Key Points:

• In 2023, 119,600 New Hampshire adults (10.4 percent) were currently smoking. This is a 7.1 percent decrease from 2022 and represents 8,494 fewer adults smoking.

• Among all smoking adults in New Hampshire in 2023, 4.1 percent were 18 to 24 years old, 36.8 percent were 25 to 44 years old, 38.7 percent were 45 to 64 years old, and 20.4 percent were 65 years or older.

• Among all adults earning $25,000 or less in 2023, 26.4 percent were currently smoking compared to 6.5 percent of adults earning $50,000 or more.

• Among all smoking adults in New Hampshire in 2023, 96.8 percent were White, 1.4 percent were Multiracial, 1.2 percent were Hispanic, 0.5 percent were adults identifying as “Other,” and 0.1 percent were Asian.

• In 2023, 77,050 New Hampshire adults (6.7 percent) were currently using e-cigarettes. This is a 4.3 percent decrease from 2022 and represents 3,009 fewer adults vaping.

• Among all vaping adults in New Hampshire in 2023, 30.8 percent were 18 to 24 years old, 52 percent were 25 to 44 years old, 14.1 percent were 45 to 64 years old, and 3 percent were 65 years or older.

• In 2023, for every one New Hampshire high school student who was smoking, more than 56 adults were currently using cigarettes.

• In 2023, for every one New Hampshire high school student who was vaping, more than eight adults were currently using e-cigarettes.

• The introduction of e-cigarettes has not led to increases in cigarette smoking, but rather, correlates with significant declines in smoking rates among young adults.

• Between 2007 and 2023, smoking rates among New Hampshire adults aged 18 to 24 years old decreased by 83.6 percent.

• E-cigarette use has decreased among New Hampshire young adults. Between 2022 and 2023, e-cigarette use among 18- to 24-year-olds decreased by 18.6 percent.

• Cigarette excise taxes in New Hampshire disproportionately impact low income and low education persons, while failing to significantly reduce smoking rates among that class.

• Among New Hampshire adults earning $25,000 or less, smoking rates increased on average by 0.1 percent annually between 2003 and 2023, while rates among adults earning $50,000 or more decreased by 3.9 percent during the same period.

• In 2023, low-income adults were 4.1 times more likely to smoke than high income earners.

• In 2023, among New Hampshire adults who did not graduate high school, 27.3 percent were currently smoking, while only 3.7 percent of college graduates were smoking.

• In 2023, adults lacking a high school diploma were 7.4 times more likely to smoke than college graduates.

• New Hampshire woefully underfunds programs to prevent youth use of tobacco and/or vapor products and help adults quit smoking, while simultaneously receiving millions of dollars from the pockets of the adults who smoke. In 2023, for every $1 the state received in tobacco monies, it spent less than $0.01 on tobacco control efforts.