State by region	Prevalence										P for linear trend	P for quadratic trend
	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020
New England
Connecticut	39.8	33.1	40.4	53.6	49.4	52.3	47.7	29.6	54.0	50.5	.002	.13
Maine	42.7	46.9	44.1	37.1	47.6	47.8	37.3	28.6	34.4	47.5	.25	.01
Massachusetts	45.1	46.0	45.5	41.1	40.0	34.6	42.3	29.6	43.2	53.7	.47	<.001
New Hampshire	41.1	44.1	32.6	39.7	47.2	54.5	51.6	25.6	46.9	36.1	.84	.37
Rhode Island	37.9	46.7	42.6	48.0	36.6	41.8	47.3	30.9	38.1	60.0	.09	.30
Vermont	47.0	33.9	42.4	54.5	38.3	31.8	32.4	35.7	45.6	48.3	.001	.08
Middle Atlantic
New Jersey	36.4	36.4	27.3	34.9	42.1	47.2	51.4	32.4	NA	48.3	.04	.88
New York	36.3	51.5	35.1	39.5	42.0	45.2	35.6	29.3	39.7	41.1	.22	.38
Pennsylvania	48.6	45.4	38.2	36.7	38.0	38.5	56.3	39.3	51.8	60.8	.01	.02
East North Central
Illinois	36.0	30.5	47.0	42.6	39.3	43.3	30.4	31.7	51.5	33.3	.91	.04
Indiana	39.8	41.5	40.7	30.0	39.3	31.7	33.7	22.0	40.0	43.9	.09	<.001
Michigan	47.7	37.8	34.6	37.7	39.9	38.6	33.6	27.9	32.4	44.0	.56	.02
Ohio	46.3	34.8	37.5	30.9	35.6	39.1	42.6	33.5	38.5	47.3	.26	.001
Wisconsin	53.2	36.2	36.0	32.8	29.9	34.0	51.0	37.9	34.3	48.3	.95	<.001
West North Central
Iowa	41.4	56.1	40.2	48.2	40.6	55.6	43.3	36.2	49.1	44.5	<.001	.97
Kansas	42.2	42.9	43.7	41.4	41.6	37.2	35.0	34.0	46.5	47.3	.05	<.001
Minnesota	43.9	54.0	45.0	42.3	41.3	46.9	47.6	34.4	44.4	51.1	.29	.003
Missouri	37.7	35.7	46.4	37.6	59.3	48.7	35.1	33.7	43.2	42.8	.28	.23
Nebraska	41.5	42.5	43.1	44.6	49.7	52.3	50.2	38.1	53.0	59.4	.02	.08
North Dakota	62.1	41.0	53.4	35.5	50.6	39.8	53.8	37.5	41.6	33.2	.55	.56
South Dakota	57.2	51.2	52.5	48.6	56.8	51.4	51.3	25.7	51.6	64.0	.001	.19
South Atlantic
Delaware	43.2	38.1	54.7	42.1	58.6	41.7	41.5	33.1	51.9	52.3	.72	.14
District of Columbia	39.8	37.8	38.1	24.5	27.7	43.8	33.9	53.1	44.7	56.2	.10	<.001
Florida	32.7	34.7	29.6	28.6	27.6	36.4	34.4	28.0	33.2	49.6	.44	.04
Georgia	29.3	34.6	37.8	38.2	32.5	36.0	41.7	26.5	35.7	40.6	.61	.81
Maryland	41.2	36.6	42.8	48.8	38.2	42.2	50.5	39.3	45.5	46.7	.27	.009
North Carolina	42.8	42.6	48.6	39.9	37.2	40.3	42.8	44.0	47.7	40.5	.24	.049
South Carolina	41.8	40.0	47.7	33.7	40.0	34.2	37.7	33.7	42.3	34.7	.003	.27
Virginia	41.1	30.9	40.5	37.7	51.9	37.1	38.1	32.1	46.8	51.8	.64	.02
West Virginia	50.1	42.1	45.1	50.8	42.9	44.3	49.2	40.1	38.0	45.9	<.001	.38
East South Central
Alabama	44.7	40.1	45.0	37.3	41.0	34.8	42.1	41.4	39.6	36.1	.84	.03
Kentucky	36.7	36.8	42.4	45.6	41.7	31.3	36.2	38.5	36.8	50.3	.80	.10
Mississippi	43.8	38.4	38.5	36.0	41.9	36.1	36.2	33.9	43.9	45.7	.46	.02
Tennessee	37.6	46.8	50.9	40.9	40.2	36.7	26.5	25.0	32.7	34.2	.10	.02
West South Central
Arkansas	34.9	35.3	31.1	34.5	37.5	48.2	32.7	24.4	32.0	52.5	.86	.06
Louisiana	44.6	45.0	38.0	45.6	45.6	39.0	31.8	31.2	36.3	39.3	<.001	.20
Oklahoma	43.1	40.3	43.7	53.2	41.3	38.6	46.0	34.4	40.1	52.9	.85	.72
Texas	33.4	33.5	36.6	39.6	46.3	31.9	27.4	25.6	34.1	42.4	.48	.02
Mountain
Arizona	36.5	38.2	41.2	36.8	31.6	35.7	40.5	24.7	38.4	39.5	.92	.06
Colorado	44.7	39.4	44.9	53.0	47.5	44.9	51.0	39.7	49.1	52.8	.95	.23
Idaho	33.9	37.1	34.9	36.0	36.3	39.9	27.9	27.1	34.5	46.7	.16	.15
Montana	32.1	34.4	41.5	34.4	29.8	39.5	30.7	28.9	35.0	42.9	.71	.55
Nevada	29.2	27.6	31.7	29.3	42.7	41.9	29.9	43.4	34.6	35.5	.04	.51
New Mexico	44.9	42.5	45.0	34.7	41.0	41.9	39.0	36.9	32.0	44.4	.49	.03
Utah	45.5	39.8	41.2	37.5	44.6	39.6	37.0	33.0	44.1	54.6	.10	<.001
Wyoming	38.7	31.2	31.6	30.8	48.8	38.4	40.5	24.3	48.5	33.6	.76	.098
Pacific
Alaska	35.6	38.7	51.8	55.3	43.6	26.1	30.8	27.8	36.5	26.6	.97	.61
California	35.8	39.9	35.3	40.9	32.1	35.5	49.2	34.9	51.3	41.3	.197	.01
Hawaii	45.4	49.1	46.0	49.9	35.2	34.5	42.0	31.0	43.2	50.0	.10	<.001
Oregon	32.6	33.3	40.8	43.9	31.7	30.8	38.2	30.1	41.0	40.5	.51	.048
Washington	41.8	40.4	41.3	43.0	42.4	49.5	45.4	41.5	41.0	44.5	.007	.27
US Islands
Guam	25.5	21.5	26.2	31.4	24.5	29.9	27.1	26.2	30.1	26.1	.52	.63
Puerto Rico	16.4	14.4	19.4	22.7	26.2	19.3	23.4	20.9	17.6	22.6	.005	.05
Virgin Islands	NA	NA	NA	NA	NA	18.9	NA	NA	NA	NA	NA	NA