Smoking rate among US adults drops to record low as vape use rises: CDC

Cigarette smoking among U.S. adults continues to fall to record low levels as e-cigarette use rises, according to a report from the Centers for Disease Control and Prevention published early Thursday.

Nearly 10% of adults in the U.S. smoked cigarettes in 2024, the report found. This is down from about 11% in 2023, CDC data shows.

Rates of cigarette use have dramatically fallen since a landmark 1964 Surgeon General report warned about the dangers of cigarette smoking and linked it to lung cancer, chronic bronchitis and other serious diseases.

The 1964 report also found a 70% higher mortality rate among smokers and helped launch a nationwide anti-smoking campaign.

At the time, more than 42% of adult Americans were smokers, according to the surgeon general.

“Decreased cigarette use is certainly in line with decades of trends and really hard work on the part of public health and education folks to get the word out about how awful cigarettes are and how deadly they are,” Dr. Maria Rahmandar, medical director of the substance use & prevention program in the division of adolescent and young adult medicine at Ann & Robert H. Lurie Children’s Hospital of Chicago, told ABC News.

The new CDC report found those living in rural areas were more likely to smoke more than city dwellers. More than 15% of those in non-metropolitan areas smoked cigarettes compared to those living in cities, the report noted.

Meanwhile, the report found that 7% of American adults used e-cigarettes, or vapes, in 2024.

This is a slight uptick from 6.5% of adults reporting e-cigarette use in 2023 and nearly double from the 3.7% of adults who reported using e-cigarettes in 2020, CDC data shows.