Tobacco Use
E-Cigarettes Use
Over the past two decades, the rapidly evolving tobacco marketplace experienced dramatic uptake of non-combustible tobacco products, including e-cigarettes and oral nicotine pouches. In 2024, 8% of US adults—8% of males and 7% of females—currently used e-cigarettes or other electronic vaping products. Among US youth, prevalence of e-cigarette use was 7.8% in 2024—7.8% among males and 7.7% among females.1
E-cigarette use prevalence among US adults generally varied by state, but was highest in states that also had high cigarette smoking prevalence (Map 1.3.1). Significant state-level variation was also observed in e-cigarette use prevalence among US youth (Map 1.3.2).
Nearly 33% of adults who currently use tobacco products reported dual use of combustible cigarettes and e-cigarettes.2 Although dual use of e-cigarettes and combustible cigarettes may represent a transition from combustible cigarette smoking, for most people concurrent use of these products is a persistent behavior.3,4
E-cigarette use prevalence among US adults generally varied by state, but was highest in states that also had high cigarette smoking prevalence (Map 1.3.1). Significant state-level variation was also observed in e-cigarette use prevalence among US youth (Map 1.3.2).
Nearly 33% of adults who currently use tobacco products reported dual use of combustible cigarettes and e-cigarettes.2 Although dual use of e-cigarettes and combustible cigarettes may represent a transition from combustible cigarette smoking, for most people concurrent use of these products is a persistent behavior.3,4
Sources
- American Cancer Society. Cancer Prevention & Early Detection Facts & Figures 2026. Atlanta: American Cancer Society; 2026. Available from https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-prevention-and-early-detection-facts-and-figures/2026-cped-files/cped-2026-tables-and-figures.pdf Accessed February 11, 2026.
- Cornelius ME, Loretan CG, Jamal A, et al. Tobacco Product Use Among Adults – United States, 2021. MMWR Morb Mortal Wkly Rep. 2023;72(18):475-483. doi:10.15585/mmwr.mm7218a1
- Krishnan N, Berg CJ, Elmi AF, Klemperer EM, Sherman SE, Abroms LC. Trajectories of ENDS and cigarette use among dual users: analysis of waves 1 to 5 of the PATH Study. Tob Control. Published online December 13, 2022: tobaccocontrol-2022-057405. doi:10.1136/tc-2022-057405
- Brouwer AF, Jeon J, Hirschtick JL, et al. Transitions between cigarette, ENDS and dual use in adults in the PATH study (waves 1–4): multistate transition modelling accounting for complex survey design. Tob Control. 2022;31(3):424-431. doi:10.1136/tobaccocontrol-2020-055967