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Key Points Question Between 2006 and 2019, was there a change in prevalence of cigarette smoking among US adults with major depressive episode (MDE), substance use disorders (SUD), or both? Findings In this serial cross-sectional study that included 558 960 adult participants, there was a statistically significant decline in the prevalence of self-reported cigarette smoking from 2006 to 2019 among those with MDE (37.3% to 24.2%), SUD (46.5% to 35.8%), or both (50.7% to 37.0%).
A recent SAMHSA report indicates that adolescent cigarette use nationwide declined significantly over the past decade. However, smoking remains the nation’s leading cause of preventable death, responsible for an estimated 443,000 American deaths each year, with 50,000 of these deaths from exposure to secondhand smoke. One in eleven adolescents in the U.S. report smoking in the past month.
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