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. 2020 Sep 8;180(10):1394–1398. doi: 10.1001/jamainternmed.2020.2817

Table. Characteristics and Trends of e-Cigarette Use Prevalence Among Adults in the US, 2016-2018.

Variable Weighted % (95% CI)
2016 2017 2018 2016 vs 2017 2017 vs 2018
Overall current e-cigarette use 4.5 (4.4 to 4.6) 4.4 (4.3 to 4.5) 5.4 (5.2 to 5.6) −0.1 (−0.3 to 0.1) 1.0 (0.8 to 1.3)
Sex
Male 5.6 (5.3 to 5.8) 5.4 (5.2 to 5.7) 6.9 (6.5 to 7.2) −0.1 (−0.4 to 0.2) 1.4 (1.0 to 1.9)
Female 3.5 (3.4 to 3.7) 3.4 (3.2 to 3.6) 4.1 (3.9 to 4.4) −0.1 (−0.3 to 0.1) 0.7 (0.4 to 1.0)
Age, y
18-24 9.2 (8.7 to 9.8) 10.0 (9.4 to 10.7) 15.0 (14.0 to 16.1) 0.8 (−0.1 to 1.7) 5.0 (3.8 to 6.2)
25-29 7.5 (6.9 to 8.1) 7.2 (6.7 to 7.9) 9.7 (8.8 to 10.7) −0.2 (−1.0 to 0.6) 2.5 (1.3 to 3.6)
30-34 5.7 (5.3 to 6.2) 5.9 (5.4 to 6.4) 8.1 (7.2 to 9.1) 0.2 (−0.5 to 0.9) 2.2 (1.1 to 3.3)
35-39 5.2 (4.8 to 5.7) 5.1 (4.7 to 5.6) 7.4 (6.6 to 8.4) −0.1 (−0.8 to 0.6) 2.3 (1.3 to 3.4)
40-44 4.6 (4.1 to 5.2) 4.4 (3.9 to 5.0) 4.5 (4.0 to 5.1) −0.2 (−1.0 to 0.6) 0.1 (−0.7 to 0.9)
45-49 4.4 (3.9 to 5.0) 3.5 (3.1 to 3.9) 4.6 (3.9 to 5.3) −0.9 (−1.6 to −0.3) 1.1 (0.3 to 1.9)
50-54 3.9 (3.5 to 4.3) 3.6 (3.2 to 3.9) 3.7 (3.2 to 4.3) −0.3 (−0.9 to 0.3) 0.1 (−0.5 to 0.8)
55-59 3.5 (3.2 to 3.9) 3.0 (2.7 to 3.4) 3.0 (2.7 to 3.3) −0.5 (−1.0 to 0.03) −0.1 (−0.5 to 0.4)
≥60 1.5 (1.4 to 1.6) 1.4 (1.3 to 1.5) 1.4 (1.3 to 1.6) −0.1 (−0.4 to 0.3) −0.2 (−0.7 to 0.3)
Race
White 5.1 (4.9 to 5.2) 5.0 (4.8 to 5.2) 5.8 (5.6 to 6.1) −0.1 (−0.3 to 0.1) 0.9 (0.6 to 1.1)
Black or African American 3.4 (3.1 to 3.8) 3.2 (2.8 to 3.6) 3.7 (3.2 to 4.2) −0.2 (−0.8 to 0.3) 0.5 (−0.2 to 1.1)
Hispanic 2.9 (2.6 to 3.3) 2.9 (2.6 to 3.3) 4.9 (4.2 to 5.7) 0.0 (−0.4 to 0.5) 1.9 (1.1 to 2.7)
Other 4.9 (4.4 to 5.5) 4.4 (3.9 to 4.9) 6.4 (5.7 to 7.2) −0.5 (−1.3 to 0.3) 1.9 (1.0 to 2.8)
Sexual orientation
Heterosexual 4.2 (4.0 to 4.4) 4.0 (3.8 to 4.2) 5.1 (4.9 to 5.4) −0.2 (−0.4 to 0.1) 1.1 (0.8 to 1.4)
Lesbian/gay 7.2 (5.7 to 9.1) 6.9 (5.4 to 8.6) 10.7 (8.2 to 13.9) −0.3 (−2.7 to 2.0) 3.8 (0.6 to 7.1)
Bisexual 11.0 (9.3 to 13.0) 9.5 (7.9 to 11.4) 12.5 (10.7 to 14.6) −1.6 (−4.1 to 1.0) 3.0 (0.4 to 5.6)
Marital status
Married 2.9 (2.7 to 3.0) 2.8 (2.6 to 2.9) 3.1 (2.9 to 3.3) −0.1 (−0.3 to 0.1) 0.3 (0.04 to 0.6)
