Current smokeless tobacco use: U.S. states ranked (2024)
Measure: Current smokeless tobacco use. All 49 states with data in Tooth loss and smokeless tobacco use by state, ranked from highest to lowest. Reference period: 2024.
Small states, hard to see on the map:
- Lowest: 1.4 to 2.2 %
- Group 2: 2.2 to 3.1 %
- Group 3: 3.1 to 3.6 %
- Group 4: 3.6 to 5.7 %
- Highest: 5.7 to 8.3 %
Rank is derived by Quadranac: 1 = highest value; ties share a rank. The ranked value is itself derived; see the source table for the method. Values are as published in the source table.
| 1 | Wyoming | 8.3 |
|---|---|---|
| 2 | West Virginia | 7.6 |
| 3 | Alabama | 6.5 |
| 4 | Mississippi | 6.4 |
| 5 | Montana | 6.2 |
| 6 | North Dakota | 6.1 |
| 7 | Alaska | 6 |
| 8 | Oklahoma | 5.8 |
| 8 | South Dakota | 5.8 |
| 10 | Kentucky | 5.7 |
| 11 | Arkansas | 5.4 |
| 12 | Idaho | 4.9 |
| 12 | Nebraska | 4.9 |
| 14 | Missouri | 4.7 |
| 15 | Kansas | 4.6 |
| 15 | Louisiana | 4.6 |
| 17 | Iowa | 4.5 |
| 18 | Ohio | 4.1 |
| 19 | Virginia | 3.9 |
| 20 | Oregon | 3.6 |
| 21 | Colorado | 3.5 |
| 21 | Indiana | 3.5 |
| 21 | Minnesota | 3.5 |
| 21 | Wisconsin | 3.5 |
| 25 | New Mexico | 3.4 |
| 26 | Illinois | 3.3 |
| 26 | North Carolina | 3.3 |
| 28 | Pennsylvania | 3.2 |
| 28 | Texas | 3.2 |
| 30 | Georgia | 3.1 |
| 30 | South Carolina | 3.1 |
| 32 | Arizona | 2.8 |
| 32 | Delaware | 2.8 |
| 32 | Nevada | 2.8 |
| 35 | Hawaii | 2.6 |
| 35 | Michigan | 2.6 |
| 35 | Utah | 2.6 |
| 35 | Washington | 2.6 |
| 39 | Vermont | 2.5 |
| 40 | Florida | 2.2 |
| 40 | Maine | 2.2 |
| 42 | California | 2.1 |
| 43 | New Hampshire | 1.7 |
| 43 | New York | 1.7 |
| 45 | Maryland | 1.6 |
| 45 | New Jersey | 1.6 |
| 47 | Rhode Island | 1.5 |
| 48 | Connecticut | 1.4 |
| 48 | Massachusetts | 1.4 |
Source: CDC, Behavioral Risk Factor Surveillance System, BRFSS Prevalence Data (2011 to present), data.cdc.gov dataset dttw-5yxu. Reference period: 2024.
Cite this ranking
U.S. states ranked by current smokeless tobacco use (2024). Data: CDC, Behavioral Risk Factor Surveillance System (BRFSS), BRFSS Prevalence Data (2011 to present), data.cdc.gov dataset dttw-5yxu; rank derived by Quadranac. Data last updated 2026-11-03. https://quadranac.com/rankings/us-states-by-current-smokeless-tobacco-use/