployed	da	da	da	da	0.80	0.69	0.74	0.72	1.12	0.93	da	da	0.90	0.77
Other²	da	da	da	da	0.25	0.20	0.59	0.46	0.26	0.21	da	da	0.25	0.20
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.20P – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.4875	0.0972	0.3830	0.0182	0.1084	0.2876	0.3542
SEX
Male	0.2764	0.1753	0.2163	0.0379	0.0576	0.3508	0.1894
Female	0.2405	0.3187	0.3010	0.2908	0.5225	0.5292	0.2918
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.6147	0.0532	0.4903	0.1946	0.2860	0.5401	0.5261
AIAN	0.7136	0.8607	0.6416	0.3017	0.5066	0.4803	0.6219
Asian	0.2605	0.6531	0.2655	0.4784	0.3503	0.8895	0.2364
Black or African American	0.2257	0.7302	0.2365	0.0252	0.4255	0.7379	0.2411
NHPI	0.1460	*	0.1932	*	0.1185	*	0.1963
White	0.5789	0.0222	0.4459	0.1021	0.2166	0.4634	0.4804
Two or More Races	0.2246	0.9845	0.2070	0.2550	0.3503	0.7481	0.2327
Hispanic or Latino	0.6416	0.8243	0.6452	0.0061	0.0967	0.2304	0.4196
EDUCATION LEVEL
< High School	da	da	0.0766	0.1033	0.0268	da	0.0428
High School Graduate	da	da	0.1759	0.9598	0.1626	da	0.2419
Some College/Associate’s Degree	da	da	0.5323	0.0232	0.8749	da	0.6397
College Graduate	da	da	0.4245	0.2581	0.6408	da	0.4195
EMPLOYMENT STATUS
Full-Time	da	da	0.5667	0.0060	0.1660	da	0.4976
Part-Time	da	da	0.0148	0.0327	0.1075	da	0.0364
Unemployed	da	da	0.4740	0.9839	0.4581	da	0.5312
Other²	da	da	0.1157	0.4167	0.1468	da	0.1601
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.21C – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	330	309	16	20	330	307	71	70	324	294	42	38	334	317
SEX
Male	314	291	14	18	314	289	69	66	310	278	38	36	325	302
Female	78	81	8	9	77	82	24	26	72	77	18	11	75	81
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	314	296	13	18	315	294	65	62	308	284	36	35	318	307
AIAN	14	10	<1	<1	14	10	1	3	13	9	1	<1	14	10
Asian	28	69	1	1	28	69	10	12	26	68	1	2	28	69
Black or African American	105	64	11	5	105	64	17	10	103	64	14	7	104	64
NHPI	7	27	*	*	7	27	*	<1	4	27	1	<1	7	27
White	282	272	7	17	294	281	65	63	283	270	34	34	290	278
Two or More Races	34	40	1	3	34	39	10	12	32	38	2	4	34	39
Hispanic or Latino	104	82	10	7	103	81	27	34	100	70	19	15	104	81
EDUCATION LEVEL
< High School	da	da	da	da	128	82	16	24	129	78	da	da	130	81
High School Graduate	da	da	da	da	204	190	42	44	205	188	da	da	208	195
Some College/Associate’s Degree	da	da	da	da	173	152	47	46	166	150	da	da	173	155
College Graduate	da	da	da	da	119	126	27	29	123	123	da	da	121	127
EMPLOYMENT STATUS
Full-Time	da	da	da	da	236	206	50	55	232	200	da	da	235	204
Part-Time	da	da	da	da	62	107	28	34	55	102	da	da	61	106
Unemployed	da	da	da	da	85	80	19	20	82	78	da	da	84	79
Other²	da	da	da	da	211	177	34	29	208	171	da	da	209	175
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.21D – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.12	0.11	0.06	0.08	0.13	0.12	0.21	0.20	0.15	0.13	0.11	0.10	0.13	0.12
SEX
Male	0.23	0.21	0.11	0.13	0.25	0.23	0.40	0.38	0.29	0.25	0.19	0.18	0.26	0.24
Female	0.05	0.06	0.07	0.07	0.06	0.06	0.14	0.15	0.06	0.07	0.10	0.06	0.06	0.06
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.14	0.13	0.07	0.10	0.15	0.14	0.25	0.24	0.17	0.15	0.12	0.12	0.15	0.14
AIAN	1.01	0.71	0.10	0.06	1.25	0.85	1.07	1.80	1.43	0.95	0.24	0.17	1.31	0.89
Asian	0.16	0.36	0.07	0.06	0.17	0.40	0.47	0.50	0.19	0.45	0.04	0.08	0.18	0.42
Black or African American	0.30	0.18	0.30	0.14	0.33	0.20	0.37	0.21	0.38	0.24	0.26	0.13	0.35	0.21
NHPI	0.62	2.13	*	*	0.67	2.27	*	0.24	0.49	2.59	0.95	0.10	0.68	2.38
White	0.17	0.16	0.06	0.14	0.18	0.17	0.35	0.33	0.19	0.19	0.18	0.18	0.18	0.18
Two or More Races	0.54	0.61	0.15	0.32	0.64	0.72	0.89	1.02	0.77	0.87	0.16	0.24	0.69	0.78
Hispanic or Latino	0.20	0.15	0.14	0.09	0.23	0.17	0.33	0.39	0.27	0.18	0.19	0.15	0.24	0.18
EDUCATION LEVEL
< High School	da	da	da	da	0.52	0.34	0.43	0.67	0.61	0.38	da	da	0.57	0.36
High School Graduate	da	da	da	da	0.29	0.27	0.36	0.35	0.34	0.31	da	da	0.31	0.29
Some College/Associate’s Degree	da	da	da	da	0.22	0.19	0.34	0.33	0.26	0.23	da	da	0.24	0.21
College Graduate	da	da	da	da	0.14	0.14	0.46	0.48	0.15	0.15	da	da	0.14	0.14
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.19	0.17	0.36	0.37	0.21	0.18	da	da	0.19	0.17
Part-Time	da	da	da	da	0.19	0.32	0.33	0.37	0.24	0.43	da	da	0.22	0.37
Unemployed	da	da	da	da	0.71	0.61	0.56	0.53	0.97	0.82	da	da	0.80	0.68
Other²	da	da	da	da	0.22	0.18	0.38	0.33	0.24	0.19	da	da	0.23	0.19
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.21P – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.2996	0.0901	0.2455	0.0482	0.0984	0.4002	0.2457
SEX
Male	0.2642	0.0654	0.2126	0.0506	0.0812	0.1321	0.1798
Female	0.9674	0.9075	0.9811	0.7815	0.9412	0.1150	0.7441
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.5014	0.0322	0.4188	0.1717	0.2634	0.3230	0.4213
AIAN	0.1112	0.6883	0.0992	0.6935	0.0832	0.8791	0.0993
Asian	0.1148	0.9942	0.1150	0.9557	0.1107	0.4312	0.1224
Black or African American	0.1858	0.2344	0.2232	0.0262	0.3900	0.2329	0.2402
NHPI	0.2190	*	0.2137	*	0.1185	0.2162	0.1963
White	0.5554	0.0010	0.4422	0.0584	0.2297	0.1583	0.4375
Two or More Races	0.8063	0.4633	0.8154	0.2315	0.9174	0.5573	0.8293
Hispanic or Latino	0.2748	0.5777	0.2879	0.0769	0.0711	0.9551	0.2706
EDUCATION LEVEL
< High School	da	da	0.1105	0.0422	0.0426	da	0.0764
High School Graduate	da	da	0.6013	0.9420	0.5870	da	0.6880
Some College/Associate’s Degree	da	da	0.7123	0.0831	0.3780	da	0.6884
College Graduate	da	da	0.9772	0.5890	0.8655	da	0.9790
EMPLOYMENT STATUS
Full-Time	da	da	0.4226	0.0206	0.1562	da	0.4027
Part-Time	da	da	0.0868	0.0624	0.2746	da	0.1405
Unemployed	da	da	0.5705	0.7046	0.6059	da	0.6158
Other²	da	da	0.1365	0.3669	0.1678	da	0.1686
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.22C – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	858	942	133	126	845	924	245	231	772	863	279	254	1,113	1,223
SEX
Male	585	652	89	90	577	641	166	161	536	597	183	170	726	820
Female	558	618	94	93	548	604	163	159	497	570	174	170	639	687
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	777	811	112	112	767	805	207	207	705	749	240	218	991	1,054
AIAN	55	60	12	8	55	59	*	16	52	52	13	12	55	57
Asian	175	217	21	25	174	215	72	76	171	185	42	53	180	208
Black or African American	360	344	55	61	345	335	116	106	301	297	84	84	329	323
NHPI	*	64	*	*	*	63	*	*	*	60	*	*	*	62
White	680	707	111	109	912	937	313	299	798	823	210	187	872	896
Two or More Races	130	200	27	26	126	199	52	54	115	190	42	41	122	195
Hispanic or Latino	351	402	76	68	345	388	120	118	304	352	124	127	408	445
EDUCATION LEVEL
< High School	da	da	da	da	249	258	89	88	246	268	da	da	252	279
High School Graduate	da	da	da	da	447	482	197	202	534	529	da	da	568	568
Some College/Associate’s Degree	da	da	da	da	486	475	277	247	518	538	da	da	584	585
College Graduate	da	da	da	da	385	446	148	150	412	520	da	da	452	562
EMPLOYMENT STATUS
Full-Time	da	da	da	da	778	813	241	242	694	736	da	da	766	799
Part-Time	da	da	da	da	301	349	174	185	233	288	da	da	269	323
Unemployed	da	da	da	da	222	245	97	102	193	216	da	da	210	236
Other²	da	da	da	da	546	546	166	145	519	514	da	da	533	533
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.22D – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.30	0.33	0.51	0.49	0.33	0.35	0.72	0.66	0.35	0.38	0.54	0.52	0.34	0.36
SEX
Male	0.42	0.46	0.67	0.68	0.46	0.50	0.97	0.92	0.50	0.54	0.73	0.71	0.47	0.52
Female	0.39	0.42	0.74	0.73	0.41	0.45	0.96	0.91	0.43	0.49	0.74	0.71	0.42	0.46
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.34	0.35	0.59	0.59	0.36	0.38	0.80	0.79	0.38	0.40	0.62	0.62	0.37	0.38
AIAN	3.22	3.21	4.23	3.68	3.91	3.73	*	5.48	4.32	4.00	4.08	3.79	4.13	3.90
Asian	0.99	1.01	1.34	1.56	1.07	1.09	2.70	2.66	1.20	1.15	1.73	2.01	1.16	1.13
Black or African American	0.79	0.72	1.30	1.48	0.87	0.80	1.73	1.56	0.94	0.87	1.22	1.31	0.90	0.83
NHPI	*	4.84	*	*	*	5.12	*	*	*	5.58	*	*	*	5.30
White	0.40	0.41	0.75	0.74	0.42	0.45	0.90	0.91	0.45	0.47	0.79	0.76	0.43	0.45
Two or More Races	1.82	2.20	2.49	2.11	2.12	2.56	2.94	2.82	2.48	3.17	2.44	2.21	2.24	2.74
Hispanic or Latino	0.67	0.74	1.12	0.99	0.76	0.81	1.45	1.34	0.82	0.90	1.05	0.99	0.79	0.85
EDUCATION LEVEL
< High School	da	da	da	da	1.02	1.07	1.84	1.80	1.11	1.17	da	da	1.08	1.14
High School Graduate	da	da	da	da	0.64	0.68	1.11	1.02	0.72	0.78	da	da	0.68	0.73
Some College/Associate’s Degree	da	da	da	da	0.63	0.61	1.15	1.15	0.68	0.67	da	da	0.65	0.63
College Graduate	da	da	da	da	0.44	0.50	1.64	1.55	0.43	0.51	da	da	0.44	0.50
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.48	0.49	1.05	0.94	0.51	0.52	da	da	0.49	0.49
Part-Time	da	da	da	da	0.85	0.91	1.32	1.35	0.94	1.09	da	da	0.88	0.98
Unemployed	da	da	da	da	1.53	1.48	2.03	1.90	1.97	1.90	da	da	1.71	1.63
Other²	da	da	da	da	0.52	0.50	1.31	1.34	0.54	0.53	da	da	0.53	0.52
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.22P – Nicotine Vaping in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0429	0.4292	0.0324	0.8592	0.0191	0.5874	0.0248
SEX
Male	0.0309	0.7723	0.0288	0.8321	0.0171	0.9703	0.0276
Female	0.4371	0.4165	0.3596	0.9586	0.3358	0.3831	0.3059
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.1288	0.4558	0.1070	0.7635	0.0673	0.4263	0.0773
AIAN	0.3795	0.5968	0.4847	*	0.5317	0.2897	0.5654
Asian	0.6704	0.6814	0.6408	0.9631	0.6517	0.8012	0.7170
Black or African American	0.5488	0.2127	0.7154	0.9638	0.6625	0.1494	0.8057
NHPI	*	*	*	*	*	*	*
White	0.2110	0.2304	0.1597	0.7833	0.1155	0.1126	0.0978
Two or More Races	0.0652	0.2768	0.0360	0.8173	0.0325	0.4430	0.0351
Hispanic or Latino	0.0986	0.7924	0.0817	0.8229	0.0716	0.7842	0.0934
EDUCATION LEVEL
< High School	da	da	0.3167	0.2646	0.4604	da	0.3866
High School Graduate	da	da	0.6037	0.8844	0.7558	da	0.5496
Some College/Associate’s Degree	da	da	0.3274	0.1162	0.0977	da	0.2756
College Graduate	da	da	0.0133	0.3250	0.0173	da	0.0128
EMPLOYMENT STATUS
Full-Time	da	da	0.0433	0.5137	0.0544	da	0.0451
Part-Time	da	da	0.2973	0.8856	0.2553	da	0.2803
Unemployed	da	da	0.8962	0.4155	0.8020	da	0.9538
Other²	da	da	0.4400	0.5414	0.2837	da	0.3581
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.23C – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	670	645	119	109	659	632	224	220	574	566	240	208	721	731
SEX
Male	481	451	73	74	475	447	161	154	415	412	155	137	493	503
Female	422	426	88	81	412	408	145	149	359	366	149	140	431	430
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	611	562	97	95	603	554	198	198	534	497	207	180	654	623
AIAN	42	36	5	5	41	36	8	14	40	30	6	10	41	34
Asian	130	145	18	20	129	141	56	63	123	127	33	49	133	137
Black or African American	239	220	47	51	227	208	90	78	191	184	72	70	211	201
NHPI	*	52	*	*	*	52	*	*	*	50	*	*	*	52
White	526	491	94	90	601	577	255	230	506	488	179	151	565	547
Two or More Races	87	94	23	22	84	91	45	43	69	78	38	33	77	87
Hispanic or Latino	265	303	68	57	259	293	108	107	220	257	101	100	271	309
EDUCATION LEVEL
< High School	da	da	da	da	190	186	74	72	182	173	da	da	186	186
High School Graduate	da	da	da	da	347	365	165	157	356	357	da	da	382	390
Some College/Associate’s Degree	da	da	da	da	377	348	223	197	332	337	da	da	387	378
College Graduate	da	da	da	da	267	284	104	110	249	294	da	da	280	319
EMPLOYMENT STATUS
Full-Time	da	da	da	da	504	507	189	197	450	450	da	da	494	489
Part-Time	da	da	da	da	208	227	131	146	145	167	da	da	179	199
Unemployed	da	da	da	da	182	181	85	81	156	161	da	da	173	174
Other²	da	da	da	da	360	348	136	117	330	318	da	da	344	339
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.23D – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.24	0.22	0.46	0.42	0.26	0.24	0.66	0.63	0.26	0.25	0.50	0.46	0.26	0.24
SEX
Male	0.35	0.32	0.55	0.56	0.38	0.35	0.94	0.88	0.38	0.37	0.66	0.60	0.38	0.36
Female	0.29	0.29	0.69	0.64	0.31	0.30	0.86	0.86	0.31	0.31	0.68	0.64	0.32	0.31
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.26	0.24	0.51	0.50	0.28	0.26	0.77	0.76	0.29	0.26	0.57	0.53	0.29	0.26
AIAN	2.70	2.32	2.14	2.48	3.26	2.70	5.01	5.74	3.69	2.80	2.24	3.32	3.41	2.71
Asian	0.74	0.70	1.15	1.23	0.81	0.75	2.14	2.34	0.89	0.81	1.35	1.89	0.88	0.78
Black or African American	0.59	0.55	1.17	1.30	0.64	0.58	1.56	1.40	0.66	0.61	1.10	1.19	0.65	0.59
NHPI	*	4.00	*	*	*	4.23	*	*	*	4.67	*	*	*	4.43
White	0.31	0.29	0.64	0.63	0.33	0.31	0.93	0.88	0.33	0.31	0.72	0.64	0.33	0.31
Two or More Races	1.38	1.43	2.21	1.89	1.61	1.67	2.97	3.05	1.69	1.82	2.31	1.93	1.62	1.73
Hispanic or Latino	0.51	0.55	1.00	0.83	0.57	0.61	1.31	1.23	0.59	0.66	0.98	0.89	0.57	0.62
EDUCATION LEVEL
< High School	da	da	da	da	0.78	0.78	1.68	1.62	0.83	0.81	da	da	0.80	0.81
High School Graduate	da	da	da	da	0.50	0.52	1.05	0.94	0.55	0.57	da	da	0.52	0.55
Some College/Associate’s Degree	da	da	da	da	0.49	0.45	1.13	1.09	0.49	0.47	da	da	0.49	0.46
College Graduate	da	da	da	da	0.31	0.32	1.38	1.42	0.29	0.32	da	da	0.31	0.32
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.36	0.35	0.97	0.97	0.37	0.37	da	da	0.36	0.35
Part-Time	da	da	da	da	0.62	0.65	1.16	1.25	0.61	0.69	da	da	0.62	0.67
Unemployed	da	da	da	da	1.37	1.25	1.98	1.70	1.72	1.58	da	da	1.52	1.36
Other²	da	da	da	da	0.37	0.34	1.21	1.17	0.37	0.35	da	da	0.37	0.35
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.23P – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.2767	0.1705	0.1765	0.1350	0.0432	0.0292	0.0648
SEX
Male	0.2084	0.8637	0.2012	0.0933	0.0492	0.3465	0.1149
Female	0.7659	0.0893	0.5018	0.6286	0.3743	0.0180	0.2789
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.7847	0.3489	0.6653	0.0927	0.2658	0.0284	0.3474
AIAN	0.8550	0.9389	0.8099	0.2115	0.5623	0.5424	0.7376
Asian	0.3611	0.4612	0.3131	0.9150	0.2716	0.6655	0.4250
Black or African American	0.8574	0.4714	0.9806	0.0564	0.4019	0.7818	0.7667
NHPI	*	*	*	*	*	*	*
White	0.9842	0.2319	0.8686	0.2537	0.5661	0.0179	0.5281
Two or More Races	0.1997	0.3919	0.1335	0.8917	0.0739	0.1921	0.0686
Hispanic or Latino	0.0530	0.3042	0.0261	0.8750	0.0136	0.5128	0.0188
EDUCATION LEVEL
< High School	da	da	0.2359	0.5000	0.2939	da	0.2184
