During 2005-2016, the prevalence of current cigarette smoking among U.S. adults declined from 20.9% to 15.5%, and the proportion of ever smokers who quit smoking increased from 50.8% to 59.0%. However, marked disparities in smoking prevalence exist. In 2016, cigarette smoking was especially high among those who were male, aged 25-64 years, had less education, American Indian/Alaska Native or multiracial, those who had serious psychological distress, those who were uninsured or insured through Medicaid, those below the poverty level, those who had a disability or limitation, those who were lesbian/gay/bisexual, and those who lived in the Midwest or South. Proven population-based interventions, including tobacco price increases, comprehensive smoke-free laws, anti-tobacco mass media campaigns, and barrier-free access to tobacco cessation counseling and medications, are critical to reduce cigarette smoking and smoking-related disease and death among U.S. adults, particularly among subpopulations with the highest use.
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