2003 Tables: Tobacco and Alcohol Use

**Table 2.57A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	22,183	15,163	12,707
NOT HISPANIC OR LATINO¹	18,577	12,908	10,911
White	14,883	10,604	8,995
Black or African American	2,358	1,394	1,175
American Indian or Alaska Native	163	125	104
Native Hawaiian or Other Pacific Islander	110	79	69
Chinese	124	73	57
Filipino	162	98	81
Japanese	*	*	*
Asian Indian	144	93	57
Korean	137	101	90
Vietnamese	73	42	28
HISPANIC OR LATINO¹	3,606	2,255	1,796
Mexican	2,559	1,564	1,242
Puerto Rican	383	260	224
Central or South American	449	284	218
Cuban	91	68	56
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.57B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	70.7	48.3	40.5
NOT HISPANIC OR LATINO¹	72.0	50.0	42.3
White	76.4	54.4	46.2
Black or African American	56.5	33.4	28.1
American Indian or Alaska Native	81.7	62.6	52.4
Native Hawaiian or Other Pacific Islander	66.8	48.2	41.8
Chinese	43.0	25.2	19.6
Filipino	58.7	35.6	29.5
Japanese	*	*	*
Asian Indian	49.8	32.0	19.7
Korean	74.3	54.5	48.6
Vietnamese	46.8	26.8	18.0
HISPANIC OR LATINO¹	64.7	40.5	32.2
Mexican	64.7	39.5	31.4
Puerto Rican	69.8	47.5	41.0
Central or South American	61.9	39.1	30.1
Cuban	63.9	47.4	39.2
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.58A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	132,717	50,532	44,952
NOT HISPANIC OR LATINO¹	120,780	45,391	40,582
White	102,420	36,941	33,010
Black or African American	12,642	6,056	5,512
American Indian or Alaska Native	784	403	350
Native Hawaiian or Other Pacific Islander	*	*	*
Chinese	662	138	101
Filipino	738	306	245
Japanese	474	111	97
Asian Indian	599	272	226
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	11,937	5,141	4,370
Mexican	7,524	3,254	2,781
Puerto Rican	1,467	715	630
Central or South American	1,698	724	565
Cuban	615	273	236
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.58B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	73.7	28.0	25.0
NOT HISPANIC OR LATINO¹	75.4	28.3	25.3
White	78.3	28.2	25.2
Black or African American	65.6	31.4	28.6
American Indian or Alaska Native	79.5	40.8	35.5
Native Hawaiian or Other Pacific Islander	*	*	*
Chinese	41.2	8.6	6.3
Filipino	44.5	18.4	14.8
Japanese	65.7	15.5	13.4
Asian Indian	39.7	18.0	15.0
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	60.0	25.8	21.9
Mexican	59.3	25.6	21.9
Puerto Rican	68.1	33.2	29.3
Central or South American	58.8	25.1	19.6
Cuban	61.3	27.2	23.5
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.59A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	154,900	65,695	57,659
NOT HISPANIC OR LATINO¹	139,356	58,300	51,493
White	117,302	47,544	42,005
Black or African American	15,000	7,449	6,687
American Indian or Alaska Native	946	527	454
Native Hawaiian or Other Pacific Islander	398	230	185
Chinese	786	211	158
Filipino	899	404	326
Japanese	517	143	124
Asian Indian	742	364	283
Korean	*	232	214
Vietnamese	305	169	141
HISPANIC OR LATINO¹	15,543	7,395	6,166
Mexican	10,084	4,818	4,023
Puerto Rican	1,850	975	855
Central or South American	2,147	1,008	784
Cuban	706	341	292
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.59B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	73.2	31.1	27.3
NOT HISPANIC OR LATINO¹	74.9	31.3	27.7
White	78.1	31.6	28.0
Black or African American	64.0	31.8	28.5
American Indian or Alaska Native	79.9	44.5	38.4
Native Hawaiian or Other Pacific Islander	69.5	40.2	32.3
Chinese	41.5	11.1	8.3
Filipino	46.5	20.9	16.9
Japanese	65.0	17.9	15.5
Asian Indian	41.3	20.3	15.8
Korean	*	33.3	30.7
Vietnamese	43.1	23.9	19.9
HISPANIC OR LATINO¹	61.0	29.0	24.2
Mexican	60.6	28.9	24.2
Puerto Rican	68.5	36.1	31.7
Central or South American	59.4	27.9	21.7
Cuban	61.6	29.7	25.5
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.60A Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	196,493	155,008	119,392
NOT HISPANIC OR LATINO¹	174,326	137,620	106,976
White	143,888	115,023	90,729
Black or African American	20,585	14,737	10,549
American Indian or Alaska Native	1,092	844	594
Native Hawaiian or Other Pacific Islander	485	344	281
Chinese	1,493	1,196	836
Filipino	1,461	1,066	734
Japanese	695	512	427
Asian Indian	1,094	960	729
Korean	569	503	370
Vietnamese	460	429	247
HISPANIC OR LATINO¹	22,166	17,389	12,416
Mexican	14,440	11,333	8,060
Puerto Rican	2,428	1,931	1,303
Central or South American	3,041	2,323	1,678
Cuban	1,039	773	637
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.60B Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	83.1	65.6	50.5
NOT HISPANIC OR LATINO¹	84.2	66.5	51.7
White	86.8	69.4	54.7
Black or African American	75.9	54.3	38.9
American Indian or Alaska Native	79.9	61.7	43.4
Native Hawaiian or Other Pacific Islander	74.4	52.8	43.1
Chinese	70.7	56.6	39.6
Filipino	69.6	50.8	35.0
Japanese	82.4	60.7	50.6
Asian Indian	54.6	47.9	36.4
Korean	71.9	63.6	46.7
Vietnamese	56.1	52.3	30.1
HISPANIC OR LATINO¹	75.2	59.0	42.1
Mexican	74.1	58.2	41.4
Puerto Rican	76.5	60.8	41.0
Central or South American	75.1	57.4	41.5
Cuban	82.0	61.0	50.3
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.61A Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	10,730	8,564	4,395
NOT HISPANIC OR LATINO¹	8,932	7,182	3,738
White	7,046	5,837	3,159
Black or African American	1,326	905	387
American Indian or Alaska Native	88	71	36
Native Hawaiian or Other Pacific Islander	34	31	12
Chinese	44	35	12
Filipino	61	39	20
Japanese	*	*	4
Asian Indian	41	36	16
