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. 2008 Dec 3;100(23):1672–1694. doi: 10.1093/jnci/djn389

Table 6.

Adult and youth smoking prevalence and indices of tobacco control for all races combined by state

Current smoking prevalence—adult (≥18 y)* Cigarette use in past month among youth aged 12–17 y, both sexes, 2004–2005
Total federal plus state tobacco tax§, ($) 2007 Tobacco prevention spending, % of CDC minimum
Male Female
1997
2006
1997
2006
Region/state % (95% CI) % (95% CI) APC % (95% CI) % (95% CI) APC % (95% CI)
Northeast 24.4 (23.1 to 25.7) 20.1 (19.1 to 21.2) −2.0 21.2 (20.2 to 22.2) 17.8 (17.1 to 18.5) −2.0
    Connecticut 21.3 (18.3 to 24.6) 18.9 (17.1 to 20.9) −3.0 21.9 (19.3 to 24.7) 15.2 (14.0 to 16.6) −5.0 12.9 (10.8 to 15.5) 2.71 0.0
    Maine 25.2 (22.0 to 28.6) 22.0 (19.5 to 24.7) −2.0 20.4 (17.7 to 23.3) 19.9 (18.0 to 22.0) −1.0 15.2 (12.8 to 18.0) 2.66 151.2
    Massachusetts 21.8 (18.4 to 25.7) 19.3 (17.5 to 21.3) −2.0 19.3 (16.8 to 22.0) 16.4 (15.1 to 17.8) −2.0 10.6 (8.7 to 12.9) 2.16 36.2
    New Hampshire 25.9 (22.1 to 30.2) 19.3 (17.3 to 21.5) −3.0 23.6 (20.7 to 26.7) 18.1 (16.6 to 19.8) −3.0 11.0 (9.0 to 13.3) 1.47 12.3
    New Jersey 23.4 (20.5 to 26.6) 20.7 (19.0 to 22.5) −2.0 19.5 (17.3 to 21.9) 15.6 (14.5 to 16.7) −2.0 11.2 (9.2 to 13.5) 3.33 24.4
    New York 24.9 (22.4 to 27.6) 18.9 (16.8 to 21.2) −3.0 21.5 (19.6 to 23.6) 17.6 (16.0 to 19.3) −3.0 10.7 (9.6 to 12.0) 2.11 89.2
    Pennsylvania 26.2 (23.6 to 28.9) 22.3 (20.0 to 24.9) −1.0 22.4 (20.5 to 24.5) 20.7 (19.1 to 22.4) −1.0 13.1 (11.9 to 14.4) 2.01 48.3
    Rhode Island 25.5 (22.1 to 29.3) 19.5 (16.9 to 22.4) −3.0 23.2 (20.2 to 26.5) 18.9 (16.9 to 21.1) −2.0 12.0 (9.9 to 14.6) 3.26 9.5
    Vermont 25.2 (22.4 to 28.3) 19.4 (17.6 to 21.3) −3.0 21.5 (19.2 to 23.9) 16.8 (15.4 to 18.3) −3.0 13.8 (11.6 to 16.3) 2.48 66.0
Midwest 27.0 (25.9 to 28.1) 23.8 (22.8 to 24.8) −2.0 22.4 (21.6 to 23.2) 19.4 (18.7 to 20.1) −2.0
    Illinois 25.0 (22.4 to 27.8) 24.2 (21.6 to 26.7) −1.0 21.6 (19.5 to 23.8) 17.0 (15.4 to 18.8) −3.0 10.6 (9.5 to 11.8) 1.68 13.1
    Indiana 29.2 (26.2 to 32.5) 26.4 (24.2 to 28.7) −1.0 23.8 (21.2 to 26.5) 21.9 (20.3 to 23.6) 0.0 12.3 (10.2 to 14.7) 1.63 46.6
