Health
Cigarette smoking in America plummets to historic single-digit low, new study finds
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The percentage of American adults who smoke cigarettes has dropped to the lowest level ever recorded, according to a new study.
About 9.9% of U.S. adults reported smoking cigarettes in 2024, a drop from 10.8% in 2023, according to an analysis of National Health Interview Survey data published Tuesday in the journal NEJM Evidence.
The findings mark the first time the adult smoking rate in the U.S. has fallen to the single digits, a milestone public health officials have pursued for decades.
The decline suggests the U.S. may be moving closer to the Healthy People 2030 goal — a national public health target — of reducing adult smoking to 6.1%.
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“If this decline continues, the target might be met or exceeded by 2030,” the researchers, led by Israel Agaku, an Atlanta-based public health researcher and professor, wrote in the paper.
The percentage of U.S. adults who smoke cigarettes fell to 9.9% in 2024, the lowest level ever recorded, according to a new study. (iStock)
But the milestone does not mean tobacco use has disappeared. About 25.2 million adults still smoke cigarettes — the most commonly used tobacco product in the United States — while nearly 47.7 million adults, or 18.8% of the population, use at least one tobacco product, including cigarettes, cigars or e-cigarettes, according to the researchers.
The study analyzed responses from more than 29,500 adults in 2023 and 32,600 adults in 2024 who participated in the National Health Interview Survey, a nationally representative household survey and the most recent national data available on adult tobacco use.
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The drop in cigarette smoking helped drive a decline in overall combustible tobacco use, which includes cigarettes and cigars. About 12.6% of adults used combustible tobacco in 2024, down from 13.5% the year prior, according to the study.
The use of other tobacco products such as e-cigarettes remained largely unchanged. (iStock)
However, the prevalence of other tobacco products — including e-cigarettes and cigars — did not significantly change between 2023 and 2024, according to the study.
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“The lack of change in cigar and e-cigarette use calls for intensified implementation of comprehensive tobacco control policies addressing all products,” the researchers wrote.
The study also found that tobacco use was not evenly distributed across the population.
Tobacco use was higher among certain occupational groups, including adults working in agriculture, construction and manufacturing. (iStock)
Men reported significantly higher tobacco use than women, with just over 24% of men using at least one tobacco product compared with nearly 14% of women, according to the study.
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Tobacco use was also higher among certain demographic and occupational groups, particularly adults in industries such as agriculture, construction and manufacturing.
The highest tobacco use was reported among people with a general educational development certificate at 42.8%, as well as rural residents, low-income individuals and people with disabilities.
Young adults were more likely to use e-cigarettes than traditional cigarettes. Nearly 15% of adults ages 18 to 24 reported using e-cigarettes, compared with 3.4% who smoked cigarettes, according to the study.
Some experts note the findings reflect a shift in nicotine use rather than a disappearance of addiction.
Young adults were more likely to use e-cigarettes than traditional cigarettes, according to the study. (iStock)
John Puls, a psychotherapist and addiction specialist who runs Full Life Comprehensive Care in Boca Raton, Florida, said the trend away from cigarettes but continued use of tobacco and e-cigarettes mirrors what he sees with patients.
“Most of my patients use e-cigarettes and various vape products,” Puls, who was not involved in the study, told Fox News Digital. “They’re easier to conceal, can be used almost anywhere and deliver a much more powerful nicotine dose.”
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Cigarette smoking, on the other hand, is “more socially unacceptable than it has ever been,” he added. “I work with many patients who are addicted to nicotine, and the vast majority have never smoked a cigarette.”
Public health officials emphasize that no tobacco product is considered safe. (iStock)
Puls said this pattern is especially common among adolescents and young adults and is concerning because cigarettes typically deliver about 1 to 2 milligrams of nicotine, while some vape products can contain 20 to 60 milligrams.
“There’s also a perception that e-cigarettes are a safer form of smoking, which is contributing to the decline in cigarette smoking,” Puls added.
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Health officials stress that no tobacco product is safe, including e-cigarettes, according to the Centers for Disease Control and Prevention.
Cigarette smoking is the leading cause of preventable disease and death in the U.S. and is responsible for about one in three cancer deaths, the agency says.