Korean	*	*	10
Vietnamese	37	*	7
HISPANIC OR LATINO¹	1,798	1,382	657
Mexican	1,287	980	469
Puerto Rican	212	162	68
Central or South American	187	149	74
Cuban	57	47	25
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.61B Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	43.1	34.4	17.7
NOT HISPANIC OR LATINO¹	42.8	34.4	17.9
White	45.3	37.5	20.3
Black or African American	36.0	24.6	10.5
American Indian or Alaska Native	48.1	38.8	19.5
Native Hawaiian or Other Pacific Islander	43.1	39.8	15.6
Chinese	20.5	16.5	5.7
Filipino	36.9	23.6	12.3
Japanese	*	*	7.9
Asian Indian	19.9	17.6	7.6
Korean	*	*	10.3
Vietnamese	33.0	*	6.4
HISPANIC OR LATINO¹	45.0	34.6	16.4
Mexican	45.2	34.4	16.5
Puerto Rican	44.7	34.1	14.3
Central or South American	43.1	34.2	17.1
Cuban	47.9	39.4	21.2
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.62A Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	27,255	24,465	19,113
NOT HISPANIC OR LATINO¹	22,681	20,593	16,270
White	17,604	16,212	13,129
Black or African American	3,334	2,859	1,994
American Indian or Alaska Native	175	147	112
Native Hawaiian or Other Pacific Islander	134	113	91
Chinese	232	201	147
Filipino	233	186	134
Japanese	*	*	*
Asian Indian	170	153	111
Korean	154	147	118
Vietnamese	125	107	*
HISPANIC OR LATINO¹	4,574	3,872	2,843
Mexican	3,222	2,685	1,936
Puerto Rican	478	427	324
Central or South American	563	480	367
Cuban	127	118	96
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.62B Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	86.9	78.0	60.9
NOT HISPANIC OR LATINO¹	87.9	79.8	63.1
White	90.4	83.2	67.4
Black or African American	79.9	68.5	47.8
American Indian or Alaska Native	87.9	73.9	56.5
Native Hawaiian or Other Pacific Islander	81.4	69.0	55.2
Chinese	80.1	69.4	50.7
Filipino	84.6	67.6	48.7
Japanese	*	*	*
Asian Indian	58.8	52.9	38.5
Korean	83.3	79.1	63.7
Vietnamese	80.6	68.6	*
HISPANIC OR LATINO¹	82.1	69.5	51.0
Mexican	81.5	67.9	49.0
Puerto Rican	87.2	77.9	59.2
Central or South American	77.7	66.2	50.6
Cuban	89.0	83.0	67.2
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.63A Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	158,507	121,979	95,885
NOT HISPANIC OR LATINO¹	142,714	109,844	86,968
White	119,239	92,973	74,441
Black or African American	15,926	10,973	8,168
American Indian or Alaska Native	829	626	446
Native Hawaiian or Other Pacific Islander	*	*	*
Chinese	1,217	960	677
Filipino	1,168	841	580
Japanese	*	*	*
Asian Indian	883	771	603
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	15,794	12,135	8,917
Mexican	9,931	7,668	5,655
Puerto Rican	1,739	1,343	911
Central or South American	2,290	1,693	1,236
Cuban	854	607	516
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.63B Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	88.0	67.7	53.2
NOT HISPANIC OR LATINO¹	89.1	68.5	54.3
White	91.2	71.1	56.9
Black or African American	82.6	56.9	42.4
American Indian or Alaska Native	84.1	63.5	45.2
Native Hawaiian or Other Pacific Islander	*	*	*
Chinese	75.8	59.7	42.1
Filipino	70.4	50.7	34.9
Japanese	*	*	*
Asian Indian	58.6	51.2	40.0
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	79.3	61.0	44.8
Mexican	78.3	60.4	44.6
Puerto Rican	80.8	62.4	42.3
Central or South American	79.3	58.7	42.8
Cuban	85.1	60.5	51.4
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.64A Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	185,763	146,445	114,997
NOT HISPANIC OR LATINO¹	165,395	130,438	103,238
White	136,842	109,186	87,570
Black or African American	19,259	13,832	10,162
American Indian or Alaska Native	1,004	773	558
Native Hawaiian or Other Pacific Islander	451	313	269
Chinese	1,449	1,161	824
Filipino	1,400	1,027	714
Japanese	*	500	423
Asian Indian	1,052	924	714
Korean	*	*	360
Vietnamese	*	*	240
HISPANIC OR LATINO¹	20,368	16,007	11,759
Mexican	13,153	10,353	7,591
Puerto Rican	2,216	1,770	1,235
Central or South American	2,854	2,174	1,603
Cuban	981	726	612
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.64B Alcohol Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs**
Racial/Ethnic Subgroup	TIME PERIOD
TOTAL¹	87.8	69.2	54.4
NOT HISPANIC OR LATINO¹	88.9	70.1	55.5
White	91.1	72.7	58.3
Black or African American	82.1	59.0	43.3
American Indian or Alaska Native	84.8	65.2	47.1
Native Hawaiian or Other Pacific Islander	78.7	54.6	46.9
Chinese	76.4	61.2	43.4
Filipino	72.4	53.1	36.9
Japanese	*	62.8	53.1
Asian Indian	58.6	51.4	39.8
Korean	*	*	51.5
Vietnamese	*	*	33.9
HISPANIC OR LATINO¹	79.9	62.8	46.1
Mexican	79.0	62.2	45.6
Puerto Rican	82.1	65.5	45.7
Central or South American	79.0	60.2	44.4
Cuban	85.6	63.3	53.4
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.65A Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 12 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	119,392	53,779	16,002
NOT HISPANIC OR LATINO¹	106,976	46,554	14,355
White	90,729	38,943	12,557
Black or African American	10,549	5,416	1,208
American Indian or Alaska Native	594	392	127
Native Hawaiian or Other Pacific Islander	281	176	59
Chinese	836	146	18
Filipino	734	253	50
Japanese	427	106	19
Asian Indian	729	219	47
Korean	370	156	53
Vietnamese	247	72	23
HISPANIC OR LATINO¹	12,416	7,224	1,647
Mexican	8,060	4,983	1,134
Puerto Rican	1,303	765	215
Central or South American	1,678	875	127
Cuban	637	280	77
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.65B Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 12 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	50.5	22.7	6.8
