State-Specific Patterns of Cigarette Smoking, Smokeless Tobacco Use, and E-Cigarette Use Among Adults - United States, 2016

State-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults. Data came from the 2016 Behavioral Risk Factor Surveillance System (BRFSS)...

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Published inPreventing chronic disease Vol. 16; p. E17
Main Authors Hu, S Sean, Homa, David M, Wang, Teresa, Gomez, Yessica, Walton, Kimp, Lu, Hua, Neff, Linda
Format Journal Article
LanguageEnglish
Published United States Centers for Disease Control and Prevention 07.02.2019
SeriesPeer Reviewed
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Abstract State-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults. Data came from the 2016 Behavioral Risk Factor Surveillance System (BRFSS), a state-based telephone survey of US adults aged 18 years or older (N = 477,665). Prevalence estimates for current (every day or some days) cigarette smoking, smokeless tobacco use, and e-cigarette use were calculated for all 50 states and the District of Columbia (DC) and stratified by sex and race/ethnicity. Because the 2016 BRFSS measured e-cigarette use for the first time, estimates of ever e-cigarette use and concurrent use of cigarettes and e-cigarettes were also calculated. We assessed subgroup differences with χ tests. In 2016, prevalence of current cigarette smoking among US adults ranged from 8.8% (Utah) to 24.8% (West Virginia), while prevalence of current smokeless tobacco use ranged from 1.3% (DC) to 9.8% (Wyoming). For e-cigarettes, ever use ranged from 16.2% (DC) to 28.4% (Arkansas), and current use ranged from 2.4% (DC) to 6.7% (Oklahoma). Across all states, current e-cigarette use was significantly higher among current cigarette smokers than among former or never cigarette smokers. States with the highest prevalence of cigarette smoking generally had a high prevalence of current e-cigarette use. Prevalence of adult cigarette smoking, smokeless tobacco use, and e-cigarette use varies across states. These findings underscore the importance of comprehensive statewide tobacco control and use prevention efforts that address the diverse tobacco products used among adults.
AbstractList INTRODUCTIONState-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults.METHODSData came from the 2016 Behavioral Risk Factor Surveillance System (BRFSS), a state-based telephone survey of US adults aged 18 years or older (N = 477,665). Prevalence estimates for current (every day or some days) cigarette smoking, smokeless tobacco use, and e-cigarette use were calculated for all 50 states and the District of Columbia (DC) and stratified by sex and race/ethnicity. Because the 2016 BRFSS measured e-cigarette use for the first time, estimates of ever e-cigarette use and concurrent use of cigarettes and e-cigarettes were also calculated. We assessed subgroup differences with χ2 tests.RESULTSIn 2016, prevalence of current cigarette smoking among US adults ranged from 8.8% (Utah) to 24.8% (West Virginia), while prevalence of current smokeless tobacco use ranged from 1.3% (DC) to 9.8% (Wyoming). For e-cigarettes, ever use ranged from 16.2% (DC) to 28.4% (Arkansas), and current use ranged from 2.4% (DC) to 6.7% (Oklahoma). Across all states, current e-cigarette use was significantly higher among current cigarette smokers than among former or never cigarette smokers. States with the highest prevalence of cigarette smoking generally had a high prevalence of current e-cigarette use.CONCLUSIONPrevalence of adult cigarette smoking, smokeless tobacco use, and e-cigarette use varies across states. These findings underscore the importance of comprehensive statewide tobacco control and use prevention efforts that address the diverse tobacco products used among adults.
