
Smoking tobacco has been a widespread habit for millennia, but it has also been linked to serious health issues such as cancer, cardiovascular disease, and lung disease. As a result, the definition of current smoking is an important topic, as it helps to determine the prevalence of smoking and the associated health risks in different populations. The definition of current smoking varies and may refer to smoking a certain number of cigarettes during one's lifetime, smoking daily, or smoking on some days. This definition is important for understanding smoking trends over time and across different demographics, as well as for developing effective tobacco control strategies and policies.
| Characteristics | Values |
|---|---|
| Current cigarette smoking definition | Smoking ≥100 cigarettes during a lifetime and now smoking cigarettes either every day or some days |
| Current cigarette smoking among U.S. adults in 2022 | 11.6% (28.8 million) |
| Current tobacco product use among U.S. adults in 2022 | 19.8% (49.2 million) |
| Current tobacco product use among U.S. youth in 2022 | 3.8% |
| Current smokeless tobacco use among U.S. adults in 2022 | 4.5% |
| Current e-cigarette use among U.S. youth in 2022 | 54% |
| Decline in cigarette smoking among U.S. adults from 1965 to 2022 | 73% |
| Decline in cigarette smoking among U.S. youth from 1997 to 2021 | 86% |
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What You'll Learn

Cigarette smoking prevalence among different groups
Cigarette smoking has been the dominant form of tobacco use in the United States for the past century, with a sharp rise in consumption in the mid-1900s, a peak in the 1960s, and a decline over the last few decades. In 2022, 11.6% of US adults, or 28.8 million people, were current cigarette smokers, defined as smoking ≥100 cigarettes during a lifetime and currently smoking cigarettes either every day or some days. This represents a significant decrease from 42.6% in 1965 and 14.0% in 2017.
Among US adults, cigarette smoking prevalence is particularly high among certain groups. For example, Non-Hispanic (NH) American Indian or Alaska Native (AI/AN) adults have a high prevalence of cigarette smoking. Menthol-flavored cigarette smoking is more common among Non-Hispanic Black adults. Adults aged 45–64 years had the highest prevalence of cigarette smoking across age groups, while adults aged 18–24 years had the highest prevalence of e-cigarette use. People with disabilities, severe generalized anxiety disorder, and severe depression also have a higher prevalence of cigarette smoking.
Public health strategies, including hard-hitting anti-tobacco media campaigns, pictorial health warnings, and tobacco taxes, have been effective in reducing tobacco use initiation and prevalence among vulnerable groups. However, tobacco use remains the leading cause of preventable disease and death in the United States, causing various diseases, including cancer, cardiovascular disease, and lung disease.
On a global scale, smoking prevalence has been declining in most countries, including high-income, low-income, and middle-income nations. Prosperity is a factor influencing smoking rates, with richer countries tending to have higher smoking prevalence. However, there are significant variations within each income level. Gender is another factor, with men being more likely to smoke than women, which is reflected in lung cancer health statistics.
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The rise and fall of cigarette smoking
Cigarette smoking has had a long and complex history, from its early use by native peoples in the Americas to its global spread and eventual decline. Here is an overview of the rise and fall of cigarette smoking.
The Rise of Cigarette Smoking
The dominance of the manufactured cigarette began in the United States during the early 20th century, driven by technological advancements, social factors, and the influence of World War I. By the 1920s, cigarette smoking had become pervasive, with aggressive advertising and public relations campaigns contributing to its popularity. By 1950, over half of men and a fifth of women in the United States smoked cigarettes. This period, often referred to as "The Cigarette Century," witnessed a sharp rise in tobacco consumption, peaking in the 1960s.
Early Health Concerns and Resistance
As early as 1795, concerns about the medical dangers of tobacco were raised, with reports of cancers of the lip in pipe smokers. In the 1920s, clinical observations linked smoking to potential health risks, and actuarial analyses in the 1930s indicated a correlation between smoking and decreased life expectancy. However, these early warnings were often met with resistance, and many newspaper editors chose not to publish such findings to avoid offending tobacco companies, which were significant advertisers.
