US states by E-cigarette use in adults, 2025
West Virginia had the highest E-cigarette use in adults of 48 states in 2025, at 10.9%. District of Columbia had the lowest, at 5.2%. The median was 8.1%. Source: the Centers for Disease Control and Prevention.
Map of states, 2025
- Under 6.4
- 6.4 to 7.2
- 7.2 to 8.1
- 8.1 to 8.7
- 8.7 to 9.5
- 9.5 and over
- No data
All states, 2025
Full ranking
| Rank | States | 2025 (%) | Change on 2024 |
|---|---|---|---|
| 1 | West Virginia | 10.9 | +0.5 pts |
| 2 | Arkansas | 10.5 | -0.2 pts |
| 3 | Kentucky | 10.4 | -0.4 pts |
| 4 | South Carolina | 10.4 | +1.9 pts |
| 5 | Louisiana | 10.4 | +0.8 pts |
| 6 | Hawaii | 10.2 | +0.8 pts |
| 7 | Oklahoma | 10.1 | -0.7 pts |
| 8 | Michigan | 9.6 | -0.2 pts |
| 9 | Alaska | 9.5 | +1.1 pts |
| 10 | Alabama | 9.2 | -0.7 pts |
| 11 | Wyoming | 9.2 | -1.5 pts |
| 12 | Kansas | 9 | -0.5 pts |
| 13 | Iowa | 8.9 | 0 pts |
| 13 | Montana | 8.9 | -0.6 pts |
| 15 | Tennessee | 8.8 | |
| 16 | Ohio | 8.8 | -0.2 pts |
| 17 | South Dakota | 8.7 | +0.8 pts |
| 18 | Missouri | 8.7 | +0.4 pts |
| 19 | Wisconsin | 8.6 | +0.4 pts |
| 20 | Nebraska | 8.4 | +0.1 pts |
| 21 | Arizona | 8.3 | -0.2 pts |
| 22 | Colorado | 8.3 | -0.6 pts |
| 23 | Indiana | 8.3 | -0.9 pts |
| 24 | Oregon | 8.2 | +0.4 pts |
| 25 | Texas | 8 | 0 pts |
| 26 | Florida | 7.9 | +1.4 pts |
| 27 | North Dakota | 7.8 | +0.2 pts |
| 28 | New Mexico | 7.8 | -0.5 pts |
| 29 | Georgia | 7.7 | +0.2 pts |
| 30 | Pennsylvania | 7.6 | 0 pts |
| 31 | Minnesota | 7.4 | +0.2 pts |
| 32 | Idaho | 7.3 | -0.7 pts |
| 33 | Delaware | 7.2 | +0.5 pts |
| 34 | Washington | 7.1 | -0.5 pts |
| 35 | New Hampshire | 6.9 | +1.2 pts |
| 36 | Virginia | 6.8 | -0.4 pts |
| 37 | Illinois | 6.7 | -0.1 pts |
| 38 | Vermont | 6.5 | +0.6 pts |
| 39 | Connecticut | 6.5 | +0.8 pts |
| 40 | Maine | 6.4 | -0.1 pts |
| 41 | Utah | 6.4 | -0.4 pts |
| 42 | New York | 6.1 | -0.2 pts |
| 43 | North Carolina | 6.1 | -1.3 pts |
| 44 | Rhode Island | 6 | -1 pts |
| 45 | New Jersey | 5.9 | -0.3 pts |
| 46 | Maryland | 5.9 | +0.7 pts |
| 47 | Massachusetts | 5.4 | -0.3 pts |
| 48 | District of Columbia | 5.2 | +0.4 pts |
Other periods
About this ranking
Percentage of adults aged 18 and over who currently use e-cigarettes or other electronic vaping products every day or on some days. Crude prevalence, not age-adjusted.
CDC Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey of adults, crude prevalence. States and DC only: BRFSS publishes the median of the states rather than a national prevalence, so no national value is served. A state that did not meet BRFSS data standards in a year has no value, and CDC withholds estimates from fewer than 50 respondents or with a relative standard error above 0.3. The dataset also publishes 95% confidence intervals. The series starts in 2011, when BRFSS changed its weighting and added cell phones. Asked in 2016 and 2017 and every year from 2021; 2018 to 2020 are not published. BRFSS variable _CURECIG in 2016 and 2017, then _CURECI1, _CURECI2 and _CURECI3 as the question was revised, so the early years are not strictly comparable with the later ones.
Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. 3 states with data in other periods have no value for 2025 and are left out rather than filled from another source. Equal values share a rank.
How to cite
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
Citation styles
APA 7
Centers for Disease Control and Prevention. (2026). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall (US states by E-cigarette use in adults, 2025) [Data set]. Retrieved October 12, 2026, from https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27
MLA 9
Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall, US states by E-cigarette use in adults, 2025. Centers for Disease Control and Prevention, 15 Sept. 2026, https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Invokely, https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states. Accessed 12 Oct. 2026.
Chicago (author-date)
Centers for Disease Control and Prevention. 2026. Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. US states by E-cigarette use in adults, 2025. Dataset. Accessed October 12, 2026. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Also distributed by Invokely, https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states.
Harvard
Centers for Disease Control and Prevention (2026) Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall, US states by E-cigarette use in adults, 2025 [Dataset]. Available at: https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27, via Invokely: https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states (Accessed: 12 October 2026).
BibTeX
@misc{centers_us_states_by_e_2025,
author = {{Centers for Disease Control and Prevention}},
title = {{Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall: US states by E-cigarette use in adults, 2025}},
year = {2026},
howpublished = {Data set},
url = {https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states. Publisher attribution: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?\%24order=\%3Aid\&\%24limit=50000\&\%24where=questionid+in+\%28\%27\_CURECIG\%27\%2C\%27\_CURECI1\%27\%2C\%27\_CURECI2\%27\%2C\%27\_CURECI3\%27\%29+AND+responseid+in+\%28\%27RESP214\%27\%29+AND+breakoutid\%3D\%27BO1\%27+AND+data\_value\_type\%3D\%27Crude+Prevalence\%27. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY - DATA
AU - Centers for Disease Control and Prevention
TI - Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall: US states by E-cigarette use in adults, 2025
PY - 2026
DA - 2026/09/15
PB - Centers for Disease Control and Prevention
DB - Invokely
UR - https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27
L2 - https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states.
N1 - Publisher attribution: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_CURECIG%27%2C%27_CURECI1%27%2C%27_CURECI2%27%2C%27_CURECI3%27%29+AND+responseid+in+%28%27RESP214%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank US states by E-cigarette use in adults using official data, and cite the source.
rank_places {"indicator":"adult_ecigarette_use_rate","level":"region","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_ecigarette_use_rate&level=region&within=United%20States&limit=10
Questions
Which state has the highest E-cigarette use in adults?
West Virginia, with 10.9% in 2025, according to the Centers for Disease Control and Prevention.
Which state has the lowest E-cigarette use in adults?
District of Columbia, with 5.2% in 2025.
Where does this ranking come from?
Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. Retrieved 2026-10-12. 3 states have no value for 2025 and are not ranked.