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Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.
United States Value:
Percentage of women ages 18-44 who reported using e-cigarettes or other electronic vaping products at least once in their lifetime and now use daily or some days
Percentage of women with difficulty with self-care ages 18-44 who reported using e-cigarettes or other electronic vaping products at least once in their lifetime and now use daily or some days
18.6% - 22.1%
22.2% - 26.7%
26.8% - 28.5%
28.6% - 34.2%
34.3% - 37.8%
No Data
US Value: 11.2 %
Top State(s): Maryland: 7.2 %
Bottom State(s): Arkansas: 18.3 %
Definition: Percentage of women ages 18-44 who reported using e-cigarettes or other electronic vaping products at least once in their lifetime and now use daily or some days
Data Source and Years(s): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2022-2023
Suggested Citation: America's Health Rankings analysis of U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, United Health Foundation, AmericasHealthRankings.org, accessed 2026.
Electronic cigarettes, also called e-cigarettes, vapes or vape pens, are electronic devices that use heat to make an aerosol that is inhaled by the user. E-cigarettes are typically used to deliver nicotine, an addictive compound, or tetrahydrocannabinol (THC), the active component of cannabis. Nicotine is known to be harmful to pregnant women and their developing babies.
E-cigarettes may contain various additives such as ultrafine particles that can go deep into the lungs, cancer-causing chemicals and flavoring chemicals that are linked to lung disease and injury. A 2019 study discovered that e-cigarette use is associated with respiratory diseases, including chronic obstructive pulmonary disease and asthma.
E-cigarettes have become increasingly popular over the past decade, especially among youth. Studies have identified e-cigarette use in adolescence as a strong predictor of cigarette use in adulthood.
According to America’s Health Rankings analysis, the prevalence of e-cigarette use is higher among:
The Community Preventive Services Task Force recommends internet-based interventions to help adults quit smoking. Internet-based tobacco cessation interventions provide information, coaching and social support to individuals interested in quitting. Internet content can be tailored to meet the specific needs of communities. Interventions may also include text messaging, phone calls and medications. CDC’s Vaping and Quitting, American Lung Association and Truth Initiative provide resources to find internet-based interventions and support.
Studies show mixed results on whether e-cigarettes are an effective smoking cessation method. For this reason, the Food and Drug Administration has not approved e-cigarettes as a method to quit smoking.
Healthy People 2030 has several tobacco-related objectives, including reducing current tobacco use among adults and reducing e-cigarette use among adolescents.
Bhatta, Dharma N., and Stanton A. Glantz. “Association of E-Cigarette Use With Respiratory Disease Among Adults: A Longitudinal Analysis.” American Journal of Preventive Medicine 58, no. 2 (February 1, 2020): 182–90. https://doi.org/10.1016/j.amepre.2019.07.028.
Jamal, Ahmed, Eunice Park-Lee, Jan Birdsey, Andrenita West, Monica Cornelius, Maria R. Cooper, Hannah Cowan, et al. “Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024.” MMWR. Morbidity and Mortality Weekly Report 73, no. 41 (October 17, 2024): 917–24. https://doi.org/10.15585/mmwr.mm7341a2.
Soneji, Samir, Jessica L. Barrington-Trimis, Thomas A. Wills, Adam M. Leventhal, Jennifer B. Unger, Laura A. Gibson, JaeWon Yang, et al. “Association Between Initial Use of E-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis.” JAMA Pediatrics 171, no. 8 (August 1, 2017): 788–97.https://doi.org/10.1001/jamapediatrics.2017.1488.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.
