Notes from the Field: Tobacco Product Use among Adults - United States, 2017-2023

Arrazola RA, Husten CG, Cornelius ME, Armour BS.
Notes from the Field: Tobacco Product Use among Adults - United States, 2017-2023
MMWR Morb Mortal Wkly Rep. 2025 Mar 6;74(7):118-121. doi: 10.15585/mmwr.mm7407a3. PMID: 40048400.

What is already known about this topic?
Although adult cigarette smoking prevalence remains at its lowest level in 60 years, tobacco use is the leading cause of preventable death in the United States. Change in use of other commercial tobacco products by U.S. adults affects overall tobacco use.
What is added by this report?
During 2017–2023, the approximate 6.8 million-person decrease in the number of adults who currently exclusively smoke cigarettes was offset by an approximate 7.2 million-person increase in the number who currently exclusively use e-cigarettes.
What are the implications for public health practice?
While current cigarette smoking has decreased to the lowest level in 60 years, current tobacco product use among adults has not changed since 2017. Comprehensive strategies, such as price increases, smoke-free policies, high-impact media campaigns, and cessation support, are critical to preventing and reducing tobacco product use, nicotine addiction, and their associated adverse health outcomes.