
Conor Stewart
Research expert covering health & pharmaceuticals in the UK & Europe
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A survey from the fall of 2025 found that the most used tobacco products among college students in the United States were e-cigarettes or other vape products. At that time, around 72 percent of college students who used tobacco products in the past three months reported they used e-cigarettes or other vape products. The same survey found that among college students who reported ever using a tobacco product, around 28Â percent stated they used tobacco daily or almost daily in the past three months, while over 25 percent had used just once or twice.
Although e-cigarettes are the most used tobacco product among college students, the most commonly used form of tobacco among U.S. adults is still regular combustible cigarettes. In 2021, around 10 percent of women and 13 percent of men were current cigarette smokers, compared to four percent of women and five percent of men who smoked e-cigarettes. However, e-cigarette use is much more common among younger adults, not just college students. In 2025, around 11 percent of those aged 18 to 24 years used e-cigarettes, while five percent smoked combustible cigarettes.
Smoking in the United States has dramatically decreased over the past few decades. In 1965, it was estimated that around 42 percent of adults in the U.S. smoked, but this number was only about 14 percent in 2019. Nevertheless, as of 2022, almost 29 million people in the U.S. still smoked and are at risk of premature death due to cancer, cardiovascular disease, or stroke, just a few of the risk factors of smoking. The state with the highest percentage of adults who smoke is West Virginia, while Utah has the lowest prevalence of smoking. In 2024, around 21 percent of adults in West Virginia smoked, compared to six percent in Utah.
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* For commercial use only
Basic Account
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1 All prices do not include sales tax. The account requires an annual contract and will renew after one year to the regular list price.