    Iowa 25.5 (23.2 to 27.9) 23.1 (20.9 to 25.5) −2.0 21.0 (19.1 to 23.1) 19.9 (18.2 to 21.7) −1.0 12.2 (10.1 to 14.6) 1.98 63.5
    Kansas 26.7 (23.5 to 30.2) 22.2 (20.3 to 24.2) −3.0 18.8 (16.6 to 21.3) 18.0 (16.7 to 19.3) −1.0 13.5 (11.3 to 16.2) 1.40 7.8
    Michigan 29.6 (26.7 to 32.7) 24.8 (22.4 to 27.3) −3.0 22.8 (20.6 to 25.1) 20.1 (18.5 to 21.8) −2.0 12.2 (11.1 to 13.5) 2.72 6.6
    Minnesota 24.1 (22.2 to 26.1) 18.5 (16.1 to 21.0) −1.0 19.8 (18.2 to 21.4) 18.2 (16.4 to 20.2) 1.0 12.9 (10.8 to 15.2) 1.88 77.2
    Missouri 31.6 (27.7 to 35.8) 24.5 (21.5 to 27.7) −3.0 26.0 (23.2 to 28.9) 22.0 (19.9 to 24.3) −2.0 15.8 (13.5 to 18.5) 0.71 0.6
    Nebraska 24.3 (21.4 to 27.5) 19.6 (17.6 to 21.7) −2.0 20.1 (17.6 to 23.0) 17.8 (16.2 to 19.5) −1.0 12.8 (10.5 to 15.3) 1.24 18.8
    North Dakota 24.3 (21.3 to 27.6) 21.0 (18.5 to 23.7) −1.0 20.3 (17.7 to 23.2) 18.1 (16.2 to 20.2) −2.0 13.8 (11.7 to 16.1) 1.01 38.4
    Ohio 26.3 (23.3 to 29.6) 24.9 (21.2 to 29.0) −2.0 24.0 (21.6 to 26.5) 20.1 (17.7 to 22.9) −2.0 12.8 (11.6 to 14.2) 1.90 72.4
    South Dakota 28.0 (24.9 to 31.4) 21.6 (19.3 to 24.0) −5.0 20.8 (18.4 to 23.5) 19.1 (17.5 to 20.9) −1.0 15.5 (13.1 to 18.3) 2.11 57.5
    Wisconsin 25.6 (22.5 to 29.1) 23.3 (20.8 to 26.0) −1.0 20.9 (18.2 to 23.8) 18.4 (16.6 to 20.3) −3.0 13.0 (10.9 to 15.3) 2.41 48.1
South 27.4 (26.5 to 28.4) 23.4 (22.5 to 24.2) −2.0 21.2 (20.5 to 21.9) 19.0 (18.4 to 19.5) −1.0
    Alabama 28.6 (25.4 to 32.0) 26.1 (22.6 to 29.9) 0.0 21.2 (18.8 to 23.7) 20.5 (18.5 to 22.7) −1.0 12.4 (10.3 to 14.9) 0.95 2.9
    Arkansas 32.0 (27.8 to 36.6) 25.8 (23.5 to 28.3) −2.0 25.2 (22.3 to 28.4) 21.7 (20.0 to 23.4) −2.0 13.1 (10.9 to 15.6) 1.21 87.1
    Delaware 29.2 (25.9 to 32.8) 23.3 (20.4 to 26.6) −3.0 24.2 (21.8 to 26.8) 20.3 (17.8 to 23.0) −3.0 12.2 (10.2 to 14.5) 1.54 123.8
    District of   Columbia 22.7 (19.0 to 27.0) 21.3 (18.5 to 24.4) 0.0 15.4 (12.9 to 18.4) 14.9 (13.2 to 16.8) −1.0 7.1 (5.7 to 8.9) 1.64 48.1
    Florida 26.0 (23.5 to 28.6) 23.5 (21.5 to 25.7) 0.0 21.4 (19.5 to 23.4) 18.7 (17.3 to 20.1) −2.0 10.1 (9.0 to 11.4) 0.94 74.0
    Georgia 25.2 (22.2 to 28.5) 22.4 (20.2 to 24.7) −2.0 19.8 (17.3 to 22.6) 17.6 (16.2 to 19.1) −1.0 10.9 (9.0 to 13.1) 0.92 5.3
    Kentucky 33.0 (30.2 to 36.0) 29.1 (26.2 to 32.1) −2.0 28.7 (26.6 to 30.8) 28.0 (26.0 to 30.1) 0.0 17.2 (14.6 to 20.1) 0.90 9.4
    Louisiana 29.2 (25.3 to 33.4) 26.7 (24.4 to 29.1) −1.0 20.3 (17.7 to 23.0) 20.5 (19.1 to 21.9) 0.0 10.0 (8.2 to 12.0) 0.90 28.3
    Maryland 21.7 (19.4 to 24.1) 19.0 (17.0 to 21.1) −2.0 19.3 (17.4 to 21.4) 16.5 (15.2 to 17.9) −2.0 10.6 (8.7 to 12.7) 2.71 60.7
    Mississippi 28.3 (24.3 to 32.7) 27.8 (25.2 to 30.5) 0.0 18.5 (15.9 to 21.5) 22.6 (20.9 to 24.4) 1.0 11.1 (9.2 to 13.4) 0.81 42.6
    North Carolina 29.7 (27.0 to 32.4) 25.3 (23.7 to 27.0) −2.0 22.4 (20.5 to 24.4) 19.0 (18.0 to 20.1) −2.0 13.9 (11.6 to 16.5) 0.98 40.2
    Oklahoma 25.2 (21.7 to 29.1) 27.9 (25.7 to 30.2) 1.0 24.0 (21.1 to 27.2) 22.5 (21.0 to 24.1) 0.0 14.9 (12.5 to 17.7) 1.42 65.1
    South Carolina 29.5 (26.1 to 33.0) 25.6 (23.6 to 27.8) −2.0 18.0 (15.8 to 20.4) 19.2 (17.8 to 20.6) 1.0 12.0 (10.0 to 14.2) 0.62 8.4
    Tennessee 27.9 (25.0 to 31.1) 23.7 (20.7 to 27.0) −1.0 26.0 (23.9 to 28.3) 21.5 (19.4 to 23.7) −1.0 13.4 (11.3 to 15.8) 1.33 31.0
    Texas 28.0 (25.0 to 31.2) 20.5 (17.8 to 23.5) −3.0 17.4 (15.4 to 19.7) 15.4 (13.7 to 17.4) −2.0 9.9 (8.8 to 11.1) 2.08 11.4
    Virginia 26.0 (22.8 to 29.5) 20.2 (17.9 to 22.8) −2.0 22.9 (20.5 to 25.5) 18.5 (16.3 to 20.8) −2.0 11.1 (9.0 to 13.5) 0.87 37.3
    West Virginia 27.3 (24.3 to 30.5) 25.4 (22.8 to 28.2) −1.0 27.6 (25.1 to 30.2) 26.1 (23.9 to 28.4) 0.0 16.0 (13.7 to 18.7) 1.16 40.0
West 22.6 (21.3 to 24.0) 19.1 (17.8 to 20.4) −2.0 17.4 (16.4 to 18.4) 13.6 (12.9 to 14.4) −4.0
    Alaska 27.2 (22.6 to 32.3) 25.2 (21.4 to 29.5) 0.0 25.8 (21.7 to 30.3) 22.6 (19.4 to 26.3) −2.0 10.8 (8.7 to 13.2) 2.39 92.5
    Arizona 22.0 (18.4 to 26.2) 21.7 (18.0 to 25.9) −1.0 20.2 (16.9 to 24.0) 14.7 (12.5 to 17.2) −2.0 11.1 (9.0 to 13.6) 2.69 84.6
    California 22.4 (20.2 to 24.8) 18.5 (16.4 to 20.9) −3.0 14.5 (13.0 to 16.1) 11.4 (10.1 to 12.8) −5.0 9.0 (7.8 to 10.3) 1.56 46.9
    Colorado 24.0 (20.9 to 27.4) 19.3 (17.3 to 21.4) −3.0 21.1 (18.3 to 24.3) 16.5 (15.1 to 18.1) −3.0 12.2 (10.1 to 14.5) 1.23 105.9
    Hawaii 21.5 (18.7 to 24.6) 19.2 (17.2 to 21.4) −2.0 15.8 (13.5 to 18.5) 15.9 (14.3 to 17.6) −1.0 7.7 (6.1 to 9.7) 2.41 96.3
    Idaho 21.8 (19.7 to 24.1) 18.7 (16.5 to 21.0) −3.0 18.1 (16.3 to 20.1) 15.0 (13.5 to 16.6) −3.0 10.6 (8.7 to 12.9) 1.15 12.6
    Montana 20.8 (18.0 to 23.9) 18.4 (16.3 to 20.8) −1.0 20.2 (17.7 to 23.0) 19.4 (17.8 to 21.2) −1.0 14.7 (12.4 to 17.3) 2.09 90.6
    Nevada 25.6 (20.9 to 30.9) 22.9 (19.8 to 26.2) −4.0 30.5 (26.1 to 35.3) 21.4 (18.7 to 24.5) −6.0 10.6 (8.7 to 12.9) 1.45 14.8
    New Mexico 21.6 (18.5 to 25.0) 22.6 (20.4 to 24.9) −1.0 22.5 (19.9 to 25.4) 17.8 (16.3 to 19.5) −3.0 11.7 (9.6 to 14.3) 1.50 70.1
    Oregon 22.1 (19.5 to 24.9) 19.8 (17.5 to 22.2) −1.0 19.3 (17.3 to 21.5) 17.2 (15.6 to 19.0) −2.0 11.2 (9.3 to 13.6) 1.57 38.8
    Utah 16.1 (13.8 to 18.7) 10.4 (8.7 to 12.3) −5.0 11.5 (9.7 to 13.7) 9.3 (7.9 to 10.8) −4.0 8.7 (6.8 to 11.0) 1.31 47.7
    Washington 25.0 (22.4 to 27.9) 18.9 (17.7 to 20.2) −4.0 22.7 (20.6 to 24.9) 15.3 (14.5 to 16.1) −4.0 9.2 (7.4 to 11.4) 2.78 81.1
    Wyoming 23.9 (20.3 to 28.0) 23.8 (21.5 to 26.3) −1.0 24.0 (21.3 to 27.0) 19.4 (17.7 to 21.2) −1.0 14.0 (11.9 to 16.4) 1.14 80.1
Total United States 25.7 (25.1 to 26.2) 21.9 (21.4 to 22.4) −2.0 20.7 (20.2 to 21.1) 17.6 (17.3 to 18.0) −2.0
*

APC = annual percent change; BRFSS = Behavioral Risk Factor Surveillance System; SAMHSA = Substance Abuse and Mental Health Services Administration; CDC = Centers for Disease Control and Prevention; CI = confidence interval. Adult smoking prevalence estimates are for current cigarette smoking in persons 18 years of age or older and are based on the CDC's BRFSS data (http://www.cdc.gov/brfss/). State-based BRFSS data were aggregated to represent regions and the total United States.

APC is based on prevalence estimates from 1997 through 2006.

State-specific youth smoking prevalence data are based on the 2004 and 2005 National Survey on Drug Use and Health, SAMHSA, Office of Applied Studies (http://www.oas.samhsa.gov/2k5State/AppB.htm#TabB.14).

§

From Campaign for Tobacco-Free Kids. State cigarette prices, taxes, and costs per pack. National Center for Tobacco-Free Kids, 2007.

From Campaign for Tobacco-Free Kids. A Broken Promise to Our Children: the 1998 Master Settlement Agreement Nine Years later. National Center for Tobacco-Free Kids, 2007. Based on CDC's annual funding recommendations and each state's FY2008 funding allocations.

APC is statistically significantly different from zero (two-sided P < .05, calculated using a t test).