Divorced 5.8 (5.4 to 6.2) 5.0 (4.6 to 5.4) 6.3 (5.7 to 6.9) −0.8 (−1.4 to −0.3) 1.3 (0.6 to 2.0)
Widowed 2.1 (1.9 to 2.3) 1.9 (1.7 to 2.2) 1.7 (1.5 to 2.1) −0.2 (−0.5 to 0.2) −0.1 (−0.6 to 0.3)
Single 7.3 (7.0 to 7.6) 7.5 (7.2 to 7.8) 10.3 (9.8 to 10.8) 0.2 (−0.3 to 0.7) 2.8 (2.2 to 3.4)
Education
<High school 4.8 (4.4 to 5.3) 4.6 (4.2 to 5.0) 5.4 (4.8 to 6.1) −0.2 (−0.8 to 0.4) 0.8 (0.1 to 1.6)
High school and some college 5.5 (5.3 to 5.7) 5.5 (5.3 to 5.7) 6.6 (6.3 to 6.9) −0.03 (−0.3 to 0.3) 1.1 (0.8 to 1.5)
College graduate 2.2 (2.1 to 2.3) 2.0 (1.9 to 2.1) 2.8 (2.6 to 3.0) −0.2 (−0.3 to 0.0) 0.8 (0.6 to 1.1)
Employment status
Employed 4.9 (4.8 to 5.1) 4.7 (4.6 to 4.9) 6.1 (5.8 to 6.4) −0.2 (−0.5 to 0.1) 1.4 (1.0 to 1.7)
Unemployed 5.6 (5.3 to 6.0) 5.5 (5.2 to 5.9) 5.9 (5.4 to 6.4) −0.1(−0.5 to 0.3) 0.4 (−0.2 to 1.0)
Student 6.3 (5.6 to 7.0) 7.2 (6.4 to 8.0) 12.0 (10.6 to 13.6) 0.9 (−0.2 to 1.9) 4.8 (3.1 to 6.5)
Retired 1.4 (1.3 to 1.5) 1.3 (1.2 to 1.4) 1.4 (1.2 to 1.7) −0.1 (−0.3 to 0.0) 0.1 (−0.1 to 0.4)
Income
Below poverty line 5.4 (5.0 to 5.8) 5.3 (4.9 to 5.8) 6.9 (6.3 to 7.5) −0.1 (−0.7 to 0.5) 1.5 (0.8 to 2.3)
Within 100%-200% above poverty line 5.2 (5.0 to 5.5) 4.6 (4.3 to 4.9) 6.1 (5.6 to 6.6) −0.7 (−1.1 to −0.2) 1.5 (0.9 to 2.1)
>200% above poverty line 4.0 (3.8 to 4.2) 3.8 (3.6 to 4.0) 5.0 (4.7 to 5.2) −0.2 (0.4 to 0.0) 1.2 (0.9 to 1.5)
Metropolitan area
Center city 2.8 (2.6 to 3.1) 2.4 (2.1 to 2.7) 2.4 (2.0 to 2.8) −0.4 (−0.8 to −0.1) 0.0 (−0.4 to 0.5)
Same county as center city 2.7 (2.4 to 3.0) 2.2 (1.9 to 2.6) 3.4 (2.5 to 4.5) −0.5 (−0.9 to 0.0) 1.1 (0.1 to 2.2)
Suburban county 3.0 (2.6 to 3.3) 2.7 (2.3 to 3.1) 2.9 (2.4 to 3.4) −0.3 (−0.8 to 0.2) 0.2(−0.4 to 0.8)
Outside metropolitan area 3.5 (3.1 to 4.0) 3.1 (2.7 to 3.5) 2.5 (2.1 to 2.9) −0.5 (−1.1 to 0.1) −0.6 (−1.1 to 0.0)
Combustible cigarette smoking
Never 1.4 (1.3 to 1.5) 1.5 (1.4 to 1.6) 2.3 (2.1 to 2.5) 0.1 (0.0 to 0.3) 0.8 (0.6 to 1.0)
Former 5.3 (5.0 to 5.6) 5.3 (5.0 to 5.6) 6.9 (6.4 to 7.4) 0.0 (−0.4 to 0.4) 1.6 (1.0 to 2.2)
Current 14.7 (14.1 to 15.2) 13.6 (13.1 to 14.2) 14.7 (13.9 to 15.5) −1.0 (−1.7 to −0.2) 1.0 (0.1 to 2.0)
Use of other tobacco productsa
No 4.3 (4.2 to 4.4) 4.2 (4.0 to 4.3) 5.2 (5.0 to 5.4) −0.1 (−0.3 to 0.0) 1.0 (0.8 to 1.3)
Yes 9.4 (8.5 to 10.4) 10.1 (9.1 to 11.2) 11.0 (9.7 to 12.4) 0.7 (−0.7 to 2.0) 0.9 (−0.8 to 2.6)
Heavy alcohol use