High School Graduate	da	da	0.6961	0.0975	0.4252	da	0.4172
Some College/Associate’s Degree	da	da	0.8215	0.1201	0.3337	da	0.5670
College Graduate	da	da	0.0544	0.5804	0.0588	da	0.0528
EMPLOYMENT STATUS
Full-Time	da	da	0.1251	0.6242	0.0858	da	0.0810
Part-Time	da	da	0.4962	0.6670	0.3325	da	0.3888
Unemployed	da	da	0.5769	0.0558	0.7679	da	0.9684
Other²	da	da	0.7504	0.3011	0.4160	da	0.4992
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.24C – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	553	552	82	75	544	544	201	201	472	484	174	152	580	599
SEX
Male	408	396	56	47	405	394	145	141	357	363	117	98	414	418
Female	346	345	62	60	339	334	130	130	297	299	112	102	346	345
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	499	477	69	66	492	471	174	179	434	425	150	133	523	518
AIAN	33	28	3	4	33	27	7	12	32	22	5	7	32	26
Asian	96	114	10	12	95	114	46	47	85	111	24	27	95	117
Black or African American	158	182	31	32	153	173	72	68	128	156	57	52	140	166
NHPI	*	34	*	1	*	34	*	*	*	32	*	2	*	34
White	443	422	64	60	491	486	201	195	425	415	128	113	468	464
Two or More Races	76	79	17	15	74	77	41	40	61	68	31	24	68	75
Hispanic or Latino	225	236	44	36	222	232	97	99	188	192	69	68	232	235
EDUCATION LEVEL
< High School	da	da	da	da	162	156	61	66	154	140	da	da	158	153
High School Graduate	da	da	da	da	285	315	129	135	279	295	da	da	299	324
Some College/Associate’s Degree	da	da	da	da	316	282	178	161	283	277	da	da	323	305
College Graduate	da	da	da	da	217	217	80	78	202	215	da	da	226	233
EMPLOYMENT STATUS
Full-Time	da	da	da	da	427	413	154	164	386	367	da	da	421	398
Part-Time	da	da	da	da	165	182	99	110	122	140	da	da	146	164
Unemployed	da	da	da	da	141	149	71	70	120	131	da	da	135	143
Other²	da	da	da	da	289	291	113	99	267	262	da	da	275	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. 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 2.24D – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.19	0.19	0.32	0.29	0.21	0.21	0.59	0.58	0.21	0.21	0.40	0.36	0.21	0.21
SEX
Male	0.29	0.28	0.42	0.35	0.32	0.31	0.85	0.80	0.33	0.33	0.54	0.46	0.33	0.32
Female	0.24	0.23	0.49	0.47	0.26	0.25	0.77	0.75	0.26	0.26	0.55	0.49	0.26	0.25
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.22	0.20	0.36	0.35	0.23	0.22	0.68	0.68	0.23	0.23	0.45	0.42	0.23	0.22
AIAN	2.22	1.88	1.53	2.04	2.69	2.20	4.74	5.70	3.01	2.15	1.74	2.66	2.81	2.27
Asian	0.55	0.57	0.70	0.77	0.60	0.62	1.89	1.85	0.61	0.72	1.02	1.11	0.62	0.67
Black or African American	0.41	0.49	0.82	0.85	0.44	0.52	1.36	1.34	0.45	0.55	0.97	0.93	0.44	0.53
NHPI	*	2.74	*	1.01	*	2.94	*	*	*	3.15	*	1.80	*	3.08
White	0.26	0.25	0.47	0.45	0.28	0.26	0.82	0.82	0.28	0.27	0.57	0.52	0.28	0.27
Two or More Races	1.21	1.20	1.74	1.32	1.42	1.43	2.96	2.97	1.49	1.58	2.09	1.53	1.44	1.51
Hispanic or Latino	0.43	0.43	0.65	0.52	0.49	0.49	1.18	1.13	0.51	0.49	0.68	0.64	0.50	0.49
EDUCATION LEVEL
< High School	da	da	da	da	0.66	0.65	1.49	1.61	0.71	0.66	da	da	0.69	0.67
High School Graduate	da	da	da	da	0.41	0.45	0.93	0.87	0.45	0.49	da	da	0.42	0.47
Some College/Associate’s Degree	da	da	da	da	0.41	0.36	0.99	0.98	0.42	0.39	da	da	0.41	0.38
College Graduate	da	da	da	da	0.25	0.24	1.24	1.11	0.24	0.24	da	da	0.25	0.24
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.32	0.30	0.89	0.87	0.33	0.31	da	da	0.32	0.30
Part-Time	da	da	da	da	0.49	0.54	1.00	1.04	0.51	0.58	da	da	0.51	0.57
Unemployed	da	da	da	da	1.16	1.05	1.80	1.53	1.41	1.32	da	da	1.27	1.15
Other²	da	da	da	da	0.30	0.29	1.11	1.06	0.30	0.29	da	da	0.30	0.29
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.24P – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.4124	0.0779	0.2841	0.6270	0.1788	0.0189	0.1207
SEX
Male	0.3092	0.1423	0.2348	0.5039	0.1333	0.1094	0.1469
Female	0.9039	0.3036	0.7557	0.9696	0.7519	0.0480	0.4563
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.4388	0.2196	0.3447	0.4035	0.1687	0.0233	0.1490
AIAN	0.6400	0.4264	0.5291	0.6637	0.3942	0.5622	0.5370
Asian	0.2698	0.2336	0.2209	0.6975	0.1470	0.5475	0.2117
Black or African American	0.1302	0.8259	0.1265	0.2769	0.0261	0.7582	0.0754
NHPI	*	*	*	*	*	*	*
White	0.9220	0.3256	0.8296	0.6769	0.7005	0.0301	0.5170
Two or More Races	0.2520	0.2193	0.1507	0.7726	0.1330	0.3504	0.1213
Hispanic or Latino	0.7297	0.1851	0.5691	0.5233	0.7597	0.4155	0.5205
EDUCATION LEVEL
< High School	da	da	0.5208	0.4575	0.6856	da	0.5093
High School Graduate	da	da	0.5272	0.4467	0.4325	da	0.3123
Some College/Associate’s Degree	da	da	0.8912	0.4788	0.6089	da	0.6027
College Graduate	da	da	0.1337	0.6141	0.1493	da	0.1263
EMPLOYMENT STATUS
Full-Time	da	da	0.2473	0.7677	0.2873	da	0.1890
Part-Time	da	da	0.6894	0.9083	0.6772	da	0.4511
Unemployed	da	da	0.8475	0.8441	0.9468	da	0.8533
Other²	da	da	0.8166	0.1971	0.4102	da	0.4446
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Other employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.25C – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	881	929	154	149	806	828	220	214	749	775	347	310	3,041	3,085
SEX
Male	581	576	96	103	519	509	152	143	485	477	210	209	1,784	1,833
Female	592	615	107	102	562	573	137	143	539	558	211	196	1,703	1,705
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	760	786	123	114	695	716	187	184	652	674	289	262	2,623	2,760
AIAN	76	91	12	13	76	90	14	17	75	84	10	16	75	89
Asian	543	624	34	31	538	616	115	112	519	576	82	61	525	607
Black or African American	794	861	48	50	785	847	158	152	726	797	91	79	764	835
NHPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	543	552	132	125	2,357	2,465	402	400	2,205	2,296	251	232	2,303	2,416
Two or More Races	247	268	23	29	243	266	59	72	233	257	42	45	241	263
Hispanic or Latino	411	427	87	90	376	383	99	111	355	360	158	156	1,071	1,099
EDUCATION LEVEL
< High School	da	da	da	da	313	311	114	103	603	567	da	da	616	582
High School Graduate	da	da	da	da	436	421	231	251	1,188	1,156	da	da	1,224	1,202
Some College/Associate’s Degree	da	da	da	da	339	346	368	340	1,273	1,230	da	da	1,349	1,285
College Graduate	da	da	da	da	353	371	202	222	1,442	1,569	da	da	1,478	1,634
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,792	1,779	309	322	1,676	1,669	da	da	1,774	1,761
Part-Time	da	da	da	da	683	670	225	245	627	611	da	da	652	648
Unemployed	da	da	da	da	351	412	109	127	326	378	da	da	341	400
Other²	da	da	da	da	1,505	1,589	221	181	1,492	1,558	da	da	1,495	1,578
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.25D – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.31	0.32	0.60	0.57	0.31	0.32	0.65	0.61	0.33	0.34	0.63	0.59	0.32	0.32
SEX
Male	0.42	0.41	0.72	0.78	0.41	0.40	0.89	0.82	0.45	0.43	0.78	0.80	0.42	0.40
Female	0.41	0.42	0.85	0.80	0.42	0.43	0.81	0.83	0.47	0.48	0.85	0.80	0.44	0.44
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.33	0.34	0.65	0.60	0.33	0.33	0.73	0.70	0.35	0.36	0.70	0.68	0.33	0.34
AIAN	2.59	2.90	4.40	5.10	2.90	3.06	5.55	5.04	3.40	3.39	3.29	4.49	3.18	3.23
Asian	1.69	1.87	2.10	1.90	1.78	1.98	3.10	3.12	2.01	2.19	2.87	2.19	1.85	2.02
Black or African American	0.90	0.90	1.21	1.23	0.94	0.92	1.65	1.53	1.04	1.01	1.36	1.31	0.95	0.94
NHPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
White	0.32	0.32	0.82	0.77	0.31	0.30	0.80	0.71	0.33	0.33	0.86	0.84	0.31	0.31
Two or More Races	1.61	1.19	2.15	2.35	1.75	1.05	2.21	2.71	2.19	1.13	2.40	2.32	1.90	1.02
Hispanic or Latino	0.79	0.78	1.28	1.31	0.83	0.80	1.20	1.26	0.96	0.92	1.21	1.13	0.86	0.84
EDUCATION LEVEL
< High School	da	da	da	da	1.28	1.29	1.83	2.01	1.46	1.48	da	da	1.39	1.40
High School Graduate	da	da	da	da	0.63	0.60	1.01	1.01	0.73	0.68	da	da	0.66	0.62
Some College/Associate’s Degree	da	da	da	da	0.44	0.44	0.96	1.04	0.51	0.48	da	da	0.46	0.45
College Graduate	da	da	da	da	0.41	0.41	1.06	1.01	0.42	0.43	da	da	0.41	0.41
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.37	0.35	0.73	0.72	0.39	0.38	da	da	0.37	0.36
Part-Time	da	da	da	da	0.74	0.76	1.15	1.27	0.90	0.95	da	da	0.79	0.81
Unemployed	da	da	da	da	1.27	1.26	1.94	1.87	1.53	1.47	da	da	1.31	1.29
Other²	da	da	da	da	0.59	0.59	1.36	1.26	0.64	0.63	da	da	0.61	0.61
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.25P – Alcohol Use in Lifetime: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.7969	0.7447	0.9051	0.3145	0.6501	0.7414	0.7684
SEX
Male	0.3911	0.7524	0.4828	0.8236	0.3941	0.8221	0.4346
Female	0.6476	0.4372	0.6261	0.1778	0.8913	0.4535	0.7671
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.6150	0.4069	0.6028	0.5048	0.4499	0.4328	0.5103
AIAN	0.5954	0.5981	0.9645	0.9746	0.9430	0.2521	0.9082
Asian	0.2964	0.3083	0.3066	0.2900	0.4156	0.0813	0.4040
Black or African American	0.6715	0.3774	0.8353	0.3299	0.6523	0.4735	0.8095
NHPI	*	*	*	*	*	*	*
White	0.1424	0.3020	0.0918	0.7204	0.0945	0.5993	0.0801
Two or More Races	0.7986	0.7689	0.8476	0.4112	0.6060	0.4556	0.8855
Hispanic or Latino	0.8795	0.5606	0.6036	0.4017	0.7811	0.5012	0.6670
EDUCATION LEVEL
< High School	da	da	0.7694	0.5539	0.8735	da	0.7936
High School Graduate	da	da	0.7734	0.8562	0.6992	da	0.7267
Some College/Associate’s Degree	da	da	0.5596	0.1761	0.2332	da	0.3111
College Graduate	da	da	0.4076	0.7645	0.4233	da	0.4246
EMPLOYMENT STATUS
Full-Time	da	da	0.9135	0.6790	0.8102	da	0.8805
Part-Time	da	da	0.5448	0.2786	0.9758	da	0.8857
Unemployed	da	da	0.4219	0.9302	0.4046	da	0.2894
Other²	da	da	0.6983	0.5342	0.6413	da	0.7498
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.26C – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	1,167	1,143	142	139	1,117	1,094	237	230	1,064	1,053	321	282	2,482	2,561
SEX
Male	744	761	88	94	698	738	160	153	683	708	193	190	1,479	1,534
Female	759	726	101	95	753	706	150	153	721	697	197	180	1,390	1,449
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	992	1,000	113	103	963	964	203	198	926	938	269	238	2,174	2,284
AIAN	63	74	12	7	62	73	12	15	61	68	13	11	62	72
Asian	431	473	30	29	428	467	105	106	409	431	68	57	415	461
Black or African American	687	718	41	40	682	707	149	140	630	663	83	73	664	697
NHPI	*	86	*	*	*	*	*	*	*	*	*	*	*	*
White	805	790	119	113	1,984	2,021	388	378	1,841	1,877	237	210	1,934	1,983
Two or More Races	203	228	21	22	202	227	56	68	189	216	39	39	200	224
Hispanic or Latino	478	506	84	87	452	482	111	116	435	453	140	149	858	950
EDUCATION LEVEL
< High School	da	da	da	da	320	316	99	95	448	415	da	da	460	430
High School Graduate	da	da	da	da	582	558	214	229	941	919	da	da	974	967
Some College/Associate’s Degree	da	da	da	da	539	536	353	323	1,052	1,036	da	da	1,120	1,089
College Graduate	da	da	da	da	479	480	198	208	1,304	1,404	da	da	1,344	1,461
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,593	1,521	297	309	1,484	1,428	da	da	1,576	1,507
Part-Time	da	da	da	da	584	584	212	228	532	528	da	da	556	565
Unemployed	da	da	da	da	302	356	104	117	281	326	da	da	293	347
Other²	da	da	da	da	1,170	1,272	209	171	1,158	1,246	da	da	1,162	1,261
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.26D – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.41	0.40	0.55	0.53	0.43	0.42	0.70	0.66	0.48	0.46	0.62	0.57	0.45	0.43
SEX
Male	0.54	0.54	0.67	0.71	0.56	0.58	0.94	0.87	0.63	0.64	0.76	0.76	0.58	0.60
Female	0.52	0.49	0.80	0.75	0.57	0.52	0.88	0.88	0.63	0.59	0.83	0.77	0.59	0.55
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.43	0.43	0.59	0.54	0.45	0.45	0.79	0.76	0.50	0.50	0.68	0.64	0.47	0.46
AIAN	3.30	3.37	4.42	3.00	3.88	3.73	5.81	5.53	4.46	4.12	4.27	3.58	4.14	3.90
Asian	1.69	1.65	1.90	1.74	1.83	1.77	3.02	3.11	2.05	1.98	2.46	2.06	1.90	1.84
Black or African American	1.04	1.03	1.07	1.05	1.13	1.10	1.75	1.61	1.27	1.25	1.30	1.24	1.17	1.15
NHPI	*	6.20	*	*	*	*	*	*	*	*	*	*	*	*
White	0.47	0.46	0.77	0.71	0.50	0.48	0.88	0.76	0.54	0.54	0.86	0.80	0.51	0.50
Two or More Races	2.08	2.00	2.05	1.96	2.43	2.30	2.63	3.06	2.96	2.76	2.36	2.18	2.64	2.43
Hispanic or Latino	0.91	0.93	1.23	1.25	0.99	1.01	1.34	1.32	1.17	1.16	1.16	1.13	1.05	1.06
EDUCATION LEVEL
< High School	da	da	da	da	1.31	1.31	1.79	2.02	1.49	1.49	da	da	1.42	1.42
High School Graduate	da	da	da	da	0.84	0.79	1.01	1.03	0.97	0.92	da	da	0.89	0.85
Some College/Associate’s Degree	da	da	da	da	0.70	0.69	1.07	1.11	0.82	0.79	da	da	0.73	0.72
College Graduate	da	da	da	da	0.55	0.53	1.21	1.18	0.58	0.56	da	da	0.55	0.53
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.52	0.51	0.83	0.85	0.57	0.57	da	da	0.53	0.52
Part-Time	da	da	da	da	0.97	0.99	1.25	1.34	1.22	1.25	da	da	1.07	1.09
Unemployed	da	da	da	da	1.66	1.59	1.99	1.92	2.16	2.01	da	da	1.82	1.72
Other²	da	da	da	da	0.75	0.76	1.42	1.33	0.81	0.81	da	da	0.78	0.78
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.26P – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.3020	0.4406	0.2673	0.1819	0.3959	0.3049	0.3561
SEX
Male	0.0877	0.9050	0.0589	0.9345	0.0528	0.7762	0.0672
Female	0.8515	0.3237	0.8121	0.0484	0.4952	0.2005	0.6469
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0822	0.2167	0.0799	0.1736	0.1322	0.0935	0.1221
AIAN	0.8588	0.8908	0.9870	0.9852	0.9947	0.4447	0.8597
Asian	0.4344	0.1963	0.4761	0.1854	0.6735	0.0990	0.5788
Black or African American	0.4240	0.5650	0.3307	0.3909	0.4120	0.7913	0.3584
NHPI	*	*	*	*	*	*	*
White	0.2864	0.3676	0.2749	0.6678	0.3024	0.2094	0.3596
Two or More Races	0.5540	0.0687	0.9154	0.4483	0.9265	0.0971	0.9075
Hispanic or Latino	0.2233	0.7326	0.2773	0.8070	0.2278	0.4207	0.2808
EDUCATION LEVEL
< High School	da	da	0.2915	0.2835	0.4029	da	0.3278
High School Graduate	da	da	0.4438	0.9280	0.4339	da	0.4825
Some College/Associate’s Degree	da	da	0.9676	0.1770	0.7350	da	0.8204
College Graduate	da	da	0.1569	0.7141	0.1674	da	0.1679
EMPLOYMENT STATUS
Full-Time	da	da	0.1094	0.5968	0.1243	da	0.1046
Part-Time	da	da	0.9531	0.1883	0.5521	da	0.6458
Unemployed	da	da	0.8940	0.8702	0.8473	da	0.7864
Other²	da	da	0.9508	0.4464	0.9370	da	0.9451
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.27C – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	1,203	1,144	96	92	1,175	1,131	262	251	1,127	1,097	219	190	2,055	2,079
SEX
Male	783	794	67	67	752	785	172	172	731	756	140	124	1,281	1,309
