On this page: About the National Data | Methodology | History
About the National Data
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
Baseline: 21.3 percent of adults aged 18 years and over used at least 1 form of cigarettes; cigars, cigarillos, filtered little cigars; regular pipes, water pipes, hookah; e-cigarettes; and/or smokeless tobacco products every day or some days in 2019
Target: 17.4 percent
Number of adults aged 18 years and over who ever used cigarettes; cigars, cigarillos, filtered little cigars; regular pipes, water pipes, hookah; electronic cigarettes; or smokeless tobacco and now use at least one tobacco product every day or some days.
Number of adults aged 18 years and over.
Percentage point improvement
Trend data were evaluated for this objective, but it was not possible to project a target because the slope was not reliable. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because the Healthy People 2030 Workgroup Subject Matter Experts viewed this as an ambitious yet achievable target and expected there to be continued efforts in the field to reduce tobacco use by adults.
For cigarettes, users were defined as persons who reported smoking either "every day" or "some days" and had smoked at least 100 cigarettes during their lifetime. For smokeless tobacco products, the survey includes a preamble which states, "smokeless tobacco products are placed in the mouth or nose and can include chewing tobacco, snuff, dip, snus (SNOOSE), or dissolvable tobacco…" For e-cigarettes, the survey includes a preamble which states, "The next question is about electronic cigarettes or e-cigarettes. You may also know them as vape-pens, hookah-pens, e-hookahs, or e-vaporizers. Some look like cigarettes, and others look like pens or small pipes. These are battery-powered, usually contain liquid nicotine, and produce vapor instead of smoke." This indicator uses age-adjustment groups: 18-24, 25-34, 35-44, 45-64, 65+.
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
This objective differs from the related Healthy People 2020 objectives in that objective TU-1.1 tracked adult use of cigarettes, objective TU-1.2 tracked adult use of smokeless tobacco products, and objective TU-1.3 tracked adult use of regular cigars, cigarillos, and little filtered cigars. This objective tracks adult use of all tobacco products, including cigarettes, cigars, cigarillos, filtered little cigars, regular pipes, water pipes, hookah, e-cigarettes, and smokeless tobacco.
In 2022, due to the 2019 NHIS redesign, the baseline was revised from 20.1% in 2018 to 21.3% in 2019.
The target was revised from 16.2% to 17.4% using the original target setting method.
1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.