NOT HISPANIC OR LATINO¹	51.7	22.5	6.9
White	54.7	23.5	7.6
Black or African American	38.9	20.0	4.5
American Indian or Alaska Native	43.4	28.7	9.3
Native Hawaiian or Other Pacific Islander	43.1	26.9	9.1
Chinese	39.6	6.9	0.9
Filipino	35.0	12.1	2.4
Japanese	50.6	12.6	2.3
Asian Indian	36.4	10.9	2.3
Korean	46.7	19.7	6.7
Vietnamese	30.1	8.8	2.9
HISPANIC OR LATINO¹	42.1	24.5	5.6
Mexican	41.4	25.6	5.8
Puerto Rican	41.0	24.1	6.8
Central or South American	41.5	21.6	3.1
Cuban	50.3	22.1	6.1
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.66A Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 12 to 17, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	4,395	2,650	641
NOT HISPANIC OR LATINO¹	3,738	2,253	564
White	3,159	1,972	522
Black or African American	387	175	21
American Indian or Alaska Native	36	28	4
Native Hawaiian or Other Pacific Islander	12	7	*
Chinese	12	4	*
Filipino	20	8	*
Japanese	4	1	0
Asian Indian	16	7	*
Korean	10	4	*
Vietnamese	7	*	*
HISPANIC OR LATINO¹	657	397	77
Mexican	469	286	65
Puerto Rican	68	38	4
Central or South American	74	46	5
Cuban	25	*	2
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.66B Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 12 to 17, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	17.7	10.7	2.6
NOT HISPANIC OR LATINO¹	17.9	10.8	2.7
White	20.3	12.7	3.4
Black or African American	10.5	4.8	0.6
American Indian or Alaska Native	19.5	15.4	2.3
Native Hawaiian or Other Pacific Islander	15.6	8.7	*
Chinese	5.7	1.9	*
Filipino	12.3	4.7	*
Japanese	7.9	2.1	1.0
Asian Indian	7.6	3.3	*
Korean	10.3	4.8	*
Vietnamese	6.4	*	*
HISPANIC OR LATINO¹	16.4	9.9	1.9
Mexican	16.5	10.1	2.3
Puerto Rican	14.3	8.1	0.8
Central or South American	17.1	10.6	1.1
Cuban	21.2	*	1.8
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.67A Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	19,113	12,943	4,707
NOT HISPANIC OR LATINO¹	16,270	10,956	4,152
White	13,129	9,215	3,697
Black or African American	1,994	1,052	235
American Indian or Alaska Native	112	86	23
Native Hawaiian or Other Pacific Islander	91	73	23
Chinese	147	59	9
Filipino	134	73	20
Japanese	*	*	9
Asian Indian	111	58	19
Korean	118	60	*
Vietnamese	*	33	9
HISPANIC OR LATINO¹	2,843	1,987	554
Mexican	1,936	1,401	390
Puerto Rican	324	212	66
Central or South American	367	227	51
Cuban	96	68	15
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.67B Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 18 to 25, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	60.9	41.3	15.0
NOT HISPANIC OR LATINO¹	63.1	42.5	16.1
White	67.4	47.3	19.0
Black or African American	47.8	25.2	5.6
American Indian or Alaska Native	56.5	43.0	11.7
Native Hawaiian or Other Pacific Islander	55.2	44.1	14.2
Chinese	50.7	20.4	3.2
Filipino	48.7	26.7	7.2
Japanese	*	*	12.4
Asian Indian	38.5	20.2	6.5
Korean	63.7	32.2	*
Vietnamese	*	21.1	6.1
HISPANIC OR LATINO¹	51.0	35.6	9.9
Mexican	49.0	35.4	9.9
Puerto Rican	59.2	38.7	12.1
Central or South American	50.6	31.3	7.1
Cuban	67.2	47.8	10.2
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.68A Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	95,885	38,186	10,655
NOT HISPANIC OR LATINO¹	86,968	33,345	9,639
White	74,441	27,756	8,338
Black or African American	8,168	4,189	953
American Indian or Alaska Native	446	278	99
Native Hawaiian or Other Pacific Islander	*	96	33
Chinese	677	83	*
Filipino	580	172	28
Japanese	*	76	9
Asian Indian	603	153	27
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	8,917	4,840	1,016
Mexican	5,655	3,295	680
Puerto Rican	911	515	145
Central or South American	1,236	602	70
Cuban	516	196	*
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.68B Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 26 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	53.2	21.2	5.9
NOT HISPANIC OR LATINO¹	54.3	20.8	6.0
White	56.9	21.2	6.4
Black or African American	42.4	21.7	4.9
American Indian or Alaska Native	45.2	28.2	10.1
Native Hawaiian or Other Pacific Islander	*	23.5	8.0
Chinese	42.1	5.1	*
Filipino	34.9	10.4	1.7
Japanese	*	10.5	1.3
Asian Indian	40.0	10.2	1.8
Korean	*	*	*
Vietnamese	*	*	*
HISPANIC OR LATINO¹	44.8	24.3	5.1
Mexican	44.6	26.0	5.4
Puerto Rican	42.3	23.9	6.7
Central or South American	42.8	20.9	2.4
Cuban	51.4	19.5	*
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.69A Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Numbers in Thousands, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	114,997	51,129	15,361
NOT HISPANIC OR LATINO¹	103,238	44,302	13,791
White	87,570	36,971	12,035
Black or African American	10,162	5,241	1,187
American Indian or Alaska Native	558	364	123
Native Hawaiian or Other Pacific Islander	269	169	56
Chinese	824	142	18
Filipino	714	245	47
Japanese	423	105	19
Asian Indian	714	212	46
Korean	360	152	52
Vietnamese	240	70	23
HISPANIC OR LATINO¹	11,759	6,827	1,570
Mexican	7,591	4,697	1,070
Puerto Rican	1,235	727	212
Central or South American	1,603	829	122
Cuban	612	264	*
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Table 2.69B Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in the Past Month among Persons Aged 18 or Older, by Racial/Ethnic Subgroups: Percentages, Annual Averages Based on 2002 and 2003 NSDUHs
Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
TOTAL¹	54.4	24.2	7.3
NOT HISPANIC OR LATINO¹	55.5	23.8	7.4
White	58.3	24.6	8.0
Black or African American	43.3	22.3	5.1