Female	784	728	68	62	787	723	172	169	754	715	140	123	1,143	1,164
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,037	1,015	75	72	1,023	1,002	220	213	987	976	186	165	1,823	1,867
AIAN	50	55	3	4	50	55	11	11	50	50	4	5	50	55
Asian	340	366	7	16	339	366	75	83	326	341	39	35	330	363
Black or African American	564	580	27	28	563	575	122	111	533	546	60	47	556	570
NHPI	*	61	*	*	*	61	*	*	*	60	*	3	*	61
White	872	841	74	69	1,662	1,668	322	319	1,561	1,564	167	150	1,629	1,643
Two or More Races	176	220	13	15	176	220	51	58	163	213	31	27	173	219
Hispanic or Latino	464	488	57	55	444	478	115	119	433	456	90	87	712	787
EDUCATION LEVEL
< High School	da	da	da	da	272	291	64	62	339	357	da	da	346	363
High School Graduate	da	da	da	da	549	546	165	167	729	733	da	da	749	761
Some College/Associate’s Degree	da	da	da	da	570	566	300	272	893	874	da	da	943	919
College Graduate	da	da	da	da	544	585	177	186	1,160	1,210	da	da	1,196	1,264
EMPLOYMENT STATUS
Full-Time	da	da	da	da	1,353	1,277	252	256	1,278	1,208	da	da	1,342	1,268
Part-Time	da	da	da	da	484	509	181	190	445	466	da	da	467	497
Unemployed	da	da	da	da	255	292	84	94	240	267	da	da	250	285
Other²	da	da	da	da	969	1,034	167	133	970	1,019	da	da	966	1,031
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.27D – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.42	0.40	0.37	0.36	0.46	0.43	0.77	0.72	0.50	0.48	0.49	0.44	0.47	0.45
SEX
Male	0.56	0.56	0.51	0.50	0.60	0.61	1.01	0.98	0.68	0.69	0.63	0.57	0.62	0.64
Female	0.54	0.49	0.53	0.49	0.60	0.54	1.01	0.97	0.65	0.61	0.66	0.60	0.61	0.56
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.45	0.43	0.39	0.38	0.48	0.47	0.85	0.82	0.53	0.52	0.55	0.51	0.50	0.48
AIAN	3.11	3.14	1.33	1.91	3.78	3.58	5.93	5.32	4.24	3.90	1.47	1.83	3.94	3.77
Asian	1.53	1.43	0.50	1.05	1.65	1.55	2.61	2.70	1.85	1.74	1.57	1.38	1.71	1.62
Black or African American	1.04	1.00	0.73	0.76	1.14	1.08	1.73	1.71	1.31	1.21	1.03	0.87	1.19	1.12
NHPI	*	4.50	*	*	*	4.81	*	*	*	5.35	*	2.21	*	5.05
White	0.51	0.49	0.53	0.50	0.55	0.52	1.02	0.96	0.60	0.58	0.71	0.67	0.56	0.54
Two or More Races	2.11	2.30	1.34	1.34	2.43	2.64	2.97	3.34	2.94	3.21	2.05	1.66	2.63	2.82
Hispanic or Latino	0.89	0.89	0.84	0.80	0.98	1.00	1.40	1.36	1.16	1.17	0.85	0.78	1.04	1.06
EDUCATION LEVEL
< High School	da	da	da	da	1.11	1.21	1.47	1.47	1.28	1.40	da	da	1.22	1.32
High School Graduate	da	da	da	da	0.79	0.78	0.97	0.99	0.93	0.92	da	da	0.85	0.83
Some College/Associate’s Degree	da	da	da	da	0.74	0.73	1.32	1.23	0.86	0.83	da	da	0.77	0.76
College Graduate	da	da	da	da	0.63	0.65	1.42	1.38	0.66	0.68	da	da	0.63	0.65
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.57	0.58	0.97	1.01	0.63	0.63	da	da	0.58	0.58
Part-Time	da	da	da	da	1.04	1.09	1.44	1.45	1.34	1.37	da	da	1.17	1.20
Unemployed	da	da	da	da	1.73	1.55	1.90	1.81	2.29	2.00	da	da	1.92	1.71
Other²	da	da	da	da	0.75	0.74	1.42	1.24	0.82	0.80	da	da	0.78	0.77
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.27P – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0892	0.5664	0.0732	0.0397	0.1691	0.0413	0.1425
SEX
Male	0.1637	0.8544	0.1312	0.2238	0.2040	0.1069	0.2043
Female	0.2616	0.5234	0.2551	0.0606	0.4640	0.1450	0.3703
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0253	0.5218	0.0209	0.0509	0.0496	0.0255	0.0422
AIAN	0.9453	0.4544	0.7872	0.8103	0.8102	0.3148	0.7609
Asian	0.8871	0.5705	0.9371	0.3695	0.7728	0.7873	0.9081
Black or African American	0.2754	0.9154	0.2435	0.0136	0.5178	0.1327	0.3437
NHPI	*	*	*	*	*	*	*
White	0.0725	0.5463	0.0611	0.5748	0.0713	0.1039	0.0965
Two or More Races	0.4224	0.4531	0.5740	0.3281	0.7573	0.2009	0.6172
Hispanic or Latino	0.4124	0.9043	0.4582	0.4509	0.3230	0.7552	0.3746
EDUCATION LEVEL
< High School	da	da	0.3602	0.5232	0.2940	da	0.3258
High School Graduate	da	da	0.0690	0.1195	0.1311	da	0.1119
Some College/Associate’s Degree	da	da	0.7549	0.0750	0.8447	da	0.9263
College Graduate	da	da	0.0120	0.8242	0.0116	da	0.0131
EMPLOYMENT STATUS
Full-Time	da	da	0.0771	0.2848	0.1056	da	0.1030
Part-Time	da	da	0.6523	0.0402	0.7439	da	1.0000
Unemployed	da	da	0.4333	0.5445	0.5100	da	0.4959
Other²	da	da	0.7568	0.4543	0.8444	da	0.8649
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.28C – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	855	826	75	58	839	817	218	219	809	794	162	136	1,089	1,091
SEX
Male	626	612	52	38	611	610	152	150	604	595	103	89	771	762
Female	530	508	53	44	531	504	142	145	504	488	103	91	632	601
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	731	754	59	53	724	743	180	184	703	714	139	121	936	972
AIAN	36	45	3	2	36	45	9	10	34	39	4	3	36	45
Asian	203	203	6	*	203	203	44	55	195	188	17	26	203	203
Black or African American	352	372	18	23	352	369	81	73	336	353	42	38	346	367
NHPI	*	44	*	*	*	44	*	*	*	43	*	2	*	44
White	641	653	57	48	859	867	229	219	807	800	126	108	841	848
Two or More Races	108	113	9	8	107	113	38	38	100	105	27	16	105	112
Hispanic or Latino	390	391	45	27	379	383	105	111	366	380	73	61	484	518
EDUCATION LEVEL
< High School	da	da	da	da	217	234	52	52	250	264	da	da	254	270
High School Graduate	da	da	da	da	455	428	131	115	519	499	da	da	532	510
Some College/Associate’s Degree	da	da	da	da	469	470	208	197	554	551	da	da	587	589
College Graduate	da	da	da	da	450	470	116	127	540	526	da	da	554	558
EMPLOYMENT STATUS
Full-Time	da	da	da	da	806	730	178	186	765	681	da	da	798	723
Part-Time	da	da	da	da	268	285	128	129	235	257	da	da	253	277
Unemployed	da	da	da	da	199	212	66	74	187	194	da	da	196	208
Other²	da	da	da	da	517	547	127	89	512	538	da	da	514	543
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.28D – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.30	0.29	0.29	0.22	0.33	0.31	0.64	0.63	0.36	0.35	0.38	0.33	0.34	0.33
SEX
Male	0.45	0.43	0.40	0.29	0.49	0.48	0.89	0.85	0.56	0.54	0.49	0.42	0.51	0.50
Female	0.37	0.35	0.42	0.35	0.40	0.37	0.84	0.83	0.44	0.42	0.51	0.46	0.42	0.39
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.32	0.32	0.31	0.28	0.34	0.35	0.70	0.70	0.38	0.38	0.44	0.40	0.35	0.36
AIAN	2.50	2.80	1.23	0.93	3.06	3.23	5.39	5.32	3.34	3.38	1.39	1.14	3.20	3.38
Asian	1.10	0.98	0.42	*	1.19	1.06	1.84	2.01	1.34	1.19	0.71	1.02	1.26	1.13
Black or African American	0.79	0.81	0.50	0.63	0.89	0.90	1.34	1.29	1.03	1.03	0.76	0.70	0.92	0.94
NHPI	*	3.35	*	*	*	3.58	*	*	*	3.94	*	1.56	*	3.76
White	0.38	0.38	0.43	0.36	0.40	0.41	0.89	0.86	0.44	0.44	0.57	0.52	0.41	0.42
Two or More Races	1.59	1.56	0.92	0.72	1.85	1.84	2.76	2.51	2.20	2.20	1.83	1.08	1.98	1.97
Hispanic or Latino	0.75	0.72	0.65	0.39	0.83	0.80	1.27	1.27	0.99	0.97	0.70	0.58	0.88	0.86
EDUCATION LEVEL
< High School	da	da	da	da	0.89	0.97	1.27	1.30	1.03	1.12	da	da	0.97	1.06
High School Graduate	da	da	da	da	0.65	0.61	0.89	0.81	0.77	0.72	da	da	0.70	0.65
Some College/Associate’s Degree	da	da	da	da	0.61	0.60	1.14	1.06	0.70	0.69	da	da	0.64	0.64
College Graduate	da	da	da	da	0.52	0.52	1.47	1.49	0.55	0.54	da	da	0.52	0.52
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.50	0.47	0.94	0.97	0.55	0.51	da	da	0.51	0.48
Part-Time	da	da	da	da	0.76	0.76	1.23	1.20	0.93	0.96	da	da	0.83	0.85
Unemployed	da	da	da	da	1.53	1.32	1.72	1.64	2.02	1.70	da	da	1.71	1.47
Other²	da	da	da	da	0.49	0.48	1.17	0.93	0.53	0.53	da	da	0.51	0.50
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.28P – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0001	0.2223	0.0001	0.0242	0.0007	0.0449	0.0003
SEX
Male	0.0164	0.3761	0.0159	0.2192	0.0343	0.0942	0.0257
Female	0.0008	0.4032	0.0008	0.0326	0.0038	0.1713	0.0015
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0001	0.5373	0.0001	0.0351	0.0003	0.1245	0.0001
AIAN	0.9868	0.8903	0.9043	0.7075	0.8214	0.9152	0.9124
Asian	0.9693	*	0.9880	0.9624	1.0000	0.3028	0.9144
Black or African American	0.2493	0.6424	0.2182	0.0780	0.3900	0.6431	0.2601
NHPI	*	*	*	*	*	*	*
White	0.0005	0.4586	0.0004	0.1340	0.0011	0.1391	0.0008
Two or More Races	0.0930	0.6569	0.1169	0.4381	0.1473	0.2554	0.1436
Hispanic or Latino	0.4466	0.1947	0.4624	0.3191	0.6311	0.1764	0.5649
EDUCATION LEVEL
< High School	da	da	0.7174	0.9675	0.7042	da	0.7657
High School Graduate	da	da	0.0006	0.0060	0.0038	da	0.0013
Some College/Associate’s Degree	da	da	0.2125	0.1555	0.3853	da	0.3121
College Graduate	da	da	0.0115	0.8929	0.0098	da	0.0121
EMPLOYMENT STATUS
Full-Time	da	da	0.0004	0.5181	0.0005	da	0.0005
Part-Time	da	da	0.1383	0.0259	0.5302	da	0.3557
Unemployed	da	da	0.1171	0.6675	0.1253	da	0.0965
Other²	da	da	0.3322	0.1265	0.5207	da	0.3898
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.29C – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	456	458	27	17	455	456	118	98	438	443	65	56	476	487
SEX
Male	374	360	20	11	372	361	76	72	367	353	45	39	389	379
Female	263	266	20	13	263	264	82	69	250	256	46	35	271	272
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	416	407	18	13	417	406	102	86	406	391	58	50	434	436
AIAN	25	20	3	*	25	20	1	3	25	19	3	1	25	20
Asian	87	80	*	1	87	80	11	9	86	79	4	1	87	80
Black or African American	149	114	6	4	149	114	29	27	148	110	10	11	149	113
NHPI	*	17	*	*	*	17	2	*	*	15	*	*	*	17
White	373	374	16	13	400	409	104	84	388	392	51	47	396	404
Two or More Races	72	79	6	2	72	79	24	20	68	75	24	8	68	78
Hispanic or Latino	176	191	21	10	176	191	58	53	168	189	29	25	184	200
EDUCATION LEVEL
< High School	da	da	da	da	113	144	26	24	111	144	da	da	112	146
High School Graduate	da	da	da	da	271	231	60	57	281	231	da	da	281	238
Some College/Associate’s Degree	da	da	da	da	258	259	87	73	250	259	da	da	265	266
College Graduate	da	da	da	da	251	232	54	50	253	241	da	da	260	249
EMPLOYMENT STATUS
Full-Time	da	da	da	da	368	335	78	70	359	319	da	da	367	334
Part-Time	da	da	da	da	117	141	55	55	102	129	da	da	114	138
Unemployed	da	da	da	da	107	99	33	35	104	93	da	da	107	98
Other²	da	da	da	da	260	276	54	46	258	274	da	da	258	275
* = 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. 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 2.29D – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Standard Errors of 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	0.16	0.16	0.10	0.06	0.18	0.17	0.35	0.28	0.20	0.20	0.17	0.14	0.18	0.18
SEX
Male	0.27	0.26	0.15	0.08	0.30	0.28	0.45	0.41	0.34	0.32	0.23	0.19	0.31	0.30
Female	0.18	0.18	0.15	0.10	0.20	0.20	0.48	0.40	0.22	0.22	0.24	0.19	0.21	0.20
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.18	0.17	0.09	0.07	0.20	0.19	0.39	0.33	0.22	0.21	0.20	0.17	0.20	0.20
AIAN	1.83	1.39	1.19	*	2.20	1.62	1.09	1.69	2.51	1.88	0.98	0.55	2.31	1.70
Asian	0.50	0.42	*	0.06	0.54	0.46	0.51	0.37	0.62	0.53	0.16	0.05	0.57	0.49
Black or African American	0.40	0.30	0.16	0.10	0.45	0.33	0.61	0.57	0.52	0.38	0.19	0.21	0.47	0.35
NHPI	*	1.38	*	*	*	1.47	1.96	*	*	1.48	*	*	*	1.54
White	0.22	0.22	0.13	0.10	0.24	0.24	0.52	0.43	0.26	0.26	0.26	0.24	0.24	0.24
Two or More Races	1.12	1.18	0.61	0.15	1.30	1.39	2.04	1.70	1.57	1.68	1.73	0.56	1.36	1.48
Hispanic or Latino	0.34	0.35	0.30	0.14	0.39	0.40	0.70	0.61	0.45	0.49	0.29	0.24	0.41	0.43
EDUCATION LEVEL
< High School	da	da	da	da	0.46	0.60	0.70	0.65	0.53	0.69	da	da	0.51	0.65
High School Graduate	da	da	da	da	0.39	0.33	0.50	0.45	0.46	0.38	da	da	0.42	0.35
Some College/Associate’s Degree	da	da	da	da	0.33	0.33	0.59	0.51	0.38	0.39	da	da	0.35	0.35
College Graduate	da	da	da	da	0.29	0.26	0.89	0.80	0.30	0.27	da	da	0.29	0.26
EMPLOYMENT STATUS
Full-Time	da	da	da	da	0.29	0.26	0.53	0.47	0.32	0.28	da	da	0.30	0.27
Part-Time	da	da	da	da	0.36	0.42	0.62	0.59	0.44	0.53	da	da	0.40	0.47
Unemployed	da	da	da	da	0.91	0.72	0.95	0.92	1.23	0.96	da	da	1.02	0.81
Other²	da	da	da	da	0.27	0.28	0.59	0.53	0.30	0.30	da	da	0.28	0.29
* = 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. 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 2.29P – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0007	0.1739	0.0007	0.0363	0.0033	0.2630	0.0010
SEX
Male	0.0573	0.2358	0.0603	0.9004	0.0585	0.9535	0.0540
Female	0.0022	0.4873	0.0021	0.0044	0.0197	0.1048	0.0042
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0002	0.3905	0.0002	0.0122	0.0014	0.3602	0.0003
AIAN	0.9526	*	0.9196	0.4523	0.9706	0.5097	0.9393
Asian	0.9768	*	0.9891	0.3497	0.8939	0.4329	0.9676
Black or African American	0.0100	0.6529	0.0103	0.4658	0.0141	0.4121	0.0082
NHPI	*	*	*	*	*	*	*
White	0.0033	0.7973	0.0029	0.0155	0.0139	0.6853	0.0031
Two or More Races	0.6103	0.1685	0.7045	0.8638	0.6506	0.0621	0.9730
Hispanic or Latino	0.9673	0.2845	0.9847	0.8004	0.9517	0.5235	0.9652
EDUCATION LEVEL
< High School	da	da	0.7146	0.7403	0.7541	da	0.6971
High School Graduate	da	da	0.0035	0.3096	0.0063	da	0.0051
Some College/Associate’s Degree	da	da	0.1195	0.0338	0.3083	da	0.1221
College Graduate	da	da	0.0979	0.6126	0.1090	da	0.0989
EMPLOYMENT STATUS
Full-Time	da	da	0.0012	0.2126	0.0024	da	0.0013
Part-Time	da	da	0.8660	0.1204	0.5953	da	0.8881
Unemployed	da	da	0.1718	0.0626	0.4219	da	0.1768
Other²	da	da	0.2833	0.9694	0.2768	da	0.2791
* = 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. 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 2.30C – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	965	1,011	123	111	954	997	228	235	909	950	254	228	1,332	1,312
GEOGRAPHIC REGION
Northeast	365	438	42	47	362	439	84	94	338	417	97	87	501	583
Midwest	399	393	54	49	391	383	92	89	371	364	107	96	562	575
South	639	598	80	75	633	590	155	144	601	561	155	158	928	834
West	479	487	62	49	470	478	108	124	456	456	122	99	585	589
COUNTY TYPE
Large Metro	1,045	1,030	103	96	1,016	1,009	249	253	934	930	178	162	988	981
Small Metro	780	815	78	71	763	787	232	245	672	681	140	138	729	747
Nonmetro	698	651	56	52	673	625	185	150	593	548	114	105	638	598
Urbanized	499	465	30	28	490	450	134	126	443	383	74	74	471	433
Less Urbanized	509	487	44	44	486	464	129	90	410	410	85	77	453	442
Completely Rural	201	141	29	13	178	135	33	*	156	123	32	21	176	129
POVERTY LEVEL²
Less Than 100%	549	577	57	54	536	567	204	181	488	520	120	126	512	545
100-199%	582	528	63	56	570	517	163	150	524	470	109	93	551	505
