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U.S. adult tobacco product use in 2018, by psychological distress

Percentage of U.S. adults that used various forms of tobacco products in 2018, by psychological distress

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Sources

Release date

November 2019

Region

United States

Survey time period

2018

Number of respondents

25,417 respondents

Age group

18 years and older

Special properties

Non-instituitionalized U.S. civilians

Method of interview

Face-to-face interview

Supplementary notes

The Kessler psychological distress scale is a series of six questions that ask about feelings of sadness, nervousness, restlessness, worthlessness, and feeling like everything is an effort in the past 30 days. Participants were asked to respond on a Likert Scale ranging from “None of the time” (score = 0) to “All of the time” (score = 4). Responses were summed over the six questions; persons with a score of ≥13 were coded as having serious psychological distress, and respondents with a score <13 were coded as not having serious psychological distress.
* Any tobacco use was defined as use either “every day” or “some days” of at least one tobacco product among individuals (for cigarettes, users were defined as persons who reported use either “every day” or “some days” and had smoked ≥100 cigarettes during their lifetime).
** Any combustible tobacco use was defined as use either “every day” or “some days” of at least one combustible tobacco product: cigarettes; cigars, cigarillos, filtered little cigars; pipes, water pipes, or hookah (for cigarettes, users were defined as persons who reported use either “every day” or “some days” and had smoked ≥100 cigarette during their lifetime).
*** Current cigarette smokers were defined as persons who reported smoking ≥100 cigarettes during their lifetime and now smoked cigarettes “every day” or “some days.”
**** Reported smoking cigars, cigarillos, or little filtered cigars at least once during their lifetime and now smoked at least one of these products “every day” or “some days.”
^ Reported smoking tobacco in a regular pipe, water pipe, or hookah at least once during their lifetime and now smoked at least one of these products “every day” or “some days.”
^^ Reported using electronic cigarettes at least once during their lifetime and now used e-cigarettes “every day” or “some days.”
^^^ Reported using chewing tobacco, snuff, dip, snus, or dissolvable tobacco at least once during their lifetime and now used at least one of these products “every day” or “some days.

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