Confirming the Health Risks
The turning point came in the 1950s and 1960s, with a series of major medical reports and epidemiological studies providing pivotal evidence of the harmful effects of cigarette smoking. The 1964 US Surgeon General's report played a pivotal role in convincing the medical community that cigarette smoking contributed to lung cancer, heart disease, and obstructive pulmonary disease. This report, along with growing scientific evidence, led to a decline in smoking rates, marking the beginning of the fall of cigarette smoking.
The Fall of Cigarette Smoking
The release of the Surgeon General's report in 1964 and subsequent reports in the following decades played a crucial role in informing the public about the health consequences of smoking. Studies in the late 1960s and beyond linked maternal smoking to adverse effects on the developing fetus and increased the understanding of the dangers of secondhand smoke. By the 1980s, scientific journals published research from various countries, including Greece, Japan, and the United States, further solidifying the link between secondhand smoke exposure and lung cancer.
Continuing Decline and Global Efforts
The long-term decline in smoking rates is evident, with a significant drop among adults and youth. From 1965 to 2022, adult smoking rates in the United States fell by 73%, from 42.6% to 11.6%. Similarly, youth smoking rates plummeted by 86% from 1997 to 2021. As smoking prevalence rates declined in traditional markets like North America and Western Europe, the tobacco industry shifted its focus to less developed regions, employing various promotional strategies to attract new consumers. However, the overall trend suggests a continuing decline in cigarette smoking, with more successful quitters than current smokers.
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Current cigarette smoking definition
Current cigarette smoking is defined as having smoked at least 100 cigarettes during one's lifetime and smoking cigarettes either every day or some days. This definition is used to distinguish between experimental or social smokers and those who are regular smokers. According to the CDC, in 2022, 11.6% of US adults, or 28.8 million people, were current cigarette smokers. This number has decreased from 42.6% in 1965 and 14% in 2017.
The CDC also reported that cigarette smoking prevalence is higher among certain groups. For example, adults aged 45-64 years had the highest prevalence of cigarette smoking, followed by Non-Hispanic American Indian or Alaska Native adults. Additionally, cigarette smoking is more common among people with disabilities, severe generalized anxiety disorder, and severe depression. Menthol-flavored cigarette smoking is more prevalent among Non-Hispanic Black adults.
The definition of current cigarette smoking is important for understanding the prevalence of smoking in a population and for developing public health policies and interventions to reduce tobacco use. It is also essential for monitoring trends in tobacco use over time and evaluating the effectiveness of tobacco control strategies.
In addition to cigarettes, other tobacco products such as cigars, pipe tobacco, smokeless tobacco, and vaping nicotine are also used. The CDC reported that in 2022, 19.8% of US adults, or 49.2 million people, used some form of tobacco product. This number includes cigarettes as well as other tobacco products. Among youth, the most commonly used tobacco product in 2022 was disposable e-cigarettes, followed by pre-filled or refillable pods or cartridges.
Overall, the definition of current cigarette smoking provides a framework for understanding and addressing tobacco use in a population, with the ultimate goal of reducing the harmful health effects associated with smoking.
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The impact of Surgeon General reports
The Surgeon General's reports have had a significant impact on public awareness of the health risks associated with smoking and tobacco use. The first Surgeon General's report, released in 1964, was a landmark step in bringing attention to the health hazards of smoking and reducing tobacco use in the United States. This report set the tone for subsequent reports, which have continued to provide critical updates on the health consequences of active smoking and exposure to secondhand smoke.
One of the key impacts of the Surgeon General's reports has been the decline in smoking rates over the years. Since the initial report in 1964, smoking rates among adults in the United States have decreased by 73%, from 42.6% in 1965 to 11.6% in 2022. This decline can be attributed to the growing awareness of the harmful effects of smoking, with the reports playing a pivotal role in disseminating this information.
