Tobacco Product Use Among Adults – United States, 2021

Abstract

Commercial cigarette smoking among U.S. adults has declined during the preceding 5 decades (1,2); however, tobacco product use remains the leading cause of preventable disease and death in the United States, and some populations continue to be disproportionately affected by tobacco use (1,2).To assess recent national estimates of commercial tobacco use among U.S. persons aged ≥18 years, CDC, the Food and Drug Administration (FDA), and the National Cancer Institute analyzed 2021 National Health Interview Survey (NHIS) data.In 2021, an estimated 46 million U.S. adults (18.7%) reported currently using any tobacco product, including cigarettes (11.5%), e-cigarettes (4.5%), cigars (3.5%), smokeless tobacco (2.1%), and pipes (including hookah)* (0.9%).† Among those who used tobacco products, 77.5% reported using combustible products (cigarettes, cigars, or pipes), and 18.1% reported using two or more tobacco products.§ The prevalence of current use of any tobacco product use was higher among the following groups: men; persons aged <65 years; persons of non-Hispanic other races; non-Hispanic White (White) persons ¶ ; residents of rural (nonmetropolitan) areas; * The use of regular pipe, water pipe, or hookah was assessed together using a single question.Interviewers could read the following sentences if necessary: "A hookah is a type of water pipe.It is sometimes called a 'narghile' (NAR-gelee) pipe.Do not include electronic hookahs or e-hookahs"; "Do not include electronic pipes or e-pipes"; "Do not include pipes filled with substances other than tobacco."† Categories are not mutually exclusive.§ Current use of two or more tobacco products was defined as use either "every day" or "some days" of at least two or more of the following tobacco products: cigarettes (100 or more cigarettes during a person's lifetime); cigars, cigarillos, or filtered little cigars; pipes, water pipes, or hookahs; electronic cigarettes; or smokeless tobacco products.¶ Hispanic persons could be of any race.All other groups were non-Hispanic.The following four non-Hispanic single-race categories were available for sampled adults in the 2021 NHIS public use files: 1) American Indian or Alaska Native (AI/AN); 2) Asian; 3) Black or African American; and 4), White.The "non-Hispanic, other" category includes those adults who were categorized as "non-Hispanic AI/AN and any other group" or "other single and multiple races."** https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_ Documentation/NHIS/2021/srvydesc-508.pdfINSIDE 484 Salmonella Outbreaks Associated with Not Readyto-Eat Breaded, Stuffed Chicken Products -United States, 1998-2022 488 Provisional Mortality Data -United States, 2022 493 COVID-19 Mortality Update -United States, 2022 497 Notes from the Field: Vibriosis Cases Associated with Flood Waters During and After Hurricane