U.S. smoking rate hits an all-time low, but gaps remain

A 2024 analysis published in NEJM Evidence put adult cigarette smoking at 9.9%, an all‑time low, while the federal Office of Smoking and Health was closed last spring, pausing federal analysis and coordination on tobacco trends.

A 2024 analysis published in NEJM Evidence reported that the U.S. adult cigarette smoking rate fell to 9.9%, the lowest on record. At the same time, the federal Office of Smoking and Health (OSH) was closed last spring, and federal analysis and guidance on tobacco use have paused. Public health experts note that the low national rate coexists with persistent inequalities and ongoing use of non‑cigarette nicotine products. Key facts: - The NEJM Evidence analysis reported a 2024 adult cigarette smoking prevalence of 9.9%. - The federal Office of Smoking and Health was closed last spring, and federal analysis and public guidance on tobacco trends have paused. - Experts report substantially higher smoking rates among low‑income people, those with lower educational attainment, sexual and gender minorities, people experiencing housing instability, and people with substance use or mental health disorders. - Reported adult use of nicotine products overall exceeds 18%, and use of non‑cigarette nicotine products is rising among young adults. Summary: The reported 9.9% cigarette smoking rate reflects long‑term declines but exists alongside major disparities and rising non‑cigarette nicotine use. Federal funding for tobacco control has been restored, but OSH has not been reestablished and federal coordination of analysis and messaging remains paused. Undetermined at this time.