U.S. Adult Cigarette Smoking Rates Fell in 2024
New CDC survey data shows a decline in cigarette use, though e-cigarette usage rose to 7 percent nationwide.
Updated on Sept. 29, 2026 in Asthma
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The Centers for Disease Control and Prevention reported that cigarette smoking among U.S. adults dropped to a record low of 10 percent in 2024. During the same period, the percentage of adults using e-cigarettes increased to 7 percent from 6.5 percent in 2023.
Why it matters
The decline in cigarette smoking reflects decades of public health and education initiatives that began with a 1964 Surgeon General report on health risks. Conversely, the rise in e-cigarette usage suggests a shift in tobacco company efforts to reach new consumer segments.
In 2024, 10% of U.S. adults smoked cigarettes, down from 11% in 2023, while e-cigarette usage rose to 7% from 6.5% the prior year. Regional disparities persist, with 15% of non-metropolitan adults smoking cigarettes and 9.2% using e-cigarettes.
The players
Centers for Disease Control and Prevention
This is the national public health agency of the United States that monitors health trends and disease data.
Food and Drug Administration
This federal agency is responsible for protecting public health by regulating tobacco products and pharmaceutical goods.
The details
Data indicates that smoking rates remain higher in rural areas compared to cities. While cigarette smoking has trended downward, the FDA has not approved any e-cigarette product for smoking cessation.
Timeline
1964: Surgeon General report warned of cigarette health risks.
2020: 3.7% of U.S. adults used e-cigarettes.
2023: 11% of U.S. adults smoked and 6.5% used e-cigarettes.
2024: 10% of U.S. adults smoked and 7% used e-cigarettes.
Health Landscape
The decline in traditional cigarette smoking represents a sustained shift in public health outcomes following the 1964 Surgeon General report on cigarette health risks. This progress in reducing combustible tobacco use is now being weighed against the increasing prevalence of e-cigarette products.
The shift toward e-cigarette use may alter daily health routines and exposure to nicotine for many adults. Patients should note that because the FDA has not approved any e-cigarettes for smoking cessation, these products are not considered a medically vetted treatment option.
The takeaway
While the decline in cigarette smoking is a major public health achievement, the rising popularity of e-cigarettes presents a new set of usage trends to monitor. Consumers should be aware that e-cigarettes lack clinical approval for nicotine withdrawal or cessation support.
Further reading
Learn more about respiratory wellness in the Asthma section of our health archive.
Source note: This article includes information reported by Kiss 107.1.
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