MONITORING TOBACCO PRODUCT USE IN THE U.S.
Explore trends in tobacco product sales and use in the United States using our interactive data visualization tools. The tools feature retail sales data for e-cigarettes and related products, rigorously reviewed at the national and state levels. This website also presents survey results on e-cigarette use and our latest published research on tobacco product sales and use.
E-Cigarette Sales by State
To view detailed sales data graphs and relevant policy information for individual states, click on each state’s shape on the map or select the state’s name from the list below. States included in our data briefs are shaded green and included states are shaded gold if they have passed a comprehensive statewide flavor restriction or a statewide flavored e-cigarette restriction.
States included in this data brief with a statewide e-cigarette flavor policy*
Other states included in this data brief
*Data not available for all states with flavor policies (i.e., New Jersey)
National Trends – Key Findings
Articles & Publications
| Read our project publications below to learn more about nicotine and tobacco product trends in the United States. |
Automatic detection of e-cigarette screens using object detection and vision language models
By
Hunter Morera, PhD, James Jun, MSCS, Charity Hilton, MSCS, Dianna King, MBA, Elizabeth L Seaman Jones, PhD, Kristy Marynak, PhD, Elisha Crane, MPH ·
07/09/2026
- This study used a vision-language model (VLM), a type of AI, to analyze e-cigarette images from an open-source dataset and augmented them with images obtained from five online sites selling e-cigarettes.
- An AI-based object detection model was trained on approximately 7,000 images of e-cigarette devices and tested on 3,920 additional images to ensure accuracy.
- In total, 2,401 images were predicted by the object detection model to contain an e-cigarette and the VLM was able to analyze the text descriptions of e-cigarette devices to determine if screens were present with 90% accuracy.
- This study provides a scalable and efficient framework for monitoring emerging features in the online e-cigarette market, including those that appeal to youth.
Examining current E-cigarette use among U.S. adults by groups stratified by demographic characteristics, 2014–2023
By
Elizabeth L. Seaman Jones, PhD, Jamie Cordova, MPH, Margaret Mahoney, JD, Kristy Marynak, PhD, Jeremy Morton, MS ·
06/09/2026
- This study used data from the Tobacco Use Supplement to the Current Population Survey (TUS-CPS) to explore current e-cigarette use by U.S. adults from 2014 – 2023.
- E-cigarette use among U.S. adults was stable between 2014–2015 and 2018–2019 but increased by 2022–2023.
- Young adults (18-24), non-Hispanic Black, Hispanic, and unemployed adults saw the largest increases in e-cigarette use between 2014-2015 and 2022-2023, which may be explained by increased affordability of e-cigarettes (higher concentrations of nicotine at proportionally lower prices).
Stronger flavor policies, better outcomes for young people: comparing youth and young adult tobacco use behaviors in areas with and without flavored tobacco sales restrictions, by strength of policy, 2022
By
Elizabeth L Seaman Jones, PhD, MHS, Fatma Romeh M Ali, PhD, Jennifer M Kreslake, PhD, MPH, Andrea S Gentzke, PhD, MS, Barbara A Schillo, PhD, Kristy Marynak, PhD, MPP ·
08/11/2025
- This study assessed state and local flavored tobacco restriction policies by strength and differences in tobacco product use among youth and young adults (13–24) using the nationally-representative Tobacco Epidemic Evaluation Network (TEEN+) Study.
- Only 1 in 12 young people are protected by strong flavored tobacco sales restrictions, with notable differences by sociodemographic characteristics.
- Compared with living in an area with no flavor policy, prevalence of any tobacco use was 24% lower (P<.001) and any flavored tobacco use was 30% lower (P<.001) for young people covered by strong flavor policies, after adjusting for individual- and state-level covariates.
Our Partners
| Funded with support from Bloomberg Philanthropies. Current partners include the CDC Foundation, Campaign for Tobacco-Free Kids, Truth Initiative, and Economics for Health at the Johns Hopkins Bloomberg School of Public Health. Past partners include the CDC Office on Smoking and Health. |