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State-specific Prevalence of Current Cigarette and Cigar Smoking Among Adults—United States, 1998

MMWR Highlights

November 19, 1999  / Vol. 48 / No. 45


  • State-specific smoking prevalence among U.S. adults varied widely ranging from a low of 14.2 percent in Utah to a high of 30.8 percent in Kentucky.
  • In 1998, median adult smoking prevalence for all 50 states and the District of Columbia was 22.9 percent---25.3 percent for men and 21.0 percent for women.
  • The states with the highest adult current cigarette smoking prevalence were Kentucky (30.8 percent), Nevada (30.4 percent), West Virginia (27.9 percent), Michigan (27.4 percent), and South Dakota (27.3 percent). The lowest smoking prevalence rates among adults were found in Utah (14.2 percent) followed by Minnesota (18.0 percent), California (19.2 percent), New Jersey (19.2 percent) and Hawaii (19.5 percent).
  • In 1998, current cigarette smoking prevalence was highest among men (36.5 percent) in South Dakota and among women (28.5) in Kentucky. Current smoking prevalence was lowest for both men (15.9 percent) and women (12.5 percent) in Utah. Only Utah has achieved the national health objective of reducing the prevalence of cigarette smoking among adults to no more than 15 percent.
  • State current cigarette smoking prevalence rates have remained relatively stable throughout the 1990s. Since 1997, a significant decline has been seen in Minnesota (21.8 percent in 1997 and 18.0 percent in 1998), while a significant increase has occurred in South Dakota since 1996 (20.7 percent in 1996, 24.3 percent in 1997, and 27.3 percent in 1998).
  • There was more than a threefold difference in ever cigar smoking among adults ranging from 14.8 percent in Arizona to 52.0 percent in Alaska. An estimated half of adults were ever cigar smokers in Alaska (52.0 percent), Wisconsin (49.7 percent), Nevada (48.6 percent), Michigan (47.9 percent) and Oregon (46.7 percent).
  • Past month cigar use among adults ranged from 1.4 percent in Arizona to 7.4 percent in Nevada. Past month cigar use was highest in Nevada (7.4 percent), Indiana (7.3 percent), Illinois (7.1 percent), Michigan (6.9 percent), and New Jersey (6.6 percent). Past month cigar use was lowest in Arizona (1.4 percent), Oklahoma (2.3 percent) and Utah (2.5 percent).
  • To reduce the health burden and economic costs attributed to tobacco use, the CDC recommends a comprehensive tobacco control program that includes community programs to reduce tobacco use, chronic disease programs to reduce the burden of tobacco-related diseases, school programs, enforcement of tobacco control policies, statewide programs, counter-marketing, cessation programs, surveillance and evaluation efforts, and administration and management of all program activities.


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This page last reviewed April 11, 2003

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