Table 1.
Tobacco Product-specific Ever Use, First Product Flavored, and Age at First Use by Age Groupa
| Youth (N=2,900) (Current age 12–17) Age at first use (%)b | Young adults (N=7,311) (Current age 18–24) Age at first use (%)b | Adults (N=20,225) (Current age 25+ years) Age at first use (%)b | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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| Variables | Unweighted N | Total (%) | Age <12 (n= 497)d |
Age 12–14 (n= 1298)d |
Age 15–17 (n=1,023)d |
Unweighted N | Total (%) | Age <18 (n=4,971)d |
Age 18–24 (n=2,334)d |
Unweighted N | Total (%) | Age <18 (n=14,374)d |
Age 18–24 (n=4,748)d |
Age 25+ (n=1,057)d |
| Overall | 16.9 | 45.4 | 37.7 | 65.1 | 34.9 | 68.7 | 25.7 | 5.6 | ||||||
| Ever use of any tobacco productc | 2,900 | 21.4 | 3.5 | 9.4 | 7.8 | 7,311 | 66.5 | 43.3 | 23.2 | 20,225 | 73.0 | 49.9 | 18.7 | 4.1 |
| First product non-flavored | 537 | 4.0 | 1.0 | 1.8 | 1.1 | 899 | 9.4 | 5.3 | 4.1 | 7,052 | 33.7 | 22.5 | 9.1 | 2.2 |
| First product flavored | 2,256 | 16.8 | 2.5 | 7.7 | 6.7 | 6,395 | 57.0 | 38.0 | 19.1 | 13,020 | 39.0 | 27.5 | 9.7 | 1.9 |
| First product flavored/Ever use | 81 % | 72 % | 81% | 86% | 86 % | 88% | 82% | 54 % | 55% | 52% | 46% | |||
| Ever use of cigarettese | 1,838 | 13.4 | 2.6 | 6.1 | 4.4 | 5,964 | 53.2 | 35.2 | 17.9 | 19,218 | 69.0 | 47.1 | 18.4 | 3.4 |
| % first cigarette non-menthol/non-flavored | 883 | 6.5 | 1.5 | 3.1 | 1.9 | 2,945 | 27.0 | 18.0 | 9.0 | 12,188 | 46.8 | 33.0 | 11.7 | 2.1 |
| % first cigarette menthol/flavored | 902 | 6.6 | 1.1 | 3.0 | 2.5 | 2,999 | 26.1 | 17.3 | 8.8 | 6,943 | 22.1 | 14.1 | 6.7 | 1.2 |
| First product flavored/Ever use | 50 % | 41 % | 49% | 56% | 49 % | 49% | 49% | 32 % | 30% | 36% | 40% | |||
| % first cigarette menthol | 777 | 5.8 | 0.9 | 2.6 | 2.1 | 2,751 | 23.9 | 15.9 | 8.0 | 6,476 | 20.6 | 13.3 | 6.1 | 1.0 |
| First product mentholated/Ever use | 43 % | 34 % | 43% | 48% | 45 % | 45% | 45% | 30 % | 28% | 33% | 36% | |||
| Ever use of e-cigarettes | 1,452 | 10.7 | - | 3.5 | 6.7 | 3,887 | 32.0 | 3.9 | 28.1 | 7,635 | 15.6 | - | 1.1 | 14.3 |
| % first e-cigarette non-flavored | 276 | 2.0 | - | 0.7 | 1.1 | 1,508 | 12.5 | 1.5 | 10.9 | 4,071 | 8.4 | - | 0.5 | 7.9 |
| % first e-cigarette flavored | 1,154 | 8.5 | - | 2.8 | 5.6 | 2,367 | 19.4 | 2.4 | 17.1 | 3,528 | 7.1 | - | 0.6 | 6.4 |
| First product flavored/Ever use | 81 % | 80% | 84% | 61 % | 61% | 61% | 46 % | 52% | 46% | |||||
