California has led the nation in reducing smoking.1

For the past 30 years, California has been a national leader in the efforts to reduce the consumption of tobacco products, which is a major contributor to a range of chronic diseases. For example, between 1988 to 2019, adult cigarette smoking fell from 23.7% to 10%, and lung cancer mortality decreased by nearly half.1

California continues its efforts towards the elimination of commercial tobacco use by reducing existing tobacco-related disparities by age, gender, race/ethnicity, income, geography, and other factors. To this end, California needs to reduce youth uptake of tobacco products to prevent young people from ever starting to use tobacco products.2

These indicators track the percent of current tobacco use among adolescents and adults.

Tobacco Use – Adolescent

In 2024 (baseline year), adolescent tobacco use was 6.4%. The most recent data available indicate 6.4% (2024). We hope to reach a target of 2.4% or lower by 2034.

More Data about Tobacco Use – Adolescent

Baseline

6.4%

Current Rate

6.4%

Target

2.4%

Tobacco Use – Adult

In 2022-2023 (baseline year), adult tobacco use was at 11.3%. The most recent data available indicate 11.3% (2022-2023). We hope to reach a target of 5.8% or lower by 2034.

More Data about Tobacco Use – Adult

Baseline

11.3%

Current Rate

11.3%

Target

5.8%

Data Snapshot

Percent of Current Tobacco Use, Over Time

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Percent of Current Tobacco Use, by Demographic Category

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Indicator: Percent of Current Tobacco Use Among Adolescents, California

Indicator Description: The California Tobacco Prevention Program (CTPP) coordinates statewide tobacco control efforts and funds the California Youth Tobacco Survey (CYTS) (formerly the California Student Tobacco Survey (CSTS) between 2016-2020). Current tobacco use among adolescents is defined as engaging in any one of the following behaviors in the past 30 days: smoked cigarettes, big cigars or cigarillos, vaped, chewed tobacco, or used any heated tobacco products.

Data Limitations: This indicator only includes high school students (10th and 12th graders). The survey questions used to measure current tobacco use were revised in 2018, 2020, and 2022.

Indicator Source: California Tobacco Prevention Program

Indicator Calculation Methodology: Indicator constructed from responses to multiple survey questions.

Data Collection Methodology: The CYTS is a large-scale, in-school student survey administered to middle (grade 8) and high school (grades 10 and 12) students. Topics of the survey include awareness of and use of different tobacco products; history and patterns of tobacco use; tobacco purchasing patterns; knowledge and participation in school tobacco prevention or cessation programs; perceptions of tobacco use (i.e., social norms); awareness of advertising; and susceptibility to future tobacco use. The survey is typically conducted biennially, except in 2022-2024 when it was conducted annually.

Program URL Link: https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/Pages/Welcome.aspx

Reporting Cycle: Biennial Survey (August)


Indicator: Percentage of Current Tobacco Use Among Adults, California

Indicator Description: The indicator is from UCLA’s California Health Interview Survey (CHIS) Public Use File (PUF). Most variables are also available in their exploratory dashboard, AskCHIS. Current tobacco use among adults (age 18 or older) is defined as engaging in any one of the following behaviors in the past 30 days: smoked cigarettes, big cigars or cigarillos, vaped, used a hookah waterpipe, or chewed tobacco.

Data Limitations: Asked of California’s residential population (adults, teens, and children), administered in English, Spanish, Chinese, Korean, Tagalog, and Vietnamese. Does not include those living in group quarters or homeless persons. The survey questions for measuring current tobacco use among adults were revised in 2018 and 2019.

Indicator Source: UCLA’s California Health Interview Survey (CHIS) is a biennial population-based, omnibus health survey of California. It is the largest telephone survey in California and the largest state health survey in the country. Note that this indicator uses weighted data.

Indicator Calculation Methodology: Indicator constructed from responses to multiple survey questions. More information about “constructed variables” is available from the CHIS FAQs, available at https://healthpolicy.ucla.edu/chis/faq/Pages/default.aspx

Data Collection Methodology: Statewide web and telephone survey using a geographically stratified sample design. Estimates are weighted to Dept. of Finance demographic data (adjusted for group quarters population). More information is available at https://healthpolicy.ucla.edu/chis/design/Pages/overview.aspx

Program URL Link: https://healthpolicy.ucla.edu/chis/Pages/default.aspx

Reporting Cycle: Annual Survey (January)

1. Tobacco Education and Research Oversight Committee (2021) Achieving Health Equity: Toward a Commercial Tobacco-Free California, 2021-2022. Sacramento, CA: Tobacco Education and Research Oversight Committee. Retrieved on December 10, 2024. https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/Pages/TEROCMasterPlan.aspx

2. Tobacco Education and Research Oversight Committee (2023) Achieving Health Equity: Breaking the Commercial Tobacco Industry’s Cycle of Addiction, Death, and Environmental Degradation, 2023-2024. Sacramento, CA: Tobacco Education and Research Oversight Committee. Retrieved on December 10, 2024.  https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/CDPH%20Document%20Library/TEROC/MasterPlan/TEROC%20Master%20Plan%202023/
TEROC%20MP%202023/TEROC2023MasterPlan-Web.pdf

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