FROM: CENTERS FOR DISEASE CONTROL AND PREVENTION
State-specific Prevalence of Current Cigarette Smoking and Smokeless Tobacco Use Among Adults Aged ≥18 years — United States, 2011–2013
These findings underscore the importance of effective population-based interventions focused on reducing the use of all tobacco products. From 2011 to 2013, there was a decline in current cigarette smoking prevalence in 26 states. During the same period, use of smokeless tobacco significantly increased in Louisiana, Montana, South Carolina, and West Virginia. Additionally, the concurrent use of cigarette smoking and smokeless tobacco significantly increased in Delaware, Idaho, Nevada, New Mexico and West Virginia. The use of more than one tobacco product is concerning because adults who use both cigarettes, and smokeless tobacco have higher levels of nicotine dependence and are less likely to report planning to quit than those who exclusively smoke cigarettes. Evidence-based, statewide tobacco control programs that are comprehensive, sustained, and accountable have been shown to reduce smoking rates, as well as tobacco-related diseases and deaths.