| Ever use of any cigar | 1,048 | 7.7 | 0.7 | 3.0 | 3.6 | 5,010 | 44.0 | 23.7 | 20.2 | 12,093 | 38.1 | 11.0 | 16.3 | 10.7 |
| % first any cigar non-flavored | 342 | 2.5 | 0.3 | 1.0 | 1.2 | 1,783 | 15.7 | 8.0 | 7.6 | 6,992 | 24.3 | 6.5 | 10.5 | 7.3 |
| % first any cigar flavored | 652 | 4.8 | 0.4 | 2.0 | 2.4 | 3,213 | 28.2 | 15.7 | 12.6 | 5,041 | 13.7 | 4.5 | 5.9 | 3.3 |
| First product flavored/Ever use | 65 % | 58 % | 67% | 66% | 64 % | 66% | 62% | 36 % | 41% | 36% | 33% | |||
| Ever use of traditional cigars | 297 | 2.3 | - | 1.0 | 1.0 | 2,046 | 18.5 | 9.1 | 9.3 | 8,176 | 27.3 | 7.2 | 11.8 | 8.3 |
| % first traditional cigar non-flavored | 154 | 1.2 | - | 0.5 | 0.6 | 1,200 | 11.0 | 5.0 | 6.0 | 6,235 | 21.8 | 5.4 | 9.5 | 6.9 |
| % first traditional cigar flavored | 142 | 1.1 | - | 0.5 | 0.5 | 841 | 7.4 | 4.2 | 3.3 | 1,913 | 5.5 | 1.7 | 2.3 | 1.4 |
| First product flavored/Ever use | 48 % | 50% | 45% | 40 % | 46% | 35% | 20 % | 24% | 20% | 18% | ||||
| Ever use of cigarillos | 863 | 6.3 | 0.5 | 2.5 | 3.2 | 4,500 | 39.0 | 20.7 | 18.3 | 9,052 | 26.0 | 7.3 | 11.5 | 7.2 |
| % first cigarillo non-flavored | 303 | 2.2 | - | 0.9 | 1.1 | 1,699 | 14.6 | 7.7 | 6.8 | 5,227 | 15.8 | 4.2 | 7.1 | 4.6 |
| % first cigarillo flavored | 551 | 4.0 | - | 1.7 | 2.1 | 2,794 | 24.4 | 13.0 | 11.4 | 3,798 | 10.1 | 3.1 | 4.4 | 2.5 |
| First product flavored/Ever use | 64 % | 66% | 65% | 63 % | 63% | 63% | 39 % | 42% | 38% | 38% | ||||
| Ever use of filtered cigars | 310 | 2.2 | - | 0.9 | 1.2 | 1,948 | 16.6 | 8.0 | 8.5 | 4,676 | 12.6 | 3.0 | 5.0 | 4.5 |
| % first filtered cigar non-flavored | 106 | 0.8 | - | 0.3 | 0.4 | 800 | 6.6 | 3.1 | 3.5 | 2,683 | 7.6 | 1.8 | 3.0 | 2.9 |
| % first filtered cigar flavored | 199 | 1.4 | - | 0.6 | 0.8 | 1,142 | 9.9 | 5.0 | 5.0 | 1,978 | 4.9 | 1.2 | 2.0 | 1.6 |
| First product flavored/Ever use | 65 % | 63% | 65% | 60 % | 62% | 59% | 39 % | 40% | 40% | 39% | ||||
| Ever use of hookah | 1,006 | 7.4 | - | 2.4 | 4.7 | 5,061 | 44.3 | 14.7 | 29.5 | 5,562 | 12.2 | 1.2 | 5.3 | 5.7 |
| % first hookah non-flavored | 115 | 0.8 | - | 0.3 | 0.5 | 603 | 5.0 | 1.6 | 3.4 | 1,386 | 3.2 | 0.5 | 1.3 | 1.5 |
| % first hookah flavored | 877 | 6.5 | - | 2.1 | 4.3 | 4,445 | 39.2 | 13.1 | 26.2 | 4,128 | 8.9 | 0.7 | 4.0 | 4.2 |
| First product flavored/Ever use | 89 % | 87% | 90% | 89 % | 89% | 89% | 74 % | 58% | 76% | 75% | ||||
| Ever use of pipe | 259 | 1.9 | - | 0.8 | 0.9 | 1,550 | 13.2 | 4.9 | 8.3 | 5,628 | 18.6 | 5.3 | 7.8 | 3.5 |