American Indian or Alaska Native	47.1	30.7	10.4
Native Hawaiian or Other Pacific Islander	46.9	29.4	9.8
Chinese	43.4	7.5	0.9
Filipino	36.9	12.7	2.5
Japanese	53.1	13.2	2.3
Asian Indian	39.8	11.8	2.5
Korean	51.5	21.7	7.4
Vietnamese	33.9	9.9	3.3
HISPANIC OR LATINO¹	46.1	26.8	6.2
Mexican	45.6	28.2	6.4
Puerto Rican	45.7	26.9	7.8
Central or South American	44.4	23.0	3.4
Cuban	53.4	23.0	*
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.70A Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	171,838	172,843	84,731	83,415	71,499	70,757
GEOGRAPHIC DIVISION
Northeast	32,717	32,290	16,096	15,406	13,265	13,019
New England	8,692	8,801	4,014	3,974	3,240	3,164
Middle Atlantic	24,025	23,488	12,082	11,432	10,025	9,856
Midwest	40,565	40,826	20,714	20,799	17,509	17,514
East North Central	28,254	28,536	14,447	14,406	12,368	12,121
West North Central	12,312	12,291	6,267	6,393	5,141	5,393
South	61,660	61,829	30,858	30,989	26,675	26,946
South Atlantic	32,370	32,948	16,082	15,442	13,840	13,301
East South Central	10,905	10,578	5,488	5,783	4,899	5,046
West South Central	18,385	18,303	9,288	9,764	7,935	8,599
West	36,896	37,897	17,064	16,221	14,050	13,277
Mountain	11,101	11,287	5,496	5,609	4,696	4,759
Pacific	25,794	26,610	11,567	10,611	9,354	8,518
COUNTY TYPE¹
Large Metro	89,925	88,928	43,737^a	41,457	36,422	34,681
Small Metro	51,825	53,120	25,309	26,369	21,377	22,441
250K – 1 Mil. Pop.	33,437	35,023	15,979	17,146	13,396	14,486
< 250K Pop.	18,388	18,097	9,331	9,223	7,980	7,955
Nonmetro	30,089	30,795	15,684	15,589	13,701	13,635
Urbanized	11,886^a	13,720	6,100^a	6,990	5,286^a	6,161
Less Urbanized	14,739	13,916	7,777	6,997	6,749	6,039
Completely Rural	3,464	3,159	1,808	1,602	1,667	1,435
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.70B Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	73.1	72.7	36.0	35.1	30.4	29.8
GEOGRAPHIC DIVISION
Northeast	72.6	71.3	35.7	34.0	29.4	28.7
New England	73.6	74.0	34.0	33.4	27.4	26.6
Middle Atlantic	72.2	70.3	36.3	34.2	30.1	29.5
Midwest	75.9	75.9	38.8	38.7	32.8	32.6
East North Central	75.5	75.8	38.6	38.2	33.1	32.2
West North Central	76.9	76.3	39.1	39.7	32.1	33.5
South	73.6	72.9	36.8	36.6	31.8	31.8
South Atlantic	74.0	74.2	36.8	34.8	31.6	29.9
East South Central	77.0	74.4	38.8	40.7	34.6	35.5
West South Central	71.1	70.1	35.9	37.4	30.7	32.9
West	69.8	70.4	32.3	30.1	26.6	24.7
Mountain	72.5	72.3	35.9	35.9	30.7	30.5
Pacific	68.7	69.6	30.8^a	27.8	24.9	22.3
COUNTY TYPE¹
Large Metro	71.5	70.5	34.8^b	32.9	29.0^a	27.5
Small Metro	74.8	74.4	36.5	36.9	30.9	31.4
250K – 1 Mil. Pop.	73.5	74.6	35.1	36.5	29.4	30.9
< 250K Pop.	77.3^a	74.0	39.2	37.7	33.5	32.5
Nonmetro	75.0	76.6	39.1	38.8	34.2	33.9
Urbanized	74.2	76.8	38.1	39.1	33.0	34.5
Less Urbanized	75.1	76.4	39.6	38.4	34.4	33.1
Completely Rural	78.1	77.1	40.8	39.1	37.6	35.0
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.71A Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	9,113^a	8,631	5,839	5,634	3,767	3,610
GEOGRAPHIC DIVISION
Northeast	1,581	1,502	1,048	997	665	635
New England	402	384	268	265	181	172
Middle Atlantic	1,179	1,118	780	732	484	463
Midwest	2,208^a	2,016	1,460	1,373	1,003	923
East North Central	1,480	1,377	984	939	669	613
West North Central	729	639	476	434	334	310
South	3,468	3,271	2,247	2,112	1,484	1,366
South Atlantic	1,805^a	1,594	1,195^a	1,007	787^a	645
East South Central	623	590	387	386	271	267
West South Central	1,040	1,087	666	719	427	455
West	1,856	1,841	1,083	1,152	615	686
Mountain	618	621	382	400	241	252
Pacific	1,239	1,220	701	752	374	433
COUNTY TYPE¹
Large Metro	4,498^b	4,051	2,830^a	2,590	1,741	1,588
Small Metro	2,723	2,752	1,785	1,815	1,173	1,187
250K – 1 Mil. Pop.	1,808	1,804	1,186	1,168	765	746
< 250K Pop.	915	948	599	647	408	441
Nonmetro	1,892	1,827	1,225	1,229	853	835
Urbanized	705	749	445	503	310	345
Less Urbanized	951	908	621	608	426	401
Completely Rural	236	170	159	118	117	89
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.71B Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	36.8^b	34.5	23.6^a	22.5	15.2	14.4
GEOGRAPHIC DIVISION
Northeast	35.4	33.5	23.5	22.2	14.9	14.1
New England	34.8	32.8	23.1	22.6	15.6	14.7
Middle Atlantic	35.7	33.7	23.6	22.1	14.6	13.9
Midwest	38.8^b	35.4	25.7	24.1	17.6	16.2
East North Central	37.1^a	34.5	24.7	23.5	16.8	15.4
West North Central	42.8^a	37.6	27.9	25.5	19.6	18.2
South	39.5^b	36.6	25.6^a	23.7	16.9^a	15.3
South Atlantic	41.1^b	35.4	27.2^b	22.4	17.9^b	14.3
East South Central	43.7	40.6	27.1	26.6	19.0	18.4
West South Central	35.2	36.6	22.6	24.2	14.5	15.3
West	31.8	31.3	18.6	19.6	10.6	11.7
Mountain	36.2	35.9	22.4	23.2	14.1	14.6
Pacific	30.0	29.4	17.0	18.1	9.1	10.4
COUNTY TYPE¹
Large Metro	34.1^b	30.4	21.4^b	19.5	13.2^a	11.9
Small Metro	37.6	37.2	24.6	24.5	16.2	16.0
250K – 1 Mil. Pop.	36.9	36.2	24.2	23.5	15.6	15.0
< 250K Pop.	39.1	39.2	25.6	26.7	17.4	18.2
Nonmetro	44.0	42.6	28.5	28.7	19.8	19.5
Urbanized	40.9	40.3	25.8	27.1	18.0	18.6
Less Urbanized	45.2	45.7	29.5	30.6	20.3	20.2
Completely Rural	49.6^b	38.4	33.4	26.7	24.7	20.1
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.72A Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	23,426	23,723	17,028	17,073	14,049	14,201
GEOGRAPHIC DIVISION
Northeast	4,200	4,215	3,147	3,117	2,586	2,523
New England	1,122	1,138	807	816	665	649
Middle Atlantic	3,078	3,077	2,339	2,301	1,921	1,874
Midwest	5,710	5,819	4,343	4,318	3,621	3,573
East North Central	3,926	3,976	2,984	2,938	2,500	2,431