State-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults. Data came from the 2016 Behavioral Risk Factor Surveillance System (BRFSS), a state-based telephone survey of US adults aged 18 years or older (N = 477,665). Prevalence estimates for current (every day or some days) cigarette smoking, smokeless tobacco use, and e-cigarette use were calculated for all 50 states and the District of Columbia (DC) and stratified by sex and race/ethnicity. Because the 2016 BRFSS measured e-cigarette use for the first time, estimates of ever e-cigarette use and concurrent use of cigarettes and e-cigarettes were also calculated. We assessed subgroup differences with χ tests. In 2016, prevalence of current cigarette smoking among US adults ranged from 8.8% (Utah) to 24.8% (West Virginia), while prevalence of current smokeless tobacco use ranged from 1.3% (DC) to 9.8% (Wyoming). For e-cigarettes, ever use ranged from 16.2% (DC) to 28.4% (Arkansas), and current use ranged from 2.4% (DC) to 6.7% (Oklahoma). Across all states, current e-cigarette use was significantly higher among current cigarette smokers than among former or never cigarette smokers. States with the highest prevalence of cigarette smoking generally had a high prevalence of current e-cigarette use. Prevalence of adult cigarette smoking, smokeless tobacco use, and e-cigarette use varies across states. These findings underscore the importance of comprehensive statewide tobacco control and use prevention efforts that address the diverse tobacco products used among adults.
ArticleNumber 180362
Author Neff, Linda
Walton, Kimp
Homa, David M
Gomez, Yessica
Hu, S Sean
Lu, Hua
Wang, Teresa
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Cites_doi 10.1521/bumc.2014.78.3.243
10.1016/j.amjmed.2017.11.005
10.15585/mmwr.mm6706a5
10.15585/mmwr.mm6649a1
10.15585/mmwr.mm6527a1
10.3390/ijerph111010345
10.1097/ADM.0000000000000100
10.1186/1471-2288-13-49
10.5888/pcd14.160600
10.15585/mmwr.mm6539a1
10.1016/S0140-6736(06)69249-0
10.15585/mmwr.mm6702a1
10.15585/mmwr.mm6703a3
10.15585/mmwr.mm6542a7
10.1136/tobaccocontrol-2012-050739
10.17226/24952
10.15585/mmwr.mm6623a1
10.15585/mmwr.mm6548a1
10.1093/ntr/ntn010
10.1001/jama.2018.4658
10.15585/mmwr.mm655051a2
10.15585/mmwr.mm6644a2
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References Pepper (key-10.5888/pcd16.180362-201901291334-R20) 2014; 11
Primack (key-10.5888/pcd16.180362-201901291334-R21) 2018; 131
Delnevo (key-10.5888/pcd16.180362-201901291334-R12) 2014; 23
key-10.5888/pcd16.180362-201901291334-R6
Pierannunzi (key-10.5888/pcd16.180362-201901291334-R28) 2013; 13
key-10.5888/pcd16.180362-201901291334-R16
key-10.5888/pcd16.180362-201901291334-R1
key-10.5888/pcd16.180362-201901291334-R14
Tsai (key-10.5888/pcd16.180362-201901291334-R23) 2018; 67
Wang (key-10.5888/pcd16.180362-201901291334-R17) 2016; 65
Schoenborn (key-10.5888/pcd16.180362-201901291334-R9) 2015
Hu (key-10.5888/pcd16.180362-201901291334-R4) 2016; 65
Caraballo (key-10.5888/pcd16.180362-201901291334-R13) 2017; 14
Jamal (key-10.5888/pcd16.180362-201901291334-R15) 2018; 67
Singh (key-10.5888/pcd16.180362-201901291334-R22) 2016; 65
Baeza-Loya (key-10.5888/pcd16.180362-201901291334-R24) 2014; 78
Nguyen (key-10.5888/pcd16.180362-201901291334-R3) 2016; 65
Marynak (key-10.5888/pcd16.180362-201901291334-R29) 2017; 66
key-10.5888/pcd16.180362-201901291334-R26
Odani (key-10.5888/pcd16.180362-201901291334-R10) 2018; 67
(key-10.5888/pcd16.180362-201901291334-R11) 2016; 65
Connor Gorber (key-10.5888/pcd16.180362-201901291334-R27) 2009; 11
Nguyen (key-10.5888/pcd16.180362-201901291334-R5) 2015; 64
Farquhar (key-10.5888/pcd16.180362-201901291334-R25) 2015; 9
Jamal (key-10.5888/pcd16.180362-201901291334-R7) 2017; 66
key-10.5888/pcd16.180362-201901291334-R18
Phillips (key-10.5888/pcd16.180362-201901291334-R2) 2017; 66
Teo (key-10.5888/pcd16.180362-201901291334-R8) 2006; 368
Bao (key-10.5888/pcd16.180362-201901291334-R19) 2018; 319
References_xml – volume: 78
  start-page: 243
  issue: 3
  year: 2014
  ident: key-10.5888/pcd16.180362-201901291334-R24
  article-title: Perceptions about e-cigarette safety may lead to e-smoking during pregnancy.