| % first pipe non-flavored | 175 | 1.3 | - | 0.6 | 0.6 | 1,127 | 9.7 | 3.5 | 6.1 | 3,935 | 13.1 | 3.9 | 5.4 | 2.5 |
| % first pipe flavored | 77 | 0.5 | - | 0.2 | 0.3 | 421 | 3.5 | 1.5 | 2.1 | 1,667 | 5.3 | 1.4 | 2.4 | 1.0 |
| First product flavored/Ever use | 30 % | 26% | 33% | 27 % | 30% | 26% | 29 % | 26% | 31% | 30% | ||||
| Ever use of smokeless tobacco (SLT)f | 574 | 4.4 | 0.6 | 1.9 | 1.7 | 1,633 | 14.2 | 8.4 | 5.8 | 4,979 | 15.5 | 7.7 | 5.1 | 2.7 |
| % first SLT non-flavored | 174 | 1.3 | 0.2 | 0.7 | 0.4 | 595 | 5.2 | 2.7 | 2.1 | 2,546 | 8.3 | 4.0 | 2.6 | 1.7 |
| % first SLT flavored | 391 | 3.0 | 0.4 | 1.3 | 1.3 | 1,033 | 9.0 | 5.7 | 3.7 | 2,420 | 7.1 | 3.7 | 2.5 | 0.9 |
| First product flavored/Ever use | 69 % | 62 % | 66% | 76% | 63 % | 68% | 63% | 46 % | 48% | 49% | 43% | |||
| Ever use of snusg | 227 | 1.7 | - | 0.8 | 0.8 | 1,296 | 11.1 | 5.0 | 6.1 | 2,575 | 6.7 | 1.4 | 2.3 | 3.0 |
| % first snus non-flavored | 41 | 0.3 | - | 0.2 | 0.1 | 381 | 3.3 | 1.1 | 1.3 | 1,362 | 3.8 | 0.3 | 0.5 | 0.7 |
| % first snus flavored | 184 | 1.4 | - | 0.6 | 0.6 | 914 | 7.8 | 4.0 | 4.8 | 1,206 | 2.9 | 0.6 | 1.0 | 1.2 |
| First product flavored/Ever use | 81 % | 80% | 83% | 70 % | 79% | 78% | 43 % | 69% | 67% | 66% | ||||
| Ever use of dissolvable tobacco | - | 103 | 0.9 | - | 0.5 | 244 | 0.5 | - | 0.1 | 0.3 | ||||
| % first dissolvable tobacco non-flavored | - | 54 | 0.4 | - | 0.3 | 117 | 0.2 | - | 0.5 | 0.7 | ||||
| % first dissolvable tobacco flavored | - | 47 | 0.4 | - | 0.3 | 124 | 0.2 | - | 1.0 | 1.2 | ||||
| First product flavored/Ever use | 45 % | 50% | 48 % | 53% | 50% | |||||||||
| Ever use of bidis | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||
| % first bidis non-flavored | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||
| % first bidis flavored | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||||
| First product flavored/Ever use | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |||||||
| Ever use of kreteks | 52 | 0.4 | - | - | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||
| % first kreteks non-flavored | - | - | - | - | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||
| % first kreteks flavored | - | - | - | - | - | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||
| First product flavored/Ever use | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |||||||
Notes: - Suppressed due to n<50 or coefficient of variation >30%.
