Updated March 2026
*The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels. National prevalence reported here may differ from what is reported in our national-level fact sheets. The numbers here also reflect the most recent data available. Dates of available data may differ across state fact sheets.
**The seven recommended cessation medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban).
Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service: May 2008.
- CDC. (2024). Behavioral Risk Factor Surveillance System.
- CDC. (2024). State Menthol Fact Sheets.
- CDC. (2023). High School Youth Risk Behavioral Surveillance System.
- Campaign for Tobacco-Free Kids. (2026). Broken Promises to Our Children: A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later. Campaign for Tobacco-Free Kids. https://www.tobaccofreekids.org/what-we-do/us/statereport
- Campaign for Tobacco-Free Kids. (2024). The Toll of Tobacco in the United States. Campaign for Tobacco-Free Kids.
- American Lung Association. (2024). State Legislated Actions on Tobacco Issues (SLATI).
- American Lung Association. (2026). State of Tobacco Control. https://www.lung.org/research/sotc
- Campaign for Tobacco-Free Kids. (2024). State Cigarette Excise Tax Rates & Rankings. https://assets.tobaccofreekids.org/factsheets/0097.pdf
- Public Health Law Center. (2024, June 15). U.S. E-Cigarette Regulations: 50 State Review. https://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review
- FDA. (2024). Tobacco 21. https://www.fda.gov/tobacco-products/retail-sales-tobacco-products/tobacco-21
- CDC. (2024). Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System.


