Data / Rankings / E-cigarette use in adults / US states

US states by E-cigarette use in adults

Oklahoma had the highest E-cigarette use in adults of 50 states in 2021, at 9.4%. Maryland had the lowest, at 4.5%. The median was 6.7%. Source: the Centers for Disease Control and Prevention.

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Highest9.4Oklahoma
Lowest4.5Maryland
Median6.750 states

Map of states, 2021

Alabama: 9.1 %Alaska: 6.2 %Arizona: 8.8 %Arkansas: 7.3 %California: 5.2 %Colorado: 6.8 %Connecticut: 5 %Delaware: 6.1 %District of Columbia: 4.8 %Georgia: 7.8 %Hawaii: 7.3 %Idaho: 7.4 %Illinois: 6.4 %Indiana: 8.1 %Iowa: 6.4 %Kansas: 6.6 %Kentucky: 9.3 %Louisiana: 9 %Maine: 5.8 %Maryland: 4.5 %Massachusetts: 4.7 %Michigan: 7.6 %Minnesota: 5.7 %Mississippi: 6.4 %Missouri: 7.4 %Montana: 6.1 %Nebraska: 6.7 %Nevada: 7 %New Hampshire: 4.9 %New Jersey: 6 %New Mexico: 7.3 %New York: 5.3 %North Carolina: 6.8 %North Dakota: 7.4 %Ohio: 7.8 %Oklahoma: 9.4 %Oregon: 6.6 %Pennsylvania: 6.1 %Rhode Island: 6.2 %South Carolina: 7.2 %South Dakota: 6.1 %Tennessee: 9.1 %Texas: 6 %Utah: 7.2 %Vermont: 5 %Virginia: 6.8 %Washington: 6.5 %West Virginia: 7.1 %Wisconsin: 6.2 %Wyoming: 7.5 %
  • Under 5.7
  • 5.7 to 6.2
  • 6.2 to 6.7
  • 6.7 to 7.3
  • 7.3 to 7.8
  • 7.8 and over
  • No data
%, 2021. Hatched areas have no value for this period. Source: CDC, Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), e-cigarette use in adults, crude prevalence, overall. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2021

