"Among people aged 12 or older in 2024, 22.1 percent (or 63.7 million people) used tobacco products or vaped nicotine in the past month (Figure 2 and Table A.1B). Among people aged 12 or older who used nicotine products in the past month, 56.5 percent used only tobacco products, and 24.6 percent only vaped nicotine products (Figure 3 and Table A.2B). An estimated 71.5 percent of adolescents aged 12 to 17 who used nicotine products in the past month only vaped nicotine products, as did 50.3 percent of young adults aged 18 to 25 and 18.0 percent of adults aged 26 or older who used nicotine products in the past month. Among adults aged 26 or older who used nicotine products in the past month, 65.6 percent used only tobacco products. Corresponding percentages for the use of only tobacco products were 17.9 percent of young adults and 8.9 percent of adolescents who used nicotine products in the past month.
"Tobacco Product Use
"Among people aged 12 or older, the percentage who used tobacco products in the past month declined from 20.1 percent (or 56.2 million people) in 2021 to 16.7 percent (or 48.0 million people) in 2024 (Figure 4 and Table A.3B). Percentages also declined from 2021 to 2024 for people in each age group (Tables A.4B to A.6B). For example, the percentage of adults aged 26 or older who used tobacco products in the past month declined from 22.5 percent (or 49.6 million people) in 2021 to 18.7 percent (or 42.5 million people) in 2024.
"In 2024, of the 48.0 million current (i.e., past month) tobacco users aged 12 or older (Figure 1), the majority were current cigarette smokers (37.8 million people; Figure 2). This pattern matches historical usage patterns.18,19 Additionally, 9.4 million people aged 12 or older were current cigar smokers, 6.7 million people were current smokeless tobacco users, and 1.8 million people were current pipe tobacco smokers. Among people aged 12 or older in 2024 who used any tobacco product in the past month (regardless of whether they vaped nicotine), the following percentages of people used different types of tobacco products:
"• 66.1 percent smoked cigarettes but did not use other tobacco products,
"• 12.5 percent smoked cigarettes and used some other type of tobacco product, and
"• 21.3 percent used only noncigarette tobacco products (i.e., other tobacco products but not cigarettes) (Table A.7B)."
Substance Abuse and Mental Health Services Administration. (2025). Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health (HHS Publication No. PEP25-07-007, NSDUH Series H-60). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.