Youth Cigarette Smoking and Tobacco Use by State

Youth Cigarette Smoking and Tobacco Use by State
State High School Smoking High School E-Cigarette Use High School Tobacco Use
  Rate Source Rate Source Rate Source
Alabama 5.7% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021 18.6% Youth Risk Behavior Surveillance System, 2021
Alaska 8.4% Youth Risk Behavior Surveillance System, 2019 26.1% Youth Risk Behavior Surveillance System, 2019 33.7% Youth Risk Behavior Surveillance System, 2019
Arizona 3.4% Youth Risk Behavior Surveillance System, 2021 17.2% Youth Risk Behavior Surveillance System, 2021 17.4% Youth Risk Behavior Surveillance System, 2021
Arkansas 4.9% Youth Risk Behavior Surveillance System, 2021 19.6% Youth Risk Behavior Surveillance System, 2021 20.0% Youth Risk Behavior Surveillance System, 2021
California 1.2% California Student Tobacco Survey, 2022 5.6% California Student Tobacco Survey, 2022 6.6% California Student Tobacco Survey, 2022
Colorado 4.5% Youth Risk Behavior Surveillance System, 2021 18.5% Youth Risk Behavior Surveillance System, 2021 18.9% Youth Risk Behavior Surveillance System, 2021
Connecticut 1.3% Youth Risk Behavior Surveillance System, 2021 10.6% Youth Risk Behavior Surveillance System, 2021 10.6% Youth Risk Behavior Surveillance System, 2021
Delaware 2.7% Youth Risk Behavior Surveillance System, 2021 17.9% Youth Risk Behavior Surveillance System, 2021 18.3% Youth Risk Behavior Surveillance System, 2021
District of Columbia 3.2% Youth Risk Behavior Surveillance System, 2021 10.1% Youth Risk Behavior Surveillance System, 2021 11.6% Youth Risk Behavior Surveillance System, 2021
Florida 1.7% Florida Youth Tobacco Survey, 2022 18.5% Florida Youth Tobacco Survey, 2022 18.3% Florida Youth Tobacco Survey, 2022
Georgia 3.3% Youth Risk Behavior Surveillance System, 2021 18.2% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021
Hawaii 3.0% Youth Risk Behavior Surveillance System, 2021 14.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Idaho 3.8% Youth Risk Behavior Surveillance System, 2021 17.9% Youth Risk Behavior Surveillance System, 2021 18.5% Youth Risk Behavior Surveillance System, 2021
Illinois 2.5% Youth Risk Behavior Surveillance System, 2021 16.7% Youth Risk Behavior Surveillance System, 2021 17.1% Youth Risk Behavior Surveillance System, 2021
Indiana 4.2% Youth Risk Behavior Surveillance System, 2021 19.1% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Iowa 4.1% Youth Risk Behavior Surveillance System, 2021 16.4% Youth Risk Behavior Surveillance System, 2021 16.2% Youth Risk Behavior Surveillance System, 2021
Kansas 4.6% Youth Risk Behavior Surveillance System, 2021 14.4% Youth Risk Behavior Surveillance System, 2021 14.9% Youth Risk Behavior Surveillance System, 2021
Kentucky 4.9% Youth Risk Behavior Surveillance System, 2021 21.9% Youth Risk Behavior Surveillance System, 2021 22.5% Youth Risk Behavior Surveillance System, 2021
Louisiana 7.0% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021
Maine 4.3% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021 18.1% Youth Risk Behavior Surveillance System, 2021
Maryland 3.6% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 15.6% Youth Risk Behavior Surveillance System, 2021
Massachusetts 3.5% Youth Risk Behavior Surveillance System, 2021 17.2% Youth Risk Behavior Surveillance System, 2021 0.0% ,
Michigan 1.7% Youth Risk Behavior Surveillance System, 2021 14.0% Youth Risk Behavior Surveillance System, 2021 14.1% Youth Risk Behavior Surveillance System, 2021
Minnesota 3.6% Minnesota Youth Tobacco Survey (11th grade only), 2022 13.9% Minnesota Youth Tobacco Survey (11th grade only), 2022 6.6% Minnesota Youth Tobacco Survey (11th grade only), 2022
Mississippi 5.9% Youth Risk Behavior Surveillance System, 2021 20.9% Youth Risk Behavior Surveillance System, 2021 21.6% Youth Risk Behavior Surveillance System, 2021
Missouri 5.1% Youth Risk Behavior Surveillance System, 2021 19.3% Youth Risk Behavior Surveillance System, 2021 21.3% Youth Risk Behavior Surveillance System, 2021
