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. 2023 Nov 3;6(11):e2340859. doi: 10.1001/jamanetworkopen.2023.40859

Table 2. Age-Standardized Weighted Prevalence of E-Cigarette Use (Current and Daily) Among US Adults, 2021 Behavioral Risk Factor Surveillance System.

Variable Age-standardized weighted prevalence, % (95% CI) Daily-to-current use ratio
Current e-cigarette use Daily e-cigarette use
Total population (N = 414 755) 6.9 (6.7-7.1) 3.2 (3.1-3.4) 46.6 (45.3-48.0)
Sex
Male 7.8 (7.6-8.1) 3.7 (3.5-3.9) 46.9 (45.1-48.7)
Female 6.0 (5.7-6.2) 2.8 (2.6-2.9) 46.3 (44.1-48.4)
Race and ethnicity
American Indian or Alaska Native 8.7 (7.4-10.1) 2.9 (2.3-3.7) 33.6 (26.8-41.2)
Asian, non-Hispanic 4.7 (3.9-5.6) 1.5 (1.1-2.0) 30.3 (23.4-38.3)
Black, non-Hispanic 5.5 (5.0-6.0) 1.9 (1.6-2.2) 34.3 (30.0-38.9)
Hispanic 4.6 (4.3-5.0) 1.7 (1.5-1.9) 36.2 (32.0-40.5)
Native Hawaiian or Other Pacific Islander 10.7 (7.8-14.6) 4.9 (3.3-7.2) 50.3 (33.4-67.1)
White, non-Hispanic 8.2 (8.0-8.5) 4.3 (4.1-4.5) 52.1 (50.6-53.6)
Multiple 9.5 (8.2-10.9) 4.2 (3.5-5.1) 45.5 (38.9-52.3)
Othera 6.9 (5.4-8.8) 2.8 (2.0-3.9) 42.4 (30.9-54.7)
Sexual orientation
Heterosexual 6.8 (6.6-7.1) 3.2 (3.0-3.3) 46.1 (44.2-48.1)
Lesbian or gay 10.7 (9.1-12.6) 5.7 (4.4-7.5) 55.8 (46.4-64.7)
Bisexual 12.2 (11.0-13.7) 6.5 (5.4-7.8) 52.0 (46.8-57.1)
Other 10.5 (8.4-13.2) 5.9 (4.0-8.6) 53.5 (42.9-63.9)
Transgender
No 7.1 (6.9-7.4) 3.4 (3.2-3.5) 47.1 (45.3-48.9)
Yes 12.3 (9.3-16.3) 7.2 (4.6-11.1) 61.5 (48.1-73.3)
BMI
<18.5 9.8 (8.3-11.5) 4.9 (4.0-5.9) 56.6 (48.4-64.4)
≥18.5 to <25 7.2 (6.9-7.6) 3.2 (3.0-3.5) 44.4 (41.9-46.8)
≥25 to <30 7.1 (6.7-7.4) 3.2 (3.0-3.5) 45.8 (43.4-48.3)
≥30 7.0 (6.7-7.4) 3.4 (3.2-3.6) 48.7 (46.3-51.1)
Marital status
Married 5.3 (4.9-5.7) 2.8 (2.5-3.1) 51.0 (48.4-53.5)
Divorced or separated 10.0 (8.6-11.5) 4.5 (3.9-5.3) 45.6 (42.2-49.0)
Widowed 11.8 (8.7-15.8) 7.8 (5.1-11.7) 50.4 (42.0-58.8)
Single 7.6 (7.2-8.0) 3.2 (2.9-3.4) 42.7 (40.7-44.8)
Highest education level
Less than high school 7.3 (6.7-8.0) 3.2 (2.7-3.7) 43.2 (38.6-48.0)
High school or some college 8.3 (8.0-8.5) 4.0 (3.8-4.2) 48.3 (46.7-49.9)
College graduate 4.2 (4.0-4.5) 1.7 (1.5-1.8) 41.6 (39.1-44.3)
Income, poverty line, %
<100 7.1 (6.6-7.7) 2.5 (2.2-2.8) 35.0 (31.4-38.9)
100-200 8.3 (7.9-8.8) 3.9 (3.6-4.2) 46.9 (44.3-49.6)
>200 7.7 (6.6-9.0) 3.2 (2.5-4.1) 48.7 (47.0-50.5)
Employment status
Employed 7.2 (7.0-7.4) 3.6 (3.4-3.7) 49.4 (47.7-51.1)
Unemployed 8.0 (7.5-8.5) 3.5 (3.1-3.9) 43.6 (40.6-46.7)
Student 9.1 (6.6-12.4) 4.2 (2.4-7.3) 33.6 (29.4-38.1)
Retired 13.9 (9.3-20.3) 9.4 (5.0-16.8) 46.8 (40.8-53.0)
Area of residence
Rural 7.9 (7.2-8.7) 3.9 (3.3-4.5) 48.8 (44.2-53.4)
Urban 6.9 (6.7-7.1) 3.2 (3.1-3.4) 46.5 (45.1-48.0)
Combustible cigarette use
Never 2.9 (2.8-3.1) 1.0 (0.9-1.1) 35.2 (32.9-37.7)
Former 17.2 (16.5-18.0) 11.6 (10.9-12.3) 65.8 (63.4-68.1)
Current 17.9 (17.1-18.7) 6.9 (6.3-7.4) 36.5 (34.2-38.8)
Pregnant
No 8.8 (8.4-9.3) 4.0 (3.8-4.3) 45.6 (43.1-48.1)
Yes 5.4 (3.1-9.2) 2.8 (1.6-4.7) 67.1 (50.7-80.2)
Chronic health condition
CVDb
No 6.8 (6.6-7.0) 3.2 (3.1-3.3) 46.7 (45.3-48.1)
Yes 10.7 (8.9-12.9) 5.5 (3.9-7.6) 48.3 (42.4-54.3)
Cancer
No 6.9 (6.7-7.1) 3.2 (3.1-3.3) 46.5 (45.1-47.9)
Yes 9.8 (7.9-12.2) 5.8 (4.0-8.3) 49.4 (43.2-55.7)
COPD
No 6.7 (6.5-6.9) 3.1 (3.0-3.3) 46.8 (45.4-48.3)
Yes 11.7 (10.5-12.9) 5.1 (4.4-6.0) 45.1 (40.8-49.4)
Asthma
No 6.5 (6.4-6.7) 3.0 (2.9-3.2) 46.5 (44.9-48.0)
Yes 8.8 (8.3-9.3) 4.1 (3.8-4.5) 47.1 (44.3-50.0)
Depression
No 5.6 (5.4-5.8) 2.5 (2.4-2.6) 44.6 (42.9-46.3)
Yes 11.7 (11.2-12.2) 5.8 (5.5-6.2) 50.1 (47.8-52.4)

Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); COPD, chronic obstructive pulmonary disease; CVD, cardiovascular disease.

a

Specific groups within the other race and ethnicity category were not itemized in the 2021 Behavioral Risk Factor Surveillance System data set.

b

Composite of myocardial infarction, coronary heart disease, and/or stroke.