The reports have also influenced public policies and interventions aimed at tobacco control. For example, the 2006 Surgeon General's report, "The Health Consequences of Involuntary Exposure to Tobacco Smoke," highlighted the effectiveness of smoke-free policies in protecting individuals from secondhand smoke. This report contributed to the implementation of smoke-free policies in various settings, ultimately reducing the number of smokers in the United States.
Additionally, the Surgeon General's reports have addressed specific aspects of smoking and tobacco use, such as maternal smoking and the impact on fetal development. Studies in the late 1960s, as referenced in the reports, revealed the adverse effects of maternal smoking on the developing fetus and children exposed to secondhand smoke. This information has influenced public health initiatives and educational campaigns, raising awareness among pregnant women and families about the dangers of smoking during pregnancy.
The reports have also played a crucial role in monitoring the progress made in tobacco control and identifying areas that require further attention. For instance, the 2014 Surgeon General's report, "The Health Consequences of Smoking: 50 Years of Progress," commemorated the 50th anniversary of the initial 1964 report. This report highlighted the progress in reducing tobacco use while also acknowledging the continuing burden of disease and death caused by smoking, including the identification of additional diseases linked to secondhand smoke exposure.
In conclusion, the Surgeon General's reports on smoking and tobacco use have significantly impacted public awareness, policy interventions, and the overall decline in smoking rates. These reports have provided critical updates on the health consequences of smoking, influenced public health initiatives, and contributed to a better understanding of the dangers associated with tobacco use. As a result, smoking cessation has gained prominence, and the reports continue to guide efforts to eradicate the harmful effects of tobacco on individuals and public health.
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The health consequences of smoking
Smoking has detrimental effects on nearly every organ in the body. It is the leading preventable cause of disease, death, and disability in the United States. Cigarette smoking and secondhand smoke exposure are responsible for over 480,000 deaths annually in the US, accounting for nearly one in five deaths. The cost associated with smoking in the US amounts to at least $289 billion each year, encompassing at least $151 billion in lost productivity and $130 billion in direct healthcare expenditures.
The adverse health consequences of smoking are pervasive and far-reaching. It is a major cause of lung cancer, with approximately 80% of lung cancer deaths attributed to smoking. Moreover, cigarette smoke contains over 7,000 chemicals, out of which 69 are known carcinogens. Smoking is also directly responsible for about 80% of deaths caused by chronic obstructive pulmonary disease (COPD), encompassing emphysema and chronic bronchitis.
The habit of smoking also increases the risk of various cancers, including fatal prostate cancer and a rare form of ovarian cancer. It is linked to coronary heart disease, stroke, and a host of other diseases. Smoking damages blood vessels throughout the body, and the resulting narrowed blood vessels increase the risk of erectile dysfunction in men. It also negatively impacts fertility, with men experiencing reduced sperm health and women facing higher chances of miscarriage.
The dangers of smoking extend to the developing fetus and children exposed to secondhand smoke. Maternal smoking during pregnancy increases the risk of genetic defects in the fetus, and children exposed to secondhand smoke are at a higher risk of respiratory infections, ear infections, asthma attacks, and sudden infant death syndrome. Additionally, nicotine in cigarettes is highly addictive, and youth who start smoking are more likely to become long-term smokers, experiencing negative impacts on their brain development.
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Frequently asked questions
In 2022, 19.8% of US adults, or 49.2 million people, reported current tobacco product use. This includes cigarettes, cigars, pipe tobacco, smokeless tobacco, and vaping nicotine.
Smoking rates have decreased over time. From 1965 to 2022, smoking rates among adults have fallen by 73%, from 42.6% to 11.6%. In the last five years, smoking rates have fallen by 17%, from 14% in 2017.
Cigarettes are the most commonly used tobacco product among adults, followed by e-cigarettes.
Yes, certain groups have a higher prevalence of cigarette smoking. This includes non-Hispanic American Indian or Alaska Native adults, people with disabilities, people with severe generalized anxiety disorder, and people with severe depression.
Smoking has been linked to various adverse health effects, including cancer, cardiovascular disease, and lung disease. It is the leading cause of preventable disease and death in the United States.

























