Tobacco use among adults U.S. by metropolitan status 2021

It was estimated that around 26 percent of adults in rural areas of the United States used some tobacco product in 2021, compared to 18 percent of those in urban areas. This statistic displays the percentage of U.S. adults that used various tobacco products in 2021, by metropolitan status.

Percentage of U.S. adults that used various forms of tobacco products in 2021, by metropolitan status

Characteristic	Urban	Rural
Any tobacco product*	17.5%	26.2%
Any combustible tobacco product**	13.6%	20.1%
Cigarettes***	10.5%	18%
Cigars/cigarillos/filtered little cigars****	3.5%	3.5%
Regular pipe/water pipe/hookah^	0.9%	0.9%
E-cigarettes^^	4.4%	5.3%
Smokless tobacco^^^	1.8%	4.5%
≥2 tobacco products^^^^	3.1%	5.1%

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Release date

May 2023

More information

Region

United States

Survey time period

2021

Number of respondents

29,482 respondents

Age group

18 years and older

Special properties

Non-instituitionalized U.S. civilians

Method of interview

Face-to-face interview

Supplementary notes

* Any tobacco use was defined as use either “every day” or “some days” of at least one tobacco product among individuals (for cigarettes, users were defined as persons who reported use either “every day” or “some days” and had smoked ≥100 cigarettes during their lifetime).
** Any combustible tobacco use was defined as use either “every day” or “some days” of at least one combustible tobacco product: cigarettes; cigars, cigarillos, filtered little cigars; pipes, water pipes, or hookah (for cigarettes, users were defined as persons who reported use either “every day” or “some days” and had smoked ≥100 cigarette during their lifetime).
*** Current cigarette smokers were defined as persons who reported smoking ≥100 cigarettes during their lifetime and now smoked cigarettes “every day” or “some days.”
**** Reported smoking cigars, cigarillos, or little filtered cigars at least once during their lifetime and now smoked at least one of these products “every day” or “some days.”
^ Reported smoking tobacco in a regular pipe, water pipe, or hookah at least once during their lifetime and now smoked at least one of these products “every day” or “some days.”
^^ Reported using electronic cigarettes at least once during their lifetime and now used e-cigarettes “every day” or “some days.”
^^^ Reported using chewing tobacco, snuff, dip, snus, or dissolvable tobacco at least once during their lifetime and now used at least one of these products “every day” or “some days.
^^^^Current multiple tobacco product users were defined as adults who reported use “every day” or “some days” for at least two or more of the following tobacco products: cigarettes (≥100 cigarettes during lifetime); cigars, cigarillos, filtered little cigars; pipes, water pipes, or hookah; e-cigarettes; or smokeless tobacco products.

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