Oklahoma: 9.4 %Oklahoma9.4Kentucky: 9.3 %Kentucky9.3Alabama: 9.1 %Alabama9.1Tennessee: 9.1 %Tennessee9.1Louisiana: 9 %Louisiana9Arizona: 8.8 %Arizona8.8Indiana: 8.1 %Indiana8.1Georgia: 7.8 %Georgia7.8Ohio: 7.8 %Ohio7.8Michigan: 7.6 %Michigan7.6Wyoming: 7.5 %Wyoming7.5Idaho: 7.4 %Idaho7.4Missouri: 7.4 %Missouri7.4North Dakota: 7.4 %North Dakota7.4Arkansas: 7.3 %Arkansas7.3Hawaii: 7.3 %Hawaii7.3New Mexico: 7.3 %New Mexico7.3South Carolina: 7.2 %South Carolina7.2Utah: 7.2 %Utah7.2West Virginia: 7.1 %West Virginia7.1Nevada: 7 %Nevada7Colorado: 6.8 %Colorado6.8North Carolina: 6.8 %North Carolina6.8Virginia: 6.8 %Virginia6.8Nebraska: 6.7 %Nebraska6.7Kansas: 6.6 %Kansas6.6Oregon: 6.6 %Oregon6.6Washington: 6.5 %Washington6.5Illinois: 6.4 %Illinois6.4Iowa: 6.4 %Iowa6.4Mississippi: 6.4 %Mississippi6.4Alaska: 6.2 %Alaska6.2Rhode Island: 6.2 %Rhode Island6.2Wisconsin: 6.2 %Wisconsin6.2Delaware: 6.1 %Delaware6.1Montana: 6.1 %Montana6.1Pennsylvania: 6.1 %Pennsylvania6.1South Dakota: 6.1 %South Dakota6.1New Jersey: 6 %New Jersey6Texas: 6 %Texas6Maine: 5.8 %Maine5.8Minnesota: 5.7 %Minnesota5.7New York: 5.3 %New York5.3California: 5.2 %California5.2Connecticut: 5 %Connecticut5Vermont: 5 %Vermont5New Hampshire: 4.9 %New Hampshire4.9District of Columbia: 4.8 %District of Columbia4.8Massachusetts: 4.7 %Massachusetts4.7Maryland: 4.5 %Maryland4.5Oklahoma: 9.4 %Oklahoma9.4Kentucky: 9.3 %Kentucky9.3Alabama: 9.1 %Alabama9.1Tennessee: 9.1 %Tennessee9.1Louisiana: 9 %Louisiana9Arizona: 8.8 %Arizona8.8Indiana: 8.1 %Indiana8.1Georgia: 7.8 %Georgia7.8Ohio: 7.8 %Ohio7.8Michigan: 7.6 %Michigan7.6Wyoming: 7.5 %Wyoming7.5Idaho: 7.4 %Idaho7.4Missouri: 7.4 %Missouri7.4North Dakota: 7.4 %North Dakota7.4Arkansas: 7.3 %Arkansas7.3Hawaii: 7.3 %Hawaii7.3New Mexico: 7.3 %New Mexico7.3South Carolina: 7.2 %South Carolina7.2Utah: 7.2 %Utah7.2West Virginia: 7.1 %West Virginia7.1Nevada: 7 %Nevada7Colorado: 6.8 %Colorado6.8North Carolina: 6.8 %North Carolina6.8Virginia: 6.8 %Virginia6.8Nebraska: 6.7 %Nebraska6.7Kansas: 6.6 %Kansas6.6Oregon: 6.6 %Oregon6.6Washington: 6.5 %Washington6.5Illinois: 6.4 %Illinois6.4Iowa: 6.4 %Iowa6.4Mississippi: 6.4 %Mississippi6.4Alaska: 6.2 %Alaska6.2Rhode Island: 6.2 %Rhode Island6.2Wisconsin: 6.2 %Wisconsin6.2Delaware: 6.1 %Delaware6.1Montana: 6.1 %Montana6.1Pennsylvania: 6.1 %Pennsylvania6.1South Dakota: 6.1 %South Dakota6.1New Jersey: 6 %New Jersey6Texas: 6 %Texas6Maine: 5.8 %Maine5.8Minnesota: 5.7 %Minnesota5.7New York: 5.3 %New York5.3California: 5.2 %California5.2Connecticut: 5 %Connecticut5Vermont: 5 %Vermont5New Hampshire: 4.9 %New Hampshire4.9District of Columbia: 4.8 %District of Columbia4.8Massachusetts: 4.7 %Massachusetts4.7Maryland: 4.5 %Maryland4.5
%. Source: CDC, 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.

Full ranking

RankStates2021 (%)
1Oklahoma9.4
2Kentucky9.3
3Alabama9.1
3Tennessee9.1
5Louisiana9
6Arizona8.8
7Indiana8.1
8Georgia7.8
8Ohio7.8
10Michigan7.6
11Wyoming7.5
12Idaho7.4
12Missouri7.4
12North Dakota7.4
15Arkansas7.3
15Hawaii7.3
15New Mexico7.3
18South Carolina7.2
18Utah7.2
20West Virginia7.1
21Nevada7
22Colorado6.8
22North Carolina6.8
22Virginia6.8
25Nebraska6.7
26Kansas6.6
26Oregon6.6
28Washington6.5
29Illinois6.4
29Iowa6.4
29Mississippi6.4
32Alaska6.2
32Rhode Island6.2
32Wisconsin6.2
35Delaware6.1
35Montana6.1
35Pennsylvania6.1
35South Dakota6.1
39New Jersey6
39Texas6
41Maine5.8
42Minnesota5.7
43New York5.3
44California5.2
45Connecticut5
45Vermont5
47New Hampshire4.9
48District of Columbia4.8
49Massachusetts4.7
50Maryland4.5

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. 1 states with data in other periods have no value for 2021 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

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [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?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_states_by_e_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-ecigarette-use-rate/us-states?period=2021.
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  -
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Rank US states by E-cigarette use in adults using official data, and cite the source.
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Questions

Which state has the highest E-cigarette use in adults?

Oklahoma, with 9.4% in 2021, according to the Centers for Disease Control and Prevention.

Which state has the lowest E-cigarette use in adults?

Maryland, with 4.5% in 2021.

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. 1 states have no value for 2021 and are not ranked.

US states: more rankings