Montana 7.0% Youth Risk Behavior Surveillance System, 2021 25.5% Youth Risk Behavior Surveillance System, 2021 27.0% Youth Risk Behavior Surveillance System, 2021
Nebraska 3.6% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 14.9% Youth Risk Behavior Surveillance System, 2021
Nevada 4.8% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Hampshire 5.5% Youth Risk Behavior Surveillance System, 2019 16.2% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Jersey 3.7% Youth Risk Behavior Surveillance System, 2021 21.6% Youth Risk Behavior Surveillance System, 2021 0.0% ,
New Mexico 3.7% Youth Risk Behavior Surveillance System, 2021 25.4% Youth Risk Behavior Surveillance System, 2021 25.6% Youth Risk Behavior Surveillance System, 2021
New York 5.0% Youth Risk Behavior Surveillance System, 2021 15.7% Youth Risk Behavior Surveillance System, 2021 16.9% Youth Risk Behavior Surveillance System, 2021
North Carolina 3.9% Youth Risk Behavior Surveillance System, 2021 23.8% Youth Risk Behavior Surveillance System, 2021 0.0% ,
North Dakota 5.9% Youth Risk Behavior Surveillance System, 2021 21.2% Youth Risk Behavior Surveillance System, 2021 23.0% Youth Risk Behavior Surveillance System, 2021
Ohio 3.3% Youth Risk Behavior Surveillance System, 2021 20.0% Youth Risk Behavior Surveillance System, 2021 20.4% Youth Risk Behavior Surveillance System, 2021
Oklahoma 4.0% Youth Risk Behavior Surveillance System, 2021 21.7% Youth Risk Behavior Surveillance System, 2021 22.1% Youth Risk Behavior Surveillance System, 2021
Oregon 4.9% Oregon Healthy Teens Survey (11th grade only), 2019 21.4% Oregon Healthy Teens Survey (11th grade only), 2019 23.1% Oregon Healthy Teens Survey (11th grade only), 2019
Pennsylvania 4.2% Youth Risk Behavior Surveillance System, 2021 19.2% Youth Risk Behavior Surveillance System, 2021 19.7% Youth Risk Behavior Surveillance System, 2021
Rhode Island 3.0% Youth Risk Behavior Surveillance System, 2021 17.8% Youth Risk Behavior Surveillance System, 2021 17.5% Youth Risk Behavior Surveillance System, 2021
South Carolina 3.3% Youth Risk Behavior Surveillance System, 2021 16.7% Youth Risk Behavior Surveillance System, 2021 0.0% ,
South Dakota 5.5% Youth Risk Behavior Surveillance System, 2021 15.8% Youth Risk Behavior Surveillance System, 2021 16.5% Youth Risk Behavior Surveillance System, 2021
Tennessee 4.9% Youth Risk Behavior Surveillance System, 2021 19.0% Youth Risk Behavior Surveillance System, 2021 20.7% Youth Risk Behavior Surveillance System, 2021
Texas 3.7% Youth Risk Behavior Surveillance System, 2021 18.7% Youth Risk Behavior Surveillance System, 2021 18.8% Youth Risk Behavior Surveillance System, 2021
Utah 1.9% Youth Risk Behavior Surveillance System, 2021 9.7% Youth Risk Behavior Surveillance System, 2021 9.5% Youth Risk Behavior Surveillance System, 2021
Vermont 5.4% Youth Risk Behavior Surveillance System, 2021 16.1% Youth Risk Behavior Surveillance System, 2021 16.2% Youth Risk Behavior Surveillance System, 2021
Virginia 2.8% Youth Risk Behavior Surveillance System, 2021 14.3% Youth Risk Behavior Surveillance System, 2021 15.5% Youth Risk Behavior Surveillance System, 2021
Washington 2.2% Washington State Healthy Youth Survey (10th grade only), 2023 7.7% Washington State Healthy Youth Survey (10th grade only), 2023 0.0% ,
West Virginia 7.6% Youth Risk Behavior Surveillance System, 2021 27.5% Youth Risk Behavior Surveillance System, 2021 27.0% Youth Risk Behavior Surveillance System, 2021
Wisconsin 4.5% Youth Risk Behavior Surveillance System, 2021 14.7% Youth Risk Behavior Surveillance System, 2021 15.9% Youth Risk Behavior Surveillance System, 2021
Wyoming 4.0% Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 2022 24.2% Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 2022 0.0% ,

Note:
Smoking was defined as having smoked on at least one day during the 30 days before the survey. Tobacco use was defined as having used cigarettes, smokeless tobacco, cigars, or electronic vapor products on at least one day during the 30 days before the survey.

Page last updated: May 14, 2024

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