Public health officials say quitting support, smoke-free laws and tobacco taxes are key tools for reducing smoking rates. (iStock)
Overall, sustained public health measures — including smoke-free laws, tobacco taxes and access to quitting support — remain critical to further reducing tobacco use, the researchers noted.
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The study had several limitations, including changes to how smokeless tobacco has been defined over the survey years, reliance on self-reported data and less reliable estimates for some smaller subgroups.
Fox News Digital has reached out to Agaku for comment.
Health
Leading oncologist reveals 6 habits that could promote longevity and reduce your risk of chronic illness
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The health and wellness information put out on television, podcasts, social media, websites and elsewhere can be overwhelming, but a leading oncologist and University of Pennsylvania bioethicist argues healthy aging can be simplified into six evidence-based rules.
“Don’t be a schmuck” is the first principle offered by Dr. Ezekiel Emanuel in his book, “Eat Your Ice Cream: Six Simple Rules for a Long and Healthy Life.”
“Don’t be stupid,” Emanuel said recently on the ZOE Science & Nutrition podcast. “This is something my father used to say to his three sons very commonly when we were doing something dumb.”
Emanuel’s brothers are former Chicago Mayor Rahm Emanuel and powerful talent agent Ari Emanuel.
Emanuel argued that obviously dangerous activities, such as BASE jumping, climbing Mount Everest and smoking and vaping are examples of being a schmuck because they carry a high risk of death.
His other principles for living longer and reducing disease risk include prioritizing an active social life, staying mentally active with new hobbies and opportunities to learn, limiting processed and sugary foods and drinks without being overly restrictive, engaging in moderate exercise and getting proper sleep.
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“Our entire brain is constructed around social interactions, and it does way more for us,” Emanuel said. “We know that if you’re lonely, socially isolated, you dramatically increase your risks of mortality.
“More than 3 million people worldwide have been enrolled in studies about social interaction and longevity,” he added. “And the socially isolated, people who have zero or one friends, don’t see friends a lot. Those people are much more likely to die in the next few years.”
A leading health expert argues that loneliness poses health risks comparable to smoking cigarettes. (iStock)
According to Emanuel, being socially isolated or lonely “is the equivalent of smoking 15 cigarettes a day.”
Both close relationships and casual social interactions contribute to well-being, he said.
Emanuel explained why he thinks much of society’s obsession with wellness is toxic and what he labels as “the wellness industrial complex” gets wrong.
Dr. Ezekiel Emanuel said the wellness industrial complex’s obsession with wellness is toxic. (iStock)
“You should not be obsessed about wellness,” Emanuel said on the podcast. “You should be obsessed about living a meaningful life. That’s really what’s important, and wellness is only a means to an end.”
Much of the wellness industry focuses on self-denial, which is misguided, said Emanuel.
“Biology for humans is about homeostasis, the balance between one extreme and another,” he said.
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Society’s current obsession with wellness is nothing new, he added.
“Wellness is a response to a topsy-turvy world, a lot of uncertainty about what the future’s bringing, people feeling like their life’s out of control,” he said.
“And, so, wellness is a response. This is something I can control — what I eat, the vaccines I get, the exercise — and I think that’s what we have today. This is a lot about self-control transmuted into wellness as the outlet.”
Dr. Ezekiel Emanuel said he is a teetotaler himself but says he serves alcohol at his dinner parties because he believes it acts as a social lubricant. (iStock)
The body thrives when it doesn’t take dieting or exercising to extremes, Emanuel said. He is a teetotaler himself, but his wife enjoys cocktails, and when they have a dinner party, they serve alcohol.
Don’t drink alone or use alcohol to drown your sorrows or avoid dealing with them, Emanuel advised.
The ZOE podcast asked Emanuel to advise listeners who aren’t following any of his six rules what to try first.
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“Dinner parties,” he said. “You cook, and you both have good, healthy food because you’ve cooked it. Ynd you’ve challenged your mind ‘cause you’re adding a new recipe, and you’re figuring out how to do it right.
Hosting a dinner party is a healthy activity people should engage in, a health expert says. (iStock)
“You have people over, so you’ve got social connections,” he continued. “You’re challenging your mind with a good conversation. And when it’s all over, you go out for a walk so you get some physical activity.