No 4.2 (4.1 to 4.3) 4.1 (4.0 to 4.3) 4.9 (4.7 to 5.2) −0.1 (−0.3 to 0.1) 0.8 (0.6 to 1.1)
Yes 8.6 (7.9 to 9.3) 8.1 (7.4 to 8.8) 11.5 (10.5 to 12.6) −0.5 (−1.5 to 0.5) 3.4 (2.1 to 4.6)
Marijuana use
No 3.9 (3.7 to 4.2) 2.6 (2.3 to 2.8) 3.7 (3.4 to 4.0) −1.4 (−1.7 to −1.0) 1.2 (0.8 to 1.6)
Yes 16.2 (14.4 to 18.2) 11.2 (9.4 to 13.3) 21.3 (18.9 to 23.9) −5.0 (−7.7 to −2.2) 10.1 (6.9 to 13.2)
Binge drinking
No 3.7 (3.5 to 3.8) 3.6 (3.5 to 3.7) 4.2 (4.0 to 4.4) −0.1 (−0.3 to 0.1) 0.6 (0.3 to 0.8)
Yes 8.6 (8.2 to 9.1) 8.2 (7.8 to 8.7) 11.8 (11.1 to 12.6) −0.4 (−1.0 to 0.2) 3.6 (2.8 to 4.5)
Cardiovascular diseaseb,c
No 4.7 (4.6 to 4.8) 4.6 (4.5 to 4.8) 6.1 (5.9 to 6.4) −0.1 (−0.3 to 0.1) 1.5 (1.2 to 1.8)
Yes 7.1 (6.0 to 8.3) 7.3 (5.8 to 9.2) 6.4 (5.2 to 7.9) 0.3 (−1.7 to 2.3) −0.9(−3.1 to 1.2)
Cancerc
No 4.8 (4.6 to 4.9) 4.7 (4.5 to 4.8) 6.1 (5.9 to 6.4) −0.1 (−0.3 to 0.1) 1.4 (1.2 to 1.7)
Yes 6.5 (5.6 to 7.5) 6.6 (5.5 to 7.8) 8.0 (6.4 to 10.0) 0.1 (−1.4 to 1.5) 1.5(−0.7 to 3.6)
Asthmac
No 4.5 (4.4 to 4.7) 4.4 (4.3 to 4.6) 5.8 (5.6 to 6.1) −0.1 (−0.3 to 0.2) 1.4 (1.1 to 1.7)
Yes 6.7 (6.2 to 7.2) 6.2 (5.7 to 6.8) 7.7 (6.9 to 8.5) −0.5 (−1.2 to 0.3) 1.5 (0.5 to 2.5)
COPDc
No 4.5 (4.4 to 4.7) 4.5 (4.3 to 4.6) 5.9 (5.7 to 6.1) −0.05 (−0.3 to 0.2) 1.4 (1.1 to 1.7)
Yes 10.2 (9.2 to 11.2) 9.3 (8.3 to 10.4) 11.7 (10.2 to 13.4) −0.9 (−2.4 to 0.5) 2.4 (0.5 to 4.3)
Diabetesc
No 4.8 (4.7 to 5.0) 4.7 (4.5 to 4.8) 6.2 (5.9 to 6.4) −0.1 (−0.3 to 0.1) 1.5 (1.2 to 1.8)
Prediabetes 5.0 (3.8 to 6.4) 5.2 (3.5 to 7.6) 8.4 (5.4 to 12.9) 0.2 (−2.2 to 2.6) 3.2 (−1.0 to 7.4)
Yes 5.0 (4.4 to 5.7) 5.8 (4.7 to 7.1) 6.2 (4.9 to 7.7) 0.8 (−0.6 to 2.1) 0.4 (−1.4 to 2.2)
Chronic kidney diseasec
No 4.8 (4.6 to 4.9) 4.7 (4.6 to 4.9) 6.1 (5.9 to 6.4) −0.1 (−0.3 to 0.1) 1.5 (1.2 to 1.8)
Yes 6.5 (5.3 to 8.0) 5.9 (4.6 to 7.5) 7.1 (5.0 to 9.8) −0.7 (−2.6 to 1.3) 1.2 (−1.5 to 4.0)
Depressionc
No 3.9 (3.8 to 4.1) 3.8 (3.7 to 4.0) 5.2 (4.9 to 5.5) −0.1 (−0.3 to 0.1) 1.4 (1.1 to 1.7)
Yes 9.1 (8.7 to 9.5) 8.5 (8.1 to 8.9) 10.2 (9.6 to 10.8) −0.6 (−1.2 to −0.06) 1.7 (1.0 to 2.4)

Abbreviation: COPD, chronic obstructive pulmonary disease.

a

Defined as current use of chewing tobacco, snuff, or snus every day or some days.

b

Defined as history of myocardial infarction, stroke, angina, or coronary heart disease.

c

Age standardized estimates are shown.