200% or More	991	946	104	98	969	924	218	229	894	847	169	154	944	894
HEALTH INSURANCE³
Private	955	898	102	99	932	871	277	272	856	797	187	164	899	846
Medicaid/CHIP	635	637	92	78	611	627	163	155	566	584	142	124	594	611
Other⁴	623	541	22	19	622	539	80	83	610	522	48	50	619	534
No Coverage	380	346	23	28	379	343	102	109	358	314	57	66	375	335
* = 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. 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 2.30D – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.34	0.35	0.47	0.43	0.37	0.38	0.67	0.67	0.41	0.42	0.53	0.49	0.38	0.39
GEOGRAPHIC REGION
Northeast	0.75	0.88	1.02	1.16	0.81	0.96	1.46	1.59	0.86	1.05	1.18	1.20	0.82	0.98
Midwest	0.69	0.67	1.00	0.91	0.74	0.72	1.29	1.23	0.81	0.79	0.98	0.95	0.76	0.73
South	0.59	0.54	0.78	0.72	0.64	0.58	1.18	1.07	0.70	0.64	0.86	0.83	0.66	0.60
West	0.71	0.72	1.00	0.80	0.77	0.77	1.34	1.50	0.86	0.85	1.05	0.97	0.81	0.81
COUNTY TYPE
Large Metro	0.46	0.47	0.60	0.59	0.50	0.51	0.92	0.91	0.55	0.57	0.64	0.67	0.52	0.53
Small Metro	0.57	0.57	0.84	0.70	0.63	0.63	1.07	1.14	0.69	0.68	0.89	0.79	0.65	0.64
Nonmetro	0.93	0.97	1.33	1.24	1.02	1.06	1.76	1.69	1.12	1.16	1.57	1.47	1.04	1.12
Urbanized	1.48	1.62	2.17	1.80	1.59	1.83	2.75	2.54	1.86	2.11	2.54	2.63	1.69	1.97
Less Urbanized	1.33	1.40	1.88	1.83	1.46	1.51	2.61	2.14	1.53	1.64	2.21	1.75	1.47	1.59
Completely Rural	2.52	2.43	5.23	3.80	2.66	2.64	5.60	*	2.82	2.64	4.21	3.85	2.77	2.61
POVERTY LEVEL²
Less Than 100%	0.89	0.91	0.95	0.88	0.98	1.01	1.35	1.36	1.17	1.21	1.12	1.11	1.04	1.08
100-199%	0.81	0.75	1.08	0.94	0.88	0.83	1.49	1.26	0.99	0.95	1.18	0.96	0.91	0.86
200% or More	0.39	0.39	0.60	0.58	0.43	0.42	0.82	0.90	0.46	0.45	0.62	0.62	0.44	0.43
HEALTH INSURANCE³
Private	0.41	0.40	0.64	0.62	0.44	0.43	0.88	0.91	0.47	0.47	0.70	0.68	0.45	0.44
Medicaid/CHIP	0.73	0.76	0.75	0.68	0.85	0.91	1.18	1.25	1.02	1.07	0.78	0.72	0.92	0.98
Other⁴	0.68	0.64	1.47	1.31	0.69	0.65	2.18	2.17	0.71	0.66	1.81	1.84	0.70	0.66
No Coverage	1.18	1.04	1.76	2.15	1.25	1.08	1.66	1.47	1.51	1.33	1.94	1.77	1.32	1.16
* = 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. 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 2.30P – Tobacco Product Use or Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1064	0.1417	0.1346	0.0899	0.2467	0.0437	0.2164
GEOGRAPHIC REGION
Northeast	0.8923	0.3879	0.8205	0.4740	0.7033	0.1228	0.6637
Midwest	0.2533	0.2917	0.1942	0.7609	0.1455	0.3572	0.1565
South	0.0006	0.6693	0.0006	0.1275	0.0016	0.3277	0.0011
West	0.9885	0.4423	0.9493	0.5192	0.8253	0.3160	0.8595
COUNTY TYPE
Large Metro	0.1471	0.0913	0.2049	0.8493	0.2223	0.0640	0.2542
Small Metro	0.3700	0.9024	0.3546	0.0595	0.6069	0.1931	0.5107
Nonmetro	0.6087	0.9749	0.6779	0.0695	0.4740	0.8749	0.6121
Urbanized	0.5251	0.7184	0.5569	0.7259	0.4910	0.6955	0.6522
Less Urbanized	0.1423	0.5864	0.1882	0.0886	0.0743	0.5171	0.1838
Completely Rural	0.6103	0.7322	0.6032	*	0.9796	1.0000	0.6102
POVERTY LEVEL²
Less Than 100%	0.3234	0.4094	0.2876	0.1331	0.5029	0.7814	0.2276
100-199%	0.5675	0.1911	0.6484	0.3321	0.7826	0.1536	0.7896
200% or More	0.1900	0.5181	0.2178	0.5610	0.2522	0.0296	0.3650
HEALTH INSURANCE³
Private	0.2298	0.4367	0.2811	0.0999	0.4740	0.0746	0.4114
Medicaid/CHIP	0.6802	0.2161	0.7785	0.5590	0.8936	0.2622	0.8310
Other⁴	0.6190	0.2427	0.6484	0.2551	0.7532	0.1058	0.7144
No Coverage	0.0012	0.1968	0.0006	0.9141	0.0004	0.2282	0.0006
* = 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. 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 2.31C – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	916	934	86	78	911	922	212	213	871	881	189	159	1,208	1,166
GEOGRAPHIC REGION
Northeast	336	424	28	32	336	424	83	81	313	406	69	61	443	522
Midwest	379	358	39	39	370	352	84	89	360	332	86	69	512	508
South	621	579	52	53	617	571	147	141	591	546	118	111	852	755
West	443	438	48	32	438	433	99	100	423	413	89	72	523	521
COUNTY TYPE
Large Metro	918	901	69	61	901	893	190	211	844	829	125	114	884	870
Small Metro	681	705	49	48	670	687	182	181	602	613	105	99	645	662
Nonmetro	643	593	40	36	627	580	146	127	568	511	87	73	603	560
Urbanized	468	422	19	18	463	418	105	102	426	358	60	46	449	406
Less Urbanized	460	433	32	31	444	419	101	78	389	373	61	54	423	402
Completely Rural	175	132	17	7	162	129	*	*	153	120	21	16	160	123
POVERTY LEVEL²
Less Than 100%	488	531	40	37	479	526	169	133	440	490	100	85	459	512
100-199%	544	478	47	42	535	473	134	127	507	435	86	72	524	461
200% or More	863	807	69	60	849	800	176	192	789	742	114	106	833	779
HEALTH INSURANCE³
Private	836	766	69	59	821	755	219	220	769	703	138	106	797	741
Medicaid/CHIP	579	601	61	58	562	596	134	126	531	559	105	94	553	581
Other⁴	593	514	14	15	592	513	66	70	582	499	39	36	590	509
No Coverage	357	306	18	20	356	304	88	96	340	277	44	54	355	297
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.31D – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.32	0.32	0.33	0.30	0.35	0.35	0.62	0.61	0.39	0.39	0.42	0.38	0.36	0.36
GEOGRAPHIC REGION
Northeast	0.69	0.85	0.69	0.79	0.75	0.93	1.45	1.37	0.80	1.02	0.99	0.87	0.77	0.95
Midwest	0.65	0.61	0.72	0.72	0.70	0.66	1.18	1.23	0.79	0.72	0.88	0.75	0.73	0.68
South	0.57	0.52	0.51	0.51	0.62	0.56	1.12	1.04	0.69	0.62	0.68	0.63	0.64	0.59
West	0.66	0.64	0.77	0.52	0.72	0.70	1.24	1.22	0.80	0.77	0.83	0.79	0.75	0.73
COUNTY TYPE
Large Metro	0.42	0.45	0.43	0.40	0.46	0.48	0.88	0.86	0.51	0.53	0.52	0.51	0.48	0.49
Small Metro	0.54	0.52	0.55	0.51	0.60	0.57	0.94	0.97	0.66	0.63	0.71	0.64	0.62	0.58
Nonmetro	0.93	0.96	0.97	1.10	1.02	1.06	1.62	1.61	1.15	1.16	1.28	1.27	1.05	1.13
Urbanized	1.56	1.60	1.41	1.54	1.68	1.86	2.34	2.15	1.93	2.12	2.32	1.87	1.75	2.02
Less Urbanized	1.25	1.35	1.36	1.63	1.38	1.44	2.45	2.27	1.53	1.56	1.66	1.61	1.43	1.51
Completely Rural	2.48	2.38	2.98	2.90	2.70	2.52	*	*	2.86	2.55	2.98	4.29	2.76	2.49
POVERTY LEVEL²
Less Than 100%	0.83	0.90	0.67	0.64	0.93	1.00	1.29	1.13	1.11	1.19	0.97	0.83	0.98	1.07
100-199%	0.78	0.71	0.84	0.73	0.85	0.78	1.40	1.22	0.98	0.90	0.98	0.83	0.89	0.81
200% or More	0.36	0.35	0.42	0.39	0.39	0.38	0.79	0.82	0.42	0.41	0.46	0.47	0.41	0.39
HEALTH INSURANCE³
Private	0.38	0.36	0.46	0.40	0.41	0.39	0.83	0.82	0.45	0.42	0.58	0.47	0.42	0.40
Medicaid/CHIP	0.69	0.77	0.52	0.54	0.80	0.92	1.10	1.13	0.97	1.06	0.62	0.60	0.87	0.97
Other⁴	0.66	0.61	0.94	1.04	0.68	0.62	1.94	2.03	0.69	0.63	1.49	1.41	0.68	0.63
No Coverage	1.16	0.97	1.38	1.59	1.22	1.01	1.61	1.52	1.48	1.23	1.56	1.62	1.30	1.08
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.31P – Tobacco Product Use or Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1480	0.0716	0.1791	0.1922	0.2715	0.0100	0.2963
GEOGRAPHIC REGION
Northeast	0.9903	0.5961	0.9871	0.3608	0.8292	0.1443	0.8339
Midwest	0.1528	0.7307	0.1392	0.4303	0.0759	0.4076	0.0960
South	0.0050	0.4407	0.0052	0.1789	0.0102	0.1057	0.0102
West	0.6154	0.0542	0.7352	0.4984	0.6071	0.1505	0.7741
COUNTY TYPE
Large Metro	0.2605	0.0098	0.3703	0.7924	0.3290	0.0138	0.4463
Small Metro	0.4450	0.9534	0.4074	0.0157	0.7696	0.0420	0.6520
Nonmetro	0.8989	0.5182	0.9610	0.3477	0.9333	0.4335	0.9830
Urbanized	0.3675	0.8989	0.3762	0.7933	0.3008	0.9151	0.4457
Less Urbanized	0.2419	0.2370	0.3495	0.2479	0.2202	0.2169	0.3651
Completely Rural	0.8111	0.2304	0.8564	*	0.8563	0.7444	0.8820
POVERTY LEVEL²
Less Than 100%	0.3174	0.7488	0.2450	0.0114	0.5694	0.5733	0.2877
100-199%	0.3844	0.2668	0.4142	0.6031	0.4692	0.1958	0.5281
200% or More	0.3582	0.1525	0.4416	0.6827	0.3732	0.0097	0.5944
HEALTH INSURANCE³
Private	0.4755	0.2443	0.5724	0.3982	0.7075	0.0192	0.7816
Medicaid/CHIP	0.5301	0.4821	0.5197	0.2132	0.6987	0.3863	0.5671
Other⁴	0.5544	0.9252	0.5502	0.2025	0.6538	0.2279	0.6079
No Coverage	0.0014	0.9585	0.0010	0.4642	0.0003	0.6654	0.0011
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.32C – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	889	916	77	66	886	905	212	206	850	877	166	150	1,195	1,139
GEOGRAPHIC REGION
Northeast	349	399	25	23	344	400	80	72	331	395	62	46	457	530
Midwest	350	365	35	29	348	357	82	83	338	350	72	68	493	510
South	627	552	50	48	623	544	146	133	593	521	110	104	849	709
West	429	414	38	30	425	411	95	99	418	400	80	65	523	498
COUNTY TYPE
Large Metro	903	885	57	52	892	875	192	187	841	832	108	98	875	860
Small Metro	665	669	44	42	662	659	166	164	618	605	94	86	647	641
Nonmetro	628	540	38	29	615	527	127	111	563	483	78	78	594	508
Urbanized	444	370	13	20	442	360	85	95	418	324	46	63	434	345
Less Urbanized	454	415	22	23	445	407	94	64	394	373	56	48	424	395
Completely Rural	174	124	*	7	152	122	24	13	137	115	30	13	151	117
POVERTY LEVEL²
Less Than 100%	504	523	33	27	498	523	155	142	468	495	89	90	482	509
100-199%	518	463	36	33	514	459	123	114	484	431	74	57	500	448
200% or More	874	808	62	55	865	797	160	168	819	764	106	97	852	785
HEALTH INSURANCE³
Private	835	751	63	56	825	738	206	201	783	700	122	113	806	723
Medicaid/CHIP	554	565	49	44	547	565	118	101	520	547	88	68	538	558
Other⁴	592	529	12	9	591	529	68	65	586	516	34	39	591	525
No Coverage	368	311	13	16	367	309	89	89	352	287	40	47	364	303
* = 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. 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 2.32D – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.31	0.32	0.30	0.26	0.34	0.34	0.62	0.59	0.38	0.39	0.39	0.36	0.35	0.36
GEOGRAPHIC REGION
Northeast	0.71	0.80	0.62	0.56	0.76	0.88	1.39	1.23	0.85	0.99	0.90	0.71	0.78	0.91
Midwest	0.60	0.62	0.65	0.53	0.66	0.67	1.14	1.14	0.74	0.76	0.77	0.77	0.68	0.69
South	0.57	0.50	0.49	0.46	0.63	0.54	1.11	0.99	0.69	0.59	0.67	0.61	0.65	0.55
West	0.64	0.61	0.62	0.50	0.70	0.66	1.18	1.20	0.79	0.74	0.76	0.70	0.73	0.70
COUNTY TYPE
Large Metro	0.41	0.43	0.37	0.33	0.45	0.47	0.85	0.77	0.50	0.53	0.45	0.44	0.47	0.48
Small Metro	0.52	0.50	0.51	0.47	0.58	0.55	0.97	0.98	0.65	0.62	0.68	0.61	0.60	0.57
Nonmetro	0.94	0.90	1.00	0.78	1.02	0.98	1.63	1.71	1.12	1.08	1.31	1.30	1.05	1.02
Urbanized	1.54	1.44	1.04	1.32	1.66	1.60	2.37	2.74	1.91	1.85	2.07	2.29	1.74	1.69
Less Urbanized	1.28	1.34	1.06	1.23	1.41	1.45	2.40	2.06	1.52	1.61	1.73	1.59	1.45	1.54
Completely Rural	2.32	2.60	*	2.75	2.48	2.77	5.69	4.69	2.71	2.86	4.85	3.39	2.54	2.75
POVERTY LEVEL²
Less Than 100%	0.85	0.88	0.55	0.48	0.95	0.98	1.20	1.20	1.16	1.19	0.89	0.88	1.02	1.05
100-199%	0.76	0.69	0.66	0.59	0.83	0.76	1.29	1.13	0.94	0.88	0.86	0.66	0.86	0.79
200% or More	0.37	0.35	0.38	0.34	0.40	0.38	0.75	0.77	0.43	0.41	0.45	0.43	0.41	0.39
HEALTH INSURANCE³
Private	0.38	0.35	0.42	0.37	0.41	0.38	0.78	0.77	0.45	0.42	0.52	0.50	0.42	0.39
Medicaid/CHIP	0.68	0.74	0.43	0.42	0.80	0.88	1.04	1.02	0.96	1.05	0.55	0.45	0.86	0.94
Other⁴	0.66	0.63	0.87	0.65	0.67	0.64	2.03	1.94	0.69	0.65	1.35	1.54	0.68	0.64
No Coverage	1.19	0.96	1.03	1.34	1.25	1.00	1.60	1.38	1.52	1.23	1.44	1.46	1.33	1.08
* = 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. 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 2.32P – Tobacco Product Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0045	0.9434	0.0036	0.0265	0.0149	0.1994	0.0068
GEOGRAPHIC REGION
Northeast	0.9953	0.1143	0.9268	0.1555	0.7026	0.0073	0.7155
Midwest	0.2141	0.7530	0.2071	0.9140	0.2032	0.7732	0.2232
South	0.0001	0.1344	0.0000	0.0302	0.0002	0.6549	0.0001
West	0.1165	0.3960	0.1299	0.4630	0.1817	0.6589	0.1265
COUNTY TYPE
Large Metro	0.0074	0.1462	0.0097	0.2640	0.0179	0.0193	0.0155
Small Metro	0.2051	0.1262	0.1438	0.0141	0.3783	0.4243	0.2320
Nonmetro	0.7863	0.4359	0.9335	0.6828	0.8632	0.0799	0.9813
Urbanized	0.6375	0.1066	0.5680	0.3603	0.4317	0.0369	0.4660
Less Urbanized	0.3098	0.3104	0.4171	0.2711	0.2812	0.4170	0.4189
Completely Rural	0.5145	*	0.6376	0.0787	0.9132	0.4031	0.6484
POVERTY LEVEL²
Less Than 100%	0.1431	0.4211	0.1080	0.1000	0.1998	0.7045	0.1131
100-199%	0.5417	0.7315	0.4806	0.0505	0.8468	0.2460	0.6785
200% or More	0.0101	0.8994	0.0097	0.5187	0.0132	0.4046	0.0128
HEALTH INSURANCE³
Private	0.0630	0.7576	0.0621	0.2315	0.1059	0.6689	0.0702
Medicaid/CHIP	0.3167	0.7930	0.2786	0.0514	0.4748	0.1031	0.3983
Other⁴	0.7311	0.2488	0.7464	0.1494	0.8722	0.4922	0.7609
No Coverage	0.0000	0.3515	0.0000	0.3338	0.0000	0.7950	0.0000
* = 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. 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 2.33C – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	843	847	44	43	843	842	162	155	823	814	112	93	1,071	1,017
GEOGRAPHIC REGION
Northeast	315	391	15	14	314	394	68	55	305	386	43	27	394	476
Midwest	336	330	17	21	334	327	63	56	329	317	41	39	445	447
South	593	530	28	33	594	526	115	111	578	503	77	70	756	637
West	391	376	25	16	384	375	72	72	388	368	59	37	460	446
COUNTY TYPE
Large Metro	771	783	32	32	768	777	131	140	740	741	69	68	760	766
Small Metro	580	580	24	25	578	575	115	97	550	548	66	50	569	568
Nonmetro	572	477	21	16	565	474	86	72	536	444	52	42	554	464
Urbanized	412	321	10	8	410	320	43	57	398	294	29	29	407	312
Less Urbanized	412	362	12	14	408	358	73	47	373	336	41	29	395	351
Completely Rural	146	117	*	3	137	116	19	12	131	112	14	8	136	113
POVERTY LEVEL²
Less Than 100%	452	487	25	20	447	486	106	87	429	470	60	52	439	482
100-199%	481	415	16	24	479	413	90	86	466	394	54	45	472	406
200% or More	741	683	34	30	737	681	122	122	706	657	67	61	728	674
HEALTH INSURANCE³
Private	713	627	35	29	707	623	139	136	685	598	80	67	695	613
Medicaid/CHIP	512	541	27	31	509	540	92	78	494	523	63	48	506	534
Other⁴	556	500	6	5	556	500	39	46	555	492	23	21	556	499
No Coverage	340	271	7	12	340	269	69	74	329	253	29	39	337	265
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.33D – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.30	0.29	0.17	0.17	0.33	0.32	0.47	0.44	0.37	0.36	0.28	0.23	0.34	0.33
GEOGRAPHIC REGION
Northeast	0.64	0.79	0.36	0.34	0.70	0.86	1.19	0.94	0.78	0.97	0.69	0.43	0.72	0.90
Midwest	0.58	0.56	0.31	0.38	0.63	0.61	0.88	0.77	0.72	0.69	0.46	0.45	0.66	0.64
South	0.54	0.48	0.28	0.32	0.60	0.52	0.88	0.82	0.67	0.57	0.48	0.44	0.62	0.54