“This is like you’ve done almost everything in wellness. All of those elements are key to wellness, and it’s the kind of thing you can do, you know, once a weekend or … And you’ll be happier.”
Health
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Health
Weight-loss drugs may improve job prospects and dating odds for one group
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A recent study suggests GLP-1-related weight loss may improve some women’s relationships and employment status.
Rebecca Diamond, professor of economics at Harvard University in Boston, independently published research that found an association between weight-loss medications and a change in women’s social and economic outcomes.
Diamond used the Understanding America Study, a panel survey from the University of Southern California, to compare women who started GLP-1s for weight loss to those who wanted to start but had not yet done so.
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The comparison considered body mass, health, income, employment, partnership status and well-being before treatment.
The study focused on women because they are more likely to use GLP-1s than men. It excluded people taking GLP-1 drugs for diabetes, as their use is driven by a medical condition rather than weight-loss demand.
Women who began GLP-1s for weight loss and were successful in losing weight experienced changes in relationship and employment status, according to the findings. (iStock)
Women who successfully lost weight with GLP-1 medications experienced changes across several life outcomes, including employment, marriage and cohabitation, according to the study.
Marriage and cohabitation rose 29% for single women after about 18 months.
DIVORCEES AND WIDOWS SHARE CONCERNING MENTAL HEALTH TRAIT, RESEARCHERS FIND
Among women who were not employed at the start of the study, job prospects increased by 27% after the same amount of time. Those who were already employed did not display any clear upward progress in their careers, however.
Diamond argues that these findings suggest part of the “female obesity penalty” comes from how people are judged when being matched up, either in a new relationship or a new job.
The findings say “more about societal bias than about the medication itself,” a doctor suggested. (iStock)
Dr. Peter Balazs, MD, a hormone and weight-loss specialist from New York and New Jersey, commented on these findings.
“The effects showed up during ‘new match’ situations, such as job interviews or dating, and not within existing jobs or relationships,” Balazs, who was not involved in the study, told Fox News Digital. “This says more about societal bias than it does about the medication itself.”
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Balazs said his patients often report feeling more confident and “visible” after weight loss, which could translate into better interview performance and networking.
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“Weight loss (commonly) improves confidence, which opens new business and relationship opportunities,” he went on. “Weight loss has hormonal impacts as well, so the normalization of hormones and the profound metabolic and psychological relief that comes with it can be a factor, too.”
“Weight loss (commonly) improves confidence, which opens new business and relationship opportunities,” an expert said. (iStock)
Dr. Krishna Vyas, a plastic surgeon at Blechman Plastic Surgery in New York, told Fox News Digital in a separate interview that many patients seek breast lifts or body contouring after significant GLP-1 weight loss, after which they find themselves “re-engaging with life.”
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“That confidence effect is real in the exam room,” said the surgeon, who also was not involved in the research. “This study, however, showed no clear improvement in depression, loneliness or life satisfaction, even as marriage and employment rates climbed dramatically.”
“The opportunities opened, yet the women didn’t report feeling better, which suggests it was largely the gatekeepers who changed, not the women.”
Potential limitations
Because this was an observational study rather than a randomized clinical trial, it could only show an association — not cause and effect. The findings are also considered preliminary because the paper has not yet been peer-reviewed, the author acknowledged.
“Additionally, since the study only looked at women, that introduces another layer of potential bias,” Balazs noted. “I’d be interested to see whether the findings would be the same if the study included men or compared them directly.”
“Weight loss has hormonal impacts as well, so the normalization of hormones and the profound metabolic and psychological relief that comes with it can be a factor, too,” an expert said. (iStock)
Another limitation is that the information from the individuals studied was self-reported, the expert noted.
The researchers were also unable to determine whether people who found new jobs were earning more money.
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“Additionally, even though GLP-1 users appeared to have better outcomes on paper, they did not report greater overall life satisfaction,” Balazs added. “That raises important questions about whether these external changes translate into meaningful improvements in well-being.”
Fox News Digital reached out to the study researcher and multiple human resources organizations requesting comment.
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