A new NCHS report examines e-cigarette use among U.S. adults aged 18 and over by selected sociodemographic characteristics and in relation to cigarette smoking status.
From 2014 to 2018, the percentage of all U.S. adults aged 18 years or older who had ever used an e-cigarette increased from 13.0% to 15.7% overall and, by race/ethnicity, increased among non-Hispanic white, non-Hispanic black, non-Hispanic Asian, and Hispanic adults.
Non-Hispanic white adults were the most likely, in both years, to have ever used an e-cigarette. In 2018, 19.1% of non-Hispanic white adults had ever used an e-cigarette, compared with 10.1% of non-Hispanic blacks and non-Hispanic Asians and 10.2% of Hispanics.
Source: National Center for Health Statistics, National Health Interview Survey, 2014 and 2018 data. https://www.cdc.gov/nchs/nhis.htm.
From 2014 to 2018, the percentage of adults aged 18–24 years who currently smoked cigarettes decreased from 16.7% to 7.8%. The percentage of adults in this age group who currently used electronic cigarettes increased from 5.1% to 7.6%.
Source: National Health Interview Survey, 2014–2018 data. https://www.cdc.gov/nchs/nhis.htm.
In 2016, 3.8% of men and 2.6% of women aged 18 years older currently used e-cigarettes.
Among men, current e-cigarette use decreased with advancing age, from 7.1% among men aged 18–24 years to 4.8% among men aged 25–49 years, 2.6% among men 50–64 years, and 1.1% among men aged 65 years or older.
Among women, current e-cigarette use increased between ages 18–24 years (2.3%) and 25–49 years (3.3%) and decreased between ages 50–64 years (3.0%) and 65 years or older (0.9%).
A greater percentage of men aged 18–24 years and 25–49 years currently used e-cigarettes compared with women in the same age groups.
Source: National Health Interview Survey, 2016
In 2015, 3.5% of U.S. adults were current e-cigarette users.
Among adult e-cigarette users overall, 58.8% also were current cigarette smokers, 29.8% were former cigarette smokers, and 11.4% had never been cigarette smokers.
Among current e-cigarette users aged 45 years or older, 98.7% were either current or former cigarette smokers, and 1.3% had never been cigarette smokers. In contrast, among current e-cigarette users aged 18–24 years, 40% had never been cigarette smokers.
Electronic cigarettes (e-cigarettes) are battery-powered products that typically deliver nicotine in the form of an aerosol. E-cigarettes have been marketed as both a smoking cessation tool and an alternative to conventional cigarettes.
Results from several studies suggest recent rapid increases in e-cigarette use. In light of ongoing declines in conventional cigarette smoking prevalence, it is important to understand the extent to which e-cigarettes are being used among U.S. adults, both overall and by conventional cigarette smoking status.
A new NCHS report provides the first estimates of e-cigarette use among U.S. adults from a nationally representative household interview survey, by selected demographic and cigarette smoking characteristics.
Key Findings from the Report: