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. 2015 May 22;64(19):532–536.

TABLE 2.

Percentage of current cigarette smokers* who also currently use smokeless tobacco among adults aged ≥18 years, by state/territory — Behavioral Risk Factor Surveillance System, United States, 2011–2013

State/Territory 2011 2012 2013 RPC§



% 95% CI % 95% CI % 95% CI
Alabama 8.5 (6.5–11.1) 6.1 (4.6–8.1) 7.9 (6.0–10.5) −7.1
Alaska 7.9 (5.7.11.0) 8.6 (6.5–11.5) 8.8 (6.5–11.6) 11.4
Arizona 5.5 (3.5–8.5) 5.4 (3.6–7.9) 7.4 (4.6–11.6) 34.5
Arkansas 11.3 (8.1–15.5) 8.0 (5.9–10.8) 8.7 (6.6–11.4) −23.0
California 4.2 (3.1–5.6) 3.3 (2.4–4.5) 3.6 (2.3–5.7) −14.3
Colorado 7.8 (6.1–10.0) 5.3 (4.1–6.9) 7.8 (6.2–9.7) 0.0
Connecticut 2.8 (1.8–4.3) 6.6 (4.6–9.2) 3.7 (2.2–6.1) 32.1
Delaware 2.9 (1.7–5.1) 5.5 (3.5–8.6) 5.8 (3.8–8.9) 100.0
District of Columbia 4.6 (2.8–7.4) 4.2 (1.8–9.3) 4.6 (2.4–8.6) 0.0
Florida 5.6 (4.2–7.4) 6.2 (4.1–9.2) 5.2 (4.0–6.7) −7.1
Georgia 7.7 (5.7–10.4) 6.5 (4.6–9.2) 7.3 (5.6–9.5) −5.2
Hawaii 3.9 (2.5–5.9) 5.6 (3.8–8.1) 4.4 (3.0–6.5) 12.8
Idaho 8.6 (6.0–12.2) 8.2 (5.3–12.4) 13.5 (10.2–17.7) 57.0
Illinois 5.8 (3.8–8.8) 5.5 (3.1–9.5) 5.4 (3.7–7.8) −6.9
Indiana 7.4 (5.8–9.6) 6.1 (4.6–7.9) 7.8 (6.3–9.6) 5.4
Iowa 7.9 (6.0–10.4) 5.1 (3.7–7.1) 7.5 (5.7–10.0) −5.1
Kansas 8.0 (6.8–9.4) 7.0 (5.5–8.8) 8.3 (7.2–9.5) 3.8
Kentucky 8.9 (7.2–11.0) 7.4 (5.8–9.4) 10.2 (8.4–12.4) 14.6
Louisiana 6.7 (5.0–8.9) 6.9 (5.2–9.1) 6.6 (4.4–9.9) −1.5
Maine 5.1 (3.8–6.7) 5.2 (3.8–7.0) 3.9 (2.7–5.6) −23.5
Maryland 4.5 (2.9–6.8) 4.0 (2.6–6.1) 5.5 (3.9–7.8) 22.2
Massachusetts 4.3 (3.1–5.8) 2.1 (1.5–2.9) 4.0 (2.7–6.0) −7.0
Michigan 9.6 (7.7–11.8) 6.7 (5.3–8.4) 8.9 (7.4–10.7) −7.3
Minnesota 9.2 (7.5–11.2) 8.1 (6.7–9.9) 9.6 (7.6–12.1) 4.3
Mississippi 10.4 (8.4–12.7) 9.4 (7.3–12.1) 10.0 (7.9–12.5) −3.8
Missouri 7.0 (5.1–9.5) 7.6 (5.5–10.3) 6.4 (4.7–8.5) −8.6
Montana 10.2 (8.4–12.3) 11.6 (9.5–14.0) 12.2 (10.2–14.4) 19.6
Nebraska 9.4 (8.2–10.8) 7.9 (6.6–9.5) 9.0 (7.2–11.4) −4.3
Nevada 2.0 (1.1–3.8) 5.1 (3.2–8.0) 5.1 (3.4–7.7) 155.0
New Hampshire 6.8 (4.6–10.0) 4.0 (2.3–6.9) 5.3 (3.6–7.9) −22.1
New Jersey 3.1 (2.2–4.6) 3.0 (2.1–4.3) 4.0 (2.8–5.7) 29.0
New Mexico 7.1 (5.4–9.3) 7.4 (5.8–9.4) 8.9 (7.2–11.1) 25.4
New York 5.2 (3.7–7.1) 6.5 (4.8–8.9) 5.3 (4.0–7.0) 1.9
North Carolina 6.5 (4.9–8.7) 5.3 (4.2–6.7) 5.6 (4.1–7.5) −13.8
North Dakota 11.0 (8.4–14.2) 11.0 (8.3–14.5) 11.3 (9.1–14.0) 2.7
Ohio 6.2 (4.8–8.1) 7.6 (6.2–9.2) 6.4 (5.1–8.0) 3.2
Oklahoma 8.8 (6.8–11.2) 8.7 (6.9–10.8) 7.6 (6.0–9.6) −13.6
Oregon 7.4 (5.3–10.1) 5.5 (3.5–8.4) 8.7 (6.4–11.6) 17.6
Pennsylvania 7.4 (6.0–9.3) 6.6 (5.3–8.1) 7.4 (6.0–9.1) 0.0
Rhode Island 4.3 (2.9–6.4) 2.0 (1.1–3.6) 5.5 (3.4–8.8) 27.9
South Carolina 5.6 (4.3–7.3) 5.5 (4.2–7.3) 6.3 (4.8–8.2) 12.5
South Dakota 10.0 (7.1–13.9) 7.8 (6.1–9.9) 9.1 (6.6–12.3) −9.0
Tennessee 8.1 (4.8–13.2) 6.2 (4.6–8.4) 5.8 (4.0–8.4) −28.4
Texas 8.8 (6.9–11.2) 7.5 (5.8–9.6) 8.2 (6.5–10.4) −6.8
Utah 12.5 (10.2–15.2) 10.3 (8.0–13.2) 10.2 (8.1–12.9) −18.4
Vermont 5.7 (4.0–8.2) 5.4 (3.7–7.7) 3.1 (2.0–4.8) −45.6
Virginia 6.8 (4.8–9.2) 7.7 (5.5–10.7) 7.1 (5.5–9.1) 4.4
Washington 6.9 (5.1–9.2) 8.6 (7.0–10.5) 9.0 (7.1–11.2) 30.4
West Virginia 6.4 (4.8–8.5) 7.9 (6.2–9.9) 8.4 (6.7–10.6) 31.3
Wisconsin 8.2 (6.0–10.9) 7.9 (5.7–10.9) 8.3 (6.1–11.2) 1.2
Wyoming 11.6 (9.4–14.2) 12.1 (8.9–16.2) 12.8 (9.8–16.5) 10.3
Median prevalence all states ** 7.1 6.6 7.4 4.2

Abbreviations: CI = confidence interval; RPC = relative percent change (see below).

*

Persons aged ≥18 years who reported having smoked ≥100 cigarettes during their lifetime and smoke every day or some days at the time of survey.

Persons aged ≥18 years who reported currently using chewing tobacco, snuff, or snus (a small pouch of smokeless tobacco) every day or some days at the time of survey.

§

RPC was calculated by dividing the difference between the 2013 and 2011 estimates by the 2011 estimates, and expressed as a percentage.

p<0.05 for trend (2011–2013) in multivariate logistic regression model adjusted for sex, age, and race/ethnicity.

**

Median prevalence across all 50 U.S. states and the District of Columbia.