  publication-title: Bull Menninger Clin
  doi: 10.1521/bumc.2014.78.3.243
  contributor:
    fullname: Baeza-Loya
– volume: 131
  start-page: 443.e1
  issue: 4
  year: 2018
  ident: key-10.5888/pcd16.180362-201901291334-R21
  article-title: Initiation of traditional cigarette smoking after electronic cigarette use among tobacco-naïve US young adults.
  publication-title: Am J Med
  doi: 10.1016/j.amjmed.2017.11.005
  contributor:
    fullname: Primack
– volume: 67
  start-page: 196
  issue: 6
  year: 2018
  ident: key-10.5888/pcd16.180362-201901291334-R23
  article-title: Reasons for electronic cigarette use among middle and high school students — National Youth Tobacco Survey, United States, 2016.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6706a5
  contributor:
    fullname: Tsai
– volume: 66
  start-page: 1341
  issue: 49
  year: 2017
  ident: key-10.5888/pcd16.180362-201901291334-R29
  article-title: State laws regarding indoor public use, retail sales, and prices of electronic cigarettes — U.S. States, Guam, Puerto Rico, and U.S. Virgin Islands, September 30, 2017.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6649a1
  contributor:
    fullname: Marynak
– volume: 65
  start-page: 685
  issue: 27
  year: 2016
  ident: key-10.5888/pcd16.180362-201901291334-R4
  article-title: Tobacco product use among adults — United States, 2013–2014.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6527a1
  contributor:
    fullname: Hu
– ident: key-10.5888/pcd16.180362-201901291334-R6
– volume: 11
  start-page: 10345
  issue: 10
  year: 2014
  ident: key-10.5888/pcd16.180362-201901291334-R20
  article-title: Reasons for starting and stopping electronic cigarette use.
  publication-title: Int J Environ Res Public Health
  doi: 10.3390/ijerph111010345
  contributor:
    fullname: Pepper
– volume: 9
  start-page: 157
  issue: 2
  year: 2015
  ident: key-10.5888/pcd16.180362-201901291334-R25
  article-title: Demystifying electronic cigarette use in pregnancy.
  publication-title: J Addict Med
  doi: 10.1097/ADM.0000000000000100
  contributor:
    fullname: Farquhar
– volume: 13
  start-page: 49
  issue: 1
  year: 2013
  ident: key-10.5888/pcd16.180362-201901291334-R28
  article-title: A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004–2011.
  publication-title: BMC Med Res Methodol
  doi: 10.1186/1471-2288-13-49
  contributor:
    fullname: Pierannunzi
– ident: key-10.5888/pcd16.180362-201901291334-R26
– volume: 14
  start-page: E32
  year: 2017
  ident: key-10.5888/pcd16.180362-201901291334-R13
  article-title: Quit methods used by US adult cigarette smokers, 2014–2016.
  publication-title: Prev Chronic Dis
  doi: 10.5888/pcd14.160600
  contributor:
    fullname: Caraballo
– volume: 65
  start-page: 1045
  issue: 39
  year: 2016
  ident: key-10.5888/pcd16.180362-201901291334-R3
  article-title: State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults — United States, 2014.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6539a1
  contributor:
    fullname: Nguyen
– volume: 368
  start-page: 647
  issue: 9536
  year: 2006
  ident: key-10.5888/pcd16.180362-201901291334-R8
  article-title: Tobacco use and risk of myocardial infarction in 52 countries in the INTERHEART study: a case-control study.