West	0.58	0.55	0.40	0.25	0.63	0.61	0.89	0.88	0.74	0.69	0.60	0.41	0.67	0.63
COUNTY TYPE
Large Metro	0.38	0.41	0.22	0.21	0.41	0.44	0.64	0.65	0.47	0.49	0.32	0.31	0.43	0.46
Small Metro	0.49	0.46	0.28	0.29	0.54	0.50	0.72	0.65	0.62	0.58	0.49	0.37	0.57	0.53
Nonmetro	0.91	0.88	0.57	0.56	1.00	0.96	1.48	1.20	1.13	1.08	0.92	0.82	1.04	1.02
Urbanized	1.58	1.36	0.83	0.71	1.72	1.55	1.69	1.60	1.98	1.82	1.35	1.23	1.80	1.66
Less Urbanized	1.23	1.33	0.61	0.86	1.36	1.43	2.38	2.01	1.52	1.57	1.36	1.21	1.43	1.50
Completely Rural	2.17	2.42	*	1.44	2.40	2.64	4.73	4.19	2.58	2.77	2.52	2.18	2.46	2.66
POVERTY LEVEL²
Less Than 100%	0.79	0.86	0.43	0.35	0.89	0.96	0.99	0.84	1.09	1.17	0.63	0.53	0.96	1.03
100-199%	0.73	0.63	0.30	0.44	0.80	0.70	1.04	0.92	0.94	0.83	0.65	0.54	0.84	0.73
200% or More	0.33	0.31	0.23	0.20	0.36	0.34	0.61	0.61	0.39	0.37	0.31	0.28	0.37	0.35
HEALTH INSURANCE³
Private	0.35	0.31	0.25	0.20	0.37	0.33	0.60	0.58	0.42	0.37	0.37	0.30	0.38	0.34
Medicaid/CHIP	0.64	0.73	0.24	0.29	0.77	0.87	0.86	0.80	0.93	1.02	0.41	0.33	0.83	0.93
Other⁴	0.63	0.59	0.44	0.36	0.65	0.60	1.33	1.47	0.67	0.62	0.93	0.86	0.65	0.61
No Coverage	1.15	0.88	0.58	0.99	1.20	0.92	1.32	1.29	1.48	1.14	1.06	1.27	1.28	0.99
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.33P – Tobacco Product Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0206	0.9319	0.0172	0.0297	0.0434	0.1497	0.0272
GEOGRAPHIC REGION
Northeast	0.8885	0.5338	0.8959	0.0458	0.8331	0.0096	0.9208
Midwest	0.2108	0.2958	0.2439	0.2835	0.1558	0.2484	0.2588
South	0.0042	0.3121	0.0031	0.2956	0.0045	0.9523	0.0036
West	0.0441	0.0614	0.0511	0.5994	0.0695	0.0391	0.0737
COUNTY TYPE
Large Metro	0.1355	0.3899	0.1443	0.6775	0.1510	0.1143	0.1685
Small Metro	0.1715	0.2363	0.1360	0.0021	0.3474	0.1218	0.2172
Nonmetro	0.4857	0.6884	0.4034	0.3494	0.5448	0.1854	0.4275
Urbanized	0.2230	0.9702	0.2294	0.3268	0.2100	0.1741	0.2325
Less Urbanized	0.8029	0.2924	0.9518	0.1683	0.7257	0.4604	0.9473
Completely Rural	0.9600	*	0.9620	0.0792	0.7683	0.7588	0.9651
POVERTY LEVEL²
Less Than 100%	0.2184	0.5525	0.1644	0.0478	0.2661	0.6992	0.1669
100-199%	0.4572	0.1159	0.3720	0.3856	0.5148	0.6597	0.4999
200% or More	0.0400	0.6453	0.0436	0.3693	0.0582	0.1257	0.0547
HEALTH INSURANCE³
Private	0.1407	0.5867	0.1595	0.2687	0.2242	0.2882	0.1823
Medicaid/CHIP	0.3713	0.3713	0.2856	0.0060	0.5108	0.2409	0.3772
Other⁴	0.7275	0.7020	0.7271	0.3601	0.7846	0.4150	0.7495
No Coverage	0.0001	0.3251	0.0001	0.8895	0.0001	0.2994	0.0001
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.34C – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	836	810	62	55	838	806	185	185	816	789	130	124	1,049	970
GEOGRAPHIC REGION
Northeast	309	345	21	18	305	348	74	65	296	349	49	40	377	431
Midwest	342	346	29	25	339	338	70	76	333	332	61	53	434	448
South	567	499	38	38	566	497	115	125	557	477	80	85	742	600
West	406	381	34	29	406	382	90	85	399	375	66	60	467	454
COUNTY TYPE
Large Metro	801	759	49	43	792	751	150	161	761	720	90	85	781	744
Small Metro	548	552	37	32	546	546	135	129	512	518	75	70	537	536
Nonmetro	516	465	25	22	509	460	99	95	478	426	57	62	498	445
Urbanized	386	321	11	12	384	319	67	82	366	287	37	51	379	306
Less Urbanized	336	343	15	17	331	337	72	55	304	314	40	39	320	328
Completely Rural	153	94	17	7	140	92	23	9	126	91	19	8	139	91
POVERTY LEVEL²
Less Than 100%	460	503	30	24	456	503	129	121	437	482	73	73	445	493
100-199%	470	402	32	27	467	400	98	99	449	382	53	49	463	393
200% or More	723	636	49	42	717	632	128	132	689	616	88	83	708	627
HEALTH INSURANCE³
Private	682	599	51	41	677	593	166	163	647	570	103	91	662	586
Medicaid/CHIP	517	542	41	39	513	543	92	91	493	524	65	60	506	537
Other⁴	510	462	11	9	510	461	53	55	506	454	29	37	510	459
No Coverage	348	264	10	14	348	262	76	80	338	244	31	42	348	257
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.34D – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.29	0.28	0.24	0.21	0.33	0.31	0.54	0.53	0.37	0.35	0.31	0.31	0.34	0.32
GEOGRAPHIC REGION
Northeast	0.63	0.69	0.52	0.43	0.68	0.76	1.29	1.10	0.76	0.88	0.76	0.61	0.70	0.80
Midwest	0.59	0.59	0.53	0.45	0.64	0.63	0.98	1.05	0.73	0.72	0.64	0.61	0.67	0.66
South	0.52	0.45	0.37	0.37	0.57	0.49	0.88	0.92	0.65	0.54	0.49	0.52	0.60	0.51
West	0.61	0.56	0.55	0.47	0.67	0.62	1.12	1.03	0.76	0.70	0.65	0.65	0.70	0.65
COUNTY TYPE
Large Metro	0.39	0.39	0.33	0.28	0.43	0.42	0.71	0.72	0.49	0.47	0.39	0.38	0.45	0.44
Small Metro	0.46	0.45	0.43	0.37	0.51	0.49	0.89	0.86	0.57	0.57	0.56	0.51	0.53	0.51
Nonmetro	0.87	0.89	0.66	0.73	0.96	0.97	1.53	1.58	1.09	1.08	0.97	1.17	1.00	1.02
Urbanized	1.50	1.35	0.88	1.09	1.61	1.53	1.99	2.49	1.88	1.77	1.71	2.08	1.69	1.62
Less Urbanized	1.07	1.26	0.75	1.05	1.20	1.35	2.45	2.00	1.38	1.51	1.26	1.43	1.27	1.43
Completely Rural	2.40	2.21	2.94	2.75	2.58	2.47	5.67	3.59	2.68	2.73	2.86	2.25	2.63	2.55
POVERTY LEVEL²
Less Than 100%	0.79	0.87	0.50	0.42	0.89	0.97	1.09	1.08	1.11	1.18	0.74	0.73	0.96	1.04
100-199%	0.72	0.61	0.58	0.49	0.79	0.68	1.12	1.02	0.91	0.80	0.63	0.58	0.83	0.71
200% or More	0.33	0.30	0.30	0.27	0.36	0.32	0.64	0.66	0.39	0.36	0.37	0.38	0.37	0.33
HEALTH INSURANCE³
Private	0.34	0.30	0.34	0.27	0.37	0.32	0.69	0.69	0.41	0.36	0.44	0.41	0.38	0.34
Medicaid/CHIP	0.65	0.73	0.37	0.38	0.78	0.87	0.89	0.92	0.93	1.03	0.42	0.41	0.82	0.94
Other⁴	0.59	0.56	0.75	0.62	0.60	0.57	1.63	1.74	0.62	0.59	1.16	1.47	0.61	0.58
No Coverage	1.17	0.86	0.79	1.16	1.23	0.90	1.45	1.36	1.49	1.11	1.14	1.34	1.30	0.97
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.34P – Cigarette Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0454	0.2619	0.0494	0.2600	0.0822	0.5944	0.0500
GEOGRAPHIC REGION
Northeast	0.6861	0.0609	0.6157	0.4346	0.5027	0.0782	0.5352
Midwest	0.1009	0.5961	0.0928	0.4906	0.1200	0.6090	0.1135
South	0.0009	0.7917	0.0007	0.3273	0.0012	0.9797	0.0008
West	0.1427	0.4203	0.1594	0.2996	0.2454	0.8121	0.1461
COUNTY TYPE
Large Metro	0.0930	0.0521	0.1235	0.8655	0.1069	0.2396	0.1183
Small Metro	0.1802	0.6735	0.1532	0.0127	0.4069	0.3043	0.2212
Nonmetro	0.6091	0.5326	0.7155	0.8974	0.7422	0.0322	0.8500
Urbanized	0.6767	0.5206	0.6502	0.1450	0.4435	0.0425	0.5155
Less Urbanized	0.0923	0.2681	0.1344	0.6060	0.1053	0.1553	0.1688
Completely Rural	0.1335	0.2425	0.1501	0.0137	0.3356	0.2037	0.1875
POVERTY LEVEL²
Less Than 100%	0.2770	0.3596	0.2251	0.3948	0.2665	0.9375	0.1966
100-199%	0.6792	0.9638	0.6341	0.4289	0.8017	0.7679	0.7208
200% or More	0.0567	0.3211	0.0694	0.6942	0.0764	0.5720	0.0661
HEALTH INSURANCE³
Private	0.3986	0.1714	0.4842	0.5037	0.5717	0.5153	0.4680
Medicaid/CHIP	0.7881	0.9431	0.7268	0.4079	0.7929	0.6530	0.7529
Other⁴	0.9420	0.4910	0.9336	0.2150	0.8233	0.6938	0.9247
No Coverage	0.0000	0.1896	0.0000	0.7716	0.0000	0.3068	0.0000
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.35C – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	783	774	38	36	784	772	133	131	777	751	83	79	945	890
GEOGRAPHIC REGION
Northeast	281	353	13	12	280	354	59	46	274	355	38	25	330	407
Midwest	318	311	15	16	316	308	53	50	312	298	33	33	394	404
South	543	486	23	26	545	485	88	92	542	468	49	57	673	552
West	375	361	22	15	371	361	60	64	372	353	44	33	419	414
COUNTY TYPE
Large Metro	692	683	25	27	690	679	93	117	677	653	56	59	686	673
Small Metro	489	513	22	20	488	510	94	72	468	498	47	37	483	506
Nonmetro	472	423	19	14	468	421	67	61	454	398	37	38	463	413
Urbanized	364	291	10	7	363	291	31	46	356	271	20	27	362	284
Less Urbanized	301	313	10	11	299	310	58	42	282	291	28	28	293	304
Completely Rural	130	89	*	3	121	88	16	9	116	87	14	4	120	88
POVERTY LEVEL²
Less Than 100%	422	471	21	19	419	470	89	74	406	456	48	43	413	466
100-199%	441	369	15	19	441	369	73	68	436	359	37	37	439	365
200% or More	611	565	30	24	608	565	87	91	592	551	54	53	604	561
HEALTH INSURANCE³
Private	589	529	31	22	584	526	106	104	576	511	63	55	580	521
Medicaid/CHIP	481	515	23	27	479	515	74	67	468	499	48	41	477	509
Other⁴	477	441	5	5	477	441	32	32	476	436	20	18	477	440
No Coverage	321	247	6	12	321	246	58	65	316	233	19	35	320	242
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.35D – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.28	0.27	0.15	0.14	0.30	0.29	0.39	0.37	0.35	0.33	0.21	0.20	0.32	0.31
GEOGRAPHIC REGION
Northeast	0.57	0.71	0.33	0.30	0.62	0.78	1.03	0.77	0.70	0.89	0.61	0.39	0.65	0.81
Midwest	0.55	0.53	0.28	0.29	0.60	0.57	0.75	0.69	0.68	0.64	0.37	0.38	0.63	0.60
South	0.50	0.44	0.23	0.25	0.55	0.48	0.67	0.68	0.63	0.53	0.31	0.37	0.57	0.49
West	0.56	0.53	0.36	0.24	0.61	0.58	0.74	0.78	0.70	0.66	0.47	0.36	0.64	0.61
COUNTY TYPE
Large Metro	0.36	0.37	0.18	0.18	0.40	0.40	0.48	0.56	0.45	0.45	0.26	0.27	0.41	0.42
Small Metro	0.44	0.44	0.26	0.23	0.49	0.49	0.66	0.53	0.55	0.57	0.37	0.28	0.51	0.51
Nonmetro	0.83	0.87	0.54	0.47	0.92	0.96	1.30	1.15	1.07	1.07	0.66	0.77	0.97	1.01
Urbanized	1.52	1.35	0.82	0.65	1.64	1.53	1.35	1.58	1.91	1.78	0.98	1.20	1.72	1.63
Less Urbanized	1.00	1.26	0.50	0.71	1.13	1.37	2.19	1.89	1.30	1.49	0.94	1.13	1.18	1.42
Completely Rural	2.20	2.11	*	1.37	2.37	2.35	4.06	3.25	2.58	2.61	2.56	1.22	2.42	2.46
POVERTY LEVEL²
Less Than 100%	0.76	0.85	0.36	0.32	0.86	0.95	0.89	0.74	1.05	1.15	0.51	0.46	0.92	1.02
100-199%	0.69	0.58	0.27	0.36	0.76	0.64	0.87	0.77	0.89	0.77	0.45	0.45	0.80	0.68
200% or More	0.29	0.27	0.20	0.16	0.32	0.30	0.47	0.48	0.35	0.33	0.25	0.24	0.33	0.31
HEALTH INSURANCE³
Private	0.31	0.28	0.22	0.15	0.33	0.30	0.49	0.48	0.38	0.33	0.29	0.25	0.34	0.31
Medicaid/CHIP	0.62	0.72	0.21	0.26	0.74	0.85	0.75	0.68	0.89	1.01	0.32	0.28	0.80	0.91
Other⁴	0.56	0.53	0.38	0.34	0.57	0.54	1.08	1.07	0.59	0.56	0.82	0.75	0.57	0.55
No Coverage	1.12	0.84	0.47	0.99	1.18	0.87	1.17	1.18	1.46	1.08	0.71	1.15	1.25	0.94
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.35P – Cigarette Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.1442	0.6417	0.1362	0.0596	0.2449	0.4149	0.1571
GEOGRAPHIC REGION
Northeast	0.9492	0.5441	0.9574	0.0407	0.7777	0.0537	0.9097
Midwest	0.1183	0.9891	0.1226	0.3252	0.0751	0.4213	0.1361
South	0.0227	0.3317	0.0183	0.4361	0.0244	0.3998	0.0173
West	0.1780	0.0752	0.2013	0.6946	0.2272	0.0557	0.2387
COUNTY TYPE
Large Metro	0.4196	0.5389	0.4335	0.5220	0.3518	0.4326	0.4468
Small Metro	0.2062	0.9720	0.1880	0.0000	0.5602	0.0484	0.2633
Nonmetro	0.9766	0.8790	0.9394	0.5706	0.9271	0.0567	0.8938
Urbanized	0.3096	0.7186	0.3226	0.3371	0.3104	0.1174	0.2997
Less Urbanized	0.1805	0.2799	0.2418	0.4244	0.1769	0.1193	0.2898
Completely Rural	0.5026	*	0.5101	0.0319	0.7645	0.2428	0.6155
POVERTY LEVEL²
Less Than 100%	0.2705	0.8894	0.2020	0.0886	0.2724	0.9803	0.1915
100-199%	0.5422	0.2810	0.4723	0.7634	0.5578	0.9272	0.5454
200% or More	0.2789	0.2262	0.3135	0.2273	0.4075	0.2448	0.3306
HEALTH INSURANCE³
Private	0.6648	0.0892	0.7584	0.2703	0.9237	0.1677	0.8043
Medicaid/CHIP	0.7141	0.3324	0.6054	0.0304	0.7983	0.6308	0.6666
Other⁴	0.9346	0.9882	0.9383	0.1331	0.8552	0.5410	0.9185
No Coverage	0.0000	0.2247	0.0000	0.7178	0.0000	0.0405	0.0000
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.36C – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	381	353	28	35	381	349	95	107	369	325	69	68	386	357
GEOGRAPHIC REGION
Northeast	134	157	9	6	134	157	47	41	121	151	30	20	137	169
Midwest	147	161	15	19	147	161	29	45	147	143	26	34	158	164
South	273	216	17	26	272	213	71	75	257	201	51	49	273	225
West	155	133	15	9	155	133	39	45	158	122	27	25	158	133
COUNTY TYPE
Large Metro	252	252	20	24	252	250	64	81	246	236	38	46	250	246
Small Metro	229	205	11	17	229	203	52	59	223	186	41	32	225	199
Nonmetro	216	171	18	19	215	170	58	56	197	148	38	37	205	163
Urbanized	138	103	7	15	138	102	22	49	132	82	11	29	137	94
Less Urbanized	162	131	16	11	161	130	53	28	143	117	36	22	150	127
Completely Rural	49	61	*	3	48	61	9	*	45	57	4	6	48	58
POVERTY LEVEL²
Less Than 100%	150	127	14	12	149	127	50	65	138	106	37	41	144	116
100-199%	160	154	11	12	160	152	52	46	154	140	36	25	156	150
200% or More	316	295	21	30	316	293	65	76	308	279	43	46	314	290
HEALTH INSURANCE³
Private	296	282	22	31	296	279	79	92	284	258	55	51	288	274
Medicaid/CHIP	185	140	18	17	184	139	54	36	176	134	40	29	179	136
Other⁴	201	170	2	5	201	170	21	31	201	167	13	16	200	169
No Coverage	130	115	5	4	130	114	32	40	124	109	14	29	129	112
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.36D – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.13	0.12	0.11	0.13	0.15	0.13	0.28	0.31	0.17	0.14	0.18	0.17	0.15	0.14
GEOGRAPHIC REGION
Northeast	0.27	0.32	0.22	0.14	0.30	0.34	0.81	0.69	0.31	0.38	0.49	0.33	0.30	0.36
Midwest	0.25	0.27	0.27	0.36	0.28	0.30	0.41	0.62	0.32	0.31	0.31	0.41	0.29	0.31
South	0.25	0.19	0.16	0.25	0.27	0.21	0.54	0.55	0.30	0.23	0.34	0.31	0.28	0.22
West	0.23	0.20	0.25	0.15	0.25	0.21	0.48	0.54	0.30	0.23	0.28	0.29	0.27	0.22
COUNTY TYPE
Large Metro	0.16	0.15	0.14	0.16	0.17	0.16	0.34	0.41	0.19	0.18	0.18	0.22	0.18	0.17
Small Metro	0.24	0.21	0.13	0.20	0.27	0.23	0.44	0.43	0.30	0.25	0.32	0.24	0.28	0.23
Nonmetro	0.48	0.43	0.50	0.59	0.52	0.48	1.16	1.14	0.57	0.49	0.72	0.72	0.53	0.48
Urbanized	0.73	0.63	0.58	1.09	0.80	0.70	1.01	1.92	0.90	0.70	0.54	1.18	0.83	0.70
Less Urbanized	0.68	0.63	0.81	0.70	0.75	0.69	2.07	1.25	0.79	0.72	1.26	0.88	0.74	0.72
Completely Rural	1.45	1.87	*	1.33	1.53	2.03	2.53	*	1.67	2.09	1.01	1.74	1.58	2.00
POVERTY LEVEL²
Less Than 100%	0.32	0.26	0.25	0.22	0.37	0.30	0.57	0.71	0.43	0.32	0.41	0.44	0.39	0.30
100-199%	0.29	0.27	0.20	0.23	0.32	0.29	0.63	0.53	0.37	0.33	0.43	0.30	0.33	0.31
200% or More	0.17	0.15	0.14	0.20	0.18	0.16	0.35	0.40	0.20	0.18	0.20	0.21	0.19	0.17
HEALTH INSURANCE³
Private	0.17	0.15	0.16	0.21	0.18	0.17	0.39	0.43	0.20	0.18	0.26	0.24	0.18	0.17
Medicaid/CHIP	0.30	0.23	0.17	0.16	0.36	0.28	0.56	0.39	0.43	0.33	0.26	0.20	0.38	0.29
Other⁴	0.25	0.21	0.16	0.33	0.25	0.22	0.76	1.02	0.27	0.22	0.56	0.66	0.26	0.22
No Coverage	0.53	0.43	0.42	0.35	0.56	0.45	0.69	0.77	0.67	0.55	0.55	0.95	0.59	0.48
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.36P – Smokeless Tobacco Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.4875	0.0972	0.3830	0.0182	0.1084	0.2876	0.3542
