Sample: What tobacco product was most commonly used among US adults in 2018? E-cigarettes? Traditional cigarettes? Neither? The answer may surprise.
Cigarette smoking is the leading cause of preventable disease and mortality in the US, however, in 2018, nearly 49 million US adults reported current use of any tobacco product. The US Centers for Disease Control and Prevention (CDC) partnered with the Food and Drug Administration and the National Cancer Institute to examine recent national estimates of tobacco product use among US adults aged ≥18 years. They analyzed data from the 2018 National Health Interview Survey, which assessed the use of cigarettes, cigars (cigars, cigarillos, or filtered little cigars), pipes (regular pipes, water pipes, or hookahs), e-cigarettes, and smokeless tobacco (eg, chewing tobacco). The survey measured current cigarette smoking (ever smoked ≥100 cigarettes in a lifetime and smoked “every day” or “some days”) and current use for the remaining 4 tobacco product groups (“every day” or “some days”).
What did they find? Take our 11-question quiz above on the numbers.
Answer: B. Traditional cigarettes. In 2018, 13.7% of US adults (34.2 million) reported smoking traditional combustible cigarettes – the lowest prevalence recorded since monitoring began in 1965 – followed by cigars, cigarillos, or filtered little cigars (3.9%; 9.6 million); e-cigarettes (3.2%; 8.1 million); smokeless tobacco (2.4%; 5.9 million); and pipes, water pipes, or hookahs (1.0%; 2.6 million).
Question 2. Approximately what percentage of US adults reported current use of any combustible tobacco product?
Answer: C. 16%. In 2018, 16.5% of the overall US adult population (41.2 million) reported current use of any combustible tobacco product; 83.8% of current tobacco users reported use of any combustible tobacco product. Additionally, 3.7% of adults used ≥2 tobacco products (9.3 million; 18.8% of current tobacco users).
Question 3. Between 2017 and 2018, e-cigarette use among adults increased from 2.8% to approximately what percentage?
Answer: A. 3.2%. From 2017 to 2018, e-cigarette use among adults increased from 2.8% to 3.2%-the first significant increase reported since 2014 when it started to decline. Researchers noted that this increase was primarily due to the increase in vaping among young adults aged 18-24 years, which rose from 5.2% in 2017 to 7.6% in 2018.
Question 4. Which of the above age groups had the highest prevalence of any current tobacco product use?
Answer: B. 25-44 years. Approximately 23% of adults aged 25-44 years used any tobacco product vs 21% of adults aged 45-64 years, 17% of adults aged 18-24 years, and 11.9% of adults aged ≥65 years.
Question 5. Adults aged ≥25 years with which of the above levels of education had the highest prevalence of any current tobacco product use?
Answer: D. GED certificate. Adults aged ≥25 years with a GED had a significantly higher prevalence of current tobacco product use (41.4%) vs those with a high school diploma (25.2%); some college, but no degree (24.7%); and a graduate degree (8.2%).
Question 6. Among current tobacco users, which of the above products had the highest prevalence of daily use?
Answer: A. Cigarettes. Among current tobacco product users, approximately 75% reported smoking cigarettes every day, followed by 59% who reported smokeless tobacco, 43% who reported e-cigarettes, and 16% who reported cigars.
Question 7. True or false? The prevalence of any current tobacco product use was higher among women vs men.
Answer: B. False. The prevalence of any current tobacco product use was higher among men (25.8%) vs women (14.1%).
Question 8. The prevalence of any current tobacco product use was lowest in which of the above US regions?
Answer: C. West. The prevalence of any current tobacco product use was lowest among adults who lived in the West (15.3%); the Midwest had the highest prevalence at 23.6%.
Question 9. Which of the above ethnic cohorts had the highest percentage of adults who reported current cigarette use?
Answer: D. American Indian/Alaska Native. In 2018, American Indians/Alaska Natives reported the highest prevalence of current cigarette use (22.6%) vs Asian adults who had the lowest reported prevalence (7.1%). The prevalence of any current tobacco product use was also highest among American Indians/Alaska Natives (32.3%).
Question 10. Among adult cigarette smokers, the prevalence of recent successful smoking cessation* increased from 6.3% in 2009 to what percentage in 2018?
*Percentage of former cigarette smokers who quit smoking for ≥6 months during the past year, among current smokers who smoked for ≥2 years and former smokers who quit during the past year.
Answer: A. 7.5%. The prevalence of recent successful smoking cessation increased from 6.3% in 2009 to 7.5% in 2018. The percentage of adult cigarette smokers who made an attempt to quit in the past year also increased from 52.8% in 2009 to 55.1% in 2018.
Question 11. Between 2009 and 2018, among adult cigarette smokers, did the quit ratio** increase, decrease, or stay the same?
**Percentage of ever smokers (≥100 cigarettes during lifetime) who have quit smoking.
Answer: A. Increase. Among adult cigarette smokers, the quit ratio for cigarette smoking increased significantly from 51.7% in 2009 to 61.7% in 2018.