Percentages are weighted to represent the U.S. population and CIs are estimated using the balanced repeated replication (BRR) method.
Youngest age at which tobacco product use was reported. Individuals who reported “don’t know” or refused to answer were excluded from the denominator. Excluded from the denominator for youth n=82, young adults n=6, adults n=46.
Ever use of any tobacco product is defined as reporting ever use of any tobacco product, “even one or two puffs” or “even one time.” Individuals who reported “don’t know” or refused to answer any part of the definition of ever use were excluded from the denominator. First flavored use is defined as reported the first product used was “flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets.” Individuals who reported “don’t know” or refused to answer whether their first product was flavored were excluded from the denominator. Excluded from the denominator for youth: any tobacco (n=107), cigarettes (n=53), e-cigarettes (n=22), cigars (n=54), traditional cigars (n=1), cigarillos (n=9), filtered cigars (n=5), hookah (n=14), pipe (n=7), smokeless tobacco (n=9), snus (n=2), kreteks (n=1). Excluded from the denominator for young adults: any tobacco (n=17), cigarettes (n=20), e-cigarettes (n=12), cigars (n=14), traditional cigars (n=5), cigarillos (n=7), filtered cigars (n=6), hookah (n=13), pipe (n=2), smokeless tobacco (n=5), snus (n=1), dissolvable tobacco (n=2). Excluded from the denominator for adults: any tobacco (n=153), cigarettes (n=87), e-cigarettes (n=36), cigars (n=60), traditional cigars (n=28), cigarillos (n=27), filtered cigars (n=15), hookah (n=48), pipe (n=26), smokeless tobacco (n=13), snus (n=7), and dissolvable tobacco (n=3).
In addition to those who reported “don’t know” or refused to answer whether their first product was flavored, those who reported “don’t know” or refused to report the youngest age at tobacco use were also excluded from the denominator for each product. Excluded from the denominator for youth: any tobacco (n=32), cigarettes (n=3), e-cigarettes (n=15), cigars (n=10), traditional cigars (n=3), cigarillos (n=2), filtered cigars (n=2), hookah (n=3), pipe (n=9), smokeless tobacco (n=19), snus (n=3), kreteks (n=4). Excluded from the denominator for young adults: any tobacco (n=4), cigarettes (n=14), e-cigarettes (n=22), cigars (n=18), traditional cigars (n=11), cigarillos (n=18), filtered cigars (n=14), hookah (n=19), pipe (n=28), smokeless tobacco (n=69), snus (n=129), dissolvable tobacco (n=3). Excluded from the denominator for adults: any tobacco (n=41), cigarettes (n=59), e-cigarettes (n=117), cigars (n=118), traditional cigars (n=67), cigarillos (n=85), filtered cigars (n=76), hookah (n=37), pipe (n=100), smokeless (n=189), snus (n=790), dissolvable tobacco (n=14).
Manufactured cigarette or roll-your-own.
Respondents who indicated ever having used a cigar were asked about use of traditional cigars, cigarillos, and filtered cigars separately. Respondents indicating use of two or more types of cigars (traditional, cigarillo, or filtered cigars) were asked about the flavor status of each type of cigar separately. Any respondent who reported ever using two or more types of cigars had their responses aggregated, so that if any of the first traditional, cigarillo, or filtered cigars they used were flavored, they were included in the estimate of ever cigar users reporting that their first cigar was flavored.
Ever use of snus and smokeless tobacco were based on a single item with the following response choices: (1) snus pouches, and (2) loose snus, moist snuff, dip, spit, or chewing tobacco. Participants were not reclassified from snus to smokeless tobacco use based on brand of product used (e.g., Skoal Bandits), nor were they excluded from the denominator if they did not identify a regular brand.
Source: Population Assessment of Tobacco and Health, 2013–2014
N, unweighted sample size; N/A, not applicable