West North Central	1,784	1,843	1,360	1,380	1,121	1,141
South	8,376	8,367	6,037	6,083	5,033	5,212
South Atlantic	4,039	4,054	2,902	2,942	2,424	2,479
East South Central	1,525	1,448	1,121	1,071	949	949
West South Central	2,811	2,865	2,013	2,069	1,659	1,784
West	5,140	5,322	3,501	3,556	2,809	2,894
Mountain	1,609	1,640	1,127	1,100	933	915
Pacific	3,532	3,683	2,374	2,456	1,876	1,978
COUNTY TYPE¹
Large Metro	11,661	11,979	8,353	8,433	6,824	6,921
Small Metro	7,796	7,792	5,615	5,684	4,604	4,755
250K – 1 Mil. Pop.	4,897	5,045	3,469	3,670	2,866	3,057
< 250K Pop.	2,899	2,747	2,146	2,014	1,738	1,697
Nonmetro	3,969	3,951	3,060	2,956	2,621	2,526
Urbanized	1,779	1,890	1,344	1,410	1,151	1,194
Less Urbanized	1,819	1,755	1,437	1,318	1,223	1,124
Completely Rural	371	305	279	227	247	208
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.72B Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	75.5	74.8	54.9	53.8	45.3	44.8
GEOGRAPHIC DIVISION
Northeast	76.3	74.8	57.2	55.3	47.0	44.8
New England	78.3	77.4	56.3	55.5	46.4	44.1
Middle Atlantic	75.6	73.9	57.4	55.3	47.2	45.0
Midwest	79.3	79.1	60.3	58.7	50.3	48.6
East North Central	78.9	78.2	60.0	57.8	50.2	47.8
West North Central	80.2	81.0	61.1	60.7	50.4	50.2
South	76.0^a	73.9	54.8	53.7	45.7	46.0
South Atlantic	74.9	72.6	53.8	52.7	45.0	44.4
East South Central	79.8^a	74.8	58.6	55.4	49.7	49.0
West South Central	75.6	75.3	54.1	54.4	44.6	46.9
West	70.5	71.8	48.0	48.0	38.5	39.0
Mountain	73.7	73.3	51.6	49.2	42.8	40.9
Pacific	69.1	71.2	46.4	47.5	36.7	38.2
COUNTY TYPE¹
Large Metro	73.4	72.1	52.6	50.8	43.0	41.7
Small Metro	76.7	76.3	55.2	55.7	45.3	46.6
250K – 1 Mil. Pop.	76.0	75.9	53.9	55.2	44.5	46.0
< 250K Pop.	77.8	77.3	57.6	56.7	46.7	47.7
Nonmetro	79.7	80.3	61.5	60.1	52.7	51.4
Urbanized	79.2	80.0	59.8	59.7	51.2	50.5
Less Urbanized	80.3	80.1	63.4	60.1	54.0	51.3
Completely Rural	79.7	84.0	59.9	62.6	53.0	57.2
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.73A Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	139,299	140,489	61,864	60,708	53,683	52,946
GEOGRAPHIC DIVISION
Northeast	26,936	26,573	11,901	11,292	10,015	9,862
New England	7,168	7,280	2,939	2,893	2,394	2,343
Middle Atlantic	19,768	19,293	8,963	8,399	7,621	7,519
Midwest	32,647	32,992	14,910	15,108	12,885	13,018
East North Central	22,848	23,182	10,479	10,529	9,200	9,076
West North Central	9,799	9,809	4,431	4,579	3,686	3,942
South	49,817	50,191	22,574	22,795	20,158	20,368
South Atlantic	26,526	27,300	11,985	11,493	10,629	10,177
East South Central	8,757	8,540	3,979	4,326	3,679	3,831
West South Central	14,534	14,351	6,609	6,976	5,849	6,360
West	29,899	30,734	12,479	11,513	10,626	9,698
Mountain	8,875	9,026	3,987	4,109	3,522	3,591
Pacific	21,024	21,707	8,492	7,403	7,104	6,107
COUNTY TYPE¹
Large Metro	73,766	72,897	32,555^a	30,434	27,857	26,172
Small Metro	41,305	42,575	17,909	18,870	15,599	16,500
250K – 1 Mil. Pop.	26,731	28,173	11,324	12,308	9,765	10,683
< 250K Pop.	14,574	14,402	6,586	6,562	5,834	5,817
Nonmetro	24,228	25,017	11,400	11,404	10,227	10,274
Urbanized	9,402^a	11,080	4,311	5,077	3,825^a	4,622
Less Urbanized	11,969	11,252	5,719	5,070	5,100	4,514
Completely Rural	2,857	2,684	1,370	1,256	1,302	1,139
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.73B Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	77.7	77.6	34.5	33.5	29.9	29.3
GEOGRAPHIC DIVISION
Northeast	76.7	75.5	33.9	32.1	28.5	28.0
New England	77.8	78.8	31.9	31.3	26.0	25.3
Middle Atlantic	76.4	74.4	34.6	32.4	29.4	29.0
Midwest	80.5	81.0	36.8	37.1	31.8	32.0
East North Central	80.3	81.1	36.8	36.8	32.3	31.7
West North Central	81.1	80.9	36.7	37.8	30.5	32.5
South	77.9	77.8	35.3	35.3	31.5	31.6
South Atlantic	78.1	79.5	35.3	33.5	31.3	29.6
East South Central	81.0	78.9	36.8	39.9	34.0	35.4
West South Central	75.8	74.2	34.5	36.1	30.5	32.9
West	75.2	75.8	31.4	28.4	26.7	23.9
Mountain	77.7	77.5	34.9	35.3	30.8	30.8
Pacific	74.2	75.1	30.0^a	25.6	25.1^a	21.1
COUNTY TYPE¹
Large Metro	76.3	75.8	33.7^a	31.6	28.8	27.2
Small Metro	79.6	79.2	34.5	35.1	30.1	30.7
250K – 1 Mil. Pop.	78.3	79.8	33.2	34.9	28.6	30.3
< 250K Pop.	82.2^b	77.9	37.1	35.5	32.9	31.5
Nonmetro	78.6	80.7	37.0	36.8	33.2	33.2
Urbanized	78.0	81.2	35.8	37.2	31.7	33.9
Less Urbanized	78.4	80.1	37.5	36.1	33.4	32.1
Completely Rural	81.8	81.5	39.2	38.1	37.3	34.6
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.74A Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	162,725	164,212	78,892	77,781	67,732	67,147
GEOGRAPHIC DIVISION
Northeast	31,136	30,787	15,048	14,409	12,601	12,385
New England	8,290	8,417	3,746	3,709	3,059	2,992
Middle Atlantic	22,846	22,370	11,302	10,700	9,542	9,393
Midwest	38,357	38,810	19,253	19,426	16,506	16,591
East North Central	26,774	27,159	13,463	13,467	11,699	11,508
West North Central	11,583	11,652	5,790	5,959	4,807	5,083
South	58,193	58,558	28,611	28,878	25,191	25,580
South Atlantic	30,565	31,354	14,888	14,435	13,054	12,656
East South Central	10,282	9,988	5,101	5,397	4,629	4,780
West South Central	17,345	17,216	8,622	9,045	7,508	8,144
West	35,040	36,056	15,980	15,068	13,435	12,592
Mountain	10,484	10,666	5,114	5,209	4,455	4,507
Pacific	24,556	25,390	10,866	9,859	8,980	8,085
COUNTY TYPE¹
Large Metro	85,427	84,876	40,908	38,867	34,681	33,093
Small Metro	49,101	50,368	23,525	24,554	20,204	21,254
250K – 1 Mil. Pop.	31,628	33,219	14,793	15,978	12,632	13,740
< 250K Pop.	17,473	17,149	8,732	8,576	7,572	7,514
Nonmetro	28,197	28,968	14,460	14,359	12,848	12,800