GEOGRAPHIC REGION
Northeast	0.8549	0.4605	0.8303	0.4845	0.6564	0.0724	0.6155
Midwest	0.8861	0.2210	0.7733	0.0177	0.3450	0.0256	0.5680
South	0.5497	0.0955	0.4407	0.1395	0.2076	0.4687	0.4474
West	0.4553	0.9742	0.4440	0.1270	0.2085	0.5209	0.3743
COUNTY TYPE
Large Metro	0.9695	0.7628	0.9921	0.0768	0.5956	0.5593	0.9409
Small Metro	0.5819	0.0071	0.4444	0.1648	0.2495	1.0000	0.5677
Nonmetro	0.7208	0.4285	0.6316	0.4287	0.4072	0.1333	0.4934
Urbanized	0.8241	0.1748	0.7147	0.0518	0.2565	0.0052	0.4433
Less Urbanized	0.8155	0.9084	0.7943	0.5869	0.9028	0.7818	0.8464
Completely Rural	0.8720	*	0.8227	*	0.8279	0.2315	0.7714
POVERTY LEVEL²
Less Than 100%	0.4106	0.8880	0.3882	0.3016	0.1658	0.2424	0.2129
100-199%	0.2922	0.6290	0.2625	0.8427	0.2057	0.9322	0.2922
200% or More	0.9084	0.0506	0.9534	0.0103	0.4877	0.4934	0.9959
HEALTH INSURANCE³
Private	0.9559	0.0975	0.9214	0.0164	0.3789	0.4988	0.9424
Medicaid/CHIP	0.0849	0.5493	0.0681	0.3619	0.1025	0.8888	0.0675
Other⁴	0.4128	0.1897	0.3972	0.0702	0.2756	0.3387	0.3678
No Coverage	0.7187	0.7639	0.7080	0.4070	0.5126	0.2324	0.5671
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.37C – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	330	309	16	20	330	307	71	70	324	294	42	38	334	317
GEOGRAPHIC REGION
Northeast	102	147	5	3	102	148	34	27	93	142	12	12	102	156
Midwest	127	133	6	12	127	132	25	30	128	124	18	20	132	133
South	236	197	14	15	235	196	50	49	227	190	31	26	240	209
West	146	99	3	4	146	99	32	33	147	92	21	15	147	101
COUNTY TYPE
Large Metro	210	224	15	12	211	223	47	54	209	213	23	25	210	223
Small Metro	200	171	6	12	201	170	37	41	199	159	27	21	201	168
Nonmetro	184	140	3	10	184	139	39	30	174	128	15	19	181	136
Urbanized	108	85	2	3	107	85	20	24	103	75	7	11	106	83
Less Urbanized	146	97	1	9	146	96	32	17	136	91	13	15	142	94
Completely Rural	45	60	1	3	45	60	9	*	43	55	1	6	45	56
POVERTY LEVEL²
Less Than 100%	124	102	11	7	123	102	35	35	117	93	17	20	122	100
100-199%	141	130	6	11	141	129	36	32	137	120	18	17	140	128
200% or More	276	260	10	15	276	259	54	57	268	252	31	26	274	258
HEALTH INSURANCE³
Private	269	235	14	17	269	233	60	62	262	225	40	29	264	233
Medicaid/CHIP	162	123	7	11	161	122	29	28	158	118	11	21	161	121
Other⁴	193	156	2	1	193	156	16	24	194	155	4	7	193	156
No Coverage	77	106	4	2	77	106	28	24	69	105	12	14	75	106
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.37D – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.12	0.11	0.06	0.08	0.13	0.12	0.21	0.20	0.15	0.13	0.11	0.10	0.13	0.12
GEOGRAPHIC REGION
Northeast	0.21	0.30	0.13	0.07	0.23	0.32	0.59	0.45	0.24	0.36	0.20	0.20	0.23	0.34
Midwest	0.22	0.22	0.10	0.22	0.24	0.25	0.36	0.41	0.28	0.27	0.21	0.24	0.25	0.26
South	0.22	0.18	0.14	0.15	0.24	0.19	0.38	0.37	0.26	0.22	0.21	0.17	0.25	0.20
West	0.22	0.15	0.05	0.06	0.24	0.16	0.39	0.41	0.28	0.17	0.22	0.17	0.25	0.17
COUNTY TYPE
Large Metro	0.13	0.13	0.10	0.08	0.15	0.15	0.25	0.28	0.17	0.16	0.11	0.12	0.15	0.15
Small Metro	0.22	0.17	0.07	0.14	0.24	0.19	0.31	0.33	0.28	0.21	0.21	0.16	0.25	0.20
Nonmetro	0.42	0.37	0.09	0.34	0.45	0.40	0.79	0.65	0.51	0.43	0.28	0.42	0.47	0.41
Urbanized	0.58	0.55	0.20	0.31	0.63	0.59	0.95	0.98	0.71	0.64	0.34	0.54	0.66	0.63
Less Urbanized	0.63	0.49	0.08	0.57	0.69	0.53	1.27	0.85	0.77	0.58	0.46	0.65	0.72	0.54
Completely Rural	1.35	1.83	0.29	1.06	1.45	1.98	2.52	*	1.59	2.03	0.23	1.51	1.51	1.94
POVERTY LEVEL²
Less Than 100%	0.27	0.21	0.19	0.13	0.30	0.24	0.40	0.40	0.37	0.28	0.18	0.22	0.33	0.26
100-199%	0.26	0.23	0.11	0.20	0.28	0.25	0.45	0.38	0.33	0.28	0.22	0.21	0.30	0.26
200% or More	0.15	0.14	0.07	0.10	0.16	0.15	0.29	0.31	0.17	0.16	0.14	0.12	0.16	0.15
HEALTH INSURANCE³
Private	0.15	0.13	0.10	0.12	0.17	0.14	0.30	0.30	0.19	0.16	0.19	0.14	0.17	0.15
Medicaid/CHIP	0.26	0.20	0.07	0.11	0.32	0.24	0.30	0.31	0.39	0.29	0.07	0.14	0.35	0.26
Other⁴	0.24	0.19	0.14	0.10	0.25	0.20	0.58	0.81	0.26	0.20	0.16	0.29	0.25	0.20
No Coverage	0.31	0.40	0.33	0.19	0.33	0.43	0.61	0.48	0.37	0.53	0.44	0.46	0.34	0.46
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.37P – Smokeless Tobacco Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.2996	0.0901	0.2455	0.0482	0.0984	0.4002	0.2457
GEOGRAPHIC REGION
Northeast	0.3382	0.2843	0.3232	0.7211	0.2513	0.7601	0.3225
Midwest	0.4695	0.0160	0.3612	0.4973	0.2750	0.1098	0.3411
South	0.4698	0.4770	0.4322	0.0955	0.2319	0.7426	0.4449
West	0.1052	0.3153	0.0959	0.1420	0.0353	0.9831	0.1029
COUNTY TYPE
Large Metro	0.6719	0.5166	0.6399	0.1568	0.9027	0.7960	0.6997
Small Metro	0.3252	0.0119	0.2559	0.0487	0.1157	1.0000	0.3173
Nonmetro	0.2664	0.0226	0.1947	0.8338	0.1861	0.0966	0.1918
Urbanized	0.5780	0.3541	0.5512	0.5790	0.4236	0.2276	0.5374
Less Urbanized	0.2892	0.0592	0.2136	0.5232	0.2526	0.4066	0.2228
Completely Rural	0.9691	0.2401	0.9609	*	0.9962	0.1050	0.9282
POVERTY LEVEL²
Less Than 100%	0.5952	0.7045	0.5837	0.4668	0.4210	0.3115	0.4611
100-199%	0.3041	0.2119	0.2586	0.9655	0.2311	0.6628	0.2751
200% or More	0.6323	0.0568	0.5659	0.0283	0.2885	0.7962	0.6087
HEALTH INSURANCE³
Private	0.3592	0.1583	0.3177	0.0338	0.1185	0.7354	0.3876
Medicaid/CHIP	0.1685	0.0524	0.1252	0.7017	0.1313	0.0138	0.0869
Other⁴	0.1947	0.7698	0.1950	0.1487	0.1458	0.5886	0.1872
No Coverage	0.2113	0.8703	0.2178	0.8148	0.1744	0.4894	0.2379
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.38C – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	670	645	119	109	659	632	224	220	574	566	240	208	721	731
GEOGRAPHIC REGION
Northeast	206	257	40	44	201	257	85	90	167	230	92	81	224	293
Midwest	288	283	51	48	279	282	95	93	237	242	103	90	316	313
South	448	411	78	73	445	399	148	136	383	348	144	144	518	476
West	302	342	60	49	295	330	102	109	259	299	116	92	310	361
COUNTY TYPE
Large Metro	589	622	97	92	561	601	219	224	487	515	164	149	536	569
Small Metro	446	473	74	70	427	446	202	210	326	343	132	127	387	409
Nonmetro	357	330	53	48	343	314	166	135	260	236	107	90	305	284
Urbanized	250	228	28	23	243	222	126	110	183	146	72	60	213	199
Less Urbanized	250	251	43	41	232	234	108	85	168	188	79	70	206	214
Completely Rural	120	52	12	13	116	47	32	*	94	36	17	20	115	43
POVERTY LEVEL²
Less Than 100%	333	335	55	54	323	323	183	151	259	268	114	113	290	299
100-199%	351	352	60	56	342	344	147	133	288	302	102	90	321	332
200% or More	541	531	100	95	521	511	202	205	455	443	160	144	496	484
HEALTH INSURANCE³
Private	545	545	95	94	524	520	247	241	435	445	174	147	488	497
Medicaid/CHIP	367	383	89	76	343	371	151	140	296	320	136	121	322	355
Other⁴	265	257	21	19	263	255	68	69	246	244	47	42	257	250
No Coverage	255	223	22	27	255	219	90	101	234	186	53	64	252	210
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.38D – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.24	0.22	0.46	0.42	0.26	0.24	0.66	0.63	0.26	0.25	0.50	0.46	0.26	0.24
GEOGRAPHIC REGION
Northeast	0.42	0.52	0.98	1.07	0.45	0.56	1.48	1.53	0.43	0.58	1.13	1.13	0.44	0.57
Midwest	0.50	0.48	0.94	0.88	0.53	0.53	1.33	1.27	0.52	0.52	0.97	0.90	0.52	0.52
South	0.41	0.37	0.76	0.71	0.45	0.39	1.13	1.01	0.45	0.40	0.82	0.77	0.45	0.39
West	0.45	0.50	0.98	0.80	0.48	0.53	1.27	1.32	0.49	0.56	1.00	0.91	0.49	0.55
COUNTY TYPE
Large Metro	0.32	0.31	0.57	0.57	0.34	0.34	0.88	0.86	0.35	0.35	0.60	0.63	0.35	0.34
Small Metro	0.41	0.38	0.81	0.70	0.44	0.41	1.03	1.03	0.42	0.40	0.85	0.72	0.44	0.41
Nonmetro	0.66	0.62	1.37	1.31	0.73	0.69	1.93	1.67	0.69	0.67	1.55	1.37	0.70	0.69
Urbanized	1.10	0.95	2.05	2.11	1.17	1.06	2.78	2.30	1.11	0.97	2.49	2.43	1.10	1.05
Less Urbanized	0.89	0.92	1.79	1.76	0.98	1.02	3.02	2.41	0.91	1.05	2.06	1.67	0.97	1.03
Completely Rural	2.05	1.14	3.50	3.80	2.37	1.28	5.53	*	2.41	1.19	4.16	3.72	2.51	1.33
POVERTY LEVEL²
Less Than 100%	0.66	0.59	0.92	0.89	0.73	0.66	1.36	1.20	0.78	0.73	1.08	1.01	0.74	0.69
100-199%	0.55	0.55	1.03	0.93	0.60	0.61	1.44	1.20	0.62	0.68	1.11	0.95	0.60	0.63
200% or More	0.25	0.24	0.59	0.59	0.27	0.26	0.81	0.87	0.28	0.27	0.59	0.60	0.28	0.26
HEALTH INSURANCE³
Private	0.27	0.27	0.60	0.60	0.29	0.28	0.86	0.87	0.29	0.29	0.66	0.62	0.29	0.29
Medicaid/CHIP	0.51	0.53	0.75	0.67	0.59	0.64	1.18	1.16	0.67	0.71	0.76	0.71	0.63	0.68
Other⁴	0.32	0.32	1.44	1.30	0.33	0.32	1.97	1.94	0.32	0.32	1.75	1.56	0.33	0.32
No Coverage	0.95	0.79	1.70	2.11	1.00	0.82	1.69	1.48	1.15	0.92	1.86	1.74	1.04	0.86
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.38P – Nicotine Vaping in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.2767	0.1705	0.1765	0.1350	0.0432	0.0292	0.0648
GEOGRAPHIC REGION
Northeast	0.8148	0.4054	0.6909	0.2980	0.4153	0.1113	0.4416
Midwest	0.3676	0.3323	0.2840	0.5151	0.1497	0.2432	0.1889
South	0.8675	0.7387	0.9134	0.4733	0.8979	0.4290	0.9499
West	0.1537	0.4037	0.1054	0.4688	0.0402	0.1874	0.0535
COUNTY TYPE
Large Metro	0.2415	0.0757	0.1273	0.8623	0.0733	0.0552	0.0693
Small Metro	0.8286	0.9698	0.8350	0.0715	0.3415	0.1465	0.4739
Nonmetro	0.5205	0.8949	0.5480	0.2021	0.4663	0.9797	0.5393
Urbanized	0.3087	0.4792	0.3755	0.5635	0.1015	0.2790	0.4063
Less Urbanized	0.0332	0.6977	0.0410	0.5118	0.0090	0.3936	0.0423
Completely Rural	0.1042	0.1756	0.0658	*	0.1839	0.2601	0.0608
POVERTY LEVEL²
Less Than 100%	0.8309	0.6513	0.8071	0.2490	0.3241	0.7836	0.8748
100-199%	0.7649	0.1412	0.5772	0.4970	0.5018	0.1159	0.4284
200% or More	0.2782	0.5254	0.2250	0.4354	0.1117	0.0231	0.0730
HEALTH INSURANCE³
Private	0.2167	0.3640	0.1561	0.0539	0.0188	0.0206	0.0476
Medicaid/CHIP	0.7724	0.3373	0.6044	0.4824	0.3285	0.3408	0.5071
Other⁴	0.8149	0.4140	0.7644	0.4502	0.6013	0.0884	0.5939
No Coverage	0.6887	0.1910	0.5618	0.1644	0.1845	0.0673	0.3929
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.39C – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	553	552	82	75	544	544	201	201	472	484	174	152	580	599
GEOGRAPHIC REGION
Northeast	180	213	26	32	178	209	78	76	151	182	64	60	198	222
Midwest	216	246	39	37	209	246	84	85	183	218	83	65	236	267
South	380	356	51	49	376	352	134	135	326	309	98	104	423	403
West	259	271	45	30	252	265	93	94	214	240	85	69	260	275
COUNTY TYPE
Large Metro	458	492	65	59	443	484	169	186	384	417	117	106	426	460
Small Metro	359	350	47	45	347	334	161	164	273	261	99	95	321	309
Nonmetro	288	277	36	34	280	268	127	112	223	202	79	70	252	247
Urbanized	210	196	16	16	209	194	101	89	165	133	59	44	184	179
Less Urbanized	191	205	30	30	179	195	77	70	139	156	52	51	164	179
Completely Rural	74	38	11	7	70	36	22	15	62	28	16	16	68	31
POVERTY LEVEL²
Less Than 100%	259	268	34	38	252	262	150	114	199	221	93	82	226	244
100-199%	290	275	46	38	284	270	124	113	246	233	81	68	270	259
200% or More	445	420	66	58	434	414	152	174	388	358	107	101	422	395
HEALTH INSURANCE³
Private	443	434	66	57	431	425	193	194	368	366	125	101	408	413
Medicaid/CHIP	280	312	58	56	266	306	122	114	226	269	99	90	252	290
Other⁴	223	203	13	14	222	202	61	62	206	192	38	34	217	197
No Coverage	215	196	16	19	215	193	73	91	194	156	39	53	212	183
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.39D – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.19	0.19	0.32	0.29	0.21	0.21	0.59	0.58	0.21	0.21	0.40	0.36	0.21	0.21
GEOGRAPHIC REGION
Northeast	0.37	0.43	0.63	0.78	0.40	0.46	1.36	1.29	0.38	0.46	0.92	0.87	0.40	0.47
Midwest	0.37	0.42	0.72	0.68	0.40	0.46	1.18	1.17	0.40	0.47	0.88	0.71	0.40	0.46
South	0.35	0.32	0.49	0.48	0.38	0.35	1.02	1.00	0.38	0.35	0.59	0.60	0.39	0.35
West	0.39	0.40	0.73	0.49	0.41	0.43	1.16	1.15	0.41	0.45	0.81	0.75	0.42	0.44
COUNTY TYPE
Large Metro	0.25	0.27	0.41	0.39	0.28	0.29	0.82	0.80	0.28	0.30	0.49	0.48	0.28	0.29
Small Metro	0.35	0.30	0.53	0.49	0.37	0.32	0.94	0.92	0.36	0.32	0.70	0.62	0.37	0.32
Nonmetro	0.59	0.55	0.93	1.04	0.65	0.61	1.63	1.55	0.64	0.60	1.22	1.21	0.63	0.63
Urbanized	1.08	0.88	1.22	1.40	1.16	1.01	2.48	2.22	1.14	0.96	2.33	1.81	1.10	1.06
Less Urbanized	0.72	0.80	1.33	1.59	0.80	0.87	2.35	2.08	0.78	0.88	1.41	1.54	0.80	0.88
Completely Rural	1.48	0.98	3.26	2.85	1.65	0.98	5.73	5.45	1.69	0.98	3.73	4.20	1.68	1.00
POVERTY LEVEL²
Less Than 100%	0.54	0.50	0.58	0.65	0.60	0.56	1.25	1.05	0.62	0.62	0.92	0.80	0.60	0.59
100-199%	0.46	0.45	0.83	0.68	0.51	0.49	1.34	1.13	0.54	0.53	0.93	0.78	0.51	0.51
200% or More	0.22	0.20	0.40	0.37	0.24	0.22	0.73	0.78	0.24	0.22	0.44	0.45	0.24	0.22
HEALTH INSURANCE³
Private	0.23	0.22	0.44	0.38	0.25	0.24	0.78	0.77	0.25	0.24	0.53	0.45	0.25	0.25
Medicaid/CHIP	0.40	0.46	0.50	0.51	0.47	0.55	1.04	1.05	0.52	0.62	0.59	0.57	0.49	0.58
Other⁴	0.27	0.25	0.93	1.02	0.28	0.26	1.87	1.91	0.27	0.25	1.46	1.33	0.28	0.25
No Coverage	0.83	0.71	1.29	1.58	0.88	0.73	1.50	1.50	0.99	0.78	1.39	1.61	0.92	0.76
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.39P – Nicotine Vaping in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.4124	0.0779	0.2841	0.6270	0.1788	0.0189	0.1207
GEOGRAPHIC REGION
Northeast	0.8705	0.9389	0.8813	0.6958	0.7711	0.3695	0.6637
Midwest	0.3468	0.3968	0.2836	0.8020	0.1991	0.2234	0.1649
South	0.8288	0.4081	0.9096	0.5092	0.8976	0.1172	0.8580
West	0.3127	0.0822	0.1962	0.6252	0.2249	0.2496	0.1520
COUNTY TYPE
Large Metro	0.3407	0.0169	0.1877	0.6913	0.1834	0.0222	0.1077
Small Metro	0.9772	0.8257	0.9901	0.1477	0.5640	0.0787	0.6013
Nonmetro	0.4481	0.4584	0.5519	0.8886	0.7367	0.4955	0.6011
Urbanized	0.4422	0.9660	0.4446	0.9478	0.1334	0.8901	0.4252
Less Urbanized	0.0377	0.2940	0.0613	0.9167	0.0375	0.2060	0.0656
Completely Rural	0.1516	0.8506	0.1524	0.1096	0.3583	0.8573	0.1155
POVERTY LEVEL²
Less Than 100%	0.9310	0.6450	0.9491	0.0273	0.2547	0.8282	0.8685
100-199%	0.7135	0.0925	0.9122	0.7654	0.8489	0.1810	0.9899
200% or More	0.2189	0.1491	0.1470	0.2681	0.2456	0.0150	0.0591
HEALTH INSURANCE³
Private	0.2758	0.1684	0.1891	0.5736	0.0917	0.0154	0.0718
Medicaid/CHIP	0.4117	0.5910	0.3566	0.4458	0.1427	0.4631	0.2622
Other⁴	0.6462	0.8992	0.6397	0.5062	0.7821	0.1770	0.8144
No Coverage	0.7350	0.8044	0.6873	0.0738	0.1727	0.2945	0.5484
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other health insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.

