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NAQC Newsroom: Research

State-Specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults - US, 2009.

Tuesday, November 9, 2010  
Posted by: Natalia Gromov
Centers for Disease Control and Prevention. MMWR Weekly. Nov 5, 2010;59(43):1400-1406. Available at
CDC analyzed data from the 2009 Behavioral Risk Factor Surveillance System (BRFSS) to assess state-specific current cigarette smoking and smokeless tobacco use among adults. Cigarette smoking prevalence was lowest in Utah (9.8%), California (12.9%) and Washington (14.9%) and highest in Kentucky (25.6%), West Virginia (25.6%) and Oklahoma (25.5%). Smokeless tobacco use was lowest in DC (2.0%) and highest in West Virginia (17.1%). Smokeless tobacco use was significantly higher among men than women in all 50 states. Among the 13 states in which cigarette smoking prevalence was greatest, seven also had the highest prevalence of smokeless tobacco use: Alabama, Alaska, Arkansas, Kentucky, Mississippi, Oklahoma, and West Virginia. In these states, at least one of every nine men who smoked cigarettes also reported using smokeless tobacco. The authors conclude that clinicians should identify all tobacco use in their patients and advise those who use any tobacco product to quit, and they note that the World Health Organization (WHO) recommends implementing this approach in combination with other measures, including raising excise taxes on tobacco and strengthening smoke-free policies to prevent tobacco-related deaths.

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