Urbanized	11,181^a	12,971	5,655	6,487	4,976^a	5,816
Less Urbanized	13,788	13,008	7,156	6,388	6,323	5,638
Completely Rural	3,228	2,989	1,649	1,484	1,549	1,347
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.74B Any Tobacco Product Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	77.3	77.2	37.5	36.6	32.2	31.6
GEOGRAPHIC DIVISION
Northeast	76.7	75.4	37.1	35.3	31.0	30.3
New England	77.8	78.6	35.2	34.6	28.7	27.9
Middle Atlantic	76.3	74.3	37.7	35.5	31.9	31.2
Midwest	80.4	80.7	40.3	40.4	34.6	34.5
East North Central	80.1	80.7	40.3	40.0	35.0	34.2
West North Central	80.9	80.9	40.5	41.4	33.6	35.3
South	77.6	77.2	38.1	38.1	33.6	33.7
South Atlantic	77.6	78.5	37.8	36.2	33.2	31.7
East South Central	80.8	78.3	40.1	42.3	36.4	37.4
West South Central	75.7	74.4	37.6	39.1	32.8	35.2
West	74.5	75.2	34.0	31.4	28.6	26.3
Mountain	77.0	76.8	37.6	37.5	32.7	32.5
Pacific	73.4	74.5	32.5^a	28.9	26.8	23.7
COUNTY TYPE¹
Large Metro	75.9	75.3	36.3^a	34.5	30.8^a	29.3
Small Metro	79.1	78.7	37.9	38.4	32.6	33.2
250K – 1 Mil. Pop.	77.9	79.2	36.4	38.1	31.1	32.8
< 250K Pop.	81.4^b	77.8	40.7	38.9	35.3	34.1
Nonmetro	78.8	80.7	40.4	40.0	35.9	35.7
Urbanized	78.2	81.0	39.5	40.5	34.8	36.3
Less Urbanized	78.7	80.1	40.8	39.3	36.1	34.7
Completely Rural	81.5	81.8	41.6	40.6	39.1	36.8
*Low precision; no estimate reported. NOTE: Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.75A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	162,553	163,240	71,310	69,853	61,136	60,434
GEOGRAPHIC DIVISION
Northeast	31,266	30,611	13,441	13,051	11,490	11,306
New England	8,318	8,274	3,321	3,191	2,797	2,721
Middle Atlantic	22,948	22,337	10,120	9,860	8,693	8,585
Midwest	38,658	38,649	17,577	17,353	15,163	14,891
East North Central	26,996	26,959	12,258	11,956	10,624	10,354
West North Central	11,661	11,690	5,319	5,397	4,539	4,537
South	57,663	58,174	26,039	25,745	22,524	22,665
South Atlantic	30,253	30,925	13,565	12,527	11,737	11,013
East South Central	10,141	9,807	4,578	4,773	4,069	4,189
West South Central	17,269	17,442	7,896	8,445	6,718	7,463
West	34,966	35,806	14,253	13,704	11,959	11,573
Mountain	10,547	10,734	4,712	4,803	4,073	4,188
Pacific	24,420	25,072	9,540	8,901	7,886	7,385
COUNTY TYPE¹
Large Metro	85,236	84,185	37,147^a	34,584	31,599	29,887
Small Metro	49,121	50,335	21,205	22,277	18,162	19,173
250K – 1 Mil. Pop.	31,497	33,135	13,315	14,484	11,376	12,381
< 250K Pop.	17,625	17,201	7,890	7,793	6,786	6,792
Nonmetro	28,195	28,720	12,958	12,992	11,375	11,375
Urbanized	11,169^a	12,925	5,110^a	5,983	4,542^a	5,283
Less Urbanized	13,705	12,836	6,296	5,721	5,422	4,945
Completely Rural	3,321	2,958	1,552	1,288	1,411	1,147
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.75B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	69.1	68.7	30.3	29.4	26.0	25.4
GEOGRAPHIC DIVISION
Northeast	69.4	67.6	29.8	28.8	25.5	25.0
New England	70.5	69.6	28.1	26.8	23.7	22.9
Middle Atlantic	69.0	66.8	30.4	29.5	26.1	25.7
Midwest	72.4	71.9	32.9	32.3	28.4	27.7
East North Central	72.2	71.6	32.8	31.7	28.4	27.5
West North Central	72.8	72.6	33.2	33.5	28.3	28.2
South	68.8	68.6	31.1	30.4	26.9	26.7
South Atlantic	69.1	69.6	31.0^a	28.2	26.8	24.8
East South Central	71.6	69.0	32.3	33.6	28.7	29.5
West South Central	66.8	66.8	30.5	32.3	26.0	28.6
West	66.1	66.5	27.0	25.5	22.6	21.5
Mountain	68.9	68.7	30.8	30.8	26.6	26.8
Pacific	65.0	65.6	25.4	23.3	21.0	19.3
COUNTY TYPE¹
Large Metro	67.8	66.8	29.5^b	27.4	25.1^a	23.7
Small Metro	70.9	70.5	30.6	31.2	26.2	26.9
250K – 1 Mil. Pop.	69.2	70.6	29.3	30.9	25.0	26.4
< 250K Pop.	74.1^b	70.3	33.2	31.8	28.5	27.8
Nonmetro	70.3	71.5	32.3	32.3	28.4	28.3
Urbanized	69.7	72.3	31.9	33.5	28.3	29.6
Less Urbanized	69.8	70.4	32.1	31.4	27.6	27.1
Completely Rural	74.9	72.2	35.0	31.4	31.8	28.0
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.76A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	8,242^a	7,752	5,037^a	4,737	3,209	3,044
GEOGRAPHIC DIVISION
Northeast	1,462	1,348	943	864	594	562
New England	373	344	240	224	163	146
Middle Atlantic	1,090	1,004	702	640	432	416
Midwest	2,005	1,851	1,270	1,172	872	798
East North Central	1,346	1,260	858	790	577	533
West North Central	659	591	412	381	295	265
South	3,141	2,901	1,938^a	1,748	1,232	1,122
South Atlantic	1,649^b	1,400	1,046^b	814	671^b	528
East South Central	556	503	327	312	211	209
West South Central	936	998	565	622	350	385
West	1,633	1,652	886	953	511	561
Mountain	549	556	314	328	205	211
Pacific	1,084	1,095	572	625	306	350
COUNTY TYPE¹
Large Metro	4,067^b	3,616	2,456^b	2,181	1,520^a	1,360
Small Metro	2,460	2,483	1,537	1,499	979	984
250K – 1 Mil. Pop.	1,636	1,618	1,025	943	653	605
< 250K Pop.	824	865	512	556	326	379
Nonmetro	1,715	1,653	1,044	1,057	710	699
Urbanized	644	683	392	436	268	307
Less Urbanized	855	824	518	527	345	327
Completely Rural	215^a	147	134	94	97	66
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.76B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 12 to 17, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	33.3^b	31.0	20.3^b	19.0	13.0	12.2
GEOGRAPHIC DIVISION
Northeast	32.8^a	30.0	21.1	19.2	13.3	12.5
New England	32.2	29.3	20.8	19.1	14.1	12.5
Middle Atlantic	33.0	30.3	21.3	19.3	13.1	12.5
Midwest	35.2^a	32.5	22.3	20.6	15.3	14.0
East North Central	33.8^a	31.6	21.5	19.8	14.5	13.3
West North Central	38.7	34.7	24.2	22.4	17.3	15.6
South	35.8^b	32.5	22.1^b	19.6	14.0^a	12.6
South Atlantic	37.5^b	31.1	23.8^b	18.1	15.3^b	11.7
East South Central	39.0	34.6	22.9	21.5	14.8	14.4