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Table 2.40C – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	1,167	1,143	142	139	1,117	1,094	237	230	1,064	1,053	321	282	2,482	2,561
GEOGRAPHIC REGION
Northeast	421	513	53	56	408	509	77	86	396	497	125	123	1,014	1,141
Midwest	435	411	55	51	418	386	81	94	406	378	136	109	941	947
South	738	740	92	76	694	703	159	150	660	666	187	191	1,590	1,587
West	621	553	70	87	597	515	124	117	570	495	172	142	1,272	1,321
COUNTY TYPE
Large Metro	2,063	2,131	137	132	2,022	2,088	382	375	1,854	1,927	249	213	1,961	2,044
Small Metro	1,426	1,555	86	90	1,404	1,520	345	364	1,272	1,373	181	170	1,364	1,482
Nonmetro	953	851	47	49	937	830	220	188	839	737	115	116	903	793
Urbanized	662	575	26	23	654	565	184	166	577	466	86	84	627	534
Less Urbanized	730	650	37	43	713	629	124	101	637	573	76	80	688	604
Completely Rural	326	279	14	11	321	275	42	37	294	251	18	26	318	265
POVERTY LEVEL²
Less Than 100%	614	641	61	51	610	633	277	246	529	554	143	145	579	594
100-199%	786	761	65	61	778	751	209	206	715	700	117	108	759	742
200% or More	2,174	2,180	139	141	2,129	2,137	332	341	1,993	1,996	236	215	2,079	2,095
HEALTH INSURANCE³
Private	2,061	2,030	132	136	2,015	1,988	421	418	1,872	1,838	257	224	1,961	1,948
Medicaid/CHIP	714	756	88	81	699	739	205	187	644	663	146	136	676	712
Other⁴	1,106	1,109	35	27	1,105	1,108	103	111	1,095	1,093	66	66	1,101	1,104
No Coverage	497	510	30	26	497	509	130	139	468	459	67	70	491	498
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.40D – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.41	0.40	0.55	0.53	0.43	0.42	0.70	0.66	0.48	0.46	0.62	0.57	0.45	0.43
GEOGRAPHIC REGION
Northeast	0.86	1.03	1.29	1.37	0.91	1.11	1.34	1.45	1.01	1.25	1.40	1.45	0.93	1.16
Midwest	0.75	0.70	1.00	0.93	0.79	0.72	1.13	1.28	0.89	0.82	1.18	1.09	0.82	0.75
South	0.68	0.66	0.90	0.74	0.70	0.70	1.21	1.11	0.77	0.76	0.97	0.95	0.72	0.71
West	0.93	0.81	1.13	1.43	0.98	0.83	1.54	1.42	1.08	0.92	1.32	1.23	1.01	0.85
COUNTY TYPE
Large Metro	0.59	0.55	0.79	0.76	0.62	0.58	0.97	0.90	0.67	0.65	0.85	0.77	0.63	0.60
Small Metro	0.65	0.67	0.91	0.87	0.69	0.70	1.17	1.13	0.77	0.77	1.06	0.98	0.72	0.72
Nonmetro	1.01	0.90	1.16	1.25	1.05	0.97	1.96	1.69	1.16	1.10	1.68	1.54	1.09	1.02
Urbanized	1.65	1.50	1.80	1.65	1.68	1.62	2.57	2.49	1.88	1.84	3.06	2.69	1.72	1.68
Less Urbanized	1.41	1.32	1.52	1.79	1.52	1.42	2.95	2.13	1.68	1.57	1.95	1.82	1.58	1.47
Completely Rural	3.37	3.57	4.52	3.66	3.41	3.82	5.35	6.33	3.62	4.35	4.45	4.93	3.48	4.20
POVERTY LEVEL²
Less Than 100%	0.93	0.92	1.00	0.86	1.03	1.01	1.55	1.52	1.20	1.18	1.30	1.29	1.10	1.05
100-199%	0.89	0.81	1.11	1.03	0.96	0.89	1.38	1.31	1.10	1.05	1.19	1.12	1.01	0.95
200% or More	0.45	0.42	0.75	0.79	0.47	0.45	0.81	0.84	0.51	0.49	0.78	0.76	0.49	0.46
HEALTH INSURANCE³
Private	0.46	0.46	0.77	0.79	0.48	0.48	0.83	0.86	0.53	0.53	0.86	0.80	0.50	0.49
Medicaid/CHIP	0.76	0.76	0.74	0.72	0.89	0.89	1.20	1.27	1.07	1.03	0.80	0.80	0.96	0.95
Other⁴	0.82	0.80	2.29	1.79	0.83	0.81	2.12	2.07	0.86	0.84	2.19	2.24	0.84	0.82
No Coverage	1.21	1.23	2.19	1.95	1.25	1.24	1.66	1.47	1.52	1.50	2.10	1.91	1.31	1.33
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.40P – Alcohol Use in Past Year: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.3020	0.4406	0.2673	0.1819	0.3959	0.3049	0.3561
GEOGRAPHIC REGION
Northeast	0.2082	0.7779	0.1935	0.2620	0.2518	0.4436	0.2373
Midwest	0.5834	0.9842	0.5085	0.3164	0.6504	0.6629	0.6067
South	0.1500	0.1725	0.1493	0.2558	0.2156	0.6864	0.1530
West	0.1689	0.8335	0.1941	0.6986	0.2033	0.6020	0.1577
COUNTY TYPE
Large Metro	0.1670	0.2249	0.2056	0.2473	0.2925	0.1563	0.2201
Small Metro	0.6713	0.6697	0.7081	0.5002	0.5744	0.2035	0.5310
Nonmetro	0.2392	0.1172	0.1022	0.7346	0.0930	0.0570	0.1025
Urbanized	0.2974	0.3584	0.3121	0.6962	0.1800	0.4399	0.2842
Less Urbanized	0.5066	0.0084	0.2252	0.3060	0.3070	0.0923	0.2489
Completely Rural	0.8615	0.6777	0.6941	0.4272	0.7956	0.2368	0.7180
POVERTY LEVEL²
Less Than 100%	0.1656	0.6436	0.0866	0.2799	0.1505	0.6150	0.0750
100-199%	0.8505	0.6542	0.8116	0.2910	0.9673	0.6988	0.9337
200% or More	0.7044	0.3087	0.8502	0.7863	0.8900	0.1039	0.9562
HEALTH INSURANCE³
Private	0.1170	0.1364	0.2114	0.0804	0.3694	0.0339	0.3030
Medicaid/CHIP	0.3185	0.4351	0.2008	0.2362	0.3155	0.5048	0.1861
Other⁴	0.9387	0.3181	0.9106	0.5169	0.8594	0.3182	0.8854
No Coverage	0.7894	0.5212	0.6377	0.1639	0.3872	0.0599	0.5709
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.41C – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	1,203	1,144	96	92	1,175	1,131	262	251	1,127	1,097	219	190	2,055	2,079
GEOGRAPHIC REGION
Northeast	448	516	28	40	444	514	90	98	425	498	86	76	852	950
Midwest	428	438	40	35	427	430	104	104	420	414	100	70	793	772
South	761	743	65	50	736	726	169	165	694	696	128	134	1,247	1,255
West	634	569	47	56	614	558	134	117	591	536	104	95	1,076	1,107
COUNTY TYPE
Large Metro	1,680	1,688	82	76	1,662	1,672	306	292	1,548	1,561	160	132	1,626	1,651
Small Metro	1,129	1,258	57	60	1,120	1,242	273	309	1,030	1,138	124	126	1,098	1,222
Nonmetro	739	635	28	23	731	629	189	135	663	581	89	72	705	611
Urbanized	493	403	16	15	489	399	164	115	427	342	74	52	465	382
Less Urbanized	578	495	20	17	573	489	98	80	523	456	49	49	556	476
Completely Rural	218	236	11	6	213	235	26	29	203	218	14	14	212	232
POVERTY LEVEL²
Less Than 100%	511	491	40	30	509	489	237	198	438	441	114	111	478	465
100-199%	599	581	42	44	597	577	162	173	560	531	77	73	586	571
200% or More	1,823	1,801	87	83	1,805	1,787	273	270	1,712	1,682	158	131	1,777	1,762
HEALTH INSURANCE³
Private	1,693	1,678	82	79	1,678	1,665	357	343	1,579	1,552	178	150	1,647	1,642
Medicaid/CHIP	550	567	58	51	543	560	143	137	502	519	96	85	531	546
Other⁴	928	924	16	16	927	924	89	88	920	914	46	44	924	923
No Coverage	398	409	19	20	398	409	103	112	389	372	51	54	398	404
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.41D – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.42	0.40	0.37	0.36	0.46	0.43	0.77	0.72	0.50	0.48	0.49	0.44	0.47	0.45
GEOGRAPHIC REGION
Northeast	0.91	1.04	0.70	0.99	0.99	1.12	1.57	1.66	1.09	1.25	1.16	1.05	1.01	1.17
Midwest	0.73	0.74	0.74	0.64	0.81	0.80	1.45	1.43	0.92	0.90	1.03	0.81	0.85	0.85
South	0.70	0.67	0.63	0.49	0.74	0.72	1.29	1.22	0.81	0.79	0.76	0.78	0.76	0.73
West	0.95	0.84	0.76	0.91	1.01	0.90	1.66	1.41	1.12	1.00	0.90	0.92	1.05	0.93
COUNTY TYPE
Large Metro	0.59	0.57	0.51	0.48	0.64	0.62	1.07	0.96	0.70	0.69	0.63	0.55	0.65	0.64
Small Metro	0.70	0.67	0.64	0.66	0.76	0.71	1.29	1.29	0.84	0.78	0.82	0.85	0.79	0.73
Nonmetro	1.05	0.95	0.74	0.69	1.11	1.02	2.31	1.80	1.22	1.13	1.51	1.25	1.15	1.07
Urbanized	1.69	1.56	1.28	1.07	1.76	1.63	3.76	2.33	1.89	1.81	3.13	1.90	1.79	1.70
Less Urbanized	1.46	1.34	0.94	0.97	1.59	1.44	2.78	2.76	1.76	1.59	1.52	1.75	1.65	1.50
Completely Rural	3.49	3.66	3.30	2.60	3.52	3.89	5.55	5.56	3.84	4.45	3.14	3.53	3.65	4.31
POVERTY LEVEL²
Less Than 100%	0.87	0.78	0.69	0.54	0.97	0.88	1.64	1.56	1.11	1.05	1.12	1.08	1.01	0.93
100-199%	0.82	0.74	0.77	0.80	0.90	0.83	1.43	1.40	1.03	0.96	0.88	0.84	0.94	0.87
200% or More	0.48	0.47	0.52	0.53	0.51	0.51	0.95	0.88	0.56	0.55	0.61	0.56	0.53	0.52
HEALTH INSURANCE³
Private	0.49	0.48	0.53	0.52	0.53	0.52	1.00	0.98	0.58	0.57	0.71	0.64	0.55	0.53
Medicaid/CHIP	0.71	0.67	0.52	0.48	0.84	0.80	1.14	1.19	1.00	0.95	0.59	0.54	0.90	0.86
Other⁴	0.81	0.78	1.10	1.14	0.83	0.79	2.28	2.12	0.86	0.82	1.70	1.70	0.84	0.80
No Coverage	1.17	1.15	1.46	1.54	1.22	1.19	1.60	1.59	1.50	1.43	1.75	1.66	1.28	1.27
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.41P – Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0892	0.5664	0.0732	0.0397	0.1691	0.0413	0.1425
GEOGRAPHIC REGION
Northeast	0.3670	0.6240	0.3242	0.1626	0.4553	0.1928	0.4456
Midwest	0.1731	0.7435	0.1534	0.2448	0.2470	0.2296	0.2251
South	0.0287	0.2721	0.0264	0.0755	0.0558	0.1536	0.0422
West	0.2060	0.9431	0.2264	0.9095	0.2084	0.7774	0.2212
COUNTY TYPE
Large Metro	0.0528	0.3881	0.0594	0.0197	0.1483	0.0133	0.0915
Small Metro	0.7573	0.8419	0.8186	0.8187	0.7587	0.2678	0.6732
Nonmetro	0.0913	0.4634	0.0483	0.4843	0.0591	0.3975	0.0690
Urbanized	0.0836	0.7987	0.0725	0.8578	0.0517	0.9361	0.1122
Less Urbanized	0.1985	0.1339	0.1118	0.2100	0.1766	0.3494	0.1128
Completely Rural	0.4682	0.7229	0.4879	0.9626	0.4849	0.7540	0.4538
POVERTY LEVEL²
Less Than 100%	0.0259	0.8770	0.0136	0.0092	0.0940	0.4971	0.0202
100-199%	0.2585	0.9831	0.2240	0.4724	0.2667	0.7672	0.2849
200% or More	0.6366	0.4264	0.7164	0.5912	0.7898	0.0249	0.8688
HEALTH INSURANCE³
Private	0.0446	0.2986	0.0710	0.0267	0.1759	0.0146	0.1270
Medicaid/CHIP	0.1296	0.7351	0.0933	0.1978	0.1611	0.8465	0.0879
Other⁴	0.8718	0.7012	0.8722	0.2069	0.7729	0.1639	0.8133
No Coverage	0.2205	0.3155	0.1550	0.5340	0.1066	0.6708	0.2084
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.42C – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	855	826	75	58	839	817	218	219	809	794	162	136	1,089	1,091
GEOGRAPHIC REGION
Northeast	343	358	23	24	341	357	86	86	338	352	67	53	450	457
Midwest	344	346	28	24	341	343	89	89	326	324	74	51	401	470
South	551	501	50	39	538	493	143	144	515	466	100	100	703	631
West	422	399	40	25	414	397	100	99	401	395	69	57	558	582
COUNTY TYPE
Large Metro	898	892	59	46	888	885	213	201	824	820	114	89	866	872
Small Metro	611	612	45	36	603	607	188	208	548	559	93	88	590	594
Nonmetro	426	341	21	18	422	339	131	101	379	307	66	60	404	321
Urbanized	281	214	14	13	277	212	106	84	244	179	52	44	262	198
Less Urbanized	330	271	16	13	327	268	77	60	293	249	39	40	315	256
Completely Rural	109	75	*	3	108	75	14	20	106	67	9	10	107	73
POVERTY LEVEL²
Less Than 100%	375	363	30	24	374	362	167	141	336	337	83	80	356	348
100-199%	425	393	31	26	422	393	127	121	394	360	65	54	414	387
200% or More	944	893	64	51	929	888	188	195	877	832	114	91	916	875
HEALTH INSURANCE³
Private	893	841	56	48	882	836	246	237	834	763	126	103	863	821
Medicaid/CHIP	390	420	47	32	385	419	98	102	367	399	74	58	378	415
Other⁴	477	462	9	12	477	464	59	67	474	460	33	35	476	463
No Coverage	281	293	16	15	281	292	87	89	266	272	41	45	279	288
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.42D – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.30	0.29	0.29	0.22	0.33	0.31	0.64	0.63	0.36	0.35	0.38	0.33	0.34	0.33
GEOGRAPHIC REGION
Northeast	0.70	0.72	0.58	0.60	0.76	0.78	1.50	1.45	0.86	0.89	0.98	0.82	0.78	0.82
Midwest	0.59	0.59	0.52	0.44	0.65	0.64	1.24	1.22	0.71	0.70	0.79	0.59	0.67	0.67
South	0.50	0.45	0.49	0.38	0.54	0.49	1.09	1.07	0.60	0.53	0.61	0.61	0.56	0.50
West	0.63	0.59	0.66	0.41	0.68	0.64	1.24	1.20	0.76	0.74	0.64	0.60	0.72	0.68
COUNTY TYPE
Large Metro	0.42	0.42	0.39	0.30	0.46	0.46	0.88	0.83	0.51	0.52	0.48	0.40	0.47	0.48
Small Metro	0.49	0.45	0.53	0.42	0.53	0.49	1.11	1.13	0.59	0.56	0.66	0.64	0.56	0.51
Nonmetro	0.80	0.65	0.58	0.55	0.85	0.70	1.87	1.64	0.92	0.78	1.15	1.08	0.87	0.71
Urbanized	1.26	1.05	1.06	0.94	1.33	1.12	3.04	2.26	1.43	1.27	2.37	1.62	1.33	1.16
Less Urbanized	1.10	0.95	0.78	0.76	1.18	1.04	2.49	2.46	1.28	1.16	1.23	1.52	1.21	1.06
Completely Rural	2.64	1.60	*	1.12	2.83	1.72	4.38	5.04	3.17	1.89	2.01	2.52	2.89	1.83
POVERTY LEVEL²
Less Than 100%	0.72	0.64	0.52	0.44	0.81	0.72	1.31	1.22	0.95	0.87	0.84	0.81	0.86	0.77
100-199%	0.66	0.60	0.56	0.48	0.72	0.66	1.28	1.16	0.82	0.75	0.77	0.64	0.76	0.70
200% or More	0.38	0.37	0.40	0.33	0.41	0.40	0.81	0.85	0.44	0.43	0.47	0.41	0.42	0.41
HEALTH INSURANCE³
Private	0.39	0.37	0.38	0.32	0.42	0.41	0.86	0.87	0.46	0.44	0.53	0.46	0.43	0.42
Medicaid/CHIP	0.55	0.57	0.42	0.31	0.65	0.69	0.89	0.99	0.80	0.83	0.46	0.39	0.71	0.75
Other⁴	0.54	0.52	0.61	0.87	0.55	0.53	1.85	1.94	0.57	0.55	1.32	1.40	0.56	0.54
No Coverage	0.97	0.92	1.26	1.21	1.02	0.96	1.53	1.47	1.23	1.17	1.46	1.43	1.08	1.02
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.42P – Binge Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0001	0.2223	0.0001	0.0242	0.0007	0.0449	0.0003
GEOGRAPHIC REGION
Northeast	0.0105	0.6385	0.0104	0.0060	0.0552	0.1468	0.0175
Midwest	0.1433	0.6268	0.1418	0.4554	0.1708	0.3338	0.1784
South	0.0027	0.8825	0.0021	0.1804	0.0043	0.3500	0.0034
West	0.6588	0.1239	0.7271	0.9795	0.7255	0.3318	0.7103
COUNTY TYPE
Large Metro	0.0033	0.0680	0.0049	0.0169	0.0211	0.0070	0.0080
Small Metro	0.0539	0.9520	0.0410	0.3281	0.0733	0.2667	0.0667
Nonmetro	0.0290	0.5481	0.0174	0.9204	0.0090	0.1909	0.0117
Urbanized	0.0759	0.9959	0.0663	0.3616	0.0114	0.3385	0.0419
Less Urbanized	0.1529	0.4227	0.1041	0.2357	0.1878	0.5399	0.0966
Completely Rural	0.8020	*	0.7435	0.4492	0.6196	0.4197	0.7410
POVERTY LEVEL²
Less Than 100%	0.1276	0.8673	0.0913	0.0325	0.3216	0.7581	0.1087
100-199%	0.0894	0.5907	0.0874	0.0834	0.1819	0.2002	0.1331
200% or More	0.0020	0.1924	0.0028	0.5903	0.0034	0.0551	0.0041
HEALTH INSURANCE³
Private	0.0001	0.1262	0.0001	0.0412	0.0004	0.0324	0.0002
Medicaid/CHIP	0.4240	0.6683	0.4119	0.2946	0.5793	0.4846	0.4527
Other⁴	0.2394	0.4378	0.2317	0.9098	0.2398	0.9577	0.2381
No Coverage	0.3011	0.6961	0.2505	0.2644	0.3892	0.8277	0.3020
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues. ¹ The aged 12-20 and aged 21+ columns are included because they are the underage and legal age groups for 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 2.43C – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	456	458	27	17	455	456	118	98	438	443	65	56	476	487
GEOGRAPHIC REGION
Northeast	198	211	4	8	199	211	56	38	192	206	32	22	207	220
Midwest	199	219	8	6	198	219	48	47	198	216	30	22	209	239
South	288	223	16	12	287	222	75	62	281	214	36	40	298	235
West	205	251	21	5	204	250	56	52	191	244	32	19	213	271
COUNTY TYPE
Large Metro	380	383	16	11	379	383	94	82	361	368	45	33	375	381
Small Metro	266	270	18	11	265	270	81	63	257	262	41	34	261	267
Nonmetro	190	155	15	5	188	155	47	43	178	141	25	29	184	147
Urbanized	122	85	10	3	120	85	33	37	115	71	18	24	117	77
Less Urbanized	132	118	11	3	131	118	33	21	121	113	16	17	129	115
Completely Rural	77	43	1	*	77	43	7	*	76	42	2	4	77	43
POVERTY LEVEL²
Less Than 100%	188	188	11	7	187	187	78	59	171	185	37	32	179	184
100-199%	197	173	8	9	196	173	52	44	186	167	21	21	195	172
200% or More	410	406	24	12	408	406	86	79	395	390	48	39	404	402
HEALTH INSURANCE³
Private	381	371	17	11	380	371	108	92	371	352	52	42	376	369
Medicaid/CHIP	176	211	21	10	173	211	51	39	166	208	35	23	171	210
Other⁴	234	210	2	2	234	210	24	28	233	207	14	21	234	208
No Coverage	178	145	5	7	179	144	38	40	172	135	9	16	179	141
* = 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. 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 2.43D – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Standard Errors of 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	0.16	0.16	0.10	0.06	0.18	0.17	0.35	0.28	0.20	0.20	0.17	0.14	0.18	0.18
GEOGRAPHIC REGION
Northeast	0.40	0.42	0.10	0.21	0.44	0.46	0.97	0.65	0.49	0.52	0.51	0.35	0.46	0.48
Midwest	0.34	0.37	0.14	0.11	0.37	0.41	0.67	0.64	0.43	0.47	0.35	0.27	0.39	0.43
South	0.26	0.20	0.16	0.11	0.29	0.22	0.57	0.46	0.33	0.24	0.24	0.26	0.30	0.23
West	0.31	0.37	0.34	0.08	0.33	0.40	0.69	0.63	0.36	0.45	0.33	0.21	0.35	0.42
COUNTY TYPE
Large Metro	0.22	0.22	0.11	0.08	0.24	0.25	0.48	0.41	0.27	0.27	0.21	0.16	0.25	0.26
Small Metro	0.28	0.27	0.21	0.13	0.30	0.29	0.63	0.46	0.34	0.34	0.32	0.26	0.32	0.31
Nonmetro	0.44	0.40	0.43	0.16	0.48	0.43	0.86	0.88	0.53	0.46	0.47	0.57	0.50	0.44
Urbanized	0.70	0.51	0.81	0.25	0.74	0.55	1.22	1.47	0.84	0.59	0.87	1.03	0.76	0.56
Less Urbanized	0.59	0.60	0.58	0.22	0.64	0.65	1.35	1.04	0.70	0.71	0.60	0.68	0.67	0.67
Completely Rural	2.34	1.32	0.26	*	2.56	1.43	2.12	*	2.87	1.60	0.57	0.97	2.63	1.52
POVERTY LEVEL²
Less Than 100%	0.40	0.39	0.20	0.14	0.46	0.44	0.80	0.64	0.53	0.55	0.40	0.35	0.48	0.47
100-199%	0.34	0.30	0.15	0.17	0.38	0.33	0.63	0.52	0.43	0.39	0.26	0.26	0.40	0.35
200% or More	0.21	0.20	0.16	0.08	0.22	0.22	0.46	0.42	0.24	0.24	0.22	0.18	0.23	0.23
HEALTH INSURANCE³
Private	0.21	0.20	0.12	0.08	0.23	0.21	0.51	0.43	0.25	0.23	0.25	0.19	0.24	0.22
Medicaid/CHIP	0.28	0.34	0.19	0.10	0.34	0.41	0.53	0.42	0.40	0.50	0.23	0.16	0.37	0.45
Other⁴	0.29	0.26	0.13	0.12	0.30	0.26	0.82	0.99	0.31	0.27	0.57	0.88	0.30	0.27
No Coverage	0.72	0.55	0.38	0.60	0.76	0.57	0.81	0.75	0.91	0.69	0.36	0.56	0.81	0.60
* = 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. 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 2.43P – Heavy Alcohol Use in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Aged 12+ (2023)	Aged 12-17 (2023)	Aged 18+ (2023)	Aged 18-25 (2023)	Aged 26+ (2023)	Aged 12-20¹ (2023)	Aged 21+¹ (2023)
TOTAL	0.0007	0.1739	0.0007	0.0363	0.0033	0.2630	0.0010
GEOGRAPHIC REGION
Northeast	0.1190	0.4893	0.1112	0.0026	0.3741	0.1038	0.1752
Midwest	0.8009	0.5424	0.8014	0.4828	0.9209	0.5313	0.8523