  publication-title: Lancet
  doi: 10.1016/S0140-6736(06)69249-0
  contributor:
    fullname: Teo
– ident: key-10.5888/pcd16.180362-201901291334-R1
– ident: key-10.5888/pcd16.180362-201901291334-R16
– volume: 67
  start-page: 53
  issue: 2
  year: 2018
  ident: key-10.5888/pcd16.180362-201901291334-R15
  article-title: Current cigarette smoking among adults — United States, 2016.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6702a1
  contributor:
    fullname: Jamal
– ident: key-10.5888/pcd16.180362-201901291334-R18
– volume: 67
  start-page: 97
  issue: 3
  year: 2018
  ident: key-10.5888/pcd16.180362-201901291334-R10
  article-title: State-specific prevalence of tobacco product use among adults — United States, 2014–2015.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6703a3
  contributor:
    fullname: Odani
– volume: 65
  start-page: 1177
  issue: 42
  year: 2016
  ident: key-10.5888/pcd16.180362-201901291334-R11
  article-title: QuickStats: cigarette smoking status* among current adult e-cigarette users,† by age group — National Health Interview Survey,§ United States, 2015.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6542a7
– volume: 23
  start-page: 107
  issue: 2
  year: 2014
  ident: key-10.5888/pcd16.180362-201901291334-R12
  article-title: Examining market trends in the United States smokeless tobacco use: 2005–2011.
  publication-title: Tob Control
  doi: 10.1136/tobaccocontrol-2012-050739
  contributor:
    fullname: Delnevo
– start-page: 1
  issue: 217
  year: 2015
  ident: key-10.5888/pcd16.180362-201901291334-R9
  article-title: Electronic cigarette use among adults: United States, 2014.
  publication-title: NCHS Data Brief
  contributor:
    fullname: Schoenborn
– ident: key-10.5888/pcd16.180362-201901291334-R14
  doi: 10.17226/24952
– volume: 66
  start-page: 597
  issue: 23
  year: 2017
  ident: key-10.5888/pcd16.180362-201901291334-R7
  article-title: Tobacco use among middle and high school students — United States, 2011–2016.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6623a1
  contributor:
    fullname: Jamal
– volume: 65
  start-page: 1357
  issue: 48
  year: 2016
  ident: key-10.5888/pcd16.180362-201901291334-R17
  article-title: Consumption of combustible and smokeless tobacco — United States, 2000–2015.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6548a1
  contributor:
    fullname: Wang
– volume: 11
  start-page: 12
  issue: 1
  year: 2009
  ident: key-10.5888/pcd16.180362-201901291334-R27
  article-title: The accuracy of self-reported smoking: a systematic review of the relationship between self-reported and cotinine-assessed smoking status.
  publication-title: Nicotine Tob Res
  doi: 10.1093/ntr/ntn010
  contributor:
    fullname: Connor Gorber
– volume: 319
  start-page: 2039
  issue: 19
  year: 2018
  ident: key-10.5888/pcd16.180362-201901291334-R19
  article-title: Changes in electronic cigarette use among adults in the United States, 2014–2016.
  publication-title: JAMA
  doi: 10.1001/jama.2018.4658
  contributor:
    fullname: Bao
– volume: 64
  start-page: 532
  issue: 19
  year: 2015
  ident: key-10.5888/pcd16.180362-201901291334-R5
  article-title: State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults aged ≥18 years — United States, 2011–2013.
  publication-title: MMWR Morb Mortal Wkly Rep
  contributor:
    fullname: Nguyen
– volume: 65
  start-page: 1425
  issue: 50-51
  year: 2016
  ident: key-10.5888/pcd16.180362-201901291334-R22
  article-title: Characteristics of electronic cigarette use among middle and high school students — United States, 2015.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm655051a2
  contributor:
    fullname: Singh
– volume: 66
  start-page: 1209
  issue: 44
  year: 2017
  ident: key-10.5888/pcd16.180362-201901291334-R2
  article-title: Tobacco product use among adults — United States, 2015.
  publication-title: MMWR Morb Mortal Wkly Rep
  doi: 10.15585/mmwr.mm6644a2
  contributor:
    fullname: Phillips
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Snippet State-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific prevalence of...
INTRODUCTIONState-level monitoring of changes in tobacco product use can help inform tobacco control policy and practice. This study examined state-specific...
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Title State-Specific Patterns of Cigarette Smoking, Smokeless Tobacco Use, and E-Cigarette Use Among Adults - United States, 2016
URI https://www.ncbi.nlm.nih.gov/pubmed/30730828
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Volume 16
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