West South Central	31.7	33.6	19.2	20.9	11.9	13.0
West	28.0	28.1	15.2	16.2	8.8	9.5
Mountain	32.2	32.2	18.4	19.0	12.0	12.2
Pacific	26.3	26.4	13.9	15.0	7.4	8.4
COUNTY TYPE¹
Large Metro	30.8^b	27.2	18.6^b	16.4	11.5^a	10.2
Small Metro	34.0	33.6	21.2	20.3	13.5	13.3
250K – 1 Mil. Pop.	33.4	32.5	20.9	18.9	13.3	12.1
< 250K Pop.	35.2	35.8	21.9	23.0	13.9	15.7
Nonmetro	39.9	38.6	24.3	24.7	16.5	16.3
Urbanized	37.4	36.7	22.7	23.4	15.5	16.5
Less Urbanized	40.7	41.5	24.6	26.6	16.4	16.5
Completely Rural	45.3^b	33.2	28.2	21.3	20.4	14.9
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.77A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	22,099	22,267	15,214	15,113	12,650	12,764
GEOGRAPHIC DIVISION
Northeast	4,010	3,948	2,843	2,756	2,361	2,266
New England	1,076	1,046	736	701	614	575
Middle Atlantic	2,934	2,902	2,107	2,055	1,747	1,691
Midwest	5,377	5,482	3,896	3,824	3,261	3,232
East North Central	3,710	3,748	2,667	2,600	2,245	2,194
West North Central	1,667	1,734	1,229	1,225	1,015	1,038
South	7,867	7,882	5,326	5,365	4,499	4,658
South Atlantic	3,786	3,797	2,549	2,537	2,156	2,199
East South Central	1,444	1,343	992	931	844	824
West South Central	2,636	2,741	1,785	1,897	1,498	1,635
West	4,846	4,955	3,148	3,167	2,529	2,607
Mountain	1,504	1,513	1,005	972	834	813
Pacific	3,342	3,442	2,143	2,195	1,695	1,794
COUNTY TYPE¹
Large Metro	11,040	11,245	7,548	7,473	6,269	6,277
Small Metro	7,361	7,311	4,985	5,000	4,092	4,222
250K – 1 Mil. Pop.	4,614	4,740	3,099	3,204	2,551	2,704
< 250K Pop.	2,748	2,571	1,886	1,796	1,542	1,518
Nonmetro	3,697	3,712	2,681	2,639	2,289	2,265
Urbanized	1,664	1,771	1,196	1,243	1,036	1,055
Less Urbanized	1,687	1,645	1,241	1,192	1,045	1,022
Completely Rural	346	297	243	204	208	189
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.77B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 to 25, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	71.2	70.2	49.0^a	47.6	40.8	40.2
GEOGRAPHIC DIVISION
Northeast	72.8	70.1	51.6	48.9	42.9	40.2
New England	75.0	71.1	51.3	47.7	42.8	39.1
Middle Atlantic	72.1	69.7	51.7	49.4	42.9	40.6
Midwest	74.7	74.5	54.1	52.0	45.3	43.9
East North Central	74.6	73.7	53.6	51.1	45.1	43.2
West North Central	74.9	76.2	55.2	53.8	45.6	45.6
South	71.4	69.6	48.3	47.4	40.8	41.1
South Atlantic	70.2	68.0	47.3	45.4	40.0	39.4
East South Central	75.5^b	69.5	51.9	48.1	44.2	42.6
West South Central	70.9	72.0	48.0	49.8	40.3	42.9
West	66.4	66.9	43.2	42.7	34.7	35.2
Mountain	68.9	67.7	46.1	43.5	38.2	36.4
Pacific	65.4	66.5	41.9	42.4	33.2	34.7
COUNTY TYPE¹
Large Metro	69.5^a	67.7	47.5^a	45.0	39.5	37.8
Small Metro	72.4	71.6	49.0	49.0	40.3	41.4
250K – 1 Mil. Pop.	71.6	71.3	48.1	48.2	39.6	40.7
< 250K Pop.	73.8	72.3	50.6	50.5	41.4	42.7
Nonmetro	74.3	75.5	53.9	53.7	46.0	46.1
Urbanized	74.1	75.0	53.3	52.6	46.1	44.6
Less Urbanized	74.4	75.0	54.8	54.4	46.1	46.6
Completely Rural	74.5	81.6	52.3	56.2	44.7	52.0
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.78A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	132,212	133,221	51,060	50,004	45,278	44,626
GEOGRAPHIC DIVISION
Northeast	25,794	25,316	9,655	9,432	8,535	8,477
New England	6,870	6,884	2,344	2,267	2,021	1,999
Middle Atlantic	18,924	18,432	7,311	7,165	6,514	6,478
Midwest	31,276	31,315	12,411	12,357	11,031	10,861
East North Central	21,941	21,950	8,732	8,566	7,801	7,627
West North Central	9,335	9,365	3,678	3,791	3,229	3,234
South	46,656	47,391	18,776	18,631	16,793	16,885
South Atlantic	24,818	25,728	9,971	9,175	8,910	8,286
East South Central	8,141	7,960	3,259	3,530	3,013	3,156
West South Central	13,696	13,703	5,546	5,926	4,870	5,443
West	28,488	29,199	10,218	9,584	8,919	8,404
Mountain	8,494	8,664	3,393	3,502	3,035	3,163
Pacific	19,994	20,535	6,825	6,081	5,884	5,241
COUNTY TYPE¹
Large Metro	70,129	69,325	27,143^a	24,930	23,810	22,249
Small Metro	39,299	40,542	14,683	15,778	13,090	13,967
250K – 1 Mil. Pop.	25,247	26,777	9,190^a	10,336	8,173	9,073
< 250K Pop.	14,053	13,765	5,493	5,441	4,918	4,894
Nonmetro	22,784	23,355	9,234	9,296	8,377	8,410
Urbanized	8,861^a	10,471	3,523^a	4,305	3,238^a	3,922
Less Urbanized	11,163	10,368	4,537	4,002	4,032	3,596
Completely Rural	2,759	2,515	1,175	989	1,106	892
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.78B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 26 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	73.7	73.6	28.5	27.6	25.2	24.7
GEOGRAPHIC DIVISION
Northeast	73.5	71.9	27.5	26.8	24.3	24.1
New England	74.5	74.5	25.4	24.5	21.9	21.6
Middle Atlantic	73.1	71.0	28.2	27.6	25.2	25.0
Midwest	77.2	76.9	30.6	30.4	27.2	26.7
East North Central	77.1	76.8	30.7	30.0	27.4	26.7
West North Central	77.3	77.2	30.4	31.3	26.7	26.7
South	72.9	73.4	29.3	28.9	26.3	26.2
South Atlantic	73.1	74.9	29.4	26.7	26.2	24.1
East South Central	75.3	73.5	30.1	32.6	27.9	29.1
West South Central	71.4	70.8	28.9	30.6	25.4	28.1
West	71.7	72.0	25.7	23.6	22.4	20.7
Mountain	74.3	74.4	29.7	30.1	26.6	27.2
Pacific	70.6	71.1	24.1	21.1	20.8	18.1
COUNTY TYPE¹
Large Metro	72.5	72.1	28.1^a	25.9	24.6	23.1
Small Metro	75.7	75.4	28.3	29.3	25.2	26.0
250K – 1 Mil. Pop.	73.9	75.9	26.9	29.3	23.9	25.7
< 250K Pop.	79.3^b	74.4	31.0	29.4	27.7	26.5
Nonmetro	73.9	75.4	30.0	30.0	27.2	27.1
Urbanized	73.5	76.7	29.2	31.6	26.9	28.7
Less Urbanized	73.2	73.8	29.7	28.5	26.4	25.6
Completely Rural	79.0	76.4	33.6	30.0	31.7	27.1
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.79A Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	154,311	155,488	66,273	65,116	57,928	57,391