South	0.0000	0.7180	0.0000	0.7759	0.0000	0.1960	0.0000
West	0.9077	0.0885	0.9879	0.2035	0.7677	0.0201	0.9029
COUNTY TYPE
Large Metro	0.0245	0.2767	0.0272	0.1323	0.0541	0.0566	0.0390
Small Metro	0.0489	0.7600	0.0451	0.0507	0.1344	0.3939	0.0563
Nonmetro	0.0860	0.3323	0.0859	0.5802	0.0484	0.0799	0.0405
Urbanized	0.0493	0.3539	0.0542	0.0994	0.0105	0.1152	0.0190
Less Urbanized	0.7677	0.5105	0.7553	0.4489	0.8906	0.5248	0.6574
Completely Rural	0.4476	*	0.4120	*	0.4565	0.6256	0.4374
POVERTY LEVEL²
Less Than 100%	0.1830	0.6418	0.1655	0.3098	0.2718	0.9238	0.1569
100-199%	0.3394	0.8313	0.3185	0.1918	0.4918	0.6459	0.3132
200% or More	0.0025	0.1501	0.0032	0.2105	0.0067	0.0903	0.0045
HEALTH INSURANCE³
Private	0.0005	0.3053	0.0006	0.1219	0.0019	0.1036	0.0011
Medicaid/CHIP	0.6744	0.3033	0.7127	0.0550	0.9446	0.2398	0.7814
Other⁴	0.0941	0.8646	0.0932	0.9009	0.0878	0.3177	0.0777
No Coverage	0.2077	0.7089	0.1886	0.8169	0.1962	0.1683	0.1721
* = 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. 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 2.44C – 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, Standard Errors of 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	347	310	321	282	219	190	162	136	65	56
SEX
Male	210	209	193	190	140	124	103	89	45	39
Female	211	196	197	180	140	123	103	91	46	35
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	289	262	269	238	186	165	139	121	58	50
AIAN	10	16	13	11	4	5	4	3	3	1
Asian	82	61	68	57	39	35	17	26	4	1
Black or African American	91	79	83	73	60	47	42	38	10	11
NHPI	*	*	*	*	*	3	*	2	*	*
White	251	232	237	210	167	150	126	108	51	47
Two or More Races	42	45	39	39	31	27	27	16	24	8
Hispanic or Latino	158	156	140	149	90	87	73	61	29	25
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	56	57	52	52	33	30	28	24	6	10
Female, Black, Not Hispanic	64	59	59	55	46	36	29	29	7	4
Male, White, Not Hispanic	157	145	148	131	107	91	80	67	39	31
Female, White, Not Hispanic	151	152	142	136	105	99	82	73	31	31
Male, Hispanic	106	113	95	106	67	66	54	43	15	19
Female, Hispanic	97	93	88	87	55	53	43	38	25	15
* = 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. 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 2.44D – 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, Standard Errors of 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	0.63	0.59	0.62	0.57	0.49	0.44	0.38	0.33	0.17	0.14
SEX
Male	0.78	0.80	0.76	0.76	0.63	0.57	0.49	0.42	0.23	0.19
Female	0.85	0.80	0.83	0.77	0.66	0.60	0.51	0.46	0.24	0.19
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.70	0.68	0.68	0.64	0.55	0.51	0.44	0.40	0.20	0.17
AIAN	3.29	4.49	4.27	3.58	1.47	1.83	1.39	1.14	0.98	0.55
Asian	2.87	2.19	2.46	2.06	1.57	1.38	0.71	1.02	0.16	0.05
Black or African American	1.36	1.31	1.30	1.24	1.03	0.87	0.76	0.70	0.19	0.21
NHPI	*	*	*	*	*	2.21	*	1.56	*	*
White	0.86	0.84	0.86	0.80	0.71	0.67	0.57	0.52	0.26	0.24
Two or More Races	2.40	2.32	2.36	2.18	2.05	1.66	1.83	1.08	1.73	0.56
Hispanic or Latino	1.21	1.13	1.16	1.13	0.85	0.78	0.70	0.58	0.29	0.24
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	1.74	1.84	1.71	1.77	1.19	1.10	1.03	0.88	0.24	0.37
Female, Black, Not Hispanic	1.94	1.88	1.90	1.81	1.57	1.33	1.03	1.07	0.28	0.17
Male, White, Not Hispanic	1.14	1.09	1.13	1.04	0.94	0.83	0.73	0.64	0.39	0.31
Female, White, Not Hispanic	1.14	1.18	1.13	1.12	0.98	0.93	0.81	0.72	0.33	0.34
Male, Hispanic	1.68	1.66	1.62	1.60	1.25	1.18	1.03	0.79	0.29	0.35
Female, Hispanic	1.58	1.42	1.48	1.43	1.06	1.01	0.86	0.76	0.51	0.31
* = 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. 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 2.44P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Lifetime Alcohol Use (2023)	Past Year Alcohol Use (2023)	Past Month Alcohol Use (2023)	Past Month Binge Alcohol Use (2023)	Past Month Heavy Alcohol Use¹ (2023)
TOTAL	0.7414	0.3049	0.0413	0.0449	0.2630
SEX
Male	0.8221	0.7762	0.1069	0.0942	0.9535
Female	0.4535	0.2005	0.1450	0.1713	0.1048
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.4328	0.0935	0.0255	0.1245	0.3602
AIAN	0.2521	0.4447	0.3148	0.9152	0.5097
Asian	0.0813	0.0990	0.7873	0.3028	0.4329
Black or African American	0.4735	0.7913	0.1327	0.6431	0.4121
NHPI	*	*	*	*	*
White	0.5993	0.2094	0.1039	0.1391	0.6853
Two or More Races	0.4556	0.0971	0.2009	0.2554	0.0621
Hispanic or Latino	0.5012	0.4207	0.7552	0.1764	0.5235
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	0.4846	0.6837	0.6489	0.8818	0.1229
Female, Black, Not Hispanic	0.7248	0.9892	0.1289	0.6356	0.4651
Male, White, Not Hispanic	0.8515	0.4518	0.1594	0.1764	0.8662
Female, White, Not Hispanic	0.5215	0.2359	0.3067	0.3762	0.6560
Male, Hispanic	0.4379	0.3068	0.5638	0.2929	0.5410
Female, Hispanic	0.8801	0.9475	0.8286	0.3408	0.1841
* = 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. 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 2.45C – 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, Standard Errors of 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	3,041	3,085	2,482	2,561	2,055	2,079	1,089	1,091	476	487
SEX
Male	1,784	1,833	1,479	1,534	1,281	1,309	771	762	389	379
Female	1,703	1,705	1,390	1,449	1,143	1,164	632	601	271	272
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,623	2,760	2,174	2,284	1,823	1,867	936	972	434	436
AIAN	75	89	62	72	50	55	36	45	25	20
Asian	525	607	415	461	330	363	203	203	87	80
Black or African American	764	835	664	697	556	570	346	367	149	113
NHPI	*	*	*	*	*	61	*	44	*	17
White	2,303	2,416	1,934	1,983	1,629	1,643	841	848	396	404
Two or More Races	241	263	200	224	173	219	105	112	68	78
Hispanic or Latino	1,071	1,099	858	950	712	787	484	518	184	200
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	472	497	416	419	353	354	239	235	100	79
Female, Black, Not Hispanic	499	527	424	446	366	379	250	247	107	87
Male, White, Not Hispanic	1,356	1,411	1,167	1,176	1,039	1,019	606	595	325	315
Female, White, Not Hispanic	1,326	1,378	1,128	1,158	921	944	473	460	221	227
Male, Hispanic	725	707	603	617	505	558	375	398	164	169
Female, Hispanic	606	650	477	570	393	442	252	270	89	97
* = 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. 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 2.45D – 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, Standard Errors of 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	0.32	0.32	0.45	0.43	0.47	0.45	0.34	0.33	0.18	0.18
SEX
Male	0.42	0.40	0.58	0.60	0.62	0.64	0.51	0.50	0.31	0.30
Female	0.44	0.44	0.59	0.55	0.61	0.56	0.42	0.39	0.21	0.20
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.33	0.34	0.47	0.46	0.50	0.48	0.35	0.36	0.20	0.20
AIAN	3.18	3.23	4.14	3.90	3.94	3.77	3.20	3.38	2.31	1.70
Asian	1.85	2.02	1.90	1.84	1.71	1.62	1.26	1.13	0.57	0.49
Black or African American	0.95	0.94	1.17	1.15	1.19	1.12	0.92	0.94	0.47	0.35
NHPI	*	*	*	*	*	5.05	*	3.76	*	1.54
White	0.31	0.31	0.51	0.50	0.56	0.54	0.41	0.42	0.24	0.24
Two or More Races	1.90	1.02	2.64	2.43	2.63	2.82	1.98	1.97	1.36	1.48
Hispanic or Latino	0.86	0.84	1.05	1.06	1.04	1.06	0.88	0.86	0.41	0.43
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	1.40	1.24	1.70	1.53	1.76	1.66	1.50	1.38	0.71	0.55
Female, Black, Not Hispanic	1.31	1.32	1.52	1.61	1.56	1.59	1.28	1.25	0.64	0.51
Male, White, Not Hispanic	0.44	0.39	0.68	0.70	0.76	0.76	0.63	0.63	0.41	0.39
Female, White, Not Hispanic	0.45	0.44	0.70	0.64	0.73	0.70	0.50	0.49	0.27	0.28
Male, Hispanic	1.15	1.05	1.46	1.49	1.51	1.60	1.39	1.37	0.74	0.73
Female, Hispanic	1.17	1.15	1.33	1.32	1.27	1.28	1.00	0.98	0.39	0.44
* = 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. 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 2.45P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic Characteristic	Lifetime Alcohol Use (2023)	Past Year Alcohol Use (2023)	Past Month Alcohol Use (2023)	Past Month Binge Alcohol Use (2023)	Past Month Heavy Alcohol Use¹ (2023)
TOTAL	0.7684	0.3561	0.1425	0.0003	0.0010
SEX
Male	0.4346	0.0672	0.2043	0.0257	0.0540
Female	0.7671	0.6469	0.3703	0.0015	0.0042
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.5103	0.1221	0.0422	0.0001	0.0003
AIAN	0.9082	0.8597	0.7609	0.9124	0.9393
Asian	0.4040	0.5788	0.9081	0.9144	0.9676
Black or African American	0.8095	0.3584	0.3437	0.2601	0.0082
NHPI	*	*	*	*	*
White	0.0801	0.3596	0.0965	0.0008	0.0031
Two or More Races	0.8855	0.9075	0.6172	0.1436	0.9730
Hispanic or Latino	0.6670	0.2808	0.3746	0.5649	0.9652
SEX/RACE/HISPANIC ORIGIN
Male, Black, Not Hispanic	0.8289	0.1685	0.1957	0.1047	0.0290
Female, Black, Not Hispanic	0.8862	0.9550	0.9130	0.9925	0.1612
Male, White, Not Hispanic	0.0802	0.0832	0.1185	0.0534	0.0607
Female, White, Not Hispanic	0.4393	0.6876	0.3665	0.0013	0.0183
Male, Hispanic	0.5987	0.9493	0.2908	0.7422	0.7943
Female, Hispanic	0.9018	0.0787	0.9110	0.5897	0.5983
* = 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. 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 2.46C – 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, Standard Errors of 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	347	310	321	282	219	190	162	136	65	56
GEOGRAPHIC REGION
Northeast	137	139	125	123	86	76	67	53	32	22
Midwest	151	119	136	109	100	70	74	51	30	22
South	202	209	187	191	128	134	100	100	36	40
West	196	156	172	142	104	95	69	57	32	19
COUNTY TYPE
Large Metro	271	237	249	213	160	132	114	89	45	33
Small Metro	193	188	181	170	124	126	93	88	41	34
Nonmetro	136	131	115	116	89	72	66	60	25	29
Urbanized	92	95	86	84	74	52	52	44	18	24
Less Urbanized	99	90	76	80	49	49	39	40	16	17
Completely Rural	25	30	18	26	14	14	9	10	2	4
POVERTY LEVEL²
Less Than 100%	153	156	143	145	114	111	83	80	37	32
100-199%	128	118	117	108	77	73	65	54	21	21
200% or More	256	229	236	215	158	131	114	91	48	39
HEALTH INSURANCE³
Private	270	240	257	224	178	150	126	103	52	42
Medicaid/CHIP	168	156	146	136	96	85	74	58	35	23
Other⁴	70	74	66	66	46	44	33	35	14	21
No Coverage	76	75	67	70	51	54	41	45	9	16
* = 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. 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 2.46D – 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, Standard Errors of 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	0.63	0.59	0.62	0.57	0.49	0.44	0.38	0.33	0.17	0.14
GEOGRAPHIC REGION
Northeast	1.45	1.54	1.40	1.45	1.16	1.05	0.98	0.82	0.51	0.35
Midwest	1.24	1.17	1.18	1.09	1.03	0.81	0.79	0.59	0.35	0.27
South	0.98	0.99	0.97	0.95	0.76	0.78	0.61	0.61	0.24	0.26
West	1.40	1.29	1.32	1.23	0.90	0.92	0.64	0.60	0.33	0.21
COUNTY TYPE
Large Metro	0.88	0.82	0.85	0.77	0.63	0.55	0.48	0.40	0.21	0.16
Small Metro	1.06	1.03	1.06	0.98	0.82	0.85	0.66	0.64	0.32	0.26
Nonmetro	1.77	1.56	1.68	1.54	1.51	1.25	1.15	1.08	0.47	0.57
Urbanized	3.13	2.62	3.06	2.69	3.13	1.90	2.37	1.62	0.87	1.03
Less Urbanized	2.36	1.80	1.95	1.82	1.52	1.75	1.23	1.52	0.60	0.68
Completely Rural	3.37	5.98	4.45	4.93	3.14	3.53	2.01	2.52	0.57	0.97
POVERTY LEVEL²
Less Than 100%	1.32	1.32	1.30	1.29	1.12	1.08	0.84	0.81	0.40	0.35
100-199%	1.22	1.17	1.19	1.12	0.88	0.84	0.77	0.64	0.26	0.26
200% or More	0.80	0.76	0.78	0.76	0.61	0.56	0.47	0.41	0.22	0.18
HEALTH INSURANCE³
Private	0.88	0.82	0.86	0.80	0.71	0.64	0.53	0.46	0.25	0.19
Medicaid/CHIP	0.86	0.87	0.80	0.80	0.59	0.54	0.46	0.39	0.23	0.16
Other⁴	2.25	2.35	2.19	2.24	1.70	1.70	1.32	1.40	0.57	0.88
No Coverage	2.22	1.96	2.10	1.91	1.75	1.66	1.46	1.43	0.36	0.56
* = 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. 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 2.46P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Past Year Alcohol Use (2023)	Past Month Alcohol Use (2023)	Past Month Binge Alcohol Use (2023)	Past Month Heavy Alcohol Use¹ (2023)
TOTAL	0.7414	0.3049	0.0413	0.0449	0.2630
GEOGRAPHIC REGION
Northeast	0.6286	0.4436	0.1928	0.1468	0.1038
Midwest	0.7435	0.6629	0.2296	0.3338	0.5313
South	0.6909	0.6864	0.1536	0.3500	0.1960
West	0.6836	0.6020	0.7774	0.3318	0.0201
COUNTY TYPE
Large Metro	0.4068	0.1563	0.0133	0.0070	0.0566
Small Metro	0.6721	0.2035	0.2678	0.2667	0.3939
Nonmetro	0.1299	0.0570	0.3975	0.1909	0.0799
Urbanized	0.4309	0.4399	0.9361	0.3385	0.1152
Less Urbanized	0.3146	0.0923	0.3494	0.5399	0.5248
Completely Rural	0.2624	0.2368	0.7540	0.4197	0.6256
POVERTY LEVEL²
Less Than 100%	0.6254	0.6150	0.4971	0.7581	0.9238
100-199%	0.8593	0.6988	0.7672	0.2002	0.6459
200% or More	0.4327	0.1039	0.0249	0.0551	0.0903
HEALTH INSURANCE³
Private	0.1741	0.0339	0.0146	0.0324	0.1036
Medicaid/CHIP	0.5279	0.5048	0.8465	0.4846	0.2398
Other⁴	0.6242	0.3182	0.1639	0.9577	0.3177
No Coverage	0.1218	0.0599	0.6708	0.8277	0.1683
* = 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. 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 2.47C – 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, Standard Errors of 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	3,041	3,085	2,482	2,561	2,055	2,079	1,089	1,091	476	487
GEOGRAPHIC REGION
Northeast	1,229	1,389	1,014	1,141	852	950	450	457	207	220
Midwest	1,173	1,179	941	947	793	772	401	470	209	239
South	1,937	1,926	1,590	1,587	1,247	1,255	703	631	298	235
West	1,555	1,564	1,272	1,321	1,076	1,107	558	582	213	271
COUNTY TYPE
Large Metro	2,328	2,465	1,961	2,044	1,626	1,651	866	872	375	381
Small Metro	1,707	1,804	1,364	1,482	1,098	1,222	590	594	261	267
Nonmetro	1,254	1,116	903	793	705	611	404	321	184	147
Urbanized	867	770	627	534	465	382	262	198	117	77
Less Urbanized	954	858	688	604	556	476	315	256	129	115
Completely Rural	422	361	318	265	212	232	107	73	77	43
POVERTY LEVEL²
Less Than 100%	787	758	579	594	478	465	356	348	179	184
100-199%	973	942	759	742	586	571	414	387	195	172
200% or More	2,414	2,460	2,079	2,095	1,777	1,762	916	875	404	402
HEALTH INSURANCE³
Private	2,270	2,288	1,961	1,948	1,647	1,642	863	821	376	369
Medicaid/CHIP	929	944	676	712	531	546	378	415	171	210
Other⁴	1,418	1,378	1,101	1,104	924	923	476	463	234	208
No Coverage	563	580	491	498	398	404	279	288	179	141
* = 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. 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 2.47D – 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, Standard Errors of 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	0.32	0.32	0.45	0.43	0.47	0.45	0.34	0.33	0.18	0.18
GEOGRAPHIC REGION
Northeast	0.69	0.94	0.93	1.16	1.01	1.17	0.78	0.82	0.46	0.48
Midwest	0.55	0.51	0.82	0.75	0.85	0.85	0.67	0.67	0.39	0.43
South	0.54	0.54	0.72	0.71	0.76	0.73	0.56	0.50	0.30	0.23
West	0.76	0.62	1.01	0.85	1.05	0.93	0.72	0.68	0.35	0.42
COUNTY TYPE
Large Metro	0.46	0.46	0.63	0.60	0.65	0.64	0.47	0.48	0.25	0.26
Small Metro	0.55	0.53	0.72	0.72	0.79	0.73	0.56	0.51	0.32	0.31
Nonmetro	0.71	0.78	1.09	1.02	1.15	1.07	0.87	0.71	0.50	0.44
Urbanized	0.95	1.19	1.72	1.68	1.79	1.70	1.33	1.16	0.76	0.56
Less Urbanized	1.13	1.06	1.58	1.47	1.65	1.50	1.21	1.06	0.67	0.67
Completely Rural	1.87	2.78	3.48	4.20	3.65	4.31	2.89	1.83	2.63	1.52
POVERTY LEVEL²
Less Than 100%	0.98	0.91	1.10	1.05	1.01	0.93	0.86	0.77	0.48	0.47
100-199%	0.79	0.79	1.01	0.95	0.94	0.87	0.76	0.70	0.40	0.35
200% or More	0.33	0.31	0.49	0.46	0.53	0.52	0.42	0.41	0.23	0.23
HEALTH INSURANCE³
Private	0.34	0.34	0.50	0.49	0.55	0.53	0.43	0.42	0.24	0.22
Medicaid/CHIP	0.83	0.82	0.96	0.95	0.90	0.86	0.71	0.75	0.37	0.45
Other⁴	0.63	0.64	0.84	0.82	0.84	0.80	0.56	0.54	0.30	0.27
No Coverage	1.09	1.00	1.31	1.33	1.28	1.27	1.08	1.02	0.81	0.60
* = 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. 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 2.47P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Geographic/Socioeconomic Characteristic	Lifetime Alcohol Use (2023)	Past Year Alcohol Use (2023)	Past Month Alcohol Use (2023)	Past Month Binge Alcohol Use (2023)	Past Month Heavy Alcohol Use¹ (2023)
TOTAL	0.7684	0.3561	0.1425	0.0003	0.0010
GEOGRAPHIC REGION
Northeast	0.6168	0.2373	0.4456	0.0175	0.1752
Midwest	0.3209	0.6067	0.2251	0.1784	0.8523
South	0.4826	0.1530	0.0422	0.0034	0.0000
West	0.1686	0.1577	0.2212	0.7103	0.9029
COUNTY TYPE
Large Metro	0.5200	0.2201	0.0915	0.0080	0.0390
Small Metro	0.0617	0.5310	0.6732	0.0667	0.0563
Nonmetro	0.6949	0.1025	0.0690	0.0117	0.0405
Urbanized	0.8449	0.2842	0.1122	0.0419	0.0190
Less Urbanized	0.7302	0.2489	0.1128	0.0966	0.6574
Completely Rural	0.8967	0.7180	0.4538	0.7410	0.4374
POVERTY LEVEL²
Less Than 100%	0.1048	0.0750	0.0202	0.1087	0.1569
100-199%	0.8316	0.9337	0.2849	0.1331	0.3132
200% or More	0.1144	0.9562	0.8688	0.0041	0.0045
HEALTH INSURANCE³
Private	0.8800	0.3030	0.1270	0.0002	0.0011
Medicaid/CHIP	0.4430	0.1861	0.0879	0.4527	0.7814
Other⁴	0.6308	0.8854	0.8133	0.2381	0.0777
No Coverage	0.7915	0.5709	0.2084	0.3020	0.1721
* = 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. 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.