GEOGRAPHIC DIVISION
Northeast	29,804	29,263	12,499	12,188	10,896	10,743
New England	7,946	7,930	3,081	2,968	2,635	2,575
Middle Atlantic	21,858	21,333	9,418	9,220	8,261	8,169
Midwest	36,652	36,797	16,307	16,182	14,291	14,093
East North Central	25,651	25,699	11,400	11,166	10,047	9,821
West North Central	11,002	11,099	4,907	5,016	4,245	4,272
South	54,522	55,273	24,102	23,996	21,292	21,543
South Atlantic	28,604	29,525	12,519	11,712	11,066	10,485
East South Central	9,585	9,304	4,251	4,461	3,858	3,980
West South Central	16,333	16,444	7,331	7,823	6,368	7,078
West	33,333	34,154	13,366	12,751	11,448	11,011
Mountain	9,997	10,178	4,398	4,475	3,869	3,976
Pacific	23,336	23,977	8,968	8,276	7,580	7,035
COUNTY TYPE¹
Large Metro	81,170	80,569	34,691^a	32,403	30,079	28,526
Small Metro	46,661	47,852	19,668	20,778	17,183	18,189
250K – 1 Mil. Pop.	29,860	31,517	12,290^a	13,541	10,723	11,777
< 250K Pop.	16,801	16,335	7,379	7,237	6,460	6,412
Nonmetro	26,481	27,067	11,914	11,935	10,666	10,676
Urbanized	10,525^a	12,242	4,718^a	5,548	4,274^a	4,976
Less Urbanized	12,850	12,013	5,778	5,194	5,077	4,618
Completely Rural	3,106	2,812	1,418	1,194	1,314	1,081
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.79B Cigarette Use in Lifetime, Past Year, and Past Month among Persons Aged 18 or Older, by Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	73.3	73.1	31.5	30.6	27.5	27.0
GEOGRAPHIC DIVISION
Northeast	73.4	71.7	30.8	29.9	26.8	26.3
New England	74.6	74.0	28.9	27.7	24.7	24.0
Middle Atlantic	73.0	70.9	31.4	30.6	27.6	27.1
Midwest	76.8	76.5	34.2	33.7	29.9	29.3
East North Central	76.7	76.3	34.1	33.2	30.1	29.2
West North Central	76.9	77.1	34.3	34.8	29.7	29.7
South	72.7	72.9	32.1	31.6	28.4	28.4
South Atlantic	72.7	73.9	31.8	29.3	28.1	26.3
East South Central	75.3	72.9	33.4	34.9	30.3	31.2
West South Central	71.3	71.0	32.0	33.8	27.8	30.6
West	70.8	71.2	28.4	26.6	24.3	23.0
Mountain	73.5	73.3	32.3	32.2	28.4	28.6
Pacific	69.8	70.4	26.8	24.3	22.7	20.7
COUNTY TYPE¹
Large Metro	72.1	71.4	30.8^b	28.7	26.7^a	25.3
Small Metro	75.2	74.8	31.7	32.5	27.7	28.4
250K – 1 Mil. Pop.	73.6	75.1	30.3	32.3	26.4	28.1
< 250K Pop.	78.3^b	74.1	34.4	32.8	30.1	29.1
Nonmetro	74.0	75.4	33.3	33.2	29.8	29.7
Urbanized	73.6	76.5	33.0	34.7	29.9	31.1
Less Urbanized	73.3	74.0	33.0	32.0	29.0	28.4
Completely Rural	78.4	76.9	35.8	32.6	33.2	29.6
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

**Table 2.80A Smokeless Tobacco Use in Lifetime, Past Year, and Past Month among Persons Aged 12 or Older, by Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	TIME PERIOD
TOTAL	46,870	46,065	10,577	10,347	7,787	7,725
GEOGRAPHIC DIVISION
Northeast	6,313	6,112	1,027	1,109	648	748
New England	1,653	1,643	225^a	326	128	190
Middle Atlantic	4,660	4,469	801	783	521	559
Midwest	11,907	11,562	2,866	2,734	2,091	1,985
East North Central	7,823	7,411	1,721	1,580	1,242	1,140
West North Central	4,084	4,151	1,145	1,154	849	845
South	18,859	18,339	5,030	4,587	3,911	3,772
South Atlantic	9,371	8,808	2,303	2,037	1,718	1,683
East South Central	3,959	3,729	1,210	1,219	950	1,013
West South Central	5,529	5,803	1,517	1,332	1,243	1,076
West	9,790	10,052	1,655	1,916	1,137	1,219
Mountain	3,579	3,774	780	865	569	641
Pacific	6,211	6,279	875	1,051	568	578
COUNTY TYPE¹
Large Metro	19,862	19,524	3,569	3,531	2,416	2,410
Small Metro	15,859	15,438	3,610	3,563	2,700	2,740
250K – 1 Mil. Pop.	9,435	9,427	2,018	2,039	1,454	1,522
< 250K Pop.	6,424	6,011	1,592	1,524	1,246	1,218
Nonmetro	11,149	11,103	3,398	3,253	2,671	2,574
Urbanized	3,944	4,447	1,014	1,173	732	912
Less Urbanized	5,707	5,479	1,909	1,642	1,544	1,298
Completely Rural	1,499	1,178	475	438	394	365
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.

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Racial/Ethnic Subgroup	TIME PERIOD
Racial/Ethnic Subgroup	Lifetime	Past Year	Past Month
TOTAL¹	22,183	15,163	12,707
NOT HISPANIC OR LATINO¹	18,577	12,908	10,911
White	14,883	10,604	8,995
Black or African American	2,358	1,394	1,175
American Indian or Alaska Native	163	125	104
Native Hawaiian or Other Pacific Islander	110	79	69
Chinese	124	73	57
Filipino	162	98	81
Japanese	*	*	*
Asian Indian	144	93	57
Korean	137	101	90
Vietnamese	73	42	28
HISPANIC OR LATINO¹	3,606	2,255	1,796
Mexican	2,559	1,564	1,242
Puerto Rican	383	260	224
Central or South American	449	284	218
Cuban	91	68	56
*Low precision; no estimate reported. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

Racial/Ethnic Subgroup	TYPE OF ALCOHOL USE
Racial/Ethnic Subgroup	Any Alcohol Use	Binge Alcohol Use	Heavy Alcohol Use
TOTAL¹	119,392	53,779	16,002
NOT HISPANIC OR LATINO¹	106,976	46,554	14,355
White	90,729	38,943	12,557
Black or African American	10,549	5,416	1,208
American Indian or Alaska Native	594	392	127
Native Hawaiian or Other Pacific Islander	281	176	59
Chinese	836	146	18
Filipino	734	253	50
Japanese	427	106	19
Asian Indian	729	219	47
Korean	370	156	53
Vietnamese	247	72	23
HISPANIC OR LATINO¹	12,416	7,224	1,647
Mexican	8,060	4,983	1,134
Puerto Rican	1,303	765	215
Central or South American	1,678	875	127
Cuban	637	280	77
*Low precision; no estimate reported. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. ¹ Totals include data from respondents reporting racial/ethnic subgroups not shown, as well as respondents reporting more than one subgroup. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.